2026/2027 questions and answers A+ Grade
A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions
should the nurse take as part of the medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility
- correct answer Compare prescriptions with medications the client received while at the facility
A nurse is caring for a client who requires an informed consent for a surgical procedure. Which of the
following actions is the nurse's responsibility?
Describe the procedure to the client
Witness the client's signature on the consent form
Inform the client of alternatives to the procedure
Tell the client which team members will assist with the procedure
- correct answer Witness the client's signature on the consent form
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- correct answer
A nurse is planning an educational program for a group of older adults at a senior living center. Which of
the following recommendations should the nurse include?
"You should have an eye examination every 2 years"
"You should receive a tetanus booster every 5 years"
"You should receive a shingles vaccine when you are 70 years old"
,"You should receive a pneumococcal vaccine when you are 65 years old"
- correct answer "You should receive a pneumococcal vaccine when you are 65 years old"
A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner
wants the client to have the blood transfusion. Which of the following actions should the nurse take?
Ask the client to consider a direct donation
Withhold the blood transfusion
Request a consultation with the ethics committee
Ask the client's family to intervene
- correct answer Withhold the blood transfusion
A nurse is admitting a client who has rubella. Which of the following types of transmission based
precautions should the nurse initiate?
droplet
airborne
contact
protective environment
- correct answer droplet
A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the following
assessments should the nurse identify as the priority?
Auscultate lung sounds
Measure urine output
Monitor blood pressure readings
Monitor electrolyte levels
- correct answer Measure urine output
A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore."
Which of the following responses should the nurse make?
"Most people are happy when their children grow up and leave home"
"You should be proud that your children are becoming independent"
"Maybe you should consider why you are feeling useless"
, "People in middle adulthood often find satisfaction in nurturing and guiding young people"
- correct answer "People in middle adulthood often find satisfaction in nurturing and guiding young
people"
A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen
concentrator. Which of the following instructions should the nurse provide to the client and his family?
(select all that apply)
Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Consider purchasing a generator for power backup
Observe for signs of hypoxia
Select synthetic clothing and bedding
- correct answer Check the cord routinely for frays or tearing
Keep the unit at least 1-2 m (4 feet) away from a gas stove
Observe for signs of hypoxia
A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new
tracheostomy. Which of the following actions should the nurse plan to take?
Use a resuscitation bag with 80% oxygen prior to the procedure
Select a suction catheter that is half the size of the lumen
Place the end of the suction catheter in water soluble lubricant
Adjust the wall suction apparatus to a pressure of 170 mmHg
- correct answer Select a suction catheter that is half the size of the lumen
A nurse is caring for a client who is receiving pain medication through a patient controlled analgesia
(PCA) pump. Which of the following actions should the nurse take?
Instruct the family to refrain from pushing the button for the client while she is asleep
Inform the client that because she is on PCA, vital signs will be taken every 8 hours
Teach the client to avoid pushing the button until the pain is above 7 on a scale of 0 to 10
Increase the basal rate and shorten the lock out interval time if the client's pain level is too high
- correct answer Instruct the family to refrain from pushing the button for the client while she is asleep