ANSWERS 2026 ALREADY VERIFIED BY EXPERTS
1. A nurse is reviewing the techniques for transferring a client from a bed to
a chair with a group of assistive personnel (AP). Which of the following
instructions should the nurse include?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength
when lifting a client to reduce stress on the back
2. A nurse is participating in a quality improvement study about the
effectiveness of client pain management on the unit. Which of the
following strategies should the nurse use to collect data?
ANS: Review clients' charts for their rating of pain before pain
medication was administered and 1 hr. after administration
RATIONALE: The nurse should collect data from clients' charts about
pain ratings before and after pain management interventions
3. A nurse is reinforcing teaching about confidentiality with a client who
has a new diagnosis of HIV. Which of the following information should
the nurse include in the teaching?
ANS: "Your HIV status will be shared with members of your health care
team."
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, RATIONALE: The diagnosis of HIV or AIDS is shared with every member
of the healthcare team who provides direct care for the client, just like any
other diagnosis
4. A nurse is planning care for a client who has a history of seizures. Which of
the following pieces of equipment should the nurse place in the client's
room?
ANS: Suction catheter
RATIONALE: The nurse should place suction equipment in the room of a
client who has a history of seizures. During a seizure, the client might have
excessive oral secretions or might vomit. If the client's airway becomes
occluded, then the nurse will need to suction the oral cavity to maintain a
patent airway
5. A nurse in a provider's office is reviewing the medical record of a client
who requests a prescription for an oral contraceptive. Which of the
following findings should the nurse identify as a contraindication for oral
contraceptive use?
ANS: Coronary artery disease
RATIONALE: Coronary artery disease is a contraindication to oral
contraceptive use because it increases the client's risk for myocardial
infarction. Other contraindications for receiving oral contraceptives include
gallbladder disease, breast cancer, and hypertension
6. A nurse is assisting with the care of a school-age child immediately
following surgery. The child weights 21.8 kg (48 lb) and has a chest tube
applied to suction. Which of the following findings should the nurse report
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,to the provider?
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, ANS: 250 mL of sanguineous drainage over the last 3 hr
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of
sanguineous drainage occurs for more than 3 consecutive hours following
surgery, it can indicate active hemorrhaging. Therefore, 250 mL of
sanguineous drainage from the child's chest tube is excessive and the nurse
should report this finding to the provider immediately
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