Verified Questions & Correct Answers
1. A nurse is preparing to administer oral medications to
a client with dysphagia. What is the priority action?
Answer: Assess the client's ability to swallow safely before giving medications.
2. A client with a history of heart failure is admitted with
increased shortness of breath. Which assessment
requires immediate intervention?
Answer: Pink, frothy sputum indicating possible pulmonary edema.
3. The nurse teaches a client using an incentive
spirometer. Which statement indicates correct
understanding?
Answer: “I should inhale slowly and deeply to raise the marker.”
4. When delegating to an unlicensed assistive personnel
(UAP), which task is appropriate?
Answer: Obtaining routine vital signs on a stable patient.
,5. A client refuses a scheduled medication. What should
the nurse do first?
Answer: Ask the client to explain the reason for refusing the medication.
6. Which finding in a patient receiving IV potassium
requires immediate intervention?
Answer: The IV site is warm, swollen, and painful.
7. A nurse is caring for a patient with isolation
precautions for C. difficile. Which PPE is required?
Answer: Gown and gloves.
8. Which action prevents ventilator-associated
pneumonia (VAP)?
Answer: Elevating the head of the bed 30–45 degrees.
9. A nurse notes a pressure injury on the heel that is
intact but non-blanchable. What stage is this?
Answer: Stage I.
, 10. Which client is at highest risk of developing
hypokalemia?
Answer: A client with persistent vomiting and diarrhea.
11. A nurse suspects sepsis in a client. Which
assessment finding is most concerning?
Answer: A sudden drop in urine output.
12. Which insulin should be administered 15 minutes
before meals?
Answer: Rapid-acting insulin (e.g., lispro).
13. A patient with COPD is on oxygen therapy. What is the
safe oxygen range?
Answer: 88%–92% SpO₂.
14. The nurse identifies an irregular radial pulse. What is
the next action?
Answer: Assess the apical pulse for 1 full minute.
15. Which action prevents catheter-associated urinary
tract infection (CAUTI)?