EXAM STUDY GUIDE WITH PRACTICE QUESTIONS AND
VERIFIED ANSWERS 2025–2026
There has been a community disaster and stable clients must be discharged from a facility to
prepare for the influx of new casualties. A nurse should identify that which of the following
clients is safe to discharge? - correct answer -a client who has multiple sclerosis and reports
ataxia
A nurse on a medical-surgical unit is caring for four clients. The nurse should recognize that
which of the following clients is the priority? - correct answer -A client who has peripheral
vascular disease and has an absent pulse in the right foot
A nurse finds that a new IV pump has infused 400 mL of solution over 2 hr when the rate was
set at 100 mL/hr. After notifying the provider and verifying that the pump was properly
programmed, which of the following is the nurse's priority? - correct answer -Tag the pump for
maintenance and acquire a new pump for the client
A charge nurse is planning care for a group of clients. Which of the following tasks should be
delegated to an assistive personnel (AP)? select all that apply - correct answer -ambulating a
client who uses a walker, adding thickener to thin liquids on a client's food tray
A nurse is caring for a client. Which of the following tasks should the nurse delegate to an
assistive personnel (AP)? select all that apply - correct answer -Place an absorbent pad on the
client's bed, report the client's blood pressure to the nurse, apply barrier cream to the client's
buttocks, document the client's vital signs
A charge nurse on a maternal newborn unit is receiving change of shift charge nurse report for a
group of newborns. Which of the following 3 newborns should the charge nurse identify as
requiring priority care? Select 3 newborns the charge nurse should identify as priority. - correct
answer -Newborn 5, Newborn 3, Newborn 1
, A nurse manager is assessing incident reports for the unit. Which of the following client's
medical records indicate professional negligence? Select 2 clients that the nurse manager
should recognize have charts that indicate professional negligence. - correct answer -Client 4,
Client 5
A charge nurse is assisting with the care of a client. Which of the following findings should the
charge nurse identify that the client is experiencing an adverse reaction and requires
notification of provider and updating the client's plan of care? Select 6 findings that indicate
that client is having an adverse reaction. - correct answer -blood pressure, temperature, heart
rate, respiratory rate, pain level, report by the client
A nurse is caring for a client who has acute diverticulitis and is scheduled for surgery within the
next 2 hr. The client tells the nurse that they are leaving the hospital. After notifying the
surgeon, which of the following actions should the nurse take next? - correct answer -Inform
the client about the risks they may encounter by leaving the facility
A nurse is reviewing the plan of care for a client following a total hip arthroplasty. Which of the
following actions should the nurse plan to take? - correct answer -Inform the assistive
personnel (AP) of the client's weight-bearing status
A nurse case manager is planning a teaching session on the use of critical pathways with a group
of newly licensed nurses. Which of the following information should the nurse include in the
teaching? - correct answer -Critical pathways prevent unnecessary expense
A nurse is caring for a client who is scheduled for outpatient surgery. Which of the following
actions should the nurse take to verify the client gave informed consent? - correct answer -Ask
the client to explain the procedure that is being performed
A nurse is caring for a client who has a terminal illness and voices concern about performing
self-care after discharge. Which of the following statements should the nurse make? - correct
answer -"Your case manager will coordinate the resources you will need."