Questions with Correct Answers 2026
AZnurse is assisting with the plan of care for a clientZfollowing a
transurethral resection of the prostate. Which of the following interventions should the nurse include in t
he plan of care? - CORRECT ANSWERZ-
The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage
system to minimize the rickZof infection.
AZnurse is reviewing a client's electronicZmedical record and finds that an assistive per sonnel recorder th
e client's temperature as 35.3 degrees Celsius (95.5 degreesZF) 2 hrs earlier. Which of the following action
s should the nurse take firsT? - CORRECT ANSWER -check the clients temp
AZnurse is receiving change-of-
shift report for four clients. Which of the following clients should the nurse see first? -
CORRECT ANSWER -A client whose urinary output was 100mL for the pastZ12 hrs
AZnurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Whi
ch of the following statements should the nurse include in teaching? - CORRECT ANSWER -
keep fat intake to no more that 30% of daily caloric intake.
AZnurse is collecting data from a client who has iron deficiency anemia. Which of the following findings sh
ould the nurse expect? - CORRECT ANSWER -difficulty concentrating
A Nurse is collecting data from an older adult client who is 48 hr postoperative followingZabdominal surge
ry. The provider writes a prescription to advance the client to a re gular Diet. For which of the following fi
ndings should the nurse notify the provider? - CORRECT ANSWER -The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and states. "He is high on something and nee
ds help" The client is
exhibiting agitation and paranoia and reports visual hallucinations. The nurse should suspect intoxication
with which of the following substances? - CORRECT ANSWER -Methamphetamines
,AZnurse notices an assistive personnel taking a nap in the break room duringZhe meal t ime. The AP appea
rs drowsy while performing routine tasks. Which of the following a ctions should the nurse take? -
CORRECT ANSWER -Report the observations about the ap to the unit's nurse manager.
AZnurse is reinforcing teaching with a client who has a fluid volume deficit about selec ting foods that hav
e a high water content. The nurse should include that which of the following raw foods contains the highe
st amount of water per 1 cup serving? - CORRECT ANSWER -cherry tomatoes
The nurse is position a client who is scheduled for a lumbar puncture. The nurse should assist the client in
to which of the following positions? - CORRECT ANSWER -lateral recumbent
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states "I really thought I'd be back to my usual routines by now, but
I can't think of anythingelse except my son is gone" Which of the following responses should the nurse m
ake? - CORRECT ANSWER -
Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss.
A nurse is assisting with monitoring a client who is at 40 weeksZof gestation and is in active labor. The nur
se recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the nur
se take? - CORRECT ANSWER -Place the client in the lateral position.
A nurse manager is providing an in-
service on hand hygiene to assistive personnel. which of the followingZinformation should the nurse man
ager include in the in-service? - CORRECT ANSWER -
Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the followingZstat
ements should the nurse include in the instructions? - CORRECT ANSWER -
Place your baby's crib away from heat vents.
AZnurse is preparing to administer a client's morning medications.
Which of the follow ing actions should the nurse take to verify the client's identity? - CORRECT ANSWER -
Scan the facility identification board.
, AZnurse is caringZfor a client followingZa bronchoscopy procedure. Which of the following actions should t
he nurse perform first? - CORRECT ANSWER -check for a gag reflex
While administering a medication to a client, a nurse notices a trayed electrical cord connecting the client
's continuous passive motion machine to the electrical outlet. Which of the following actions should the n
urse take? - CORRECT ANSWER -Remove the device from the client's room.
A nurse is caringZfor a client who is 4 hr postoperative following a total thyroidectomy. Which of the follo
wingZmanifestations should the nurseZreport to the provider as indicating possible hypocalcemia? -
CORRECT ANSWER -TinglingZof fingers
A nurse is caringZfor a client who has a Penrose drain. To ensure proper placement an d functioning of the
drain, which of the following should the nurse expect to observe? - CORRECT ANSWER -
The safety pin is present at the distal end of the drain.
A community health nurse is helping to reinforce teaching about hepatitis A with a group of employees at
a childcare facility.
Which of the following characteristics should t he nurse identify as an external factor that can impede lea
rning for the participants? - CORRECT ANSWERZ-Poor lighting in the learning setting
AZnurse is observing newly licensed nurse who is providing tracheostomy care for a client. The nurse iden
tifies proper performance of the procedure when the newly licensed nurse selects which of the following
solutionsZto clean the inner cannula? -ZCORRECT ANSWER -hydrogen peroxide
AZnurse is caringZfor a client who has right sided heart failure. The client'sZpartner exp resses concern the
the client will die. Which of the following responses should the nurse make? - CORRECT ANSWER -
"It is difficult to see someone so sick. Whathave you been told about your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-
service for newly hired assistive personnel about legal issues within the facility. Which of the following sh
ould the nurse include as an example of assault? - CORRECT ANSWERZ-
Informing a client the nurse is going to administer an injection even though the client refuses.
AZnurse is collecting data from who is severeZpain. Which of the tollowing questions should the nurse ask
first? - CORRECT ANSWER -"Where isZyour pain located?"