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Answers Latest Update 2026/2027|
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What should a nurse do first for a toddler with poor dietary intake?
correct answers Encourage thefamily to be with the child during mealtimes.
What instruction should a postpartum nurse include about the MMR vaccine?
correct answers Avoidpregnancy for at least 28 days after receiving the vaccine.
What technique should a nurse use for a wet to dry dressing change?
correct answers Clean thewound from the center to the outer edges.
What indicates a client understands contraception teaching?
correct answers My partner will usecondoms with spermicides.
What defense mechanism is a client with bipolar disorder using when yelling at the nurse?
correctanswers Displacement.
What is a possible source of infection for an immunocompromised client?
correct answers Soiledlinens are placed on the floor.
What should a nurse ensure before an esophagogastroduodenoscopy?
correct answers Ensure thatthe client gave informed consent.
,What intervention should a nurse implement for a client who has been assaulted?
correct answers Maintain a safe and private environment for the client.
What should a nurse provide to a client who has been assaulted and is seeking support?
correctanswers Provide resources for local support services.
What is an appropriate action for a nurse caring for a client with leukemia experiencing chronic fatigue?
correct answers Contribute to the plan of care that addresses energy conservation.
What should a nurse do regarding a client who has been sexually assaulted?
correct answers Requesta consult for case management.
What should a nurse do if a client is immunocompromised and has uncapped sharps?
correct answers Identify it as a possible source of infection.
What should a nurse inform a client about the duration of an esophagogastroduodenoscopy?
correctanswers The procedure will take approximately 60 minutes.
What should a nurse do when a client yells during medication changes?
correct answers Identify thatthe client is using displacement as a defense mechanism.
What should a postpartum nurse tell a client about the MMR vaccine and breastfeeding?
correctanswers Avoid breastfeeding for 3 days after receiving the vaccine.
What should a nurse do regarding a client's dietary history?
correct answers Obtain the child's dietaryhistory if they have poor dietary intake.
,What is a safe practice for a nurse when changing a dressing on an infected wound?
correct answers Wear sterile gloves to remove the dressing.
What should a nurse advise a client about using petroleum jelly with latex condoms?
correct answers It should not be used as it can weaken the condom.
What should a nurse do if a client reports a history of depression after an assault?
correct answers Provide resources for local support services.
What should a nurse do for a client who has been drinking socially and reports an assault?
correctanswers Provide resources to the client for the local Alcoholics Anonymous chapter.
What should a nurse do if soiled linens are found on the floor in an immunocompromised client's room?
correct answers Identify this as a potential source of infection.
What should a nurse do to support a client with chronic fatigue due to leukemia?
correct answers Encourage rest and energy conservation strategies.
What intervention should a nurse include in the care plan for a client with leukemia experiencingchronic
fatigue?
correct answers Encourage strength training exercise.
What finding should a nurse expect when collecting data from a client with placenta previa?
correctanswers Bright red vaginal bleeding.
What are the responsibilities of a nurse regarding a client's advance directives?
correct answers—
, 1.Provide written information about advance directives.
2. Instruct that it is a legal document that mustbe honored.
3. Communicate advance directives status via medical record and shift report.
4. Documentdiscussions about do not resuscitate status.
Which action is an example of protecting client confidentiality?
correct answers Giving change ofshift report to a nurse outside the client's room.
What should a nurse do when assisting with postmortem care for a client who was a devout follower
ofIslam?
correct answers Position the client's head toward Mecca.
What statement by a mother indicates understanding of breastfeeding teaching for her 5 day oldnewborn?
correct answers I should have my baby latch on to my nipple and areola during feeding.
What intervention should a nurse implement for a client with varicella zoster?
correct answers Assignthe client to a negative pressure airflow room.
What instruction should a nurse give to prepare a client for testing the plantar Babinski reflex?
correctanswers Lie down and I will stroke the bottom of your foot.
What resource should a nurse recommend to a family caring for an older adult client with early
onsetdementia?
correct answers Adult day care facility.
What should a nurse instruct a client who experiences syncope after starting enalapril?
correctanswers C. Rise slowly from a sitting position to a standing position.