UPDATE CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
• a nurse is caring for a client with a stage 2 pressure ulcer, define the
characteristics of this ulcer?.
Answer: partial-thickness kin loss involving the epidermis and the dermis
ulcer is visible and superficial, may appear as abrasion, blister, or shallow
crater edema persists, ulcer may become infected with possible pain and
scant drainage
• a nurse is in an ED monitoring the hydration status of a client receiving oral
rehydration, what should the intervene for?.
Answer: heart rate 120/min (initiate IV fluid replacement)
• a nurse is caring for a client with a closed head injury. when pressure is
applied to the client's nail beds, the clients eyes open and adduction of the
arms with flexion of the elbows and wrists is noted. the client also moans
with stimulation, what is the GCS?.
Answer: 7 eye opening 1-4 verbal 1-5 motor 1-6
• When are droplet precautions used.
Answer: Measles, Influenza, Mumps, Respiratory illnesses
• a nurse is caring for an OA who has a nonpalpable skin lesion that is less
than 0.5cm (0.2in) in diameter. which of the following terms should the
nurse use to document this finding?.
Answer: macule (nonpalpable smaller than 1cm, ex: freckle)
• a nurse is in an acute care facility is caring for a client who is postop
following abdominal surgery. which of the following behaviors should the
nurse identify as increasing the client's risk for constipation?.
Answer: urge suppression history of chronic stimulant laxative use
inadequate fluid intake
, • a nurse finds a client on the floor of their room experiencing a seizure,
which of the following actions is the nurse's priority.
Answer: place the client on their sided with their head forward (ABC)
• a nurse is providing discharge teaching to a client who has a prescription for
home O2, which info should the nurse teach?.
Answer: wear cotton socks when the O2 is in use (other fabrics cause static)
• A nurse in a long - term care facility enters the day room and finds the
window curtains on fire . Clients are panicking and the room is filling with
smoke . Indicate the emergency actions the nurse must take . ( Move the
steps into the box on the right , placing them in the selected order of
performance . Use all the steps ..
Answer: RACE to prioritize the actions to take : R - Rescue and remove the
clients , A- Activate the alarm , C- Confine the E- Extinguish the fire .
• a nurse is preparing a client for transfer to another unit? which finding does
the nurse include in the transfer report?.
Answer: response to pain medication review of ongoing discharge plan
recent physical changes
• a nurse is preparing to perform a sterile dressing change for a client who has
a surgical wound. which of the following actions should the nurse take to
prevent contamination during the dressing change?.
Answer: restart the procedure if the sterile solution splashes onto the sterile
field when pouring the solution into the dressing tray (if liquid comes in
contact with the sterile field at any point it is considered contaminated and
unsterile)
• a nurse is assisting a client with his meal that is at risk for aspiration d/t
stroke, what interventions should the nurse take to prevent aspiration?.
Answer: position upright upper back and head are supported tuck chin when
swallowing
• a nurse is assisting a client with his meal that is at risk for aspiration d/t
stroke, what interventions should the nurse take to prevent aspiration?.