2026 | 400+ QUESTIONS & 100%
VERIFIED ANSWERS WITH RATIONALES
A nurse is planning to collect a stool specimen for ova and parasites
from a client who has diarrhea. Which of the following actions should the
nurse take when collecting the specimen? A. Instruct the client to defecate
into the toilet bowl
-incorrect: The nurse should have the client defecate into a bedpan or a
container for stool collection. The toilet water can dilute and
contaminate the liquid specimen.
B. Transfer the specimen to a sterile container
-incorrect: The nurse should place the stool specimen in a clean
container using a tongue depressor.
C. Refrigerate the collected specimen
-incorrect: The nurse should send the collected stool specimen immediately to
the laboratory after labeling the specimen properly to prevent contamination
with microorganisms and keep thespecimen from getting cold.
Place the stool specimen collection container in a biohazard bag
,-The nurse should place the specimen collection container in a biohazard bag
with the client label on the container and the bag for easy identification. This
will also prevent contaminationwith microorganisms.
A nurse is caring for a client who has a tracheostomy and requires
suctioning. Which of the following actions should the nurse take?
Hyper oxygenate the client before suctioning
-The nurse should use a manual resuscitation bag to hyper oxygenate the
client for severalminutes prior to suctioning.
Insert the catheter during exhalation
-incorrect: The nurse should insert the catheter during inhalation
Apply suction during insertion of the catheter
-incorrect: Applying suction while inserting the catheter increases the risk of
damage to thetracheal mucosa and removes oxygen from the airways.
Apply suction for no more than 15 secs
-incorrect: The nurse should apply suction for no more than 10 seconds
5. A nurse is caring for a client who has bilateral cats on her hands. Which of the
followingactions
should the nurse take when assisting the client with feeding?
,Sit at the bedside when feeding the client
-The nurse should avoid appearing to be in a hurry. Sitting at the bedside
provides the client with thenurse’s full attention during the feedingOrder
pureed foods
-incorrect: Without any mouth or throat injuries that make chewing or
swallowing difficult, the client should be served foods of an appropriate variety
of textures. Pureed foods are for clients who cannot chew, have difficulty
swallowing, or do not have teeth.
Make sure feedings are provided at room temperature
-incorrect: The nurse should ask the client if the food is the correct temperature
Offer the client a drink of fluid after every bite
-incorrect: If the client is unable to communicate, the nurse should offer the client
fluids after every 3 or 4 mouthfuls. However, there is no indication that this client
is unable to communicate.Therefore, the client should tell the nurse when she
would like a drink.
A nurse is providing teaching to a client regarding protein intake. Which
of the followingfoods should the nurse include as an example of an
incomplete protein?
A. Eggs
, -incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
B. Soybeans
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
Lentils
-Incomplete proteins are missing 1 or more of the essential amino acids
necessary for the synthesis of protein in the body. Examples of incomplete
proteins include lentils, vegetables,grains, nuts, and seeds.
D. Yogurt
-incorrect: this is a complete protein, contains all of the essential amino
acids necessary for the synthesis of protein in the body.
A nurse is caring for a client who was admitted to a long-term care facility
for rehabilitationafter a total hip arthroplasty. At which of the following times
should the nurse begin discharge planning?
A. One week prior to the client’s discharge