2026 QUESTIONS AND COMPLETE CORRECT
ANSWERS
Answer: C
* Tertiary prevention minimizes the effects of disease or disability through restoration and rehabilitation
- answer ✔✔-A patient discharged a week ago following a stroke is currently participating in
rehabilitation sessions provided by nurses, physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Transtheoretical prevention
Answer: a
* Physiological needs include air, food, drink, shelter, warthm, sex, sleep - answer ✔✔-A nurse is
conducting a home visit with a new mom and her three children. While in the home the nurse weighs
each family member and reviews their 3-day food diary. She checks the mom's blood pressure and
encourages the mom to take the children for a 15- to 30-minute walk every day. The nurse is addressing
which level of need, according to Maslow?
a. Physiological
b. Safety and security
c. Love and belonging
d. Self-actualization
Answer: a
* Respirations above normal (12-20 bpm)
,* SpO2 percentage is below normal (>/= 95%) - answer ✔✔-The licensed practical nurse (LPN) provides
you with the change-of-shift vital signs on four of your patients. Which patient does the nurse need to
assess first?
a. 84-year-old man recently admitted with pneumonia, RR 28, SpO2 89%
b. 54-year-old woman admitted after surgery for repair of a fractured arm, BP 160/86 mm Hg, HR 72
c. 63-year-old man with venous ulcers from diabetes, temperature 37.3° C (99.1° F), HR 84
d. 77-year-old woman with left mastectomy 2 days ago, RR 22, BP 148/62
Answer: a, b, & e
* Airborne - measles, chickenpox, disse inated varicella zoster (shingles), pulmonary TB
* Droplet - rubella, mumps, strep throat, meningitis
* Contact - MRSA, c. diff, herpes simplex, scabies, - answer ✔✔-Which type of personal protective
equipment should the nurse wear when caring for a patient who is placed on Airborne Precautions for
confirmed chickenpox/herpes zoster? (Select all that apply)
a. Disposable gown
b. N95 respirator mask
c. Face shield or goggles
d. Disposable mask
e. Gloves
Answer: b - answer ✔✔-A patient is diagnosed with meningitis. Which type of isolation precaution is
most appropriate for this patient?
a. Reverse isolation
b. Droplet Precautions
c. Standard Precautions
d. Contact Precautions
, Answer: a, b, & c - answer ✔✔-Before transferring a patient from the bed to a stretcher, which
assessment data does the nurse need to gather? (Select all that apply)
a. Patient's weight
b. Patient's activity tolerance
c. Patient's level of mobility
d. Recent laboratory values
e. Nutritional intake
Answer: c - answer ✔✔-A nurse is instructing a patient who has decreased leg strength on the left side
on how to use a cane. Which actions indicate proper cane use by the patient?
a. The patient keeps the cane on the left side of the body.
b. The patient slightly leans to one side while walking.
c. The patient keeps two points of support on the floor at all times.
d. After the patient places the cane forward, he or she then moves the right leg forward to the cane.
Answer: a - answer ✔✔-A patient has been on bed rest for over 5 days. Which of these findings during
the nurse's assessment may indicate a complication of immobility?
a. Decreased peristalsis
b. Decreased heart rate
c. Increased blood pressure
d. Increased urinary output
Answer: d - answer ✔✔-An older adult patient has been bedridden for 2 weeks. Which of these
complaints by the patient indicates to the nurse that he or she is developing a complication of
immobility?
a. Increase of appetite