2026 ASSESSMENT SCRIPT DETAILED
RESPONSES COMPREHENSIVE REVIEW
◉ What indicates a client's understanding of herbal supplements?
Answer: I use ginger when I get car sick.
◉ What action should a nurse take to prevent the spread of
influenza?
Answer: Wear a mask when working within 3 feet of the client.
◉ What is the correct way to apply wrist restraints?
Answer: Allow room for two fingers to fit between the client's skin
and the restraints.
◉ What type of transmission precautions are needed for
tuberculosis?
Answer: Airborne precautions.
◉ What should a nurse advise a parent if a child swallows paint
thinner?
Answer: Dilute the caustic substance with water.
,◉ Which entry is best for a nurse's documentation?
Answer: Administered pain medication.
◉ What action should a nurse take when providing oral care for an
unconscious client?
Answer: Place the client in a side-lying position.
◉ What is an example of negligence in nursing?
Answer: A nurse begins a blood transfusion without obtaining
consent.
◉ What should a nurse do when collecting a sputum specimen?
Answer: Offer the client oral hygiene after the collection.
◉ What finding should a nurse expect when assessing an older
client?
Answer: Decreased sense of balance.
◉ What should be included in discharge teaching about ostomy
care?
Answer: Cut the opening of the pouch 1/8 of an inch larger than the
stoma.
, ◉ When should an ostomy pouch be emptied?
Answer: When it becomes one-third full of contents.
◉ What color should a stoma turn as it heals?
Answer: Purple-blue
◉ What should a nurse do to obtain informed consent from a client
who speaks a different language?
Answer: Offer written information in the client's language.
◉ What should be avoided when receiving oxygen?
Answer: Wool blankets.
◉ How often should the O₂ delivery rate be checked?
Answer: At least once a day.
◉ How should the middle of the ball in the flow meter be aligned?
Answer: With the line of the prescribed flow rate.
◉ How far should the oxygen delivery system be kept from heat
sources?