Already Passed Answers Rated
A+(2025-2026) Set.
The client has been in bed for several days and needs to be ambulated? What action will the
nurse take first? - Answer Dangle the client at the bedside
Which behavior indicates the nurse is using a team approach when caring for a client who is
experiencing alterations in mobility? - Answer Consults physical therapy for strengthening
exercises in the extremities
Which goal is most appropriate for a client who has had a total hip replacement? - Answer The
client will walk 100 feet using a walker by the time of discharge Goals are what the patient will
do, not what the nurse will do Remember SMART goals
The nurse is caring for an older-adult client admitted with nausea, vomiting, and diarrhea due to
food poisoning. The nurse completes the health history. Which priority concern wil require
collaboration with social services to address the client's health care needs? - Answer The
electricity was turned off 3 days ago Maybe didn't have the money to pay for electricity
The nurse is monitoring for Sentinel Events. Which finding indicates the nurse will need to
report a Sentinel Event? - Answer A surgical sponge is left in the client's incision Sentinel event
never event, it should never happen
The nurse discovers a client on the floor. The client states that he fell out of bed. The nurse
assesses the client and places the client back in bed. Which action should the nurse take next? -
Answer Notify the health care provider
A nurse reviews the history of a newly admitted client. Which finding will alert the nurse the
client is at risk for falls? - Answer Orthostatic hypotension
The nurse is teaching a group of older adults at an assisted-living facility about age-related
physiological changes affecting safety. Which question would be most important for the nurse to
ask this group? - Answer "Are you able to hear the tornado sirens in your area?"
, The community health nurse is assessing a family who is chronically ill child. The child needs
special care, and the nurse has to coordinate the care for the home setting. What behavior will
the nurse assess for to know that the family can care for the child? - Answer The family is
willing to learn about the care and share caregiving needs
The nurse is consulting a woman who is caring for her 83-year-old father. The father has mental
changes and is becoming more confused. The father lives with the daughter at home. The nurse
knows the daughter understands her father's care needs as she states: - Answer "I can send
dad to adult daycare so I can work"
The nurse is caring for a client who is having difficulties sleeping. The healthcare provider
zolpidem 5mg ever hs. The nurse has on hand, zolpidem 10/mg tablet. How many tablets? -
Answer 0.5 tablets hs at bedtime
A client tells the nurse that he experiences daytime fatigue even after 7-8 hours of sleep each
night. What is the best assessment question for the nurse to ask? - Answer "Do you also have
any recent lifestyle or behavior changes?
The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understand this problem when the student makes which statement? - Answer
central perfusion is involved with the whole body
A nurse is explaining to a student about perfusion. The nurse knows the student understands
the concept of perfusion when the student makes which statement? - Answer Perfusion is
monitored by vital signs and capillary refill
The nurse is conducting a client assessment. The client tells the nurse that he has smoked 2
packs of cigarettes per day for 27 years. The nurse may find which upon application - Answer
Elevated blood pressure
A diabetic client who is hospitalized tells the nurse, "I don't understand why I can keep my blood
sugar under control at home with diet alone, but when I get sick, my blood sugar goes up."
Which response by the nurse is appropriate? - Answer "Stressors such as illness cause the
release of hormones that increase blood sugar."
A client tells the nurse, "I'm told that I should reduce the stress in my life, but I have no idea
where to start." Which would be the best initial nursing response? - Answer "Let's talk about
what's going on in your life and then talk about possible options."