Care 2 Questions and Answers 2026.
Urinary retention is: - Answer the inability to empty the bladder fully.
While taking a health history from your client, a 53-year-old female, she discloses to you that
she sometimes experiences urinary incontinence when she sneezes and laughs. What would be
the most appropriate response to this information?? - Answer to reassure her that this is a
common issue and discuss possible treatment options, such as pelvic floor exercises or
medications, depending on the cause
The nurse notes that a patient has had a black, tarry stool and recalls that a possible cause
would be: - Answer is gastrointestinal bleeding, such as from a peptic ulcer.
A patient states that they are worried because they have not had a bowel movement each day.
The nurse's best response concerning defecation patterns would be: - Answer explain that
bowel movement frequency varies among individuals and that as long as there are no other
concerning symptoms, it's usually not a cause for worry.
Which of the following statements regarding the ageing adult and abdominal assessment is
true: - Answer decreased abdominal muscle tone and subcutaneous fat may lead to
increased visibility of pulsations, especially in thin individuals.
What is a normal finding on palpation of the abdomen? - Answer abdomen is soft, non-
tender, and non-distended.
During report the student nurse hears that a patient has 'hepatomegaly' and recognises that the
term refers to: - Answer Hepatomegaly refers to an enlarged liver.
When inspecting a client's abdominal contour, the nurse observes the abdomen to be swollen
and distended. The nurse describes and documents this as: - Answer abdominal distention.
A patient tells the nurse that she is having a hard time bringing her hand to her mouth when
she eats or tries to brush her teeth. The nurse knows that for her to move her hand to her
mouth, she must perform the following movement: - Answer the patient must perform
flexion at the elbow joint.
You are inspecting your client's spinal symmetry and assessing their posture. You identify that
the client has scoliosis. This is: - Answer abnormal lateral curvature of the spine.
, The nurse is examining the ROM of a client's shoulder. Which of the following is a normal
finding? - Answer full abduction and adduction without pain or limitation.
You are caring for Mr Smith who has been admitted following a mechanical fall. You are
reviewing his nursing care plan. Which component of the care plan indicates that the patient's
problems have been appropriately described? - Answer nursing diagnosis
When using a mobile hoist with a dependent patient, identify the correct rule: - Answer
hoist's base is wide open and locked in place before transferring the patient.
The older person's tendency to take smaller steps with feet close together will mostly likely
result in: - Answer decreased stability and an increased risk of falls.
The most significant problem with restricted mobility is: - Answer increased risk of
complications such as pressure ulcers, muscle weakness, and decreased cardiovascular health.
What is the prime purpose for maintaining a fluid balance chart for a hospitalised client? -
Answer monitor fluid intake and output to assess hydration status and manage fluid therapy
effectively
To ensure safe administration of medications the nurse must be aware of the seven rights of
medication administration. These are the right: - Answer right patient, right drug, right dose,
right time, right route, right reason and right documentation
What is the term given to an unexpected effect of a medication? - Answer adverse drug
reaction
What should a nurse be familiar with when administering medications to patients? - Answer
the indications, contraindications, side effects, and nursing considerations for each medication
administered to patients.
While the nurse is administering medication, the patient states, "This pill looks different to what
I usually take." What is the correct practice in this situation? - Answer stop the medication
administration, verify the prescription and the patient's identity, and consult the prescribing
healthcare provider or pharmacist if there are discrepancies.
A nurse administering medications has many responsibilities including knowledge of
pharmacodynamics. Pharmacodynamics is best described as - Answer how drugs exert their
effects on the body, including the mechanisms of drug action and the relationship between drug
concentration and response.