Latest Version | 2025/2026 | Correct &
Verified
How does the nurse verify the placement of a nasogastric tube before giving medication?
✔✔Check gastric contents and confirm placement per policy.
What should the nurse monitor closely when administering IV potassium?
✔✔Cardiac rhythm and site for infiltration.
What is the priority nursing intervention when a client has a seizure?
✔✔Protect the client from injury by ensuring a safe environment.
What is the best way to evaluate if a client understands discharge instructions?
✔✔Ask the client to repeat the instructions in their own words.
What should a nurse do if a client’s IV site becomes red and swollen?
✔✔Stop the infusion and remove the IV.
1
,What is the first step when preparing to insert an indwelling catheter?
✔✔Perform hand hygiene.
What should the nurse do when a client with diabetes is found to be sweating and trembling?
✔✔Check blood glucose level immediately.
What is the most reliable way to confirm a client’s identity before giving medication?
✔✔Check the client’s identification band against the MAR.
What is the correct nursing action if a client’s urinary output is less than 30 mL/hour?
✔✔Report the finding to the healthcare provider.
What should the nurse do if a client with chest pain says the pain does not improve after
nitroglycerin?
✔✔Notify the healthcare provider immediately.
What is the most important step in preventing infection during wound dressing changes?
✔✔Use sterile technique.
2
,What should the nurse do first if a postoperative client’s blood pressure drops suddenly?
✔✔Assess airway, breathing, and circulation.
What is the best method for a nurse to assess a client’s pain level?
✔✔Ask the client to rate pain using a scale.
What is the safest position for a client receiving a tube feeding?
✔✔Elevate the head of the bed at least 30 degrees.
What is the nurse’s priority when caring for a client with a tracheostomy?
✔✔Ensure the airway is patent.
What should the nurse encourage to prevent constipation in an immobile client?
✔✔Increase fluid and fiber intake.
What is the priority assessment after giving a client a blood transfusion?
✔✔Monitor for signs of transfusion reaction.
3
, What is the correct action if a nurse makes a medication error?
✔✔Report the error immediately and follow facility policy.
What should the nurse monitor when giving a client a diuretic?
✔✔Monitor potassium levels and urine output.
What is the best way to prevent pressure ulcers in bedbound clients?
✔✔Reposition the client regularly.
What should the nurse do when a client reports dizziness while ambulating?
✔✔Assist the client to sit down safely.
What is the correct nursing action if a client’s IV pump alarms?
✔✔Check the IV site and tubing for problems.
What should the nurse do first if a client is unresponsive?
✔✔Check for a pulse and breathing.
4