CORRECT ANSWERS (VERIFIED ANSWERS) Q&A
2026/2027 INSTANT DOWNLOAD PDF
1. A practical nurse is caring for a client who has difficulty
breathing. Which assessment finding requires immediate
intervention?
A. Respiratory rate of 20/min
B. Oxygen saturation of 88%
C. Mild anxiety
D. Productive cough
Correct Answer: B. Oxygen saturation of 88%
Rationale: Low oxygen saturation indicates impaired
oxygenation and requires immediate assessment and
intervention.
2. A nurse is preparing to administer medication. Which action
is part of the medication rights?
A. Asking another nurse to give the medication
B. Verifying the client’s room number
C. Confirming the right client using two identifiers
D. Giving medications at the same time every day
,Correct Answer: C. Confirming the right client using two
identifiers
Rationale: Two identifiers help prevent medication errors and
ensure the correct client receives treatment.
3. A nurse is caring for a client with diabetes mellitus. Which
finding indicates hypoglycemia?
A. Fruity breath odor
B. Blood glucose of 45 mg/dL
C. Increased thirst
D. Warm, dry skin
Correct Answer: B. Blood glucose of 45 mg/dL
Rationale: A glucose level below normal can cause sweating,
shakiness, confusion, and requires prompt treatment.
4. Which intervention is appropriate for preventing pressure
injuries in an immobile client?
A. Massage reddened areas
B. Reposition the client every 2 hours
C. Limit protein intake
D. Keep the head of bed elevated at all times
Correct Answer: B. Reposition the client every 2 hours
,Rationale: Frequent repositioning reduces prolonged pressure
and improves circulation.
5. A nurse is caring for a client receiving opioid pain
medication. Which finding requires immediate attention?
A. Constipation
B. Drowsiness
C. Respiratory rate of 8/min
D. Nausea
Correct Answer: C. Respiratory rate of 8/min
Rationale: Opioids can depress respirations. A low respiratory
rate may indicate opioid toxicity.
6. Which action demonstrates proper infection control?
A. Wearing gloves instead of washing hands
B. Performing hand hygiene before and after client contact
C. Reusing disposable equipment
D. Wearing a mask for all clients
Correct Answer: B. Performing hand hygiene before and after
client contact
Rationale: Hand hygiene is the most effective method for
preventing transmission of infection.
, 7. A nurse is caring for a client after surgery. Which finding
should be reported immediately?
A. Pain rated 5/10
B. Temperature of 37°C (98.6°F)
C. Sudden chest pain and shortness of breath
D. Mild nausea
Correct Answer: C. Sudden chest pain and shortness of breath
Rationale: These symptoms may indicate a pulmonary
embolism, which is life-threatening.
8. Which client should the nurse assess first?
A. Client requesting a snack
B. Client with a new onset of confusion
C. Client needing assistance with bathing
D. Client waiting for discharge instructions
Correct Answer: B. Client with a new onset of confusion
Rationale: Acute changes in mental status may indicate a
serious condition requiring immediate evaluation.
9. A nurse is teaching a client about a low-sodium diet. Which
food should the client avoid?
A. Fresh apples
B. Grilled chicken