Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is caring for a client who has just had surgery. What action should the nurse take first to
prevent complications of immobility?
A. Apply an anti-embolism stocking
B. ✔✔Encourage early ambulation
C. Place the client in a side-lying position
D. Provide a bedpan every 2 hours
A nurse is assisting a client with bathing. Which of the following actions promotes client
dignity?
A. ✔✔Allow the client to perform as much of the bath as possible
B. Give the bath quickly to save time
C. Use a lot of water to prevent dryness
D. Talk about other clients to distract the client
A nurse is caring for a client who is experiencing nausea. Which non-pharmacological
intervention should the nurse try first?
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,A. ✔✔Encourage deep breathing exercises
B. Administer antiemetic medication
C. Offer a cool compress to the forehead
D. Provide a snack to calm the stomach
A nurse is caring for a client who has a Foley catheter. What is the most important step to
prevent infection?
A. ✔✔Ensure the catheter is securely attached to the client’s thigh
B. Empty the collection bag only when full
C. Keep the collection bag above the level of the bladder
D. Change the catheter tubing every 48 hours
A nurse is providing discharge instructions to a client who has been prescribed an inhaler. Which
statement indicates that the client understands the instructions?
A. I will use the inhaler only when I’m feeling short of breath
✔✔ B. I should shake the inhaler and exhale before using it
C. I will use the inhaler after eating meals
D. I will press the inhaler down multiple times to release extra medication
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,A nurse is assessing a client for signs of dehydration. Which of the following is a late sign of
dehydration?
A. Dry mouth
B. ✔✔Hypotension
C. Rapid pulse
D. Decreased urine output
A nurse is preparing to apply a topical medication to a client’s skin. What should the nurse do
first?
A. Apply the medication directly to the skin without washing
B. ✔✔Wash the area and dry it completely
C. Massage the skin vigorously before applying
D. Use an alcohol wipe to clean the skin
A nurse is caring for a client who has a wound with a heavy amount of drainage. What should
the nurse do to manage the drainage effectively?
A. ✔✔Apply a clean dressing and change it frequently
B. Use a thick layer of ointment to absorb drainage
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, C. Leave the wound open to air
D. Avoid using any dressing to promote airflow
A nurse is monitoring a client who has just received a blood transfusion. Which of the following
is a priority assessment?
A. ✔✔Monitor for signs of a transfusion reaction, such as fever or rash
B. Take the client’s temperature every 4 hours
C. Notify the provider if the client experiences itching
D. Encourage the client to drink fluids
A nurse is providing teaching to a client about a prescribed low-sodium diet. Which of the
following is an appropriate choice for the client?
A. Salted nuts
B. ✔✔Fresh vegetables
C. Processed meats
D. Canned soups
A nurse is caring for a client who is receiving IV fluids. The nurse notices the client’s hand is
swollen, and the IV site is red and warm to the touch. What is the nurse’s first action?
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