GUIDE 2026 PROVEN ANSWERS INCLUDED
◍ A nurse in the emergency department is caring for a client who has
abdominal trauma. Which of the following assessment findings
should the nurse identify as an indication of hypovolemic shock?
Answer: tachycardia
◍ a nurse is planning to assess the abdomen of a client who reports
feeling bloated for several weeks. Which of the following methods of
assessment should the nurse use first? Answer: inspection
◍ A nurse is responding to a parents question about his infant's
expected physical development during the first year of life. Which of
the following information should the nurse include? Answer: A 10-
month-old infant can pull himself to a standing position
◍ A client who reports shortness of breath requests her nurse's help
in changing positions. After repositioning the client, which of the
following actions should the nurse take next? Answer: Observe the
rate, depth, and character of the client's respirations
◍ A nurse is planning to insert a nasogastric tube for a client after
explaining the procedure. The client states, "You are not putting that
hose down my throat." Which of the following statements should the
nurse make? Answer: I can see that this is upsetting you
, ◍ An AP is assisting a nurse with the care of a female client who has
an indwelling urinary catheter. Which of the following actions by the
AP indicates a need for further teaching? Answer: The AP hangs the
collection bag at the level of the bladder
◍ A nurse is explaining the use of written consent forms to a newly-
licensed nurse. The nurse should ensure that a written consent form
has been signed by which of the following clients? Answer: A client
who has a prescription for a transfusion of packed red blood cells
◍ A nurse is planning care for a client who is postoperative and has a
history of poor nutritional intake. Which of the following actions
should the nurse include in the plan of care to promote wound
healing? Answer: Provide a protein intake of 1.5g/kg of body weight
per day
◍ A nurse is caring for a client who has a prescription for a vest
restraint. Which of the following actions should the nurse take?
Answer: tie the restraint with a quick release knot
◍ A nurse is performing a neurological assessment for a client.
Which of the following examinations should the nurse use to check
the client's balance? Answer: Romberg test
◍ a nurse is caring for a client who has fecal impaction. Before
digital removal of the mass, which of the following types of enemas
should the nurse plan to administer to soften the feces Answer: oil
retention