Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to measure a client’s blood pressure. Which position is best?
A. Standing with arm above head
✔✔B. Sitting with arm supported at heart level
C. Lying prone with arm hanging down
D. Side-lying with arm bent behind head
A nurse is caring for a client with a fever. Which fluid choice should be encouraged?
A. Coffee
✔✔B. Water
C. Soda
D. Alcohol-based beverages
A nurse notes a client with a chest tube has no bubbling in the water-seal chamber. What should
the nurse do first?
✔✔A. Check for kinks in the tubing
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,B. Add more sterile water
C. Clamp the tubing
D. Remove the chest tube
A nurse is caring for a client who has a wound drain. Which finding indicates the drain is
functioning?
A. No drainage present
✔✔B. Gradual decrease in drainage each day
C. Large sudden increase in drainage
D. Drain completely dry on first day
A nurse is preparing to feed a client with a risk of aspiration. Which action is safest?
A. Lower the head of the bed
✔✔B. Keep the client in an upright position
C. Feed quickly to minimize fatigue
D. Offer thin liquids only
A nurse is providing oral care to an unconscious client. The best position for this client is:
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,A. Supine with head flat
B. Trendelenburg
✔✔C. Side-lying with head turned to the side
D. Upright in bed
A nurse observes that a client’s IV site is red, swollen, and tender. What should the nurse do
first?
✔✔A. Stop the infusion and remove the IV
B. Apply cold compress
C. Flush the IV site with saline
D. Increase the infusion rate
A nurse is teaching a client about deep breathing exercises. Which instruction is correct?
A. Breathe quickly and shallowly
✔✔B. Inhale slowly through the nose and exhale through pursed lips
C. Hold breath for 10 minutes
D. Use only the upper chest to breathe
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, A nurse is checking a client’s apical pulse. Where should the stethoscope be placed?
A. Over the radial artery
B. On the right side of the chest
✔✔C. At the fifth intercostal space at the midclavicular line
D. At the base of the neck
A nurse is caring for a client with contact precautions. Which PPE should the nurse wear?
A. Mask and shoe covers
✔✔B. Gloves and gown
C. N95 respirator only
D. Goggles only
A nurse is assessing a client’s skin turgor to check hydration. The nurse should pinch the skin:
A. On the thigh
✔✔B. Over the back of the hand or sternum
C. On the foot arch
D. Over the eyelid
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