Exam 2026/2027 – Complete Exam Questions with
100% Correct Verified Answers & Detailed
Explanations| Latest Update!!! 2026 EDITION
As part of the admission process, a nurse at a long-term care facility
is gathering a nutrition history for a client who has dementia. Which
of the following components of the nutrition evaluation is the
priority for the nurse to determine from the client's family?
A. Body mass index
B. Usual times for meals and snacks
C. Favorite foods
D. Any difficulty swallowing
D
The greatest risk to this client related to a nutrition-related
evaluation is from difficulty swallowing, or dysphagia. It puts the
client at risk for aspiration, which can be life-threatening.
,When entering a client's room to change a surgical dressing, a nurse
notes that the client is coughing and sneezing. Which of the
following actions should the nurse take when preparing the sterile
field?
A. Keep the sterile field at least 6 ft away from the client's bedside.
B. Instruct the client to refrain from coughing and sneezing during
the dressing change.
C. Place a mask on the client to limit the spread of microorganisms
into the surgical wound.
D. Keep a box of facial tissues nearby for the client to use during the
dressing change.
C
Placing a mask on the client prevents contamination of the surgical
wound during the dressing change.
,A nurse has removed a sterile pack from its outside cover and
placed it on a clean work surface in preparation for an invasive
procedure. Which of the following flaps should the nurse unfold
first?
A. The flap closest to the body
B. The right side flap
C. The left side flap
D. The flap farthest from the body
D
The priority goal in setting up a sterile field is to maintain sterility
and thus reduce the risk to the client's safety. Unless the nurse pulls
the top flap (the one farthest from her body) away from the body
first, there is a risk of touching part of the inner surface of the wrap
and thus contaminating it.
, A nurse is wearing sterile gloves in preparation for performing a
sterile procedure. Which of the following objects can the nurse
touch without breaching sterile technique? (Select all that apply.)
A. A bottle containing a sterile solution
B. The edge of the sterile drape at the base of the field
C. The inner wrapping of an item on the sterile field
D. An irrigation syringe on the sterile field
E. One gloved hand with the other gloved hand
C, D, E
C. The inner wrappings of any objects dropped onto the sterile field
are sterile. Touch them with sterile gloves.
D. Any objects dropped onto the sterile field during the setup are
sterile. Touch them with sterile gloves.
E. One sterile gloved hand may touch the other sterile gloved hand
because both are sterile.