and Answers | Latest Version | 2025/2026
| Correct & Verified
A nurse is assisting with discharge teaching for a client prescribed a walker. Which instruction is
appropriate?
A. Move the walker and strong leg forward first
B. Keep elbows fully extended when using the walker
✔✔C. Advance the walker and the weak leg together
D. Use the walker only when going downstairs
A nurse is reinforcing teaching about hand hygiene. Which client statement indicates
understanding?
A. “I’ll use gloves instead of washing my hands.”
✔✔B. “I should scrub for at least 20 seconds with soap.”
C. “I only need to wash after using the toilet.”
D. “Hand sanitizer replaces handwashing at all times.”
A nurse is caring for a client who is visually impaired. Which action promotes independence?
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,A. Speak loudly and slowly
B. Hold the client’s hand while walking
✔✔C. Place personal items within reach and describe their location
D. Turn off all room lights to avoid glare
Which action demonstrates proper use of a gait belt?
A. Position the belt above the chest
✔✔B. Secure the belt around the client’s waist
C. Use the belt while the client is in bed
D. Tie the belt loosely for comfort
When collecting data on a client’s pain, which question is most appropriate?
✔✔A. “Can you describe the pain you’re feeling?”
B. “Are you in pain right now?”
C. “Would you like medication?”
D. “Is your pain worse than yesterday?”
Which finding should the nurse report during a skin assessment?
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,✔✔A. Nonblanchable redness over a bony prominence
B. Skin warm and pink
C. Small bruise on the shin
D. Freckles across the shoulders
A nurse is assisting a client with a partial bed bath. Which area should be cleaned first?
A. Feet
✔✔B. Face
C. Perineal area
D. Abdomen
Which is an appropriate method to prevent falls in a hospital setting?
A. Keep all side rails up
B. Place a mat under the bed
✔✔C. Ensure call light is within reach
D. Encourage bedrest for all clients
Which of the following should be used to determine the need for restraints?
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, ✔✔A. Attempt alternatives before applying restraints
B. Use restraints whenever the client is confused
C. Apply restraints if the client is restless
D. Keep restraints on at all times for safety
What is the most effective method to prevent infection transmission?
✔✔A. Perform hand hygiene consistently
B. Use gloves for every task
C. Wear a gown in all client rooms
D. Disinfect the stethoscope daily
When transferring a client from the bed to a chair, which position should the nurse begin in?
✔✔A. Semi-Fowler’s with feet dangling
B. Supine with legs straight
C. Prone with arms crossed
D. Trendelenburg with knees bent
Which client finding should the nurse report immediately?
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