Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the first action a nurse should take when a client complains of pain?
✔✔Assess the client's pain level
What should the nurse do immediately after discovering a fire in a client's room?
✔✔Rescue the client from immediate danger
What is the correct method to verify nasogastric tube placement?
✔✔Check the pH of gastric aspirate
How should a nurse position a client who is experiencing shortness of breath?
✔✔Place the client in high Fowler’s position
What is the priority action for a nurse when a client is at risk for falls?
✔✔Implement safety interventions such as bed alarms
1
,How can a nurse promote autonomy in a hospitalized client?
✔✔Encourage the client to participate in decision-making
What is the proper way to clean a wound with sterile technique?
✔✔Clean from the least contaminated to the most contaminated area
What is the best way for a nurse to ensure informed consent was obtained?
✔✔Verify that the provider explained the procedure and the client understood
What is a primary indication that a client has adequate oxygenation?
✔✔The client is alert and oriented
When providing oral care to an unconscious client, what is the appropriate position?
✔✔Place the client in a side-lying position
What is the first step in the nursing process?
✔✔Data collection
2
, What is the best way to prevent pressure injuries in a bed-bound client?
✔✔Reposition the client every 2 hours
What is the expected output for a healthy adult in terms of urine per hour?
✔✔At least 30 mL per hour
What is the most reliable way to confirm a client’s identity before administering medication?
✔✔Ask the client to state their name and date of birth
How should a nurse dispose of a used needle?
✔✔Place it immediately in a puncture-resistant sharps container
What is a nursing intervention to reduce aspiration risk during feeding?
✔✔Have the client sit upright at 90 degrees
What is the primary purpose of a safety event report?
✔✔Document details of an unexpected occurrence for internal review
3