Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the correct position for a client receiving tube feeding to reduce aspiration risk?
✔✔Head of bed elevated at least 30 to 45 degrees
What is the first action after discovering a client’s oxygen saturation has dropped to 84%?
✔✔Assess airway and breathing, then apply oxygen as prescribed
What is the safest way to check placement of a nasogastric tube before feeding?
✔✔Verify by pH testing of aspirate and confirm with provider orders
What is the best initial nursing action for a client reporting new onset shortness of breath?
✔✔Raise the head of the bed and assess respiratory status
What is the most important action when transferring a weak client from bed to chair?
✔✔Use a gait belt and assist with proper body mechanics
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,What is the safest intervention to prevent aspiration in a client with swallowing difficulty?
✔✔Provide thickened liquids and position upright during meals
What should a nurse do if a medication dose seems unusually high?
✔✔Hold the dose and verify with the healthcare provider
What is the best way to promote skin integrity in a bedbound client?
✔✔Reposition at least every 2 hours and use pressure-relieving devices
What is the immediate nursing action when a client’s IV line becomes infiltrated?
✔✔Stop the infusion and remove the IV catheter
What is the safest intervention to prevent falls for a confused inpatient?
✔✔Place bed in the lowest position with side rails up and call light within reach
What is the first step when preparing to insert a Foley catheter?
✔✔Perform hand hygiene and maintain sterile technique
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,What is the main reason for performing range-of-motion exercises on an immobile client?
✔✔Prevent joint stiffness and maintain mobility
What is the initial nursing action when a client reports chest pain?
✔✔Stop activity, assess vital signs, and notify the provider
What is the safest way to ambulate a client with a weak left side?
✔✔Stand on the client’s weak side and use a gait belt
What is the correct nursing action for a client with a nosebleed?
✔✔Have the client lean forward and pinch nostrils together
What should a nurse do immediately after removing soiled gloves?
✔✔Perform hand hygiene
What is the safest storage practice for narcotics in a hospital?
✔✔Store in a double-locked cabinet and count regularly
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, What is the first action when a diabetic client feels dizzy and shaky?
✔✔Check blood glucose and provide fast-acting carbohydrate if low
What is the primary purpose of a nursing care plan?
✔✔Provide individualized care and guide nursing interventions
What should a nurse do to maintain safety when using restraints?
✔✔Check skin integrity and circulation at least every 2 hours
What is the safest way to lift a heavy object?
✔✔Bend at the knees and keep the back straight
What is the first nursing action if a client’s urinary output drops below 30 mL/hour?
✔✔Assess for possible causes and notify the provider
What is the best position for a client receiving rectal medication?
✔✔Left Sims’ position
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