With 100% Correct Answers 2026
Updated.
Skin inspection and palpation includes assessment for:
A. Color, uniformity, and symmetry
B. Skin lesions
C. Skin temperature
D. All of the above - Answer All of the above
The nurse is changing the bed linen of a patient on bed rest. When the nurse is ready to make
the other side of the bed, what will the nurse do before having the patient turn onto the side
that has already been made?
A. Lower the head of the bed
B. Raise the side rails
C. Apply the top sheet
D. Discard the soiled linen in the linen bag - Answer Raise the side rails
The nurse is preparing to change the soiled linen of a patient's unoccupied bed. Which
precaution minimizes the risk of transmitting microorganisms?
A. Perform hand hygiene and apply clean gloves.
B. Place fresh linen on a clean bedside table or chair.
C. Put soiled linen in a pillow case before placing in a hamper.
D. Roll soiled linen together with the dirty sides toward the center. - Answer Perform hand
hygiene and apply clean gloves.
Which action ensures that a patient will not have unnecessary pain during a linen change?
A. Discontinue the bed change if the patient expresses or displays physical signs of pain.
B. Explain the procedure to the patient before beginning the linen change.
C. Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.
D. Postpone the bed change if the patient reports having physical pain before you begin. -
Answer Administer a prescribed analgesic 30 to 60 minutes before the bed change if needed.
,A black patient is in the intensive care unit because of impending shock after an accident. The
nurse expects to find what characteristics in this patient's skin?
A.Ruddy blue.
B.Generalized pallor.
C.Ashen, gray, or dull.
D.Patchy areas of pallor. - Answer Ashen, gray, or dull
A woman is leaving on a trip to Hawaii and has come in for a checkup. During the examination
the nurse learns that she has diabetes and takes oral hypoglycemic agents. The patient needs to
be concerned about which possible effect of her medications?
a.Increased possibility of bruising
b.Skin sensitivity as a result of exposure to salt water
c.Lack of availability of glucose-monitoring supplies
d.Importance of sunscreen and avoiding direct sunlight - Answer Importance of sunscreen and
avoiding direct sunlight
The nurse is aware that the four areas in the body where lymph nodes are accessible are the:
a.Head, breasts, groin, and abdomen.
b.Arms, breasts, inguinal area, and legs.
c.Head and neck, arms, breasts, and axillae.
d.Head and neck, arms, inguinal area, and axillae. - Answer Head and neck, arms, inguinal
area, and axillae.
The nurse is bathing an 80-year-old man and notices that his skin is wrinkled, thin, lax, and dry.
This finding would be related to which factor in the older adult?
a.Increased vascularity of the skin
b.Increased numbers of sweat and sebaceous glands
c.An increase in elastin and a decrease in subcutaneous fat
d.An increased loss of elastin and a decrease in subcutaneous fat - Answer An increased loss
of elastin and a decrease in subcutaneous fat
,The nurse is discussing care coordination with a patient. The patient asks the nurse to explain
care coordination. The nurse's best response would be, "Care coordination
a. is a cost effective method created by the community.
b. forces the health care facilities in the community to work together.
c. exists for the children and uninsured in the community.
d. allows health care services to work together in the community." - Answer allows health care
services to work together in the community."
The nurse is repositioning her patient in the side-lying position. To avoid putting the patient at
risk for pressure ulcers, the HOB should be placed at:
a. flat.
b. 90 degrees.
c. 30 degrees.
d. 45 degrees. - Answer 30 degrees.
A nurse is conducting a health interview on a newly admitted patient. To establish a trusting
relationship with the patient, the nurse:
-avoids eye contact to appear less threatening.
-demonstrates professionalism by not smiling.
-sits close and leans in slightly toward the patient.
-speaks in a slow rate of speech and low tone. - Answer sits close and leans in slightly toward
the patient.
A nursing instructor is talking about care coordination with nursing students. The instructor
stresses which of the following to the students concerning care coordination?
-"The nurse does most of the work in care coordination."
-"A patient must ask for what they need in order to coordinate care."
-"Medical diagnoses are an integral part of care coordination."!
-"Collaboration is a significant part of care coordination." - Answer collaboration is a significant
part of care coordination
A patient states, "I had a bad nightmare. When I woke up, I felt emotionally drained, as though I
hadn't rested well." Which response by the nurse would be an example of interpersonal
therapeutic communication?
, -"It sounds as though you were uncomfortable with the content of your dream."
-"I understand what you're saying. Bad dreams leave me feeling tired, too."
-"Can you give me an example of what you mean by a 'bad nightmare'?"
-"So, all in all, you feel as though you had a rather poor night's sleep?" - Answer can you give
me an example of what you mean by a bad nightmare
A young wife is talking with the nurse about her husband who is returning from the military. The
wife confides that her husband is physically okay but is behaving differently. What is the nurse's
best response?
-"Many times people need care for emotional trauma."
-"Talk with your physician to get medication, and then put it in his food."
-"He is just trying to adjust to civilian life again; he'll be okay."
-"You should observe him closely, because he could attack you." - Answer -"Many times
people need care for emotional trauma."
Nurses work to serve the population, and they know that which priority population needs to be
served by care coordination?
-Whole population of the community
-Uninsured and the very young
-Underinsured and the elderly population
-Most vulnerable and the frail - Answer -Most vulnerable and the frail
The nurse is assisting a patient to bed when the patient says, "My chest hurts and my left arm
feels numb. What's wrong with me?" What is the type and source of data obtained from the
patient's complaint?
-Objective data from a primary source
-Objective data from a secondary source!
-Subjective data from a primary source
-Subjective data from a secondary source - Answer -Subjective data from a primary source
The nurse is completing the health history on a patient admitted for cardiac rehabilitation. The
health history is conducted in which step of the nursing process?