Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is caring for a client on strict intake and output monitoring. Which fluid should be
documented as intake?
A. Urine
✔✔B. Soup consumed at lunch
C. Emesis
D. Perspiration
A nurse is inserting a nasogastric tube for gastric decompression. Which action ensures proper
placement before use?
A. Place the tube into water and look for bubbles
✔✔B. Verify placement with an x-ray
C. Ask the client if they can feel it in the stomach
D. Check for absence of coughing
A nurse is assisting with feeding a client who has dysphagia. Which action promotes safe
swallowing?
1
,A. Offer large bites of food
✔✔B. Keep the client in an upright position
C. Allow the client to tilt their head back when swallowing
D. Provide thin liquids
A nurse is caring for a client who is receiving IV therapy. Which finding requires immediate
intervention?
A. Clear fluid running at ordered rate
✔✔B. Redness and swelling at the insertion site
C. Transparent dressing intact
D. Tubing labeled with the date
A nurse is teaching a client about using an incentive spirometer. Which instruction is correct?
A. Exhale quickly into the device
✔✔B. Inhale slowly and deeply, then hold breath
C. Blow forcefully to expand the lungs
D. Use only once daily
2
,A nurse is changing the linens of a bedbound client. Which technique helps prevent injury?
A. Raising the bed to the lowest position
✔✔B. Raising the bed to a comfortable working height
C. Twisting while tucking sheets
D. Leaning far over the bed
A nurse is providing care to a client with a hearing aid. Which action is correct?
A. Soak the hearing aid in water daily
✔✔B. Turn the hearing aid off when not in use
C. Store the hearing aid in a refrigerator
D. Use alcohol to clean the earmold
A nurse is preparing to provide tracheostomy suctioning. Which step should be performed first?
A. Insert the catheter without suction
✔✔B. Preoxygenate the client with 100% oxygen
C. Apply suction during insertion
D. Suction continuously for 20 seconds
3
, A nurse is assisting a client who has right-sided weakness to transfer from bed to chair. Which
action is correct?
A. Position the chair on the client’s weaker side
✔✔B. Position the chair on the client’s stronger side
C. Allow the client to stand without assistance
D. Hold the client under the arms
A nurse is collecting a urine specimen from a catheterized client. Which action is correct?
A. Take urine from the drainage bag
✔✔B. Use the sampling port on the catheter
C. Remove the catheter to collect urine
D. Wait until the bag is full before collecting
A nurse is caring for a client who has a new ileostomy. Which statement indicates correct
understanding of care?
A. "I can let the pouch get completely full before emptying it."
✔✔B. "I should empty the pouch when it is one-third full."
C. "I will change the pouch once a month."
4