2025/2026 Update | 100% Correct Latest
Question 1
A patient is restrained bodily by the nursing team. The hands of the nurse assigned to hold down the patients leg should
be placed in which of the following positions?
1. One hand on the patients knee and the other hand on the patients ankle
2. One hand directly above the patient's knee and the other hand directly above the patient's ankle
3. Both hands side by side on the patients thighs
4. One hand at the patients groin and the other hand at the patients mid-calf area
Correct Answer
2
Question 2
The nurse observes a student nurse prepare to insert a new peripheral catheter for a patient immediately after a right
mastectomy. Which site, if selected by the student nurse, requires an intervention by the nurse?
1. A site where the veins are soft and elastic.
2. A site contralateral to the surgical site.
3. A site close to the wrist joint.
4. A site on the distal portion of the left arm.
Correct Answer
3
Page 1 of 75
,Question 3
The nurse administers succinylcholine (Anectine) to a patient before electroconvulsive treatment (ECT). The nurse knows
that the medication is given for which of the following reasons?
1. Succinylcholine (Anectine) blocks the patien's vagal stimulation and decreases production of secretions during the
treatment.
2. Succinylcholine (Anectine) prevents the patient from having violent muscle contractions and developing possible
fractures during the treatment.
3. Succinylcholine (Anectine) helps the patient fall asleep and ensures that the client will not feel the electric current during
the treatment.
4. Succinylcholine (Anectine) enhances the patient's response to the electric current and reduces the number of needed
treatments.
Correct Answer
2
Question 4
The clinic nurse cares for a teacher receiving naproxen 500 mg BID for 3 weeks. The client reports to the clinic nurse that
she has had a fever and a rash on her trunk for a week. The skin is now flaking off, leaving the underlying skin red and
flaky. Which statement by the nurse is BEST?
1. "This may be a reaction to the medication you are taking. I'll notify your physician right away."
2. " We'll watch this rash carefully. You may need ointment for the rash."
3. " I know you work with children. Have you noticed more absences than usual in your school over the past few weeks?"
4. " This is part of the healing process. As toxins are released from your body, they come out through the skin."
Correct Answer
1
Page 2 of 75
,Question 5
The nurse in the same-day surgery department cares for an elderly client after a colonoscopy. The nurse is MOST
concerned if the nursing assistant reports which of the following findings 30 minutes after the procedure?
1. "The client is complaining of grogginess and thirst."
2. "The client is complaining of lightheadedness and dizziness."
3. "The client is complaining of fullness and pressure of the abdomen."
4. "The client is complaining of mild pain and cramping in her abdomen."
Correct Answer
2
Question 6
A client with a history of alcohol and drug abuse and a severe seizure disorder attends a chemical dependence day
treatment program at the hospital. The nurse watches the client exit the elevator and sit in a chair in the reception area.
The client looks upset and dazed and says, "I had a seizure during lunch." The nurse reminds the client that it is time to go
for group. The client says, "Let me rest a moment, and then I'll go." The nurse should take which of the following actions?
1. Tell the client that he can rest while he is at the group meeting.
2. Sit and talk with the client about how he feels about his seizure disorder.
3. Take the client's vital signs and sit with him quietly for several minutes.
4. Observe the client while walking with him to the room where group is being held.
Correct Answer
3
Page 3 of 75
, Question 7
The nurse cares for a patient on the psychiatric unit with a history of drug use and poor impulse control. After the patient's
mother visits, the patient begins pacing rapidly, with arms swinging, and kicking at chair legs. The nurse should approach
the patient and take which of the following actions?
1. Sit in a chair several feet away from the patient and lean forward with hands clasped together
2. Stand facing the patient with legs apart, knees locked, and weight on back leg
3. Sit in a chair next to the patient and lean back with arms folded
4. Stand facing the patient, legs together, knees locked, with weight on both legs
Correct Answer
2
Question 8
The activity therapy staff takes a group of psychiatric patients on a trip to the zoo. The nurse should intervene with which
of the following patients before their departure?
1. A 50 year old female who is having difficulty with sleeping, eating, and social interaction.
2. A 40 year old male who just received his third dose of trazodone (Desyrel) and is 20 pounds overweight.
3. A 42 year old female who has problems with decision making who paces continuously, wringing her hands.
4. A 38 year old female who is receiving chlorpromazine (Thorazine) and is wearing a sundress without a hat or sunglasses.
Correct Answer
4
Page 4 of 75