with Model Answer Key 2025/2026
A nurse is reinforcing teaching with a client who has pneumonia and a productive
cough. Which of the following instructions should the nurse include in the teaching
correct answer
"You should cover your mouth with a tissue when you cough."
A nurse is reinforcing teaching about hospice care measures with the family of a client
who is dying. Which of the following statements by a member of the client's family
indicates an understanding of the teaching correct answer
"We will keep their room cool to help them breathe better."
A nurse is reinforcing teaching with a client who is scheduled for a bladder scan. Which
of the following instructions should the nurse include in the teaching correct answer
"I will place a gel pad directly above your pubic area before I place the probe."
A nurse is caring for a client who is scheduled for surgery the following day. During the
night, the client is unable to sleep and is restless. Which of the following statements
should the nurse make correct answer
"It must be difficult facing this type of surgery."
A nurse is preparing to administer a topical medication to a client. Which of the following
actions should the nurse take correct answer
Compare the label of the medication container with the medication administration record
three times.
A nurse is providing wound care for a group of clients. Which of the following wounds
should the nurse identify as healing by secondary intention correct answer
A stage 3 pressure injury on the coccyx
A nurse is reinforcing teaching with the caregiver of a client who is near death. Which of
the following instructions should the nurse provide correct answer
"Provide mouth care to them at least every 2 hours."
, A nurse is reinforcing teaching with a client who speaks a different language than the
nurse. Which of the following actions should the nurse take correct answer
Use printed materials written in the client's language.
A nurse is preparing to perform a wound irrigation for a client who has a stage 3
pressure injury. Which of the following supplies should the nurse plan to use correct
answer
A piston syringe
A nurse and an assistive personnel (AP) are providing postmortem care for a deceased
client prior to visitation by the family. Which of the following actions by the AP requires
intervention by the nurse correct answer
Removing the client's dentures
A nurse is planning care for a client who is disoriented and at risk for falls. Which of the
following interventions should the nurse include correct answer (Select all that apply.)
-Ensure that the client is wearing nonskid slippers.
-Place the client in a room near the nurses' station.
-Reinforce teaching about how to use the call bell.
A nurse is reinforcing teaching about carbohydrate counting with a client who has a new
diagnosis of diabetes mellitus. Which of the following actions should the nurse take first
correct answer
Ask the client what they already know about meal planning.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infections correct
answer
Drain urine from the tubing before ambulation.
A nurse is preparing to care for a client that identifies with a particular ethnic group the
nurse has never worked with before. Which of the following actions is the priority for the
nurse to deliver culturally appropriate care correct answer
Determine how their own cultural beliefs could impact care delivery.