Advanced Test Questions and Answers |
Latest Version | 2025/2026 | Correct &
Verified
What is the first step a nurse should take when a client suddenly reports chest pain?
✔✔ Stop all activity and assess the client’s vital signs
A nurse delegates vital sign monitoring to a UAP. Later, the nurse finds the blood pressure
reading is unusually low. What is the nurse’s best response?
✔✔ Reassess the client personally to verify the result
Why is it important to verify medication allergies during every shift?
✔✔ To ensure client safety before administering any new medication
A client is refusing to take a prescribed medication. What is the nurse's responsibility?
✔✔ Document the refusal and notify the provider
A nurse is prioritizing care for four clients. Which type of client should be assessed first?
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,✔✔ The one with an airway or breathing concern
How does a nurse evaluate the effectiveness of a newly implemented pain management protocol?
✔✔ Review pain scores before and after the intervention
A client tells the nurse, “I feel like something just popped after my surgery.” What should the
nurse do immediately?
✔✔ Inspect the surgical site for signs of dehiscence or evisceration
What is the most appropriate action when a client expresses suicidal thoughts?
✔✔ Remain with the client and initiate suicide precautions
Why should the nurse include the client in discharge planning?
✔✔ To ensure the plan is individualized and the client understands the follow-up
What is the nurse’s role during an informed consent process?
✔✔ Witness the signature and ensure the client voluntarily signed
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, A nurse is working with an interpreter to educate a client. What is the best practice?
✔✔ Speak directly to the client, not the interpreter
When reviewing an abnormal lab result, what should the nurse do first?
✔✔ Compare the result with the client’s baseline values
What is the best way to ensure accuracy when taking a telephone order from a provider?
✔✔ Read the order back to confirm it verbatim
A nurse is floating to a new unit. Which assignment is most appropriate?
✔✔ A stable client whose condition is within the nurse’s scope of experience
How can a nurse prevent medication errors with look-alike/sound-alike drugs?
✔✔ Read the label three times before administration
What is a key component of evidence-based practice?
✔✔ Integrating clinical expertise with current research and client preferences
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