BANK LATEST 2026 WITH REVISED AND
FULL QUESTIONS AND CORRECT
DETAILED ANSWERS|GRADED A+
A Nurse is completing an assessment of an older adult client and notes reddened areas over the
bony prominences, but the client's skin is intact. Which of the following interventions should
the nurse include in the plan of care?
a) Apply an occlusive dressing b) turn and reposition the client every 4 hours
c) support bony prominences with pillows
d) massage Tourette in areas three times daily - ANSWER -c) support bony prominences with
pillows
A nurse is completing discharge teaching who has a peripherally inserted central catheter (
PICC) line in the left arm. Which of the following instructions should the nurse include in the
teaching?
a) Do not elevate the arm above the level of the heart
b) Change the catheter dressing daily
c) Use 10- mL syringe to flush line
d) Clean the insertion site using 20- mL of hydrogen peroxide - ANSWER -a) Do not elevate the
arm above the level of the heart
,A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which
of the following statements by the client indicates an understanding of the teaching?
a) I will need to take my clothes to the dry cleaners to sterilize them
b) I will wipe up areas soiled with body fluids with alcohol and immediately disposed of the
trash (should be cleaned with bleach not alcohol)
c) I will be sure to wear gloves and wash my hands when I change my cat's litter box
d) I will increase the amount of fresh fruits and vegetables I consume - ANSWER -c) I will be sure
to wear gloves and wash my hands when I change my cat's litter box
A nurse is discussing nutrition options with a client who has a new diagnosis of COPD. Which of
the following statements should the nurse take?
a) Plan to include high protein foods in each of your meals
b) increase your intake of vegetables such as broccoli and brussel sprouts
c) drink a glass of milk with each meal
d) consume three large meals throughout the day - ANSWER -a) Plan to include high protein
foods in each of your meals
A nurse is monitoring a client who is receiving two units packed RBC's. Which of the following
manifestation indicates a hemolytic transfusion reaction?
a) back pain
b) Hypertension
c) Chills
d) bradycardia - ANSWER -a) back pain
A nurse is monitoring an older adult client who has an exacerbation of chronic lymphocytic
leukemia. The nurse notes petechiae on the client's skin.
1.Institute bleeding precautions
2.Determine the client's blood type
,3.Avoid administering IV pain medication
4.Implement airborne precautions - ANSWER -1.Institute bleeding precautions
A nurse is monitoring an older adult client who has an extrapolation of chronic lymphocytic
leukemia. The nurse notes patikayy on the client's skin which of the following actions should the
nurse take?
a) Determine the client's blood type
b) avoid administering IV pain medication
c) Implement airborne precautions
d) Institute bleeding precautions - ANSWER -d) Institute bleeding precautions
A nurse is planning a staff education session about hepatitis A. Which of the following
information should the nurse include?
a) Immunization for Hepatitis A is recommended prior to travel to high-risk areas
b) the incubation. Of hepatitis A is 5 to 10 days
c) hepatitis A is transmitted is Through Blood to blood exposure
d) clients who have Hepatitis A require a broad-spectrum antibiotic - ANSWER -a) Immunization
for Hepatitis A is recommended prior to travel to high-risk areas
A nurse is planning care for a client who has a central venous access device for intermittent
infusions. Which of the following actions should the nurse include in the plan of care?
a) Flush a catheter using a 10 mL syringe
b) Use clean technique when changing the dressing
c) Cleanse the site with Provo dine iodine
d) Change the dressing every 24 hours - ANSWER -a) Flush a catheter using a 10 mL syringe
A nurse is planning care for a client who has a full-thickness burns on the lower extremities.
Which of the following interventions should the nurse include?
, a) Limit visitation time for client's children to 40 minutes per day
b) clean the equipment in the client's room once per week
c) provide a diet of fresh fruits and vegetable for the client
d) apply new gloves when alternating between wound care sites - ANSWER -d) apply new gloves
when alternating between wound care sites
A nurse is planning care for a client who has left-sided hemiplegia following a stroke which of
the following actions should the nurse include in the plan of care?
a) Place a plate guard on the client's meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher - ANSWER -a) Place a plate guard on the
client's meal tray
A nurse is planning care for a client who has status epilepticus. Which of the following
interventions is the nurses priority to include?
a) Administer phenytoin IV bolus to the client
b) provide the client oxygen at 6 L / min using a nasal cannula c) turn the client to the lateral
position during seizure activity d) administer diazepam intravenously to the client - ANSWER -c)
turn the client to the lateral position during seizure activity
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic
ulcer. Which of the following actions should the nurse plan to take?
a) Provide ketorolac for abdominal pain
b) Administer nitroprusside IV based on the client's weight
c) Insert a large bore nasogastric tube
d) Ensure that the client has a 22- gauge iv line in place - ANSWER -c) Insert a large bore
nasogastric tube