NOTE: THIS STUDY GUIDE IS SPECIFIC TO 2025-26 REAL EXAM
• A nurse is caring for a client following a bronchoscopy procedure. Which
of the follo wing actions should the nurse perform first?
ANS: Check for a gag reflex.
• While administering a medication to a client, a nurse notices a frayed
electrical cord c onnecting the client's continuous passive motion
machine to the electrical outlet. Whic h of the following actions should
the nurse take?
ANS: Remove the device from the client's room.
• A nurse is caring for a client who requests information bout advance
directives. Which of the following responses should the nurse make?
ANS: "Advance directives are written instructions regarding end-of-life
care."
• A nurse is contributing to the plan of care for a client who is at risk
of developing pre ssure ulcers. Which of the following actions should the
nurse include in the plan of car e?
, ANS: Place the client in a 30° lateral position.
• A nurse is assisting with performing a non stress test for a client who is at
39 weeks o f gestation which of the following instructions should the
nurse reinforce with the client?
ANS: "You should depress the button on the handheld marker when
you feel your baby move."
• A nurse is reinforcing discharge teaching with a client following cataract
surgery. Whi ch of the following instructions should the nurse include in
the teaching?
ANS: Sleep on the nonoperative side for 2 weeks.
,• A nurse manager is preparing to complete a performance analysis for a
group of assistive personnel. The manager asks a stafollowing nurse for
feedback on each assistants a bilities. Which of the following actions
should the stafollowing nurse take?
ANS: Discuss how each AP's actions measure against the job description.
• A nurse is preparing to administer a medication to a client when the client
states " I'm sick of all there medication. I'm not taking any more today!"
Which of the following a ctions should the nurse take?
ANS: Inform the client of the possible consequences of the medication
refusal.
• a nurse is contributing to the plan of care for a client who is on suicide
precautions. W hich of the following interventions should the
recommend?
ANS: Encourage the client to sign a no-harm contract.
• A nurse is reinforcing reaching for a preoperative client on how to use an
incentive spi rometer. Which of the following actions by the client indicates
an understanding of the teaching?
, ANS: The client attempts to elevate the cylinder by inhaling deeply.
• A nurse at a long term care facility is part of a team preparing a report on
the quality of care at the facility. Which of the following information
should the nurse recommendincluding in the report to demonstrate
improvement in care quality?
ANS: The facility had 12% fewer urinary tract infections over the past 6
months.
• A nurse is reviewing laboratory reports for a client who has an
Escherichia Coli infection and is receiving gentamicin. Which of the
following results should the nurse report to the provider before
administering the next dose?
ANS: Creatinine 2.5 mg/dL