Assessment Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
A nurse is preparing to measure a client’s radial pulse. Which of the following actions is correct?
A. Use the thumb to locate the pulse
✔✔B. Place the pads of two fingers on the thumb side of the wrist
C. Measure the pulse after the client walks
D. Count the pulse for 5 seconds only
A nurse is reinforcing teaching about hand hygiene. Which instruction should be included?
A. Dry hands with a cloth apron
✔✔B. Rub hands together for at least 20 seconds
C. Use hand sanitizer only after contact with body fluids
D. Wash hands only if gloves were not worn
A nurse is caring for a client who is at risk for falls. Which intervention is appropriate?
A. Keep all side rails up
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,B. Place the client in a wheelchair without brakes
✔✔C. Ensure the call light is within reach
D. Leave the bed in high position to prevent straining
A nurse is documenting care in a client’s chart. Which of the following is correctly written?
A. "Client probably drank 200 mL."
✔✔B. "Client ambulated 25 feet with walker at 0900."
C. "Looks better today. Seems fine."
D. "Dressing changed. Looks OK."
A nurse is applying anti-embolism stockings. What action is correct?
A. Roll the stockings down if too tight
✔✔B. Smooth wrinkles after application
C. Apply only at bedtime
D. Pull tightly to compress the leg
A nurse is preparing to transfer a client from the bed to a chair. What should the nurse do first?
✔✔A. Assess the client’s strength and balance
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, B. Lock the bed wheels after transfer
C. Apply a gait belt after standing
D. Place the chair on the weak side
A nurse is reinforcing teaching about pain management. Which statement indicates
understanding?
✔✔A. “I’ll ask for pain medicine before the pain gets severe.”
B. “I’ll wait until the pain is unbearable.”
C. “I’ll avoid pain meds so I don’t get addicted.”
D. “I’ll only take meds at bedtime.”
A nurse is caring for a client in contact precautions for C. difficile. What PPE is required?
A. Mask and gloves
✔✔B. Gown and gloves
C. N95 respirator and gown
D. Face shield and mask
A nurse is checking an IV site and notes redness and warmth. What is the appropriate action?
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