Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to assess a client’s lung sounds. Which action ensures accuracy?
A. Listening over the gown
B. Asking the client to breathe shallowly
✔✔C. Placing the stethoscope directly on the skin
D. Listening only at the upper lobes
A client is placed in the left lateral position. This position is most appropriate for which
procedure?
A. Urinary catheter insertion
✔✔B. Enema administration
C. Blood pressure measurement
D. Eye irrigation
When performing sterile gloving, which action contaminates the gloves?
A. Touching only the inside of the glove cuff with bare fingers
1
,✔✔B. Touching the outer glove surface with bare fingers
C. Keeping hands above waist level
D. Opening the glove wrapper fully before starting
A nurse is caring for a client receiving IV fluids at 125 mL/hr. What is the most important
assessment?
A. Blood glucose level
✔✔B. Lung sounds
C. Bowel movements
D. Pupillary reaction
A client reports pain rated 8/10. The nurse administers prescribed medication. What is the
priority follow-up?
A. Encourage the client to rest
✔✔B. Reassess pain level in 30–60 minutes
C. Offer warm fluids
D. Lower the head of the bed
2
,A nurse is teaching a client about hand hygiene. Which statement indicates correct
understanding?
A. “I only need to wash my hands if they look dirty.”
B. “I can use the sink even if it’s full of dishes.”
✔✔C. “I should scrub my hands for at least 20 seconds.”
D. “I can share my towel with family members.”
A nurse is administering medication via a metered-dose inhaler. Which instruction should the
client follow?
A. Exhale deeply into the inhaler
✔✔B. Inhale slowly and deeply while pressing the canister
C. Hold breath before using the inhaler
D. Place the inhaler directly on the tongue
A client requires wound irrigation. What is the correct solution temperature?
A. Ice cold
✔✔B. Room temperature or slightly warm
C. Very hot
3
, D. Chilled from the refrigerator
A nurse is checking for residual before administering a tube feeding. What should the nurse do if
residual volume is high?
A. Discard the aspirated fluid
✔✔B. Hold the feeding and notify the provider
C. Administer the feeding quickly
D. Give double the next feeding amount
A nurse notices a fire in a client’s room. What is the first action?
✔✔A. Remove the client from the room
B. Extinguish the fire
C. Sound the alarm
D. Close all windows
A nurse is teaching about pressure injury prevention. Which instruction is correct?
A. Use donut-shaped cushions for all clients
✔✔B. Reposition at least every 2 hours
4