ANSWERS 2025 -2026
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure? ANSWER : -BUN
Rationale:
BUN levels indicate kidney function. The nurse should review the lab level to determine if the client can
tolerate the IV contrast dye during the procedure.
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal
cord injury. Which of the following interventions should the nurse plan to implement first? ANSWER : -
Determine the client's daily elimination habits.
A nurse is discussing health screening guidelines with an older adult client. Which of the following
statements should the nurse include? ANSWER : -"You should have a pneumococcal immunization
every 10 years."
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements
indicates an understanding of the ruse of budesonide and albuterol inhalers? SATA ANSWER : --"I never
forget to rinse my mouth after using my budesonide inhaler."
-"Between office visits, I keep a record of how many times I use my albuterol inhaler."
-"I use my albuterol inhaler before I go swimming."
A nurse in a long-term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? ANSWER : -Small liquid stools
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a halo vest in
place. Which of the following safety precautions should the nurse include in teaching? ANSWER : -
Change the sheepskin liner weekly
, A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching? ANSWER : -Mohs
surgery is a horizontal shaving of thin layers of the tumor
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot flashes.
The client is interested in trying hormone replacement therapy (HRT). Which of the following should the
nurse recognize as a contraindication to HRT? ANSWER : -History of treatment for blood clots
A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of
the following statements by the client demonstrates an understanding of the teaching? ANSWER : -"I
understand that pea-sized lumps are normal."
A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving
epoetin Alfa. The nurse should identify that which of the following laboratory values indicates the
treatment is effective? ANSWER : -Hgb 11 g/dL
A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast
agent. Which of the following laboratory findings should the nurse report to the provider prior to the
procedure? ANSWER : -Creatinine 1.9 mg/dL
Rationale:
Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the nurse should report the
finding to the provider before the client has a CT scan with an IV contrast agent. This finding places the
client at risk for developing contrast-induced nephropathy.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions
should the nurse take to reduce the risk for aspiration? ANSWER : -Allow for 30 min of rest before meals
A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke.
Which of the following interventions should the nurse plan to implement first? ANSWER : -Recommend
a referral for a speech language pathologist.
Rationale: