CORRECT (UPDATED 2025
1. A client becomes very dejected and states, "No one really cares what happens to
me. Life isn't worth living anymore." Which of the following responses should the
nurse make?
D) "I care about you, and I am concerned that you feel so sad"
2. A nurse is providing instructions about bowel cleansing with polyethylene glycol-
electrolyte solution (PEG) for a client who is going to have a colonoscopy. Which of the
following information should the nurse include?
"Abdominal bloating might occur."
3. A public health nurse is assessing an older adult client who lives with a damily
member. The nurse identifies seeral bruises in various stages of healing, THe
client and family member explain that the bruises are a result of clumsiness.
However, based on the distribution of the bruises, the nurse suspects abuse.
Which of the following actions should the nurse take first?
“Report the findings to a supervisor”
4. A nurse is caring for a client who has HIV. Which of the following laboratory values is
the nurse's priority?
CD4-T-cell count 180 cells/mm
5. A nurse is caring for a client who is being treated with a cesium implant. The
client tells the nurse, "I feel so isolated and alone in this room". After
acknowledging the client's feelings of loneliness, which of the following
responses should the nurse provide?
“Do you have a cell phone you can talk to friends and family on?”
6. A nurse is speaking with the mother of a 6-year-old child. Which of the following
statements by the mother should concern the nurse?
“The teacher says my child has to squint to see the board.”
7. A charge nurse has access to the facility's electronic client records. It is appropriate for
the charge nurse to share her personal password with whom?
“ no one”
, 8. A nurse in a prenatal clinic is assessing a client who is suspected of having a
hydatidform mole. Which of the following findings should the nurse expect to
observe in this client?
Excessive uterine enlargement
9. A nurse is caring for an antepartum client who has iron-deficiency anemia. When
teaching the client about nutrition, the nurse should emphasize the need for an increased
intake of which of the following foods?
red meat and organ meat
10. A nurse is admitting a client who has experienced a weight loss of 25 lb (11 kg)
in the past 3 months. The client weighs 88 lb (40 kg) and believes she is fat.
Which of the following aspects of care should the nurse consider the first priority
for this client?
Identify the client's nutritional status
11. nurse is providing discharge teaching about nutrition to the parents of
a child who has cystic fibrosis (CF). Which of the following responses
by the parents indicates an understanding of the teaching?
“We will give our child pancreatic enzymes with snacks and meals”
12. A nurse is caring for a client who has severe head injuries and is declared brain
dead. The transplant coordinator has spoken with the client's family about organ
donation. The client's spouse states she is confused and does not know what
she should do. Which of the following responses by the nurse is appropriate?
What do you think your spouse would have wanted?
13. A nurse is admitting a client who has active tuberculosis to a room on a medical-
surgical unit. Which of the following room assignments should the nurse make for the
client?
A room with air exhaust directly to the outdoor environment
14. A nurse is preparing an in-service for an annual skills fair at a community medical
facility about fire safety. Place the steps in the order in which they should be performed
in the case of a fire emergency. (Move the steps in order)
Rescue Clients
Pull Fire Alarm