Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is performing oral care for an unconscious client. The nurse should:
A. Place the client supine with chin up
✔✔B. Place the client in a side-lying position
C. Keep the mouth wide open with force
D. Avoid suctioning
A nurse is reinforcing teaching for a client about fluid intake. Which beverage should be limited
for a client with hypertension?
A. Water
✔✔B. Cola soda
C. Skim milk
D. Herbal tea
A nurse is preparing to administer an intramuscular injection into the deltoid. The maximum
volume should be:
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,A. 5 mL
✔✔B. 1 mL
C. 3 mL
D. 0.5 mL
A nurse is caring for a client with diarrhea. The nurse should monitor for:
✔✔A. Hypokalemia
B. Hypercalcemia
C. Hyponatremia
D. Hypermagnesemia
A nurse is teaching a client how to correctly measure liquid medication at home. The nurse
should instruct the client to:
A. Pour with the measuring cup at eye level
✔✔B. Read the measurement at the lowest point of the meniscus at eye level
C. Read from the highest point of the meniscus
D. Guess based on the container size
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,A nurse is providing tracheostomy care. Which step maintains sterility?
✔✔A. Using sterile gloves to handle the inner cannula
B. Using clean gloves for the entire procedure
C. Reusing gauze dressings
D. Touching sterile equipment with bare hands
A nurse is reinforcing teaching for a client about constipation prevention. Which habit should the
nurse recommend?
✔✔A. Increase dietary fiber and fluids
B. Limit physical activity
C. Eat processed foods daily
D. Reduce water intake
A nurse is preparing to apply sequential compression devices (SCDs) to a client’s legs. The nurse
should:
✔✔A. Remove them every 8 hours to assess skin
B. Keep them inflated continuously without checking
C. Apply over bare skin without assessment
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, D. Inflate before wrapping around the legs
A nurse is caring for a client with a newly placed indwelling catheter. To ensure drainage, the
nurse should:
✔✔A. Keep the collection bag below bladder level
B. Hang the bag on the bed rail
C. Place the bag on the floor
D. Clamp the catheter during transport
A nurse is preparing to insert an NG tube. The best position for the client is:
A. Supine with a pillow
✔✔B. High Fowler’s position
C. Prone position
D. Side-lying
A client reports pain rated 8 out of 10. The nurse’s priority action is to:
A. Document the pain
✔✔B. Administer prescribed pain medication
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