Answers | Latest Version | 2025/2026 |
Correct & Verified
A nurse is preparing to collect a midstream urine specimen from a client. Which of the following
actions should the nurse take?
A. Instruct the client to collect urine immediately after voiding begins
B. Clean the container lid with alcohol
C. ✔✔Have the client cleanse the perineal area before voiding
D. Discard the entire first voided urine
A nurse is reinforcing teaching to a client about using a walker. Which of the following
statements indicates understanding?
A. I will hold the walker with one hand only
B. I will place the walker 12 inches in front of me
C. ✔✔I will move the walker first, then step with my weak leg
D. I should use stairs while using the walker
A nurse is preparing to administer a rectal suppository. Which of the following actions is
appropriate?
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,A. ✔✔Place the client in Sims' position
B. Insert the suppository 1 inch into the rectum
C. Use a lubricant only if the client reports discomfort
D. Keep the suppository refrigerated until after insertion
A nurse is evaluating a client’s learning following teaching about a low-sodium diet. Which food
choice indicates understanding?
A. ✔✔Fresh grilled chicken
B. Canned soup
C. Deli ham sandwich
D. Pickles
A nurse is caring for a client who has a hearing aid. Which action supports effective
communication?
A. ✔✔Face the client directly when speaking
B. Speak louder than normal
C. Cover your mouth while talking
D. Speak rapidly to finish quickly
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, A nurse is caring for a client who is receiving oxygen therapy. Which finding requires immediate
intervention?
A. ✔✔Client reports headache and nausea
B. Oxygen flow set at 2 L/min
C. Client has a humidifier connected
D. Skin around nasal cannula appears slightly red
A nurse is preparing to assist with oral hygiene for an unconscious client. What is the priority
action?
A. ✔✔Position the client laterally
B. Use lemon-glycerin swabs
C. Apply petroleum jelly to the lips
D. Rinse with tap water
A nurse is caring for a client who is disoriented. Which intervention best promotes safety?
A. ✔✔Use a bed alarm
B. Restrain the client’s hands
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