PRACTICE 2025/2026
A nurse is planning care for a group of clients. Which of the following tasks should
the nurse delegate to an assistive personnel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client's response to a diuretic
c. Comparing radial pulses for a client who is postoperative d.Providing
postmortem care to a client - answer-d
A nurse is conducting a health assessment for a client who takes herbal
supplements. Which of the following statements by the client indicates an
understanding of the use of the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms - answer-c
A nurse is caring for a client who has influenza and isolation precautions in place.
Which of the following actions should the nurse take to prevent the spread of
infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
,D. Place the client in a negative airflow room. - answer-a
A Nurse on a medical-surgical unit is providing care for four clients. The nurse
should identify which of the following situations as an ethical dilemma?
a. A surgeon who removed the wrong kidney during a surgical procedure refuses
to take responsibility for her actions
b. A client who has Crohn's disease reports that his prescription drug plan will not
pay for his medications.
c. A client who has a new colostomy refuses to take instructions from the ostomy
therapist because she "doesn't like him."
d. the family of a client who has a terminal illness asks the provider not to tell the
client the diagnosis - answer-d
A nurse is teaching a client about performing breast self-examinations. Which of
the following statements by the clients indicates an understanding of the
teaching?
a. "I should perform my self-exam the week that my period starts"
b. "I should make different patterns on each breast when I do my self-exam."
c. "I should use the palm of my hand to apply pressure to each breast."
d. "I should make circular motions with my fingertips under my arms." - answer-d
A nurse is preparing to transfer a client who is partially weight bearing from the
bed to the chair. Which of the following actions should the nurse take?
a. Keep his knees straight when moving the client
b. Position the chair next to the bed as a 90 degree angle
c. Stand with his feet together when lifting the client
d. Have the client bear weight on her stronger leg - answer-d
,A nurse is caring for a client following a laparoscopic cholecystectomy. The client
has a prescription for ondansetron 4mg IV bolus every 6hr PRN for nausea and
vomiting. Identify the sequence of steps the nurse should follow to administer the
medication. ( Move the steps into the box on the right, placing them in the order
of performance. Use all the steps.)
- Select the injection port of the IV tubing closest to the client.
- Cleanse the injection port with an antiseptic swab.
- Aspirate for blood return.
- Inject the medication.
- perform hand hygiene - answer-1. perform hand hygiene
2. select the injection port of the IV tubing closest to the client
3. cleanse the injection port with an antiseptic swab
4. aspirate for blood return
5. inject the medication
A nurse is teaching a client who has diabetes mellitus about mixing regular and
NPH insulin.
Which of the following statements but the client indicates an understanding of
the teaching
a. I should wait 3 minutes after mixing the insulin to inject it
b. I should draw up the NPH insulin before regular insulin
c. I should inject air into the vial of regular insulin first
d. I should roll the vial of NPH insulin between my hands before drawing it up -
answer-d
, A nurse is assessing the body temperature of an adult client using a temporal
artery thermometer. Which of the following actions should the nurse take?
(Select all that apply)
a. Slide the probe across the clients forehead
b. Pull the clients pinna up & back
c. Hold the client's hair aside while performing the procedure
d. Document the client's temperature with "AX" next to the value
e. Move the probe in a circular motion - answer-a, c
A nurse is preparing to insert a peripheral IV catheter into the client's arm. Which
of the following actions should the nurse take to help dilate the vein?
a. Stroke the skin near the vein in an upward position
b. Dangle the client's arm over the edge of the bed
c. Apply a cool compress to the vein for 10 min
d. Instruct the client to flex their arm with the hand open - answer-b
A nurse is preparing to suction a client's tracheostomy tube. Which of the
following actions should the nurse plan to take?
a. Apply intermittent suction during catheter insertion
b. Suction the client's airway for 20 seconds with each pass
c. Hyperoxygenate the client manually for 30 to 60 seconds before suctioning
d. decrease suction pressure to 150 mm Hg if the O2 sat levels drop during
suctioning - answer-a
A nurse is assessing a client who received morphine for severe pain 30 mins ago.
Which of the following finding is the nurse's priority?