and Correct Answers 2026
Updated
\Q\.. A charge nurse is teaching a group of unit nurses about the policy for clients who have a
history of methicillin-resistant Staphylococcus aureus. Which of the following information
should the nurse include?
A. A client who has a history of MRSA will need antibiotics
B. A client who has a history of MRSA can develop immunity to the infection
C. A client who has a history of MRSA requires a protective environment
D. A client who has a history of MRSA can still transmit the infection - ANSWERS✔-D. A client
who has a history of MRSA can still transmit the infection
\Q\.. A community health nurse is performing a vision screening on a 4-month-old infant. When
shining a light source into the infant's visual field, which of the following is an expected finding?
A. The infant's eyes turn toward the light
B. The infant's head turns away from the light
C. The infant's eyes remain focused toward the floor
D. The infant closes their eyes - ANSWERS✔-D. The infant closes their eyes
\Q\.. A nurse is assessing an adult male who has a BMI of 20. The nurse should identify that the
client's BMI falls within which of the following categories? Normal BMI: 18.5-24.9, underweight
less than 18.5, overweight 25-29.9, obese 30 or more. How to calculate: weight (kg) divided
height (m2)
A. Healthy weight
B. Malnutrition
,C. Overweight
D. Obesity - ANSWERS✔-A. Healthy weight
\Q\.. A nurse is caring for a client who had a partial laryngectomy and is receiving continuous
enteral feedings at 65mL/hr through a gastrostomy tube. Which of the following findings
requires immediate intervention by the nurse?
A. The gastric residual volume is 250 mL following 2 hr of infusion
B. The client is lying in a supine position
C. The infusion pump for administering continuous feeding is turned off
D. The enteral feeding bag and tubing are not dated - ANSWERS✔-The client is lying in a supine
position
\Q\.. A nurse is providing teaching about preventing mastitis to a client who is postpartum and
breastfeeding her newborn. Which of the following instructions should the nurse include?
A. "Wear an underwire bra between feedings."
B. "Cover your breasts immediately after feedings."
C. "Apply cold compresses to your breasts before feedings."
D. "Try to have your baby empty your breasts with each feeding." - ANSWERS✔-D. "Try to have
your baby empty your breasts with each feeding."
\Q\.. A nurse plans to ambulate a client on the third day after cardiac surgery. Which of the
following interventions should the nurse take so that the client will best tolerate ambulation?
A. Provide the client with a water
B. Premedicate the client with the prescribed analgesic
C. Obtain the client's vital signs and oximetry prior to ambulation
D. Reinforce the client's surgical dressing - ANSWERS✔-B. Premedicate the client with the
prescribed analgesic
,\Q\.10. A nurse is assessing a client who has delirium due to a febrile illness. Which of the
following findings should the nurse expect?
A. Hallucinations
B. Agnosia
C. Bradycardia
D. Aphasia - ANSWERS✔-A. Hallucinations
\Q\.2 A Nurses caring for client who has breast cancer and has been covering receiving
chemotherapy. Which of the following laboratory values should nurse report to provider?
a) WBC 3,000/mm3
b) Hemoglobin 14 g/dl
c) Platelet 250,000/mm3
d) aPTT 30 seconds - ANSWERS✔-a) WBC 3,000/mm3
\Q\.4 A nurse is teaching a client about nutritional intake. The nurse should include which of the
following in the teaching?
a. "Carbohydrates should be at least 45% of your caloric intake."
b. "Protein should be at least 55% of your calorie intake."
c. "Carbohydrates should be at least 30% of your caloric intake."
d. "Protein should be at least 60% of your caloric intake." - ANSWERS✔-a. "Carbohydrates
should be at least 45% of your caloric intake.
\Q\.53. A nurse is taking a medication history from client was type II diabetes mellitus is
scheduled for an arteriogram. Which of the following medications to the nurses instruct the
client to discontinue 48 hrs prior to the procedure?
a.Atorvastatin
b.Digoxin
c.Nifedipine
, d.Metformin - ANSWERS✔-d. Metformin
\Q\.A charge nurse is creating assignments for the next shift for several nurses and one of the
nurses is pregnant. Which of the following clients should the charge nurse assign to a nurse who
is not pregnant?
A. A 60-year-old client who is recovering from shingles
B. A 20-year-old client who is HIV positive
C. A 40-year-old client who is suspected of having tuberculosis
D. An 80-year-old client who has alcoholic pancreatitis and is being treated for impetigo -
ANSWERS✔-A. A 60-year-old client who is recovering from shingles
\Q\.A charge nurse is discussing the use of applying ice to a client's injured knee with a newly
licensed nurse. Which of the following should the nurse identify as a benefit?
a.Systemic analgesic effect
b.Increase in your metabolism
c.Decreased capillary permeability
d.Vasodilation - ANSWERS✔-c. Decreased capillary permeability
\Q\.A charge nurse is evaluating the time management skills for new licensed nurse. The charge
nurse should intervene when a newly licensed nurse does which of the following?
a.Re-Evaluate priorities halfway through the shift
b.Delegate changing sterile dressing for licensed practical nurse
c.Groups activities for the Same client
d.Works on several tasks simultaneously - ANSWERS✔-d. Works on several tasks simultaneously
\Q\.A charge nurse is evaluating the time management skills of a newly licensed nurse. Which of
the following actions should the charge nurse identify as an effective time management skill?
A. Delegates creation of a client's teaching plan to a licensed practical nurse