UPDATED VERSION 2025/2026
A nurse is assisting with the care of a client who has a femur fracture and is in
skeletal traction. Which of the following actions should the nurse take - answer-
Ensure the client's weights are hanging freely from the bed.
A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include? - answer-Take this medication between
meals
A nurse in a provider's office is reinforcing teaching with a client who has anemia
and has been taking ferrous gluconate for several weeks. Which of the following
instructions should the nurse include? - answer-Take this medication between
meals.
A nurse is reviewing the plan of care for a client who has cellulitis of the leg.
Which of the following interventions should the nurse recommend? - answer-
Wash daily with an antibacterial soap.
A nurse is reinforcing teaching with a client who is postoperative after having an
ileostomy established. Which of the following instructions should the nurse
include in the teaching? - answer-Avoid medications in capsule or enteric form.
,A nurse is caring for a client who has partial-thickness and full-thickness burns of
his head, neck, and chest. The nurse should recognize which of the following is
the priority risk to the client? - answer-Airway obstruction
A nurse is reinforcing teaching with a client who is newly diagnosed with
myasthenia gravis and is to start taking neostigmine. Which of the following
instructions should the nurse include in the teaching? - answer-1) Take the
medication 45 minutes before eating.
A nurse is caring for a client who is 12 hours postoperative following a
transurethral resection of the prostate (TURP) and has a 3-way urinary catheter
with continuous irrigation. The nurse notes there has not been any urinary output
in the last hour. Which of the following actions should the nurse perform first? -
answer-Notify the provider.. Determine the patency of the tubing.
A nurse is caring for a client scheduled for a bone marrow biopsy. The client
expresses fear about the procedure and asks the nurse if the biopsy will hurt.
Which of the following responses should the nurse make? - answer-"The biopsy
can be uncomfortable, but we will try to keep you as comfortable as possible."
A nurse is assisting with planning care for a client who is recovering from a left-
hemispheric stroke. Which of the following interventions should the nurse include
in the plan? - answer-Re-establish communication.
A nurse is assisting with the care of a client who has diabetes insipidus. The nurse
should monitor the client for which of the following manifestations? - answer-
Hypotension
, A nurse is reinforcing teaching with a client who has HIV and is being discharged
to home. Which of the following instructions should the nurse include in the
teaching? - answer-Take temperature once a day
A nurse is caring for a client who is postoperative following a tracheostomy, and
has copious and tenacious secretions. Which of the following is an acceptable
method for the nurse to use to thin this client's secretions? - answer-Provide
humidified oxygen.
Following admission, a client with a vascular occlusion of the right lower
extremity calls the nurse and reports difficulty sleeping because of cold feet.
Which of the following nursing actions should the nurse take to promote the
client's comfort? - answer-Obtain a pair of slipper socks for the client.
A nurse is caring for a client is who is 4 hr postoperative following a transurethral
resection of the prostate (TURP). Which of the following is the priority finding for
the nurse report to the provider? - answer-Thick, red-colored urine
A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has a
prescription for a hypothermia blanket. The nurse should monitor the client for
which of the following adverse effects of the hypothermia blanket? - answer-
Shivering
A nurse is reinforcing teaching about exercise with a client who has type 1
diabetes mellitus. Which of the following statements by the client indicates an
understanding of the teaching? - answer-"I will not exercise if my urine is positive
for ketones."
A nurse notes a small section of bowel protruding from the abdominal incision of
a client who is postoperative. After calling for assistance, which of the following