QUESTIONS AND ANSWERS
Fall Update | 100% Correct | Latest Version
FORMATTING LEGEND:
• Bold Italic = Correct Answer
• Italic = Rationale
TABLE OF CONTENTS
Section Questions
Safety & Infection Control 1-40
Medication Administration & Pharmacology 41-70
Nursing Process & Clinical Judgment 71-100
Basic Care & Comfort 101-135
Psychosocial Integrity 136-160
Health Promotion & Maintenance 161-180
Fluid & Electrolyte Balance 181-195
,Section Questions
Legal & Ethical Issues 196-200
SECTION 1: SAFETY & INFECTION CONTROL
QUESTION 1
A nurse on a med-surg unit has received change-of-shift report and will
care for 4 clients. Which of the following client's needs may the nurse assign
to an assistive personnel (AP)?
A) Feeding a client who was admitted 24 hrs ago with aspiration pneumonia
B) Reinforcing teaching with a client who is learning to walk using a quad
cane
C) Reapplying a condom catheter for a client who has urinary incontinence
D) Applying a sterile dressing to a pressure ulcer
CORRECT ANSWER: C) Reapplying a condom catheter for a client who
has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine
procedure that the nurse may delegate to the AP. Feeding clients with
aspiration pneumonia requires skilled assessment. Reinforcing teaching and
applying sterile dressings require licensed nursing judgment.
,QUESTION 2
A nurse is planning care for a group of clients. Which of the following tasks
should the nurse delegate to an assistive personnel (AP)?
A) Changing the dressing for a client who has a stage 3 pressure injury
B) Determining a client's response to a diuretic
C) Comparing radial pulses for a client who is postoperative
D) Providing postmortem care to a client
CORRECT ANSWER: D) Providing postmortem care to a client
Rationale: Providing postmortem care is a routine, noninvasive task that can
be delegated to AP. Dressing changes require sterile technique and
assessment by licensed nursing staff. Determining response to diuretics and
comparing pulses involve assessment and evaluation that require nursing
judgment.
QUESTION 3
A nurse is delegating the ambulation of a client who had knee arthroplasty
5 days ago to an AP. Which of the following information should the nurse
share with the AP? (Select all that apply)
A) The roommate is up independently
B) The client ambulates with his slippers on over his antiembolic stockings
C) The client uses a front-wheeled walker when ambulating
D) The client had pain medication 30 min ago
, E) The client is allergic to codeine
F) The client ate 50% of his breakfast this morning
CORRECT ANSWER: B, C, and D only
Rationale: The nurse should share specific information about the client's
ambulation needs: what the client wears on their feet (B), what assistive
device is used (C), and when pain medication was given (D) to ensure safe
ambulation. The roommate's status (A), allergies (E), and breakfast intake (F)
are not directly relevant to the ambulation task.
QUESTION 4
A nurse is caring for a client who has influenza and is on isolation
precautions. Which action should the nurse take to prevent the spread of
infection?
A) Place the client in a negative-pressure room
B) Wear an N95 respirator
C) Implement droplet precautions with a surgical mask
D) Use contact precautions with gown and gloves
CORRECT ANSWER: C) Implement droplet precautions with a surgical
mask
Rationale: Influenza is transmitted via respiratory droplets, requiring droplet
precautions with a surgical mask. Airborne precautions (negative-pressure