COMPLETE (2026) EXAM Questions and Answers (Verified Answers)
(Latest Update 2026) Graded A+
1. A nurse enters a client's room and sees the client lying on the floor. What is the FIRST
action?
A. Call the provider
B. Ask the client what happened
C. Assess the client for injuries
D. Fill out an incident report
Rationale: The nurse must assess for injuries before taking any other action.
2. A nurse prepares to administer ear drops to an adult. Which action is correct?
A. Pull pinna down and back
B. Straighten the ear canal
C. Pull pinna up and back
D. Insert dropper into the ear
Rationale: Adult ear administration requires pulling the pinna up and back.
3. A client with C. difficile is admitted. Which PPE is required?
A. Mask
B. Gloves and gown
C. N95
D. Shoe covers
Rationale: Contact precautions require gloves + gown; handwashing with soap and water.
4. A nurse is teaching a client how to use an incentive spirometer. Which statement shows
understanding?
A. “I exhale as fast as possible.”
B. “I breathe in slowly through the mouthpiece.”
C. “I hold my breath until I cough.”
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,D. “I use this once daily.”
Rationale: The client should inhale slowly to promote lung expansion.
5. A nurse must delegate to a UAP. Which task is appropriate?
A. Teaching a client to use a walker
B. Administering an enema
C. Feeding a stable client
D. Evaluating intake/output
Rationale: UAP can perform basic hygiene, feeding, and routine tasks.
6. Which action prevents pressure injuries?
A. Use donut-shaped cushions
B. Massage reddened areas
C. Reposition every 2 hours
D. Keep the head of bed at 45°
Rationale: Frequent repositioning is proven to reduce pressure ulcer risk.
7. Before administering digoxin, the nurse should check the:
A. Respiratory rate
B. Blood pressure
C. Apical pulse
D. Temperature
Rationale: Hold digoxin if apical pulse <60 bpm.
8. A client on droplet precautions goes for diagnostic imaging. Which action is needed?
A. Provider escort
B. N95 mask
C. Surgical mask on the client
D. Transport only by wheelchair
Rationale: Clients on droplet precautions must wear a mask during transport.
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, 9. A nurse prepares to insert an indwelling catheter. What is PRIORITY?
A. Inflate balloon to check
B. Position the client
C. Sterile technique
D. Use warm water
Rationale: Sterility is essential to prevent infection.
10. Which food is appropriate for a clear liquid diet?
A. Ice cream
B. Oatmeal
C. Gelatin
D. Pudding
Rationale: Gelatin is clear and allowed.
11. The nurse identifies orthostatic hypotension. Which teaching is appropriate?
A. “Stand up quickly.”
B. “Increase fluid intake.”
C. “Avoid wearing compression stockings.”
D. “Lie flat after meals.”
Rationale: Adequate hydration reduces orthostatic changes.
12. A client refuses a medication. Which action is appropriate?
A. Document refusal
B. Force the medication
C. Hide medication in food
D. Report to state board
Rationale: Clients have the right to refuse medications.
13. Which finding indicates infiltration of an IV site?
A. Redness and warmth
B. Coolness and swelling
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C. Purulent drainage
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