Answers 2026/2027
SECTION 1: MANAGEMENT OF CARE (15 Questions)
**1.** A nurse is planning care for a client who has rheumatoid arthritis.
Which of the following interventions should the nurse include in the plan?
A) Decrease the client's dietary iron intake
B) Increase the client's dietary iron intake
C) Restrict the client's fluid intake
D) Administer pain medication only when the client requests it
**Correct Answer:** B) Increase the client's dietary iron intake
**Rationale:** Clients with rheumatoid arthritis may develop anemia due to
chronic inflammation. Increasing dietary iron intake promotes tissue repair
and helps manage anemia associated with RA. Pain medication should be
administered on a scheduled basis, not only when requested.
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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 reviewing legal issues in health care with a group of newly
licensed nurses. Which of the following recommendations should the nurse
make?
A) Ensure that the client has a living will on file prior to treatment
B) Place copies of incident reports in the clients' medical records
C) Obtain personal professional liability insurance coverage
D) Overestimate the clients' acuity to prevent short staffing
**Correct Answer:** C) Obtain personal professional liability insurance
coverage
**Rationale:** Newly licensed nurses should obtain personal professional
liability insurance coverage to protect themselves in the event of a
malpractice claim. Incident reports should not be placed in the client's
medical record as they are internal documents.
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, **4.** A nurse is preparing a change-of-shift report for an adult female client
who is postoperative. Which of the following client information should the
nurse include in the report?
A) Hgb 12.8 g/dL
B) Potassium 4.2 mEq/L
C) RBC 4.4 million/mm³
D) Platelets 100,000/mm³
**Correct Answer:** D) Platelets 100,000/mm³
**Rationale:** Normal platelet count is 150,000-400,000/mm³. A platelet
count of 100,000/mm³ is below normal (thrombocytopenia) and should be
included in the change-of-shift report as it indicates increased bleeding risk.
Normal hemoglobin for an adult female is 12-16 g/dL, potassium is 3.5-5.0
mEq/L, and RBCs are 4.2-5.4 million/mm³.
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**5.** A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal prescription for
restraints. Which of the following actions should the nurse take?
A) Request a renewal of the prescription every 8 hours
B) Check the client's peripheral pulse rate every 30 minutes
C) Obtain a prescription for restraint within 4 hours
D) Document the client's condition every 15 minutes
**Correct Answer:** D) Document the client's condition every 15 minutes