WITH CORRECT QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
A .nurse .is .caring .for .four .clients. .Which .of .the .following .client .statements .should .the
.nurse .attend .to .first? .- .CORRECT .ANSWER-"My .heartburn .pain .is .going .into .my .jaw .now."
A .nurse .is .caring .for .a .client .who .is .receiving .mechanical .ventilation .via .an .endotracheal
.tube. .Which .of .the .following .actions .should .the .nurse .take? .- .CORRECT .ANSWER-Perform
.oral .care .every .2 .hr.
A .nurse .is .caring .for .a .client .who .is .receiving .warfarin .5 .mg .PO .daily. .Which .of .the
.following .laboratory .values .should .the .nurse .check .prior .to .administering .the
.medication? .- .CORRECT .ANSWER-- .PT .
- .INR
A .nurse .is .collecting .data .from .a .client .who .is .at .9 .weeks .of .gestation .and .has
.hyperemesis .gravidarum. .Which .of .the .following .findings .should .the .nurse .expect? .-
.CORRECT .ANSWER-Weight .loss
A .nurse .is .reinforcing .teaching .with .a .client .about .the .importance .of .a .low .sodium .diet.
.Which .of .the .following .foods .should .the .nurse .recommend .as .the .best .choice .to .include
.in .a .low .sodium .diet? .- .CORRECT .ANSWER-2 .tbsp .of .peanut .butter
,A .nurse .is .collecting .data .from .an .18 .month .old .toddler .at .a .well .child .visit. .Which .of .the
.following .findings .should .the .nurse .report .to .the .provider? .- .CORRECT .ANSWER-The
.toddler .can .say .four .words.
A .nurse .is .collecting .data .from .a .client .who .has .diabetes .mellitus. .Which .of .the .following
.findings .indicates .that .the .client .might .be .experiencing .diabetic .ketoacidosis? .- .CORRECT
.ANSWER-Kussmaul .respirations
A .nurse .is .reinforcing .teaching .with .a .client .who .has .a .permanent .pacemaker .in .place.
.Which .of .the .following .statements .by .the .client .indicates .an .understanding .of .the
.teaching? .- .CORRECT .ANSWER-"I .need .to .record .my .pulse .rate .daily."
A .nurse .is .caring .for .a .client .who .is .in .mechanical .restraints .after .becoming .violent .with .a
.staff .member. .Which .of .the .following .actions .should .the .nurse .take? .- .CORRECT
.ANSWER-Document .in .the .clients .medical .record .every .15 .min.
A .nurse .is .reinforcing .teaching .about .self-administration .of .nasal .drops .with .a .client.
.Which .of .the .following .positions .should .the .nurse .recommend .for .instillation .of .the
.drops? .- .CORRECT .ANSWER-Supine
A .nurse .is .preparing .to .administer .furosemide .to .a .client .who .has .heart .failure. .Which .of
.the .following .laboratory .results .should .the .nurse .review .prior .to .administering .the
.medication? .- .CORRECT .ANSWER-Potassium
A .nurse .is .caring .for .a .client .who .has .methicillin-resistant .staphylococcus .aureus .(MRSA)
.infection. .Which .of .the .following .actions .should .the .nurse .plan .to .take? .- .CORRECT
.ANSWER-Don .a .gown .and .gloves .when .providing .perineal .care
A .nurse .is .assisting .with .the .plan .of .care .for .a .client .who .has .dementia .and .often
.wanders .in .the .halls .at .night. .Which .of .the .following .interventions .should .the .nurse
.recommend .including .in .the .plan .of .care? .- .CORRECT .ANSWER-Labeling .the .clients
.bathroom .door
, A .charge .nurse .is .reinforcing .teaching .with .a .newly .hired .licensed .practical .nurse .about
.scope .of .practice. .Which .of .the .following .responsibilities .should .the .nurse .include .in .the
.teaching? .- .CORRECT .ANSWER-Providing .direct .client .care
A .nurse .is .working .on .a .mental .health .unit .is .meeting .with .a .client .who .has .been .in .the
.unit .for .2 .days. .The .nurse .greets .the .client .and .asks, ."What .has .been .happening .with
.you .today?" .Which .of .the .following .therapeutic .techniques .is .the .nurse .using? .- .CORRECT
.ANSWER-Reflecting
A .nurse .us .reinforcing .teaching .with .a .group .of .expectant .parents .regarding .the .proper
.use .of .a .car .seat. .Which .of .the .following .statements .by .a .parent .indicates .an
.understanding .of .the .teaching? .- .CORRECT .ANSWER-"I .will .secure .the .seat .belt .across .my
.newborns .lap."
A .nurse .from .a .medical .surgical .unit .is .floating .to .a .postpartum .unit. .Which .of .the
.following .clients .is .an .appropriate .assignment .for .the .nurse .to .accept? .- .CORRECT
.ANSWER-A .client .who .underwent .removal .of .a .retained .placenta
A .nurse .is .assisting .with .planning .care .for .a .newly .admitted .client .who .has .anorexia
.nervosa. .Which .of .the .following .interventions .should .the .nurse .recommend .to .include .in
.the .plan .of .care? .- .CORRECT .ANSWER-Reinforce .teaching .about .healthy .eating .during
.meals
A .nurse .is .admitting .a .client .who .is .scheduled .for .an .elective .surgery. .Which .of .he
.following .actions .should .the .nurse .take .to .verify .the .status .of .the .clients .advance
.directives? .- .CORRECT .ANSWER-Ask .the .client .whether .they .have .advance .directives
A .nurse .is .collecting .data .from .a .client .who .is .receiving .a .continuous .IV .infusion .of .0.9%
.sodium .chloride. .The .nurse .discovers .the .IV .infusion .pump .was .set .incorrectly .and .the
.client .received .200 .ml .more .than .prescribed. .Data .collection .reveals .that .the .client .is
.stable. .The .nurse .recognizes .that .this .incident .is .not .considered .malpractice .for .which .of
.the .following .reasons? .- .CORRECT .ANSWER-The .client .was .not .harmed .as .a .result .of .the
.incident