and Answers | Latest Version | 2025/2026
| Correct & Verified
A nurse is assisting a client with oral care who is unconscious. What is the safest nursing action?
A. Place the client in high Fowler’s position
✔✔B. Position the client on their side
C. Use a large amount of water
D. Brush teeth with full-strength mouthwash
A nurse is preparing to administer a subcutaneous injection. Which site is most appropriate for
this route?
A. Deltoid muscle
✔✔B. Abdomen at least 2 inches from the umbilicus
C. Vastus lateralis muscle
D. Ventrogluteal muscle
A nurse is caring for a client on contact precautions. Which personal protective equipment is
required before entering the room?
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,A. Mask only
✔✔B. Gown and gloves
C. Gloves and shoe covers
D. Gown and mask
A nurse is caring for a client who is postoperative. Which assessment finding requires immediate
intervention?
A. Mild pain at the incision site
✔✔B. Saturated dressing with bright red blood
C. Small amount of serosanguinous drainage
D. Slight increase in temperature to 99°F (37.2°C)
A nurse is caring for a client receiving oxygen via nasal cannula. Which action promotes client
safety?
A. Use petroleum jelly to moisten the nostrils
✔✔B. Check the skin behind the ears for breakdown
C. Secure the tubing tightly around the neck
D. Keep oxygen tank lying flat on the floor
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,A nurse is inserting an indwelling urinary catheter for a female client. Which action helps
prevent urinary tract infection?
A. Inflate the balloon before insertion
✔✔B. Maintain sterile technique during insertion
C. Insert without lubrication
D. Position the client in supine position only
A nurse is preparing to move a client up in bed. Which technique should be used to prevent back
injury?
A. Pull the client with arms extended and back bent
✔✔B. Bend at the knees and keep back straight
C. Twist the waist while pulling the client
D. Use only the upper body strength
A nurse is caring for a client on bed rest. Which intervention helps prevent deep vein
thrombosis?
A. Restrict fluids
✔✔B. Encourage ankle pump exercises
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, C. Place pillow directly behind knees
D. Keep legs crossed at the knees
A nurse is assessing a client’s peripheral pulse. Which finding should be reported immediately?
A. Regular rhythm at 88 bpm
✔✔B. Weak, thready pulse
C. Strong pulse at 70 bpm
D. Slightly increased rate after activity
A nurse is reinforcing teaching to a client about proper crutch use. Which statement indicates
correct understanding?
A. "I should rest my weight on my armpits."
✔✔B. "I should keep my elbows slightly bent when using the crutches."
C. "I should keep the crutches tight against my body."
D. "I should look at my feet when walking."
A nurse is documenting care for a client. Which entry is most appropriate?
A. "Client seems fine."
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