Book Questions and Answers | Latest
Version | 2025/2026 | Correct & Verified
A nurse is preparing to give a medication via nasogastric tube. The first action is to
A. Flush the tube with 10 mL of water
B. Mix medication with formula
✔✔C. Verify placement of the tube
D. Give the medication slowly
A nurse is about to check a client’s blood pressure. The most accurate reading is obtained when
the client’s arm is
A. Hanging down by the side
✔✔B. Supported at heart level
C. Above the head
D. Resting on the nurse’s hip
A nurse is caring for a client with a Foley catheter. The most important infection control measure
is to
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,A. Change the catheter every shift
✔✔B. Keep the drainage bag below bladder level
C. Irrigate the catheter every 4 hours
D. Wash hands once per shift
A client receiving oxygen via nasal cannula at 2 L/min reports nasal dryness. The nurse should
A. Discontinue oxygen
B. Increase flow to 6 L/min
✔✔C. Add humidification to the oxygen delivery
D. Switch to a non-rebreather mask
A nurse is helping a client use a bedpan. The best position for elimination is
A. Supine
✔✔B. Fowler’s position
C. Prone
D. Side-lying
A nurse is preparing to transfer a client from bed to chair using a gait belt. The nurse should
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,A. Place the belt under the client’s arms
✔✔B. Secure the belt snugly around the waist
C. Position the belt over the client’s chest
D. Hold the belt from behind only
A nurse finds a client on the floor who is conscious but confused. The first action is to
A. Call for a code
✔✔B. Assess the client for injuries
C. Get a wheelchair immediately
D. Assist the client back to bed
A nurse is caring for a client with a seizure disorder. Which precaution is most important to have
in the room?
A. Suction setup
✔✔B. Padded side rails
C. Restraints
D. Extra bedding
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, A nurse is about to give an intramuscular injection in the deltoid muscle. The proper needle
length for an average adult is
A. 5/8 inch
✔✔B. 1 inch
C. 1½ inches
D. 2 inches
A nurse is caring for a client who just had abdominal surgery. The best intervention to prevent
respiratory complications is
A. Restrict fluids
B. Keep client supine
✔✔C. Encourage use of incentive spirometer regularly
D. Apply abdominal binder constantly
A nurse is providing oral care for a client on aspiration precautions. The nurse should
A. Use large amounts of water to rinse
✔✔B. Position the client upright or side-lying
C. Keep the client flat in bed
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