and answers Latest 2026 RATED A+
A post-operative client has three different PRN analgesics prescribed for different levels of pain. The
nurse inadvertently administers a dose that is not within the prescribed parameters. What action should
the nurse take first?
A: Determine if the pain was relieved.
B: Complete a medication error report.
C: Assess for side effects of the medication.
D: Document the client's responses. - CORRECT ANSWERS Assess for side effects of the
medication.
The UAP describes the appearance of the bowel movements of several clients. Which descriptions
warrant additional follow-up by the nurse?(SATA)
A: Multiple hard pellets
B: Brown liquid
C: Formed but soft
D: Solid with red streaks
E: Tarry appearance - CORRECT ANSWERS Multiple hard pellets
Brown liquid
Solid with red streaks
Tarry appearance
,An elderly woman comes to the clinic because of vaginal bleeding. The healthcare provider finds a
vaginal tear, which the client reports is likely to have occurred during unprotected sexual intercourse.
Which content is most important for the nurse to include in the client's teaching plan?
A: The importance of using vaginal lubricants.
B: Methods used to practice safe sex.
C: Information about alternative ways to express sexuality.
D: Intercourse positions that help prevent tears. - CORRECT ANSWERS The importance of
using vaginal lubricants.
While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains
at 94%, which is the same reading obtained prior to starting the procedure. What action would the
nurse take in response to this finding?
A: Reposition the pulse oximeter clip to obtain a new reading.
B: Stop suctioning until the pulse oximeter reading is above 95%.
C: Complete the intermittent suction of the nasopharynx.
D: Apply an oxygen mask over the client's nose and mouth. - CORRECT ANSWERS Complete
the intermittent suction of the nasopharynx.
An older woman with end-stage heart disease is hospitalized for severe heart failure. She is alert,
oriented, and requests that no heroic measures are implemented if her breathing stops. What actions
should the nurse take first?
A: Discuss with the client her meaning of heroic measures.
B: Obtain a DNR.
C: Set up a family conference to discuss the client.
, D: Consult the palliative care team about the client's care. - CORRECT ANSWERS Discuss with
the client her meaning of heroic measures.
A client diagnosed with primary open-angle glaucoma received a prescription for biotic eye drops,
pilocarpine HCl. What instruction should the nurse plan to include in this client's teaching?
A: "Do not allow the dropper bottle to touch the eye."
B: "Administer the medication directly on the cornea."
C: Squeeze the eye closed after administering the drops."
D: Wash your hands after administration of eye drops." - CORRECT ANSWERS "Do not allow
the dropper bottle to touch the eye."
The home health nurse is reviewing the personal care of an elderly client who lives alone. Which client
assessment findings indicate the need to assign the UAP to provide routine foot care and file the client's
toenails?(SATA)
A: Syncope when bending.
B: Hand tremors.
C: Diminished visual acuity.
D: Urinary incontinence.
E: Shuffling gait. - CORRECT ANSWERS Syncope when bending.
Hand tremors.
Diminished visual acuity.
The client is discharged to a long-term care facility with an indwelling urinary catheter. Which nursing
action should be included in the plan to reduce the client's risk for infection related to the catheter?