WITH ACCURATE VERIFIED ANSWERS AND
FULL COVERAGE 2026
‣ The nurse is assisting to perform a focused data collection process on a
client who is complaining of symptoms of a cold, a cough, and lung
congestion. Which should the nurse include for this type of data
collection? Select all that apply. Answer: Listening to lung sounds
Obtaining the client's temperature
Obtaining information about the client's respirations
‣ The nurse is reinforcing instructions provided to a client with a
continuous passive motion (CPM) machine. The nurse determines that
there is a need for further teaching when the client states that he should
perform which action? Answer: Reset the degrees of flexion or
extension according to comfort.
‣ The nurse is preparing to administer a medication through a
nasogastric (NG) tube that is connected to suction. Which interventions
should be included to accurately administer the medication? Select all
that apply. Answer: Clamp the NG tube for 30 minutes after medication
administration.
Before medication administration, verify correct placement of tube.
Flush the NG tube with saline before and after medication
administration.
, Discontinue the suction from the tube during administration of
medication.
‣ The nurse is preparing to discontinue an indwelling urinary catheter.
Which pieces of equipment should the nurse obtain to perform this
procedure? Select all that apply. Answer: Clean towel. Sterile 10- or 12-
mL syringe
‣ The nurse is teaching the paraplegic client measures to promote skin
integrity. Which instructions would be helpful to the client? Select all
that apply. Answer: 1.
Eat a nutritious diet.
2.
Use a pressure relief pad while in a wheelchair.
4.
Check the bottom sheet for wetness and wrinkles.
‣ A client with a diagnosis of tonic-clonic seizures is being admitted to
the hospital, and the nurse needs to institute seizure precautions. During
a seizure, which items are inappropriate to use and could cause harm to
the client? Select all that apply. Answer: Restraints. Padded tongue
blade
‣ The nurse is preparing to clean up a blood spill on the client's bedside
table. The spill occurred when a blood tube containing the client's blood
specimen broke. The nurse avoids doing which action when cleaning up