ACTUAL QUESTIONS AND 100% VERIFIED ANSWERS
| LATEST 2025/ 2026 UPDATE | GRADED A+ | 100%
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A nurse is caring for a client who requires a 24-hr urine collection.
Which of the following statements by the client indicates an
understanding of the teaching?
"I flushed what I urinated at 7:00 a.m. and have saved all urine since."
A nurse is assessing a client who has been on bed rest for the past
month. Which of the following findings should the nurse identify as an
indication that the client has developed thrombophlebitis?
Calf Swelling
A nurse manager is overseeing the care on a unit. Which of the
following situations should the nurse manager identify as a violation
of HIPAA guidelines?
A nurse asks a nurse from another unit to assist with her
documentation.
A nurse is caring for a client who requires bed rest and has a
prescription for antiembolic stockings. Which of the following actions
should the nurse take?
Remove the stockings at least once per shift.
,A nurse is administering IV fluid to an older adult client. The nurse
should perform which priority assessment to monitor for adverse
effects?
Auscultate Lung Sounds
A nurse is teaching an older client who is at risk for osteoporosis
about beginning a program of regular physical activity. Which of the
following types of activity should the nurse recommend?
Walking Briskly
A nurse is assessing an adult client who has been immobile for the
past 3 weeks. The nurse should identify that which of the following
findings requires further intervention?
Erythema on pressure points
A nurse is responding to a call light and finds a client lying on the
bathroom floor. Which of the following actions should the nurse take
first?
Check the client for injuries
A nurse in a clinic is caring for a middle adult client who states, "The
doctor says that, since I am at an average risk for colon cancer, I
should have routine screening. What does that involve?" Which of the
following responses should the nurse make?
"You should have a fecal occult blood test every year."
A nurse manager is preparing to review medication documentation
with a group of newly licensed nurses. Which of the following
statements should the nurse manager plan to include in the teaching?
, "Use the complete name of the medication magnesium sulfate."
A nurse is caring for a client who has tuberculosis. Which of the
following actions should the nurse take?
Place the client in a room with negative-pressure airflow.
Wear gloves when assisting the client with oral care.
Use antimicrobial sanitizer for hand hygiene.
A nurse is caring for a client who has a prescription for 5 units of
regular insulin and 10 units of NPH insulin to mix together and
administer subcutaneously. Determine the correct order of steps for
this procedure.
Air into NPH
Air into Regular
Draw up Regular
Draw up NPH
A nurse is reviewing practice guidelines with a group of newly licensed
nurses. Which of the following interventions should the nurse include
that is within the RN scope of practice?
Initiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires an NG tube for stomach
decompression. Which of the following actions should the nurse take
when inserting the NG tube?
Have the client take sips of water to promote insertion of the NG tube
into the esophagus.
A nurse is assessing an older client's risk for falls. Which of the
following assessments should the nurse use to identify the client's