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LATEST UPDATED 2026/2027 | GRADED A+.
Nurse enters the room of a female client and ask how she is doing, client states
"I'm a little nervous this morning". What would be the nurses best reply? -
ANSWER "Can you tell me more about how you are feeling?"
A nurse observes a client pacing the halls, and it appears as if the client has been
crying. What is the appropriate action? - ANSWER Validate perceptions with the
client
The nurse is assessing the client who has an onset of severe back pain of an
unknown origin. Which would the nurse ask to encourage discussion? - ANSWER
What do you think caused the onset of your back pain?
In which of the following situations would the nurse be more justified in
implementing trial-and-error problem solving? - ANSWER The nurse is attempting
to landmark an obese clients apical pulse
A client comes to the ED complaining of severe chest pain. The nurse ask the
client questions and takes VS. Which step in the nursing process is this? -
ANSWER Assesing
Self evaluation is a method that nurses use to promote their own developmen
and to grow in confidence in their nursing roles. The process is refereed to as
what? - ANSWER Reflective practice
t
Profuse smoke is coming out of the heating unit in a patient's room. What should
, the nurse do first? - ANSWER Move the patient out of the room
A patient's stool specimen is positive for Clostridium difficile. Which isolation
precautions should the nurse institute for this patient? - ANSWER Contact
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse follows
these recommended guidelines? - ANSWER The nurse moves the patient table
away from the nurse's body when wiping it off after a meal
The nurse has opened the sterile supplies and put on two sterile gloves to
complete a sterile dressing change, a procedure that requires surgical asepsis.
Which action by the nurse is appropriate? - ANSWER Consider the outer 1 in of
the sterile field as contaminated.
A nurse is providing for the hygiene and grooming needs for an obese patient
who easily becomes short of breath when moving about. Which is the most
important nursing intervention? - ANSWER Assessing response to activity
A client who is unconscious needs frequent mouth care. While performing mouth
care, the nurse tale care to place the client in which of the following positions? -
ANSWER Side-lying
Which action would the nurse take to use a wide base of support when assisting
a client to get up from a chair? - ANSWER Spread the feet shoulder-width apart
before touching the client.
A nurse is examining a child 2 years old. Asked on her findings, she initiates a
care plan for a potential problem with normal growth and development. Which
step of the nursing process identifies actual and potential problems? - ANSWER
Diagnosing
The nurse is providing instructions to the unlicensed assistive personnel (UAP)
who will be caring for a client with hand restraints. The nurse asks the UAP to
repeat the instructions to ensure that the UAP understands the care. Which
statement, if made by the UAP, indicated an understanding of the care for this