ANSWERS | 2026/27 LATEST UPDATED |
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A pt presses the call bell and requests pain medication for a severe headache. To
assess the quality of the pt. Pain, which approach should the nurse use? - Correct
answerAsk the patient to describe the pain
The nurse is wearing personal protective equipment while caring for a pt. When exiting
the room, which PPE should be removed first? - Correct answerGloves
An older pt is brought to the ED with a sudden onset of confusion that occurred after
experiencing a fall at home. The daughter, who has power of attorney, has brought the
client's prescriptions. Which information should the nurse provide first when reporting to
the healthcare provider using SBAR communication? - Correct answerIncreasing
confusion of the pt.
A pt tells the nurse about working out with a personal trainer and swimming three times
a week in an effort to lose weight and sleep better. The pt states that it still is taking
hours to fall asleep at night. Which action should the nurse implement? - Correct
answerAsk the pt for a description of the exercise schedule that is being followed
2 days prior to discharge from the rehab facility, the nurse is teaching a pt who is
recovering from Guillain-Barre syndrome about home. Which actions should the nurse
include when providing discharge teaching to the pt and spouse? SATA - Correct
answer-review safe transfer strategies
-develop a nutritional plan
-help identify community support
The nurse implements a tertiary prevention program for type 2 diabetes in a rural health
clinic. Which outcome indicates that the program was effective? - Correct answerpt
who develop disease complications promptly received rehabilitation
The nurse has received funding to design a health promotion project for African
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program? - Correct answerparticipation of community
leaders in planning the program
A pt with multiple injuries is being treated in the burn trauma unit just hours after the
injuries occurred. The healthcare provider instructs the nurse to avoid auto
, contamination when performing dressing changes. Which intervention is most important
for the nurse to implement? - Correct answeruse gown, mask, and gloves with
dressing changes
A pt is recovering in the critical care unit following a cardiac cath. IV nitro and heparin
are infusing. The pt is sedated but responds to instructions. After changing positions,
the pt complains of pain at the right groin insertion site. What action should the nurse
implement? - Correct answerStimulate the pt to take deep breaths
Prior to obtaining a trapeze bar for a pt with limited mobility, which pt assessment is
most important for the nurse to obtain? - Correct answerupper body muscle strength
While the nurse is assessing an older pt fall risk, the pt reports living at home alone and
never falling. Which action should the nurse take? - Correct answerContinue to
obtain pt data needed to complete the fall risk survey
The nurse is feeding an older adult who was admitted with aspiration pneumonia. The pt
is weak and begins coughing while attempting to drink through a straw. Which
intervention should the nurse implement? - Correct answerTeach coughing and
deep breathing exercises
The nurse is teaching the pt about home care after surgery for an ileal conduit
placement. When reviewing the information, which statement should the nurse
recognize as needing additional education? - Correct answerEmpty the pouch when
it is half full.
A 12 week gestation is admitted to the antepartum unit with a dx of hyperemesis
gravidarum. Which action is most important for the nurse to implement? - Correct
answerinitiate prescribed IV fluids
A pt with dyspnea is being admitted to the medical unit. To best prepare for the pt
arrival, the nurse should ensure that the pt bed is in which position? - Correct
answerPicture with the bed sitting up
A pt who is scheduled for a bronchoscopy in the morning is anxious and asking the
nurse numerous questions about the procedure. In preparing the pt for the procedure,
which intervention has the highest priority? - Correct answerInstruct pt to write down
questions
While caring for a pt post operative dressing, the nurse observes purulent drainage at
the wound. Before reporting this finding to the provider, the nurse should review which
of the pt lab values? - Correct answerculture for sensitive organisms