AND ANSWERS 2026 FULL PRACTICE TEST
◉ Which information is most important for the nurse to obtain in
the initial assessment?
- "Is there anything you would like to ask your healthcare provider?"
- "Tell me about concerns you have about being hospitalized."
- "We give good care to all of our clients in this hospital."
- "Your healthcare provider has chosen the best hospital in the city."
Answer: - "Tell me about concerns you have about being
hospitalized."
(This response utilizes principles of therapeutic communication. It is
an open-ended question designed to allow Mr. Mathis to verbalize
any concerns about hospitalization that might be contributing to his
anxiety.)
◉ Mr. Mathis tells the nurse, "My sweetheart and I have never been
apart during our 55-year marriage." Answer: ...
◉ What action should the nurse implement to help reduce Mr.
Mathis' anxiety during the admission process?
,- Explain the room environment to Mr. and Mrs. Mathis.
- Ask Mrs. Mathis if she would like to rest in the waiting room.
- Ask Mr. Mathis if he would like a prescription for an antianxiety
medication.
- Reassure Mr. and Mrs. Mathis that everything will be okay. Answer:
- Explain the room environment to Mr. and Mrs. Mathis.
(This action will reduce the client's anxiety by including the spouse
and orienting them both to the room.)
◉ Mr. Mathis states the pain level in his right foot is 8 on a scale of 1
to 10. He says he has been favoring his foot by staying in bed the
past week. Answer: ...
◉ When care is planned for Mr. Mathis, which nursing diagnosis
should take priority?
- Risk for caregiver role strain.
- Risk for social isolation.
- Impaired physical mobility.
- Imbalanced nutrition: more than body requirements. Answer: -
Impaired physical mobility.
, (Mr. Mathis's limited activities support this nursing diagnosis.
Improving mobility is a nursing priority to prevent the many
potential complications of immobility.)
◉ In developing a plan of care, the nurse consults with Mr. Mathis to
identify a short-term goal. Answer: ...
◉ Which goal is correct for Mr. Mathis' diagnosis of impaired
physical mobility?
- The client will transfer to the chair with assist of one person.
- The nurse will reposition the client every hour while the client is
awake.
- The client will sit in the chair for each meal beginning on the day of
admission.
- The nurse will assist the client to ambulate in the hall by the
second hospital day. Answer: - The client will sit in the chair for each
meal beginning on the day of admission.
(This is a correctly stated goal. The client is always the subject of the
goal, and the action is always measurable. This goal includes what
Mr. Mathis is to achieve and sets a realistic deadline.)
◉ Mr. Mathis is reluctant to move in the bed or move to the chair. He
likes his wife to place a pillow under his knee. The nurse performs a