2025/2026| Real-Based Questions with Verified
Answers| Graded Perfect Score A+
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-
old. Which of the following actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure. - Correct Answers-B. Tell the
child they will feel discomfort during the catheter insertion.
10. A nurse is reviewing the laboratory findings of a client who has diabetes
mellitus and reports that she has been following her (unable to read) care.
The nurse should identify which of the following findings indicates a need to
revise the client's plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl. - Correct Answers-C. Hba1c 10 %
100. A nurse is providing teaching to a client who has heart failure and a new
prescription for furosemide. Which of the following statements should the
nurse make?
A. "Taking furosemide can cause your potassium levels to be high"
B. "Eat foods that are high in sodium"
C. "Rise slowly when getting out of bed"
D. "Taking furosemide can cause you to be overhydrated" - Correct Answers-C. "Rise slowly
when getting out of bed"
,101. A nurse is planning a teaching session for a client who is postoperative
following a colon resection. Which of the following actions should the nurse
take first?
A. Providing written material for the client to read
B. Plan a short instruction about coughing and deep breathing.
C. Determine the client's current pain level.
D. Instruct the client about dietary restrictions. - Correct Answers-C. Determine the client's
current pain level.
102. A nurse is caring for a client who has chronic pancreatitis. Which of the
following dietary recommendations should the nurse make?
A. Coffee with creamer.
B. Lettuce with sliced avocados.
C. Broiled skinless chicken breast with brown rice.
D. Warm toast with margarine. - Correct Answers-C. Broiled skinless chicken breast with
brown rice.
103. A nurse is caring for a client who asks for information regarding organ
donation. Which of the following statement should the nurse make?
A. "I cannot be a witness for your consent to donate."
B. "Your name cannot be removed once you are listed on the organ donor
list."
C. "Your desire to be an organ donor must be documented in writing."
D. "You must be at least 21 years of age to become an organ donor." - Correct Answers-C.
"Your desire to be an organ donor must be documented in writing."
104. A nurse is teaching a female client about personal hygiene. Which of
the client actions indicates an understanding the teaching?
A. The client takes a hot bubble bath every day.
B. The client wipes back to front when toileting.
,C. The client washes her perineum first when bathing.
D. The client brushes her teeth twice daily. - Correct Answers-D. The client brushes her teeth
twice daily.
107. A nurse is preparing to assess a 2-week-old newborn. Which of the
following actions should the nurse plan to take?
A. Obtain the newborn's body temperature using a tympanic
thermometer.
B. (Unable to read) FACES pain scale.
C. Auscultate the newborn's apical pulse for 60 seconds.
D. Measure the newborn's head circumference over the eyebrows and
below the occipital prominence. (NOT) - Correct Answers-C. Auscultate the newborn's apical
pulse for 60 seconds.
108. A nurse is caring for a client who has pneumonia and has gained 4.2 kg (9.3 lb) over the last
5 days. The client's laboratory values this morning are the following: WBC 10,000/mm3, RBC 5.2
million/mm3, platelets 250,000/mm3, BUN, and serum creatinine 2.1 mg/dL. The nurse should
report these finding to which of the following members of the interdisciplinary team?
A. Dietitian
B. Infection control nurse
C. Nephrologist
D. Cardiologist - Correct Answers-C. Nephrologist
109. A nurse is caring for an infant who is in contact isolation and received a blood transfusion.
Which of the following actions is appropriate for the nurse to take to provide cost-effective
care?
A. Return unopened equipment to the supply center
B. Leave the unused infusion pump in the room until discharge
C. Stock the room with a 2-day supply of disposable diapers
D. Being in formula as needed - Correct Answers-D. Being in formula as needed
11. A nurse in a provider's office is reviewing the laboratory results of a
, group of clients. The nurse should identify that which of the following
sexually transmitted infections is a nationally notifiable infectious disease
that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus - Correct Answers-A. Chlamydia
112. A nurse is caring for a client who is at 38 weeks gestation, is in active
labor, and has ruptured membrane. Which of the following actions should the
nurse take?
A. Insert an indwelling urinary catheter.
B. Apply fetal heart rate monitor.
C. Initiate fundal massage.
D. Initiate an oxytocin IV infusion. - Correct Answers-B. Apply fetal heart rate monitor.
113. A home health nurse is preparing to make an initial visit to a family
following a referral from a local provider. Identify the sequence of steps the
nurse should take when conducting a home visit. (Move the steps into the
box on the right. Placing them in the order of performance)
A. Identify family needs interventions using the nursing process.
B. Record information about the home visit according to agency policy.
C. Contact the family to determine availability and readiness to make an
appointment
D. Discuss plans for future visits with the family.
E. Clarify the reason for the referral with the provider's office. - Correct Answers-C,E,A,B,D
12. A nurse is teaching a newly licensed nurse about therapeutic techniques
to use when leading a group on a mental health unit. Which of the following