Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
1. A nurse is planning care for a group of clients Which of the
following tasks should the nurse delegate to an assistive person-
nel?
a. Changing the dressing for a client who has a stage 3 pressure injury
b. Determining a client’s response to a diuretic
c. Comparing radial pulses for a client who is postoperative
d. Providing postmortem care to a client
Answer: d
2. A nurse is conducting a health assessment for a client who
takes herbal supplements Which of the following statements by
the client indicates an understanding of the use of the supple-
ments?
a. I take ginkgo biloba for a headache
b. I take echinacea to control my cholesterol
c. I use ginger when I get car sick
d. I use garlic for my menopausal symptoms
Answer: c
3. A nurse is caring for a client who has influenza and isolation
precautions in place Which of the following actions should the
nurse take to prevent the spread of infection?
a. Wear a mask when working within 3 feet of the client
b. Administer metronidazole
c. Don protective eyewear before entering the room
d. Place the client in a negative airflow room
Answer: a
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Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
4. A nurse obtains a prescription for wrist restraints for a client
who is trying to pull out his NG tube Which of the following
actions should the nurse take?
a. Attach the restraints securely to the side rails of the client’s bed
b. Apply the restraints to allow as little movement as possible
c. Allow room for two fingers to fit between the clients skin and the restraints
d. remove the restraints every 4 hours
Answer: c
5. A nurse is admitting a client who has tuberculosis Which of
the following types of transmission precautions should the nurse
plan to initiate?
a. Droplet
b. Airbornes
c. protective environment
d. contact
Answer: b
6. A nurse in a well-child clinic receives a telephone call from a
parent who states that their child accidentally swallowed paint
thinner The child is awake and alert Which of the following re-
sponses should the nurse make?
a. Have your child drink one large glass of water
b. Hang up and call a poison control center hotline
c. Bring your child into the clinic later today
d. Induce vomiting in your child with syrup of ipecac
Answer: a
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Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
7. A nurse is documenting a client’s medical record Which of
the following entries should the nurse record
a. Oral temperature slightly elevated at 0800
b. Administered pain medication
c. Incision without redness or drainage
d. Drank adequate amounts of fluid with meals
Answer: b
8. A nurse is providing oral care for a client who is unconscious
Which of the following actions should the nurse take?
a. Place the client in a side-lying position
b. Brush the clients teeth daily
c. Apply mineral oil to the client’s lips
d. Rinse the client’s mouth with an alcohol-based mouthwash
Answer: a
9. A nurse is collaborating with a risk management team about
potential legal issues involving client care The nurse should iden-
tify which of the following situations is an example of negligence?
a. A nurse administers a medication without first identifying the client
b. An assistive personnel discusses client care in the facility cafeteria with visitors
present
c. A nurse begins a blood transfusion without obtaining consent
d. An assistive personnel prevents a client from leaving the facility
Answer: c
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Real Exam Questions & 100% Correct Answers (Verified) — A+ Grade
10. A nurse is collecting a sputum specimen for culture from
a client who has a respiratory infection Which of the following
actions should the nurse take?
a. Wear sterile gloves when collecting the specimen
b. Offer the client oral hygiene after the collection
c. Collect the specimen in the evening
d. Collect 1 ml of sputum
Answer: b
11. A nurse is assessing an older client Which of the following
findings should the nurse expect?
a. Decreased sense of balanced
b. Increased nighttime sleeping
c. Heightened sense of pain
d. Nighttime urinary incontinence
Answer: a
12. A nurse is completing discharge teaching about ostomy care
with a client who has a new stoma Which of the following in-
structions should the nurse include in the teaching? (select all
that apply)
a. ”Cut the opening of the pouch 1⁄8 of an inch larger than the stoma ”
b. ”Place a piece a gauze over the stoma while changing the pouch”
c. ”Use povidone-iodine to clean around the stoma”
d. ”Empty the ostomy pouch when it becomes one-third full of contents”
e. expect the stoma to turn a purple-blue color as its heals”
Answer: a, b, c, d
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