MOST RECENT EXAM 2026|2027 ACTUAL COMPLETE
REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ |
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The nurse is teaching a client how to perform progressive
muscle relaxation techniques to relieve insomnia. A week later
the client reports, "I am still unable to sleep, despite following
the same routine every night." Which action should the nurse
take next? A.
Instruct the client to add regular exercise as a
daily routine. B.
Determine if the client has been keeping a
sleep diary. C.
Encourage the client to continue the routine until sleep
is achieved. D.
Ask the client to describe the routine he is currently following. -
ANSWER-D Rationale: The nurse should first evaluate whether
the client has been adhering to the original instructions. A
verbal report of the client's routine will provide more specific
information than the client's written diary. The nurse can then
determine which changes need to be made. The routine
practiced by the client is clearly unsuccessful, so
encouragement alone is insufficient.
,A client is laughing at a television program when the evening
nurse enters the room. The client states, "My foot is hurting. I
would like a pain pill." How should the nurse respond? A.
Ask the client to rate the pain using a 1 to
10 scale. B.
Encourage the client to wait until bedtime
for the pill. C.
Attend to an acutely ill client's needs first because this
client is laughing. D.
Instruct the client in the use of deep breathing exercises for
pain control. -
ANSWER-A
Rationale: Obtaining a subjective estimate of the pain
experience by asking the client to rate his pain helps the nurse
determine which pain medication should be administered and
also provides a baseline for evaluating the effectiveness of the
medication. Medicating for pain should not be delayed so that it
can be used as a sleep medication. Option C is judgmental.
Option D should be used as an adjunct to pain medication, not
instead of medication.
Which action is most important for the nurse to include in the
plan of care for a client at high risk for the development of
postoperative thrombus formation? A.
Instruct in the use of the incentive
spirometer. B.
Elevate the head of the bed during all
meals. C.
,Use aseptic technique to change the
dressing. D.
Encourage frequent ambulation in the hallway. - ANSWER-D
Rationale: Thrombus (clot) formation can occur in the lower
extremities of immobile clients, so the nurse should plan to
encourage activities to increase mobility, such as frequent
ambulation in the hallway. Option A helps promote alveolar
expansion, reducing the risk for atelectasis. Option B reduces
the risk for aspiration. Option C reduces the risk for
postoperative infection.
A client has a nasogastric tube connected to low intermittent
suction. When administering medications through the
nasogastric tube, which action should the nurse do first? A.
Clamp the nasogastric
tube. B.
Confirm placement of the
tube. C.
Use a syringe to instill the
medications. D.
Turn off the intermittent suction device. - ANSWER-D
Rationale: The nurse should first turn off the suction and then
confirm placement of the tube in the stomach before instilling
the medications. To prevent immediate removal of the instilled
medications and allow absorption, the tube should be clamped
for a period of time before reconnecting the suction.
A client with frequent urinary tract infections (UTIs) asks the
nurse to explain a friend's advice about drinking a glass of
, juice daily to prevent future UTIs. Which response is best for
the nurse to provide? A.
"Orange juice has vitamin C that deters
bacterial growth." B.
"Apple juice is the most useful in acidifying
the urine." C.
"Cranberry juice stops pathogens' adherence to
the bladder." D.
"Grapefruit juice increases absorption of most antibiotics." -
ANSWER-C Rationale: Cranberry juice maintains urinary tract
health by reducing the adherence of Escherichia coli bacteria
to cells within the bladder. Options A, B, and D have not been
shown to be as effective as cranberry juice in preventing UTIs.
After receiving written and verbal instructions from a clinic
nurse about a newly prescribed medication, a client asks the
nurse what to do if questions arise about the medication after
getting home. How should the nurse respond? A.
Provide the client with a list of Internet sites that answer
frequently asked questions about medications. B.
Advise the client to obtain a current edition of a drug
reference book from a local bookstore or library. C.
Reassure the client that information about the medication
is included in the written instructions. D.
Encourage the client to call the clinic nurse or health care
provider if any questions arise. - ANSWER-D
Rationale: To ensure safe medication use, the nurse should
encourage the client to call the nurse or health care provider if
any questions arise. Options A, B, and C may all include useful