and Answers | Latest Version | 2025/2026
| Correct & Verified
A nurse is caring for a client who has limited mobility. What action helps prevent muscle
atrophy?
A. Encourage high-protein snacks
B. Use a heating pad on joints
C. ✔✔Perform range of motion exercises
D. Apply cold compresses daily
A nurse is reinforcing teaching about fire safety in the hospital. Which instruction should the
nurse include?
A. ✔✔Rescue clients first in case of fire
B. Pull the fire alarm after extinguishing flames
C. Use elevators to evacuate clients
D. Call the fire department before alerting staff
A nurse is preparing to administer a medication via the Z-track method. What is the correct step?
1
,A. ✔✔Displace the skin laterally before injecting
B. Inject at a 15-degree angle
C. Massage the site after administration
D. Use a 25-gauge, 1-inch needle
A nurse is caring for a client who is unconscious. What is the appropriate method to check for
pain?
A. ✔✔Apply nail bed pressure
B. Ask the client to rate pain
C. Look for verbal cues
D. Offer pain medication
A nurse is assisting with a sterile dressing change. Which action indicates a break in sterile
technique?
A. ✔✔Turning away from the sterile field
B. Keeping hands above waist level
C. Opening sterile packages away from the body
D. Placing items 1 inch from the edge
2
,A nurse is collecting data from a client with suspected dehydration. Which finding supports this?
A. Moist mucous membranes
B. ✔✔Orthostatic hypotension
C. Bounding pulse
D. Increased skin turgor
A nurse is teaching a client about preventing constipation. Which instruction is appropriate?
A. Avoid whole grains
B. ✔✔Increase fluid and fiber intake
C. Limit physical activity
D. Take laxatives daily
A nurse is reinforcing education about medication safety. What should the client avoid to reduce
risk of toxicity?
A. ✔✔Taking more than the prescribed dose
B. Drinking water with pills
C. Reading medication labels
3
, D. Asking questions about medications
A nurse is caring for a client on a low-sodium diet. Which food should be avoided?
A. ✔✔Canned soup
B. Fresh vegetables
C. Brown rice
D. Unsalted almonds
A nurse is helping a client with partial hearing loss. What communication strategy is most
effective?
A. ✔✔Face the client while speaking
B. Speak loudly without pausing
C. Use long, complex sentences
D. Cover your mouth when talking
A nurse is caring for a client in pain. What non-pharmacologic method can the nurse implement?
A. Increase lighting in the room
B. ✔✔Provide a warm compress
4