Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to take an oral temperature. Which client action will require the nurse to
delay the procedure?
A. Drinking cold water 20 minutes ago
✔✔B. Smoking a cigarette 5 minutes ago
C. Sitting in a chair quietly for 10 minutes
D. Wearing light clothing indoors
A nurse is assisting a client to ambulate for the first time after surgery. Which action is most
important?
A. Use a gait belt
✔✔B. Assess the client’s balance before walking
C. Instruct the client to walk quickly
D. Keep the IV fluid bag below heart level
A client with an indwelling catheter complains of bladder discomfort. The nurse’s first action
should be to:
1
,A. Increase oral fluids
✔✔B. Check for catheter kinks or blockage
C. Remove the catheter immediately
D. Notify the provider
A nurse prepares to administer a liquid oral medication to a child. Which device should be used
for the most accurate dose?
A. Medicine cup
✔✔B. Oral syringe
C. Teaspoon
D. Dropper without measurement markings
A nurse is teaching a client about incentive spirometer use. Which instruction is correct?
✔✔A. Inhale slowly and deeply through the mouthpiece
B. Exhale quickly into the device
C. Use the device once daily
D. Hold breath for 1 second only
2
,A nurse enters a room and finds a small fire in a wastebasket. The nurse’s first action is to:
A. Use the fire extinguisher
✔✔B. Move the client to safety
C. Call maintenance
D. Open the windows for ventilation
A nurse is applying a nasal cannula to a client. Which oxygen flow rate is appropriate for this
device?
A. 10 L/min
✔✔B. 2 L/min
C. 8 L/min
D. 12 L/min
A nurse is caring for a client with a wound. Which finding indicates infection?
A. Pink wound edges
✔✔B. Purulent drainage
C. Minimal swelling
D. Clean granulation tissue
3
, A nurse is reinforcing teaching about the DASH diet. Which food choice indicates
understanding?
A. Bacon and eggs
B. Canned soup and crackers
✔✔C. Fresh fruit and vegetables
D. White bread and butter
A nurse is helping a client with a right-sided weakness transfer from bed to chair. Which side
should the nurse place the chair?
A. Weak side
✔✔B. Strong side
C. Either side
D. Behind the bed
A nurse is providing oral care to an unconscious client. Which position is safest?
A. Supine
✔✔B. Side-lying
4