1. A nurse is preparing to administer a prescribed dose of insulin to a
client with type 1 diabetes. Which of the following actions should the
nurse take before administering the insulin? a) Check the client's blood
glucose level b) Have the client eat a snack c) Cleanse the injection site
with alcohol d) Draw up insulin into the syringe and administer
immediately
Answer: a) Check the client's blood glucose level
Rationale: Checking the client's blood glucose level ensures that the
insulin dose is appropriate based on their current blood sugar. It is
important to avoid administering insulin without this step.
2. A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following actions should the nurse take? a) Position the
client in the supine position b) Have the client cough and deep breathe
before the procedure c) Monitor the client's vital signs every 4 hours
post-procedure d) Ensure the client remains still and does not move
during the procedure
Answer: d) Ensure the client remains still and does not move during
the procedure
Rationale: The client must remain still during the thoracentesis to
prevent injury to the lungs and ensure the procedure is done
accurately.
,3. A nurse is preparing to administer a dose of oral medication to a
client with difficulty swallowing. Which of the following actions should
the nurse take? a) Crush the medication and mix it with food or liquid
b) Administer the medication with a glass of water c) Check if the
medication can be given through a feeding tube d) Ask the client to
chew the medication thoroughly
Answer: c) Check if the medication can be given through a feeding tube
Rationale: Some medications should not be crushed or mixed with food
or liquids because it can affect their absorption or effectiveness. The
nurse should check if the medication is safe to administer through a
feeding tube.
4. A nurse is caring for a client with a wound infection. Which of the
following interventions should the nurse prioritize? a) Apply a warm
compress to the wound b) Administer prescribed antibiotics c)
Encourage the client to increase fluid intake d) Provide a protein-rich
diet
Answer: b) Administer prescribed antibiotics
Rationale: Administering antibiotics as prescribed is the primary
intervention to treat an infection. This should be done promptly to
prevent further complications.
5. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
, Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
6. A nurse is caring for a client who has a prescription for a chest X-
ray. Which of the following is the most important question the nurse
should ask the client before the procedure? a) "Do you have a history of
asthma?" b) "Are you allergic to shellfish?" c) "Are you pregnant or is
there a chance you could be pregnant?" d) "Have you ever had a blood
transfusion?"
Answer: c) "Are you pregnant or is there a chance you could be
pregnant?"
Rationale: X-rays involve radiation, which can be harmful to a
developing fetus. It is essential to determine if the client is pregnant
before proceeding with the procedure.
7. A nurse is caring for a client with pancreatitis. Which of the
following is most important to monitor for? a) Respiratory rate b)
Serum calcium levels c) Blood glucose levels d) Liver function tests
Answer: b) Serum calcium levels
Rationale: Hypocalcemia is a common complication of pancreatitis. The
nurse should monitor calcium levels as part of the client's care to detect
this imbalance early.
client with type 1 diabetes. Which of the following actions should the
nurse take before administering the insulin? a) Check the client's blood
glucose level b) Have the client eat a snack c) Cleanse the injection site
with alcohol d) Draw up insulin into the syringe and administer
immediately
Answer: a) Check the client's blood glucose level
Rationale: Checking the client's blood glucose level ensures that the
insulin dose is appropriate based on their current blood sugar. It is
important to avoid administering insulin without this step.
2. A nurse is caring for a client who is scheduled for a thoracentesis.
Which of the following actions should the nurse take? a) Position the
client in the supine position b) Have the client cough and deep breathe
before the procedure c) Monitor the client's vital signs every 4 hours
post-procedure d) Ensure the client remains still and does not move
during the procedure
Answer: d) Ensure the client remains still and does not move during
the procedure
Rationale: The client must remain still during the thoracentesis to
prevent injury to the lungs and ensure the procedure is done
accurately.
,3. A nurse is preparing to administer a dose of oral medication to a
client with difficulty swallowing. Which of the following actions should
the nurse take? a) Crush the medication and mix it with food or liquid
b) Administer the medication with a glass of water c) Check if the
medication can be given through a feeding tube d) Ask the client to
chew the medication thoroughly
Answer: c) Check if the medication can be given through a feeding tube
Rationale: Some medications should not be crushed or mixed with food
or liquids because it can affect their absorption or effectiveness. The
nurse should check if the medication is safe to administer through a
feeding tube.
4. A nurse is caring for a client with a wound infection. Which of the
following interventions should the nurse prioritize? a) Apply a warm
compress to the wound b) Administer prescribed antibiotics c)
Encourage the client to increase fluid intake d) Provide a protein-rich
diet
Answer: b) Administer prescribed antibiotics
Rationale: Administering antibiotics as prescribed is the primary
intervention to treat an infection. This should be done promptly to
prevent further complications.
5. A nurse is caring for a client with a fever and a history of
tuberculosis (TB). Which of the following precautions should the nurse
take? a) Droplet precautions b) Airborne precautions c) Standard
precautions d) Contact precautions
Answer: b) Airborne precautions
, Rationale: Tuberculosis is spread through airborne particles, and the
nurse should use airborne precautions to prevent transmission to
others.
6. A nurse is caring for a client who has a prescription for a chest X-
ray. Which of the following is the most important question the nurse
should ask the client before the procedure? a) "Do you have a history of
asthma?" b) "Are you allergic to shellfish?" c) "Are you pregnant or is
there a chance you could be pregnant?" d) "Have you ever had a blood
transfusion?"
Answer: c) "Are you pregnant or is there a chance you could be
pregnant?"
Rationale: X-rays involve radiation, which can be harmful to a
developing fetus. It is essential to determine if the client is pregnant
before proceeding with the procedure.
7. A nurse is caring for a client with pancreatitis. Which of the
following is most important to monitor for? a) Respiratory rate b)
Serum calcium levels c) Blood glucose levels d) Liver function tests
Answer: b) Serum calcium levels
Rationale: Hypocalcemia is a common complication of pancreatitis. The
nurse should monitor calcium levels as part of the client's care to detect
this imbalance early.
