Answers solutions (2025–2026
1. Which action is most important when administering a medication via the
subcutaneous route?
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a. Aspirate before injecting
b. Rotate injection sites
c. Use a 25-gauge needle
d. Massage the site vigorously
2. The nurse is caring for a patient with a new colostomy. What is the priority
teaching point?
a. Change the appliance once a week
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b. Wash the stoma with soap and water
c. Empty the pouch when it is one-third full
d. Cover the stoma with gauze at all times
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3. Which intervention is most appropriate for a patient at risk for falls?
a. Place the patient near the nurses’ station
b. Limit ambulation to bedrest
c. Keep side rails up at all times
d. Restrict fluids
4. A patient reports difficulty sleeping. Which nursing intervention is best?
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a. Encourage daytime napping
b. Provide a quiet, dark environment
c. Administer caffeine before bedtime
d. Limit relaxation techniques
5. Which action demonstrates proper hand hygiene?
a. Rubbing hands for 5 seconds
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b. Using alcohol-based sanitizer when hands are visibly soiled
c. Washing hands under running water for at least 20 seconds
d. Wearing gloves at all times instead of washing hands
6. Which patient statement indicates understanding of a diabetic diet?
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a. “I will avoid all fruits”
b. “I should include foods with fiber and complex carbs ”
c. “I can skip meals if my blood sugar is high”
d. “I need to eliminate all carbohydrates”
, 7. The nurse is teaching a patient about incentive spirometry. What is correct?
a. Use once a day
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b. Exhale into the device
c. Inhale slowly and deeply
d. Hold breath for 2 seconds
8. Which assessment finding indicates hypovolemia?
a. Elevated blood pressure
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b. Bounding pulse
c. Tachycardia
d. Warm, flushed skin
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9. Which action is priority when a patient experiences dyspnea?
a. Raise the head of the bed
b. Call the provider
c. Administer oral fluids
d. Encourage deep breathing exercises
10.When performing a sterile dressing change, the nurse should:
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a. Wear clean gloves
b. Touch only the outside of the sterile package
c. Reuse sterile instruments
d. Keep the sterile field below waist level
11.Which finding is most indicative of infection?
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a. Elevated heart rate
b. Redness, warmth, swelling at wound site
c. Normal white blood cell count
d. Decreased temperature
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12.Which intervention promotes patient safety for a client with seizure disorder?
a. Pad side rails
b. Restrict fluids
c. Administer sedatives routinely
d. Limit mobility
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13.A patient is receiving IV fluids. Which action is most important?
a. Monitor for infiltration
b. Change the IV bag weekly
c. Flush with normal saline once a week
d. Administer fluids rapidly
14.Which technique is correct for measuring blood pressure?
a. Use a cuff one size larger than the arm