WITH VERIFIED ANSWERS 2025/2026
a) Analogy - CORRECT ANSWER During a teaching session, the nurse tells a patient
with a recent neck injury that damage to the nerves is comparable to a water hose
that has been pinched off. During this teaching session, the nurse is using the
process of:
a) Analogy
b) Discovery
c) Role playing
d) Demonstration
c) "I need to drink lots of coffee and tea to keep myself healthy." - CORRECT
ANSWER A home health care nurse is visiting an older client at home. Furosemide
(Lasix) is prescribed for the client. The nurse teaches the client about medication.
Which of the following statements, if made by the client, indicates the need for
further teaching?
a) "I will take my medication every morning with breakfast."
b) "I will call my doctor if my ankles swell or my rings get tight."
c) "I need to drink lots of coffee and tea to keep myself healthy."
d) "I will sit up slowly before standing each morning."
d) "If the cast gets wet, I can dry it with a hair dryer turned to the warmest
setting." - CORRECT ANSWER A nurse has given a client with a leg cast instructions
,on cast care at home. The nurse would evaluate that the client needs further
instruction if the client makes which of the following statements?
a) "I should avoid walking on wet, slippery floors."
b) "It's okay to wipe dirt off the top of the cast with a damp cloth."
c) "I'm not supposed to scratch the skin underneath the cast."
d) "If the cast gets wet, I can dry it with a hair dryer turned to the warmest
setting."
b) A 3-year-old can safely sit in the front seat of the car. - CORRECT ANSWER While
caring for a child, you identify that additional safety teaching is needed when a
young and inexperienced mother states that:
a) Teenagers need to practice safe sex.
b) A 3-year-old can safely sit in the front seat of the car.
c) Children need to wear safety equipment when bike riding.
d) Children need to learn to swim even if they do not have a pool.
b) Use an electronic bed monitoring device - CORRECT ANSWER A newly admitted
patient was found wandering the hallways for the past two nights. The most
appropriate nursing intervention to prevent a fall for this patient would include:
a) Raise all four side rails when darkness falls.
b) Use an electronic bed monitoring device
c) Place the patient in a room close to the nursing station
,d) Use a loose-fitting vest-type jacket restraint
c) A procedure-related accident - CORRECT ANSWER A nurse floats to a busy
surgical unit and administers a wrong medication to a patient. This error can be
classified as:
a) A poisoning accident
b) An equipment-related accident
c) A procedure-related accident
d) An accident related to time management
a) The client is agitated.
b) The client's left hand is pale and cold.
c) The client's skin under the restraint is red.
f) The client slips his hand out of the restraint and pulls at his gastrostomy tube. -
CORRECT ANSWER Wrist restraints have been prescribed for a client who is
continuously pulling at his gastrostomy tube. The nurse develops a care plan and
determines that which of the following are unexpected outcomes related to the
use of restraints (select all that apply):
a) The client is agitated.
b) The client's left hand is pale and cold.
c) The client's skin under the restraint is red.
d) The client verbalizes the reason for the restraints.
e) The client is unable to reach the gastrostomy tube with his hands.
, f) The client slips his hand out of the restraint and pulls at his gastrostomy tube.
c) Foley catheter bag - CORRECT ANSWER A patient is admitted to a medical unit
for a home-acquired pressure ulcer. The patient has Alzheimer's disease and has
been incontinent of urine. The nurse inserts a Foley catheter. You will identify a
link in the infection chain as:
a) Restraints
b) Poor hygiene
c) Foley catheter bag
d) Improper positioning
b) Notify the physician - CORRECT ANSWER You are caring for a patient who
underwent surgery 48 hours ago. On physical assessment, you notice that the
wound looks red and swollen. The patient's WBCs are elevated. You should:
a) Start antibiotics
b) Notify the physician
c) Document the findings and reassess in 2 hours
d) place the patient on isolation precautions
d) Pharyngeal diphtheria
e) Streptococcal pharyngitis