Questions And Verified 100% Correct
Answers Latest Update 2026/2027|
Graded A+
What action should a nurse take first for a toddler with poor dietary intake?
correct answers Obtainthe child's dietary history.
What instruction should a nurse include about the MMR vaccine for a postpartum client?
correctanswers Avoid pregnancy for at least 28 days after receiving the vaccine.
What technique should a nurse use when performing a wet to dry dressing change?
correct answers Clean the wound from the center to the outer edges.
Which statement indicates understanding of contraception teaching by a female client?
correctanswers My partner will use condoms with spermicides.
What defense mechanism is a client with bipolar disorder using when yelling at the nurse duringmedication
changes?
correct answers Displacement.
What should a nurse identify as a possible source of infection for an immunocompromised client?
correct answers Soiled linens are placed on the floor.
What action should a nurse take prior to an esophagogastroduodenoscopy for a client with peptic
ulcerdisease?
, correct answers Ensure that the client gave informed consent.
What intervention should a nurse implement for a client who has been assaulted? (Select all that apply)
correct answers
Maintain a safe and private environment for the client;
Provide resources for localsupport services;
Request a consult for case management.
What is a key consideration for a nurse caring for a client with leukemia experiencing chronic fatigue?
correct answers Assess the client's energy levels and provide appropriate rest periods.
What intervention should a nurse include in the care plan for a client with leukemia experiencingchronic
fatigue?
correct answers Increase protein in the diet.
What is a common finding in a client with placenta previa?
correct answers Bright red vaginalbleeding.
What are the responsibilities of a nurse regarding a client's advance directives?
correct answers—
1.Provide written information about advance directives.
2. Instruct the client that an advance directive isa legal document that must be honored.
3. Communicate advance directives status via the medicalrecord and shift report.
4. Document discussions 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 Muslim client?
correct answers Allow a family member to stay with the client's body until burial.
,What indicates understanding of breastfeeding teaching in a mother of a 5 day old newborn?
correctanswers 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.
How should a nurse prepare a client for testing the plantar Babinski reflex?
correct answers Lie downand I will stroke the bottom of your foot.
What resource should a nurse recommend for a family caring for an older adult client with early
onsetdementia?
correct answers Adult day care facility.
What is the expected intervention for a client experiencing chronic fatigue due to leukemia?
correct answers Encourage strength training exercise.
What should a nurse expect to find in a client with placenta previa?
correct answers Bright red vaginalbleeding.
What is the nurse's role regarding advance directives?
correct answers Communicate advancedirectives status via the medical record.
What is an appropriate action to maintain client confidentiality?
correct answers Discardingworksheets containing client information in a secure manner.
What should a nurse do to respect the beliefs of a devout Muslim client after death?
correct answers Position the client's head toward Mecca.
, What breastfeeding practice should a mother follow for her newborn?
correct answers My babyshould breastfeed 5 to 10 minutes on each breast.
What is the correct nursing intervention for a client with varicella zoster?
correct answers Initiatecontact precautions for the client.
What is the correct instruction for testing the plantar Babinski reflex? correct answers Place your footin
my hand and I will tap the back of your heel.
What is a key responsibility of a nurse regarding advance directives? correct answers Instruct theclient
that an advance directive is a legal document.
What should a nurse document regarding do not resuscitate status? correct answers Document thatthe
provider discussed do not resuscitate status with the client.
What is an appropriate recommendation for a family caring for an older adult with dementia?
correctanswers Suggest adult day care facility for support.
What should a nurse avoid when discussing client information? correct answers Discussing a
client'sprognosis with assistive personnel who is not involved in their care.
What is the appropriate action for a nurse regarding a client's advance directives? correct answers Provide
the client with written information about advance directives.
What should a nurse instruct a client to do if they experience syncope after starting enalapril?
correctanswers Rise slowly from a sitting position to a standing position.
Which food should a nurse recommend to a client with irritable bowel syndrome? correct answers Yogurt.
What important information should a nurse include when teaching guardians of a child with cysticfibrosis?
correct answers Have your child wear a medical identification wristband.