Exam Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
What is the appropriate action when a client’s urinary catheter is accidentally removed with the
balloon inflated?
✔✔Assess the client for bleeding and notify the provider.
What is the first step when a fire alarm sounds on the unit?
✔✔Rescue clients in immediate danger.
What is the proper technique for measuring liquid medication in a cup?
✔✔Read the measurement at eye level at the bottom of the meniscus.
What is the correct position for a client receiving an enema?
✔✔Left side with right knee flexed (Sims’ position).
What is the best method to prevent aspiration during oral feeding?
✔✔Have the client sit upright at 90 degrees.
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,What is the safest way to dispose of a used syringe?
✔✔Place it directly into a sharps container without recapping.
What should be done if a client refuses medication?
✔✔Document the refusal and notify the provider.
What is the best way to ensure accurate blood pressure measurement?
✔✔Use the correct cuff size for the client’s arm.
What is the correct technique for performing wound irrigation?
✔✔Hold the syringe 1 inch above the wound and flush gently from top to bottom.
What is the proper location to assess skin turgor in an elderly client?
✔✔Over the sternum or forehead.
What is the safest way to prevent cross-contamination when changing a wound dressing?
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,✔✔Remove gloves after removing the soiled dressing and apply new gloves before applying a
clean dressing.
What is the most important nursing action when transferring a client from bed to wheelchair?
✔✔Lock the wheels of both bed and wheelchair.
What should be done when applying antiembolic stockings?
✔✔Measure the client’s legs for correct sizing.
What is the first action when a client is found lying on the floor?
✔✔Assess the client for injury.
What is the most accurate way to measure a liquid dose for a pediatric client?
✔✔Use an oral syringe.
What is the first action a nurse should take before administering a new medication to a client?
✔✔Verify the provider’s order with the medication administration record.
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, When performing hand hygiene, what is the minimum time hands should be washed with soap
and water?
✔✔At least 20 seconds.
What is the safest position for an unconscious client to prevent aspiration?
✔✔Side-lying position.
What is the most accurate method for measuring a client’s core temperature?
✔✔Rectal thermometer.
What should a nurse do immediately after a needlestick injury?
✔✔Wash the area with soap and water and report the incident.
What is the recommended angle for inserting a needle for a subcutaneous injection?
✔✔45 to 90 degrees.
What is the primary purpose of using a gait belt during ambulation?
✔✔To provide safety and support while walking.
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