2025/2026 QUESTIONS AND
ANSWERS
A nurse is caring for a client who requires an informed consent for a
surgical procedure. Which of the following actions is the nurse's
responsibility?
A. Describe the procedure to the client.
B. Witness the client's signature on the consent form.
C. Inform the client of alternatives to the procedure.
D. Tell the client which team members will assist with the procedure. -
ANSW✔✔B. Witness the client's signature on the consent form.
The nurse is responsible for witnessing the client sign the consent form.
The nurse should confirm that the client appears competent to give
consent and that the client understands the procedure.
A nurse is caring for a client who has tuberculosis. Which of the
following actions should the nurse take? (Select all that apply.)
A. Place the client in a room with negative-pressure airflow.
B. Wear gloves when assisting the client with oral care.
C. Limit each visitor to 2-hr increments.
D. Wear a surgical mask when providing client care.
,E. Use antimicrobial sanitizer for hand hygiene. - ANSW✔✔A. Place the
client in a room with negative-pressure airflow.
The nurse should place the client in a room with negative-pressure
airflow to meet the requirements of airborne precautions.
B. Wear gloves when assisting the client with oral care.
The nurse should wear gloves when assisting the client with oral care to
meet the requirements of standard precautions, which the nurse must
adhere to for all clients regardless of their diagnosis. The nurse should
wear gloves whenever their hands might come in contact with a client's
bodily fluids, such as saliva, and the mucous membranes in the mouth.
E. Use antimicrobial sanitizer for hand hygiene.
The nurse should use antimicrobial sanitizer for routine hand hygiene
when caring for a client who has tuberculosis. Nurses should also wash
their hands with soap and water when their hands are visibly soiled.
A nurse is reviewing a client's medication prescription that reads,
"digoxin 0.25 by mouth every day." Which of the following components
of the prescription should the nurse verify with the provider?
A. Medication name
B. Route of administration
C. Medication dose
D. Frequency of administration - ANSW✔✔C. Medication dose
,In the prescription, the medication dose is not complete. The number
0.25 should be followed by a unit of measurement, such as mg, to
clarify the amount the nurse should administer.
A nurse is admitting a client.
The nurse is reviewing the client's medical record. Which of the
following actions should the nurse take?
Select all that apply.
Nurses' Notes
0930:
Client reports a sore throat, productive cough, shortness of breath, and
fever for the past 4 days.
1030:
Client has swollen lymph nodes of the neck upon palpation. Client
reports chills and coughs up yellow-colored mucus. Client's face is
flushed and diaphoretic. States lack of appetite. Chest x-ray obtained
and positive for pneumonia.
Vital Signs
1030:
, Blood pressure 110/68 mm Hg, Heart rate 110/min, Respiratory rate
24/min, Temperature 38.6° C (101.5° F), Oxygen saturation 91% on
room air
A. Place the client on droplet isolation precautions.
B. Apply oxygen at 2 L/min via nasal cannula.
C. Request a prescription for an antipyretic medication.
D. Wear an N-95 mask when providing care to the client.
E. Request a prescription for an - ANSW✔✔A. Place the client on
droplet isolation precautions.
A nurse in an acute care facility is preparing a discharge summary for a
client who is transferring to a long-term care facility. Which of the
following documentation should the nurse include?
A. Client flow sheet
B. Acuity ratings
C. Current medications
D. Incident reports - ANSW✔✔C. Current medications
The nurse should include the client's medications in the discharge
summary to ensure client safety and continuity of care.