QUESTIONS WITH CORRECT
ANSWERS 2025-2026
A nurse is preparing a client for a lumbar puncture. The client has signed the consent form
but tells the nurse that she does not remember what the doctor will do during the
procedure. Which of the following actions should the nurse take? CORRECT ANSWER
Remind the client that the doctor will insert a needle to get a sample of fluid from her spine.
A signed consent form indicates that the provider informed the client about the procedure
and that at the time the client understood what to expect. If the client states she does not
remember what to expect, the nurse should clarify any details the provider previously gave
the client. However, if the client expresses a further lack of understanding or states that the
provider did not inform her, the nurse should either notify the charge nurse or call the
provider directly.
A nurse manager is implementing a team nursing approach on his unit, hiring licensed
practical nurses (LPNs) and assistive personnel (AP) as additional staff. Which of the
following actions should the nurse manager take to facilitate acceptance of this change?
CORRECT ANSWER Introduce the new approach and facilitate the development of a task
force to plan implementation.
This appropriate approach involves the staff in the planning and will give them a feeling of
control over their practice and enhance acceptance of the change.
A group of providers is participating in a resuscitation effort for a client who is in cardiac
arrest. Which of the following types of leadership is required for this group to function most
efficiently? CORRECT ANSWER Autocratic
Autocratic leadership is most effective in an emergency situation. An autocratic leader will
direct and issues commands that are necessary for successful cardiopulmonary
resuscitation.
A nurse is having difficulty completing care and documentation without staying past the end
of the shift. The nurse manager suggests focusing on time CORRECT ANSWER management
skills. Which of the following strategies should the nurse plan to use? CORRECT ANSWER
Identify tasks in order of their priority.
,Prioritizing is an important time CORRECT ANSWER management strategy. The nurse should
prioritize each client's needs and tasks and attend to the highest priority client first.
A charge nurse on a pediatric unit is delegating tasks to an assistive personnel (AP) who is
pregnant and reports that she is unsure of her immune status. Which of the following clients
should the charge nurse assign to the AP? CORRECT ANSWER A 2 CORRECT ANSWER year
CORRECT ANSWER old child who has impetigo contagiosa (impetigo).
This is a safe assignment. If the AP practices universal precautions, there is no risk of
contracting impetigo. Impetigo is a superficial skin infection caused by either Staphylococcus
or Streptococcus.
A nurse is assisting a provider with an amniotomy on a client who is in labor. Which of the
following is the priority nursing assessment following the procedure? CORRECT ANSWER
Fetal heart rate.
The greatest risk to this client is an injury from umbilical cord prolapse following artificial
rupture of the membranes; therefore, the nurse should monitor the fetal heart rate for
bradycardia, which can indicate an increased risk of umbilical cord prolapse.
A nurse is preparing to transfer an older adult client to a long CORRECT ANSWER term care
facility. To promote continuity of care, which of the following actions should the nurse plan
to take? CORRECT ANSWER Give a written summary of the client's nursing plan of care to
the long CORRECT ANSWER term care facility.
A written summary of the client's nursing plan of care will convey his needs to the nurses
who will be working with him in the long CORRECT ANSWER term care facility.
A nurse in the emergency department is preparing to obtain informed consent for surgery
from a client who received a meperidine hydrochloride IV during transport from a rural
hospital. Which of the following actions should the nurse take to obtain consent for surgery?
CORRECT ANSWER Obtain consent from a relative of the client.
A client who has received meperidine cannot give consent because the medication can alter
the ability to understand the consent process. The nurse should obtain consent from a
relative of the client. If a relative is unavailable and the surgery is determined to be critical,
the surgery can proceed without client consent.
A nurse working at a rehabilitation facility is attending an interdisciplinary team meeting for
a client who had a left hemispheric stroke. Which of the following members of the
,interdisciplinary team should the nurse recommend to assist this client? (Select all that
apply.) CORRECT ANSWER Nurse
Occupational therapist
Speech therapist
Physical therapist
A nurse on a medical CORRECT ANSWER surgical unit is caring for a group of clients. For
which of the following situations should the nurse complete a variance report? CORRECT
ANSWER The discovery that a preoperative client has received and eaten breakfast.
This situation represents a variation from the standard of care. A change in the client's plan
of care is necessary because the surgical procedure will need to be delayed. The nurse
should complete a variance report for this situation.
A nurse is selecting clients for discharge following an environmental disaster. Which of the
following clients should the nurse select? CORRECT ANSWER A client who is 1 day
postoperative following an inguinal hernia repair.
The nurse should select the client who had an inguinal hernia repair for discharge because
this client is stable.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel
obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the
following tasks should the RN perform? CORRECT ANSWER Assess for bowel sounds every 2
hours.
Assessments are within the scope of practice for the RN only. While the LPN can also
auscultate the client's abdomen for the presence of sounds, only the RN is qualified to
evaluate the sounds and qualify them as hypoactive, normal, or hyperactive.
A nurse is caring for a child who has sustained extensive head injuries. The provider has
diagnosed brain death. Which of the following statements should the nurse use to begin a
conversation about the option of organ and tissue donation with the child's parents?
CORRECT ANSWER "I want to give you some information about an option that you have
regarding donating your child's organs to others who are in need."
, This is an appropriate statement to begin the discussion. It clearly conveys the nurse's
intention to give the family factual information and does not make any emotionally CORRECT
ANSWER laden statements.
A charge nurse is conducting an in CORRECT ANSWER service training session on ethics to a
group of newly licensed nurses. Which of the following situations should the charge nurse
include as an example of the ethical principle of veracity? CORRECT ANSWER A nurse
truthfully answers the client's questions about upcoming chemotherapy.
A nurse who truthfully answers the client's questions about treatment, such as
chemotherapy, is demonstrating the ethical principle of veracity. Veracity refers to telling the
truth and being straightforward and clear with clients about the treatment being delivered.
A nurse is completing an incident report after administering an incorrect dose of medication
to a client, even though the client experienced no ill effects from the error. What is the
purpose of completing the incident report? CORRECT ANSWER Identifying situations that
contribute to the occurrence of medication errors.
The purpose of completing incident reports is to identify factors that contribute to the
occurrence of the problem. This is one aspect of quality CORRECT ANSWER improvement
efforts in health care facilities.
A charge nurse in an emergency department is making assignments for an assistive
personnel (AP) during a shift with unexpected staff absences. Which of the following
assignments should the charge give to a float AP from the medical CORRECT ANSWER
surgical unit? CORRECT ANSWER Escorting clients from the emergency department to other
areas of the facility for tests.
Clients in the emergency department often require transport to other departments.
Typically, transporting stable clients is a task that may be delegated to an AP, and escorting
clients is likely a normal part of the AP's regular routine.
A nurse is receiving report on a client who has Clostridium difficile and is being transferred
from another unit. Which of the following precautions should the nurse take? CORRECT
ANSWER Perform hand hygiene with nonantimicrobial soap and water after client care.
The nurse should perform hand hygiene with nonantimicrobial soap and water after
providing care for a client who has C. difficile. This spore CORRECT ANSWER forming
organism is resistant to alcohol CORRECT ANSWER based soaps and sanitizers.