and Answers | Latest Version | 2025/2026
| Correct & Verified
What does a capillary refill time greater than 3 seconds indicate?
✔✔Possible circulatory compromise
What is the appropriate site for checking skin turgor in an older adult?
✔✔Forehead or sternum
What is the most accurate way to verify nasogastric tube placement?
✔✔Check pH of aspirate and confirm with x-ray if ordered
What is the most common symptom of hypoglycemia?
✔✔Sweating and shakiness
What is the best nursing action for a client who reports pain of 8/10?
✔✔Assess the pain and administer prescribed analgesics
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,What is the proper angle for inserting an intramuscular injection?
✔✔90 degrees
What is the safest way to ensure accurate medication administration?
✔✔Use the five rights of medication administration
What is the correct way to measure fluid intake for a client?
✔✔Measure all liquids consumed, including ice chips (counted as half their volume)
What is the first action a nurse should take if a client begins choking while eating?
✔✔Ask if the client can speak or cough
Which organ is primarily responsible for fluid and electrolyte balance?
✔✔Kidneys
What position should a client be in for enema administration?
✔✔Left lateral (Sims') position
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, What is the best way to assess pain in a nonverbal client?
✔✔Observe facial expressions and body language
What is the most accurate method for measuring core body temperature?
✔✔Rectal temperature
What is the term for a reddened area on the skin that does not blanch with pressure?
✔✔Stage 1 pressure injury
How often should the nurse assess restraints for circulation and skin integrity?
✔✔Every 2 hours
What is the primary purpose of performing range-of-motion exercises?
✔✔To prevent joint stiffness and contractures
What is the best intervention to reduce the risk of aspiration in clients with impaired swallowing?
✔✔Keep the client in an upright position during meals
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