Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to provide oral care for an unconscious client. The nurse should place the
client in which position?
A. Supine
B. Fowler’s
✔✔C. Side-lying
D. Trendelenburg
A nurse is reinforcing teaching about preventing urinary tract infections. Which instruction
should be included?
A. Wipe from back to front after urination
✔✔B. Drink plenty of fluids
C. Wear tight-fitting synthetic underwear
D. Limit intake of high-fiber foods
A nurse is preparing to check the placement of a nasogastric tube before a feeding. Which
method is safest?
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,A. Listening for air after injecting air into the tube
✔✔B. Checking gastric pH aspirate
C. Submerging the tube in water
D. Checking for bubbling at the tube’s tip
A nurse is documenting care for a client. Which entry is most appropriate?
A. “Client is doing well.”
B. “Client had a good day.”
✔✔C. “Client ambulated 50 feet using a walker without assistance.”
D. “Client appears happy.”
A nurse is preparing to administer a medication via a metered-dose inhaler. The client should be
instructed to:
A. Exhale into the inhaler
✔✔B. Inhale slowly and deeply while pressing the canister
C. Hold the inhaler upside down
D. Shake the inhaler after each puff
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,A nurse is caring for a client receiving oxygen therapy. Which finding requires immediate
action?
✔✔A. Oxygen saturation of 84%
B. Respiratory rate of 18
C. Clear lung sounds
D. Pink nail beds
A nurse is assisting a client to dangle at the bedside. The nurse should take this action primarily
to prevent:
A. Confusion
✔✔B. Orthostatic hypotension
C. Pressure injuries
D. Muscle cramps
A nurse is performing catheter care for a client with an indwelling catheter. Which action is
correct?
A. Clean from the meatus toward the tubing connection
✔✔B. Clean from the meatus outward toward the catheter tubing
C. Use a back-and-forth scrubbing motion over the urethra
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, D. Avoid touching the catheter during cleaning
A nurse is caring for a client who has difficulty swallowing pills. The nurse should first:
✔✔A. Ask if the medication is available in liquid form
B. Crush all medications together
C. Give the pills with thickened juice
D. Administer the medication with applesauce without checking
A nurse observes a client attempting to stand without assistance despite a fall risk. The best
initial action is to:
A. Restrain the client in bed
B. Call security
✔✔C. Stay with the client and offer assistance
D. Document the behavior
A nurse is collecting a sputum specimen. Which instruction should be given to the client?
✔✔A. Cough deeply into the sterile container
B. Spit saliva into the container
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