Answers 2026 | High-Yield Review | Graded A+
1. The nurse is assisting with a lumbar puncture. What is the most common
complication for which the nurse should monitor the patient following the
procedure?
Meningitis
Spinal epidural abscess
Post-lumbar puncture headache
Herniation of intracranial contents
2. What is one key action that healthcare professionals must take to protect
client confidentiality?
Limit access to patient records
Share patient information with family members
Discuss patient cases in public areas
Leave patient files unattended
3. In a scenario where one client exhibits signs of hypertension and another is
stable, how should the nurse prioritize electronic blood pressure
measurements?
The nurse should measure both clients simultaneously.
The nurse should wait until the end of the shift to measure blood
pressure.
The nurse should prioritize the client exhibiting signs of
hypertension.
, The nurse should prioritize the stable client to avoid unnecessary
stress.
4. If a patient on clozapine presents with a fever and sore throat, what should
the nurse's immediate action be?
Administer an antipyretic medication.
Refer the patient to a psychiatrist.
Obtain a complete blood count (CBC) to check for agranulocytosis.
Increase the dosage of clozapine.
5. What is the primary purpose of performing an electronic blood pressure
measurement in nursing practice?
To assess heart rate variability.
To obtain accurate blood pressure readings.
To monitor blood glucose levels.
To evaluate respiratory function.
6. The nurse is caring for a client after a lumbar puncture. Which of the following
would indicate a potential complication?
Client complains of a headache when up ambulating but it
disappears when lying down.
Client denies any numbness or tingling in lower extremities.
Client requests fluids after the procedure.
Client requests for assistance with urinal.
7. Why is it important to obtain the client's consent before changing their code
status to DNR?
, It ensures that the healthcare team is aware of the client's preferences.
It respects the client's autonomy and legal rights regarding their
healthcare decisions.
It prevents legal issues for the healthcare provider.
It allows for quicker decision-making in emergencies.
8. The school nurse is involved in multiple activities related to public health
policy. Which of the following is an example of public health policy
advocacy?
Informing students and parents about the need for flu vaccinations at
the beginning of the school term
Doing height and weight screenings
Reporting a newly diagnosed case of Listeria to the public health
department
Working with the school board to add nutrition classes in the middle
school curriculum
9. In a scenario where a newborn shows signs of respiratory distress shortly
after birth, what should the nurse's immediate action be?
Administer medication immediately.
Wait for the pediatrician to arrive.
Document the findings and continue monitoring.
Assess the newborn's airway and breathing.
10. What type of precautions should be taken for clients with respiratory
infections?
Droplet precautions