Answers 2026/2027
# SECTION 1: MANAGEMENT OF CARE (15 Questions)
**1.** A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-
year-old child. Which of the following actions should the nurse take?
A) Use a mummy restraint to hold the child during the catheter insertion
B) Tell the child they will feel discomfort during the catheter insertion
C) Require the parents to leave the room during the procedure
D) Avoid explaining the procedure to prevent anxiety
**Correct Answer:** B) Tell the child they will feel discomfort during the
catheter insertion
**Rationale:** Honest communication with a school-age child about what to
expect during a procedure builds trust and reduces anxiety. The child should
be told that they will feel discomfort but that the procedure will be over
quickly. Parents should be allowed to stay to provide comfort.
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**2.** A charge nurse is making patient assignments on a medical-surgical
unit. Which patient should be assigned to the most experienced RN?
A) A patient requiring routine wound care
B) A patient with a new tracheostomy and unstable vital signs
C) A patient needing assistance with activities of daily living
D) A patient being discharged with home care instructions
,**Correct Answer:** B) A patient with a new tracheostomy and unstable vital
signs
**Rationale:** The most complex and unstable patient requires the most
experienced nurse. A patient with a new airway and instability needs
advanced assessment skills, clinical judgment, and the ability to respond
rapidly to changes in condition.
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**3.** A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator (ICD). Which of the following
statements demonstrates understanding of the teaching?
A) "I will soak in the tub rather than showering"
B) "I will wear loose clothing around my ICD"
C) "I will stop using my microwave oven at home because of my ICD"
D) "I can hold my cellphone on the same side of my body as the ICD"
**Correct Answer:** B) "I will wear loose clothing around my ICD"
**Rationale:** Clients with ICDs should wear loose clothing to prevent
irritation and pressure over the device site. They may shower but should
avoid soaking in tubs. Microwave ovens do not interfere with ICDs.
Cellphones should be held on the opposite side of the body from the ICD.
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, **4.** A nurse is caring for a client who is at 14 weeks gestation and reports
feelings of ambivalence about being pregnant. Which of the following
responses should the nurse make?
A) "Describe your feelings to me about being pregnant"
B) "You should discuss your feelings about being pregnant with your
provider"
C) "Have you discussed these feelings with your partner?"
D) "When did you start having these feelings?"
**Correct Answer:** A) "Describe your feelings to me about being pregnant"
**Rationale:** An open-ended question that invites the client to share
feelings is therapeutic and non-judgmental. Ambivalence is a normal
response during pregnancy, and the nurse should provide a safe space for
the client to explore these feelings.
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**5.** A nurse is planning care for a client who has a prescription for a bowel-
training program following a spinal cord injury. Which of the following actions
should the nurse include in the plan of care?
A) Encourage a maximum fluid intake of 1,500 ml per day
B) Increase the amount of refined grains in the client's diet
C) Provide the client with a cold drink prior to defecation
D) Administer a rectal suppository 30 minutes prior to scheduled defecation
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