NURSING A CONCEPT BASED APPROACH TO
LEARNING PRACTICE TEST 2026 FULL
SOLUTIONS REVIEW PACK
◉ 2) A client with congestive heart failure is having difficulty
breathing. Before leaving the room the nurse ensures the client has
an over-bed table to lean on when awake if needed to ease
breathing. Which technique did the nurse use to make this decision?
A) Delegating a task
B) Priority-setting
C) Conflict resolution
D) Critical thinking.
Answer: Answer: D
Explanation: A) After assessing the client, the nurse sets goals for
and with the client. To arrive at the goal, the nurse uses critical
thinking to make the decision to provide the client with optimum
ability to breathe. Delegating involves giving the task to another
team member. There is no conflict in this decision. Conflict
resolution usually involves a compromise that affects two sides that
are in disagreement. Priority-setting involves deciding which task to
perform first.
◉ 3) A postoperative client prescribed pain medication every 4 to 6
hours is requesting medication every 6 hours. At 4 hours the client's
,pain level is 8 on a rating scale of 1 to 10. The nurse decides to give
the pain medication now. What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) A response to a change in the client's condition.
Answer: Answer: D
Explanation: A) Each client has a plan of care, but, it is the nurse who
constantly evaluates the client for changes that the nurse responds
to, if needed. Prioritizing involves choosing tasks in order of
importance. Time management is completing the assigned tasks in
the given time frame by organizing and using efficiency. The goal has
not been met if the client is experiencing pain.
◉ 4) The nurse is assigned two clients. One client needs
postoperative teaching in preparation for discharge and the other
client with pneumonia has a PaCO2 of 85. Why does the nurse
decide to see the client with pneumonia first?
A) The nurse can delegate postoperative teaching to unlicensed
assistive personnel (UAP).
B) The client with pneumonia needs more care than the client
needing postoperative teaching.
C) The client with pneumonia may be experiencing respiratory
distress.
, D) The room of the client with pneumonia is closer than that of the
client needing postoperative teaching..
Answer: Answer: C
Explanation: A) The client with a PaCO2 of 85 could be in serious
trouble. The nurse would decide to assess that client first in order to
prevent dire consequences for the client. The client with pneumonia
probably needs more care than the client preparing for discharge,
but the reason for the decision is based on a potentially critical need
by the client with pneumonia. The nurse cannot delegate discharge
teaching to a UAP; even if delegation were permitted, the nurse
would see the client with a high PaCO2 as being the greater priority.
Placement of the client's room can be a decision that is made when
considering time management issues; however, the physiological
needs of the clients are the first consideration of the nurse.
◉ 5) A client seen in an urgent care clinic is complaining of
abdominal pain and believes that the food eaten the previous
evening was tainted. What should the nurse do after the client states
that the food was tainted?
A) Ask the client open-ended questions to further assess the
situation.
B) Tell the client the physician does not need to assess the client.
C) Call an ambulance before assessing the client any further.
D) Advise the client to take an antacid..
Answer: Answer: A
LEARNING PRACTICE TEST 2026 FULL
SOLUTIONS REVIEW PACK
◉ 2) A client with congestive heart failure is having difficulty
breathing. Before leaving the room the nurse ensures the client has
an over-bed table to lean on when awake if needed to ease
breathing. Which technique did the nurse use to make this decision?
A) Delegating a task
B) Priority-setting
C) Conflict resolution
D) Critical thinking.
Answer: Answer: D
Explanation: A) After assessing the client, the nurse sets goals for
and with the client. To arrive at the goal, the nurse uses critical
thinking to make the decision to provide the client with optimum
ability to breathe. Delegating involves giving the task to another
team member. There is no conflict in this decision. Conflict
resolution usually involves a compromise that affects two sides that
are in disagreement. Priority-setting involves deciding which task to
perform first.
◉ 3) A postoperative client prescribed pain medication every 4 to 6
hours is requesting medication every 6 hours. At 4 hours the client's
,pain level is 8 on a rating scale of 1 to 10. The nurse decides to give
the pain medication now. What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) A response to a change in the client's condition.
Answer: Answer: D
Explanation: A) Each client has a plan of care, but, it is the nurse who
constantly evaluates the client for changes that the nurse responds
to, if needed. Prioritizing involves choosing tasks in order of
importance. Time management is completing the assigned tasks in
the given time frame by organizing and using efficiency. The goal has
not been met if the client is experiencing pain.
◉ 4) The nurse is assigned two clients. One client needs
postoperative teaching in preparation for discharge and the other
client with pneumonia has a PaCO2 of 85. Why does the nurse
decide to see the client with pneumonia first?
A) The nurse can delegate postoperative teaching to unlicensed
assistive personnel (UAP).
B) The client with pneumonia needs more care than the client
needing postoperative teaching.
C) The client with pneumonia may be experiencing respiratory
distress.
, D) The room of the client with pneumonia is closer than that of the
client needing postoperative teaching..
Answer: Answer: C
Explanation: A) The client with a PaCO2 of 85 could be in serious
trouble. The nurse would decide to assess that client first in order to
prevent dire consequences for the client. The client with pneumonia
probably needs more care than the client preparing for discharge,
but the reason for the decision is based on a potentially critical need
by the client with pneumonia. The nurse cannot delegate discharge
teaching to a UAP; even if delegation were permitted, the nurse
would see the client with a high PaCO2 as being the greater priority.
Placement of the client's room can be a decision that is made when
considering time management issues; however, the physiological
needs of the clients are the first consideration of the nurse.
◉ 5) A client seen in an urgent care clinic is complaining of
abdominal pain and believes that the food eaten the previous
evening was tainted. What should the nurse do after the client states
that the food was tainted?
A) Ask the client open-ended questions to further assess the
situation.
B) Tell the client the physician does not need to assess the client.
C) Call an ambulance before assessing the client any further.
D) Advise the client to take an antacid..
Answer: Answer: A
