Exam Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A client becomes disoriented after surgery. What is the nurse’s priority?
✔✔Assess oxygenation and level of consciousness
The nurse walks into a patient’s room and sees a small fire in the trash can. What is the first
action?
✔✔Remove the client from the room
The nurse notices that a client’s IV site is red and swollen. What should the nurse do first?
✔✔Stop the IV infusion
A confused patient is trying to get out of bed without assistance. What should the nurse do?
✔✔Place the bed alarm and stay nearby to ensure safety
A client has just received a new diagnosis of cancer and is silent. What is the nurse’s best
response?
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, ✔✔Sit with the client quietly and offer presence
A postoperative client has a respiratory rate of 8 breaths per minute after receiving opioids. What
is the immediate action?
✔✔Assess responsiveness and prepare to administer naloxone
A nurse sees a coworker administer medication without scanning the patient's armband. What
should the nurse do?
✔✔Remind the coworker to scan and follow facility policy
A client receiving tube feeding starts coughing and gagging. What is the nurse’s priority action?
✔✔Stop the feeding and assess for aspiration
A nurse is unsure about how to perform a sterile dressing change. What is the most appropriate
step?
✔✔Ask for assistance or clarification before starting
A patient says, “I don’t understand why I need this medication.” What should the nurse do?
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