QUESTIONS WITH 100% VERIFIED
ANSWERS LATEST 2025/2026
GRADED A+
Which of the following findings should the nurse identify require follow-up by the provider? Select the 6
findings that require immediate follow-up.
Exhibit 1:
Day 1, 1715:
Client is 6 hr postoperative following abdominal surgery. Client is resting and easily awakened. Alert and
oriented to person, place, and time. Incision has moderate amount of serous sanguineous draining on
dressing. Abdominal dressing is intact. States pain level is a 4 on a 0 to 10 pain scale. Bowel sounds are
normoactive. Client tolerating sips of water. Urinary output 320 mL in last 4hr.
Day 1, 2030:
Nurse enters room client's room. Client is restless and short of breath. Client rates pain as an 8 on a
scale of 0 to 10, saying,
"My abdomen hurts so bad." Nurse notes dressing site has large amounts of bright red blood.
-Blood pressure
-Bowel sounds
-Pain level
-Respiratory rate
-Urinary output
-Heart rate
-Orientation status
-Oxygen saturation
- correct answer When analyzing cues, the nurse should identify that an increase in heart rate,
respiratory rate, a pain level of 8 on a scale of 0 to 10, a large amount of bright red blood on the client's
abdominal dressing, along with a decrease in blood pressure and oxygenation saturation are
manifestations of hemorrhage.
,Therefore, the nurse should notify the client's provider of these findings immediately.
A charge nurse is reviewing the plan of care for a client who has active herpes simplex lesions. Which of
the following interventions is appropriate for the plan of care?
a. Admit the client to a private room with negative-pressure airflow.
b. Wear a gown and gloves when caring for the client.
c. Have the client wear a mask during transport.
d. Wear a face mask and eye protection when caring for the client.
- correct answer b. Wear a gown and gloves when caring for the client.
The nurse should use contact precautions when caring for clients who have an infection from herpes
simplex. Barriers with gloves and gowns are mandatory.
A nurse is caring for several clients. Which of the following actions should the nurse take to maintain
client confidentiality?
a. Tell a client's partner that the client's laboratory tests cannot be disclosed without permission.
b. Ask the assistive personnel (AP) to refer to clients by room number in public areas.
c. Explain to a nursing student that verbal permission must be obtained before using a client's name in
school assignments.
d. Share information about a client with
members after personal identification has been provided.
- correct answer a. Tell a client's partner that the client's laboratory tests cannot be disclosed without
permission.
This action by the nurse will maintain client confidentiality. Providing a client's partner with laboratory
results without permission is unauthorized disclosure of confidential information.
A charge nurse is managing conflict with a staff nurse who does not agree with the client care
assignment. Which of the following statements example of using the conflict resolution strategy known
as smoothing?
, a. "Would you accept the assignment if we reassign your client who has total care needs and assign
another client who can provide more self-care?"
b. "Tell me what changes we need to make so that you'll feel comfortable with the assignment."
c. "I didn't mean to make you feel overwhelmed. Why don't you look over the assignments with me and
suggest changes?"
d. "You always complete your work on time and do a great job. I believe you can handle the assignment
well."
- correct answer d. "You always complete your work on time and do a great job. I believe you can handle
the assignment well."
The charge nurse is using smoothing as a conflict resolution strategy by complimenting or focusing on
shared ideas to reduce the emotional component of the conflict.
A nurse manager is planning daily work and activities for the unit. Which of the following actions is the
nurse manager's priority?
a. Assign client care to staff.
b. Coordinate staff breaks.
c. Organize daily meetings using an appointment book.
d. Review long-term goals of the unit.
- correct answer a. Assign client care to staff.
When using the urgent vs nonurgent approach to client care, the nurse determines that the priority
action is to assign client care to staff. This ensures continuity of care and that clients receive prescribed
treatments in a timely manner.
A nurse is caring for a school-age client who is seeking treatment for a laceration to the right forearm
that occurred during soccer practice. The client was transported to the emergency department by a
friend's parent and the soccer coach. The nurse should ensure that informed consent is given by which
of the following people?
a. The client