Question 1 of 100
A nurse enters a client’s room and observes the client having a tonic-clonic seizure. Which of the
following actions should the nurse take?
☐ Obtain the client’s vital signs.
☐ Perform a neurologic check.
☑ Turn the client on their side.
☐ Notify the rapid response team.
Explanation: Turning the client on their side helps prevent aspiration during a seizure.
Question 2 of 100
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the
following actions should the nurse take?
,☐ Discard the radioactive device in the client’s trash can.
☐ Limit time for visitors to 2 hr per day.
☑ Instruct visitors to remain 3 feet from the client.
☐ Keep soiled bed linens in the client’s room.
Explanation: To reduce radiation exposure, visitors should remain at least 3 feet from the client during
brachytherapy.
Question 3 of 100
A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the
following should the nurse expect to find?
☑ Joint inflammation
☐ “Bull’s eye” lesion
☐ Esophagitis
☐ Tophi
,Explanation: Systemic lupus erythematosus typically presents with joint inflammation and other
symptoms like skin rashes and fatigue.
Question 4 of 100
A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the
following statements by the client indicates an understanding of the teaching?
☐ “I plan to take this medication for 1 week.”
☐ “I should take an antacid with each dose of this medication.”
☐ “This medication may cause my blood pressure to increase.”
☑ “I will have my liver function tested while I am taking this medication.”
, Explanation: INH can cause hepatotoxicity, so liver function should be monitored.
Question 5 of 100
A nurse is assessing a client who has a urinary catheter. The nurse notes the client’s IV tubing is kinked
and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is
at risk for which of the following conditions?
☐ Neurogenic bladder
☐ Infection
☑ Skin breakdown
☐ Phlebitis
Explanation: Improper placement of the catheter bag increases the risk of skin breakdown due to
moisture and pressure.
A nurse enters a client’s room and observes the client having a tonic-clonic seizure. Which of the
following actions should the nurse take?
☐ Obtain the client’s vital signs.
☐ Perform a neurologic check.
☑ Turn the client on their side.
☐ Notify the rapid response team.
Explanation: Turning the client on their side helps prevent aspiration during a seizure.
Question 2 of 100
A nurse is caring for a client who has cervical cancer and is receiving brachytherapy. Which of the
following actions should the nurse take?
,☐ Discard the radioactive device in the client’s trash can.
☐ Limit time for visitors to 2 hr per day.
☑ Instruct visitors to remain 3 feet from the client.
☐ Keep soiled bed linens in the client’s room.
Explanation: To reduce radiation exposure, visitors should remain at least 3 feet from the client during
brachytherapy.
Question 3 of 100
A nurse is caring for a client who has systemic lupus erythematosus. During assessment, which of the
following should the nurse expect to find?
☑ Joint inflammation
☐ “Bull’s eye” lesion
☐ Esophagitis
☐ Tophi
,Explanation: Systemic lupus erythematosus typically presents with joint inflammation and other
symptoms like skin rashes and fatigue.
Question 4 of 100
A nurse is providing teaching for a client who is taking isoniazid (INH) for tuberculosis. Which of the
following statements by the client indicates an understanding of the teaching?
☐ “I plan to take this medication for 1 week.”
☐ “I should take an antacid with each dose of this medication.”
☐ “This medication may cause my blood pressure to increase.”
☑ “I will have my liver function tested while I am taking this medication.”
, Explanation: INH can cause hepatotoxicity, so liver function should be monitored.
Question 5 of 100
A nurse is assessing a client who has a urinary catheter. The nurse notes the client’s IV tubing is kinked
and the urinary catheter bag is lying next to the client in bed. The nurse should identify that the client is
at risk for which of the following conditions?
☐ Neurogenic bladder
☐ Infection
☑ Skin breakdown
☐ Phlebitis
Explanation: Improper placement of the catheter bag increases the risk of skin breakdown due to
moisture and pressure.
