2025/2026 EXAM QUESTIONS AND
ANSWERS | 100% PASS
A nurse is reviewing a protocol in preperation for suctioning a client who
has a new tracheostomy. Which of the following is an appropriate action for
the nurse to take? - 🧠 ANSWER ✔✔Select a suction catheter that is half the
size of the lumen
Why should a nurse select a suction catheter that is half the size of the
lumen? - 🧠 ANSWER ✔✔To prevent hypoxemia and trauma to the mucosa
A nurse is caring for a client receiving IV fluids. During a routine check, the
nurse determines that the client has developed phlebitis and removed the
IV catheter. Which of the following actions should the nurse take next? - 🧠
ANSWER ✔✔Place a warm compress over the IV site
, When measuring an adult's blood pressure, the cuff's bladder should - 🧠
ANSWER ✔✔surround 80% of the client's arm circumference
While measuring a client's vital signs, the nurse notices an irregularity in
the heart rate. Which nursing action is appropriate? - 🧠 ANSWER ✔✔Count
the apical pulse rate for 1 full minute and descrive the rhythm in the chart
Assessment of all peripheral pulses is appropriate for a client with a - 🧠
ANSWER ✔✔cardiovascular problem related to the adequacy of circulation
to each extremity rather than to the regularity of the heart rate.
What is the appropriate sequence of performing an abdominal assessment
- 🧠 ANSWER ✔✔inspect
auscultate
percuss
palpate
what is the appropriate sequence for any other assessment? - 🧠 ANSWER
✔✔inspection
palpation
percussion