Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is caring for a client who is weak and unsteady. The safest way to prevent falls is to
A. Keep the bed in the highest position
B. Place all belongings out of reach
✔✔C. Keep the call light within reach and bed in lowest position
D. Encourage the client to walk alone
A nurse is preparing to measure a client’s oral temperature. The nurse should avoid this route if
the client has
A. A history of constipation
✔✔B. Oral surgery or mouth sores
C. A low-grade fever
D. A history of headaches
A client with an IV infusion reports pain at the site. The nurse should first
A. Increase the infusion rate
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,✔✔B. Stop the infusion and assess the site
C. Apply a heating pad
D. Flush the IV line
A nurse is teaching proper body mechanics. Which statement indicates correct understanding?
A. “I should twist my torso when lifting.”
✔✔B. “I should keep the object close to my body when lifting.”
C. “I should bend at my waist to pick up heavy objects.”
D. “I should keep my knees locked.”
A nurse is caring for a client who is incontinent. The best way to maintain skin integrity is to
A. Use scented powder after cleaning
✔✔B. Clean and dry the skin promptly after incontinence episodes
C. Restrict fluid intake
D. Apply petroleum jelly every shift only
A nurse is caring for a client with low oxygen saturation. The first action is to
A. Call the healthcare provider
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,✔✔B. Encourage deep breathing and reposition to improve oxygenation
C. Administer IV fluids
D. Lower the head of the bed
A nurse is reinforcing teaching about the use of an incentive spirometer. The nurse should tell the
client to
A. Exhale forcefully into the device
✔✔B. Inhale slowly and deeply, then hold for a few seconds
C. Use the device before coughing
D. Only use it once daily
A nurse is preparing to provide oral care for an unconscious client. The nurse should position the
client
A. Supine with head elevated
✔✔B. Side-lying to allow secretions to drain
C. Prone with head turned
D. Flat with arms at the sides
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, A nurse is teaching a client about proper crutch walking using the three-point gait. The correct
instruction is
A. Move both crutches and the strong leg together
B. Move strong leg with crutches, then weak leg
✔✔C. Move both crutches with the weak leg, then move the strong leg forward
D. Move one crutch with each leg
A client with a fever is prescribed a tepid sponge bath. The nurse explains the purpose is to
A. Induce shivering
✔✔B. Promote heat loss through evaporation
C. Increase core body temperature
D. Maintain body temperature
A nurse is assessing a client’s radial pulse and finds it irregular. The best follow-up is to
A. Recheck in 24 hours
B. Take the pulse for 15 seconds and multiply by 4
✔✔C. Assess the apical pulse for a full minute
D. Ask the client to cough and retake
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