Nursing Clinical Mastery Examination: Hypocalcemia, Hypoparathyroidism,
Trousseau’s Sign, Varicella-Zoster Infection, Acyclovir Therapy, Clang Association,
Glomerulonephritis, Pediatric Immunization Protocols, Morphine Sulfate Dosage
Calculation, Blood Culture Collection, Type 1 Diabetes Management,
Nitroglycerin Infusion Monitoring, Therapeutic Communication, Amniocentesis
Fetal Monitoring, Stress Incontinence Prevention, Disaster Preparedness
Planning, Infection Control Precautions, Electroconvulsive Therapy, Serotonin
Syndrome Recognition, Myoclonus Assessment, Extrapyramidal Symptoms,
Chlorpromazine Pharmacotherapy, Benztropine Intervention, Liver Disease
Ascites Management, Advance Directive Ethics, Command Hallucinations Risk
Assessment, Agranulocytosis Protective Isolation, Pneumonia Airway Clearance,
Postpartum Hemorrhage Identification, Central Venous Pressure Interpretation,
Acute Pancreatitis Management, Respiratory Alkalosis Pathophysiology, and
Intracranial Pressure Neurological Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Which pain scale should the nurse use to monitor the pain level of a 3-year old client after
surgery?
1. Numerical scale
2. Verbal descriptive scale
3. Visual analog scale
4. FACES scale
4. Correct: Monitoring pain in children requires special techniques. The nurse should use the
FACES scale as a tool to assess this client's pain level. Children as young as 3 years of age can use
the FACES scale to communicate their pain level to the medical team. The scale has six faces
ranging from smiling face to sad, tearful face.
,1. Incorrect: Not age appropriate. This scale uses numbers.
2. Incorrect: Not age appropriate. Young children may not understand the word pain.
3. Incorrect: Not age appropriate. This scale requires reading.
Which tasks would be appropriate for the LPN/LVN to assign to an unlicensed assistive
personnel (UAP)? (SATA)
1. Ask the client diagnosed with dementia memory-testing questions.
2. Collect the urinary output hourly on the client with renal disease.
3. Demonstrate pursed lipped breathing to the client who has emphysema.
4. Give a tepid sponge bath to the client who has a fever.
5. Assess oxygen saturation on a client experiencing angina.
2., & 4. Correct: The UAP can obtain hourly urine output on clients and can give a tepid sponge
bath to a client. The LPN/VN must know what tasks can be assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or teaching. This would be an
assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of teaching. This is an RN task.
5. Incorrect: The UAP cannot assess the client experiencing angina. This is an RN task.
,What nursing interventions should the nurse implement for a client with Addison's disease?
(SATA)
1. Administer potassium supplements as prescribed.
2. Assist the client to select foods high in sodium.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight.
2., 3., 4. & 5. Correct: The client with Addison's disease needs sodium due to low levels of
aldosterone. Fludrocortisone is a mineralocorticoid that the client will need to take for life. I&O
and daily weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain potassium, so this client does
not need potassium.
A licensed practical nurse (LPN) is utilizing the nursing process to care for assigned clients.
Which nursing actions should the LPN relate to the implementation step of the nursing process?
(SATA)
1. Collecting client data for a nursing history.
2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health care plan.
3., 4., & 5. Correct: The nurse should relate procuring medical equipment, assigning client care
activities, and delivering skilled nursing care to the implementation step of the nursing process.
Implementation is the third step of the nursing process and consists of delivering nursing care
, according to an established health care plan and as assigned by the RN or other person(s)
authorized by law.
1. Incorrect: This is not the implementation step of the nursing process. LPNs participate in the
assessment step of the nursing process by collecting client data for a nursing, psychological,
spiritual, and social histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process. LPNs participate in the
nursing process by reporting client responses to the RN or supervising healthcare provider.
The primary healthcare provider prescribes nafcillin 0.6 gram every 12 hours IM. Available is a
vial labeled 200 mg per 1 mL. How many mL should the nurse give? Round your answer to the
nearest whole number.
Changing 0.6 g to mg equals 600 mg.
Then 200 mg : 1 mL = 600 mg : x mL
200x = 600
x=3
The nurse should reinforce which instructions given to the unlicensed assistive personnel (UAP)
about care needed to reduce the risk of infection when a client has an indwelling catheter?
(SATA)
1. Check catheter for kinks in the tubing when the client is in the bed or chair.
2. Disconnect the catheter from the bag when measuring output.
3. Wash hands before providing personal care to the client.
4. Ensure that catheter remains secured to the thigh.
5. Make sure that the drainage bag is always below the level of the bladder.
Trousseau’s Sign, Varicella-Zoster Infection, Acyclovir Therapy, Clang Association,
Glomerulonephritis, Pediatric Immunization Protocols, Morphine Sulfate Dosage
Calculation, Blood Culture Collection, Type 1 Diabetes Management,
Nitroglycerin Infusion Monitoring, Therapeutic Communication, Amniocentesis
Fetal Monitoring, Stress Incontinence Prevention, Disaster Preparedness
Planning, Infection Control Precautions, Electroconvulsive Therapy, Serotonin
Syndrome Recognition, Myoclonus Assessment, Extrapyramidal Symptoms,
Chlorpromazine Pharmacotherapy, Benztropine Intervention, Liver Disease
Ascites Management, Advance Directive Ethics, Command Hallucinations Risk
Assessment, Agranulocytosis Protective Isolation, Pneumonia Airway Clearance,
Postpartum Hemorrhage Identification, Central Venous Pressure Interpretation,
Acute Pancreatitis Management, Respiratory Alkalosis Pathophysiology, and
Intracranial Pressure Neurological Exam Questions Verified and Provided with
Complete A+ Graded Rationales Latest Updated 2026
Which pain scale should the nurse use to monitor the pain level of a 3-year old client after
surgery?
1. Numerical scale
2. Verbal descriptive scale
3. Visual analog scale
4. FACES scale
4. Correct: Monitoring pain in children requires special techniques. The nurse should use the
FACES scale as a tool to assess this client's pain level. Children as young as 3 years of age can use
the FACES scale to communicate their pain level to the medical team. The scale has six faces
ranging from smiling face to sad, tearful face.
,1. Incorrect: Not age appropriate. This scale uses numbers.
2. Incorrect: Not age appropriate. Young children may not understand the word pain.
3. Incorrect: Not age appropriate. This scale requires reading.
Which tasks would be appropriate for the LPN/LVN to assign to an unlicensed assistive
personnel (UAP)? (SATA)
1. Ask the client diagnosed with dementia memory-testing questions.
2. Collect the urinary output hourly on the client with renal disease.
3. Demonstrate pursed lipped breathing to the client who has emphysema.
4. Give a tepid sponge bath to the client who has a fever.
5. Assess oxygen saturation on a client experiencing angina.
2., & 4. Correct: The UAP can obtain hourly urine output on clients and can give a tepid sponge
bath to a client. The LPN/VN must know what tasks can be assigned to the UAP.
1. Incorrect: The nurse cannot delegate assessment, evaluation, or teaching. This would be an
assessment function for the RN to perform.
3. Incorrect: The UAP cannot teach. Demonstration is a method of teaching. This is an RN task.
5. Incorrect: The UAP cannot assess the client experiencing angina. This is an RN task.
,What nursing interventions should the nurse implement for a client with Addison's disease?
(SATA)
1. Administer potassium supplements as prescribed.
2. Assist the client to select foods high in sodium.
3. Administer Fludrocortisone as prescribed.
4. Monitor intake and output.
5. Record daily weight.
2., 3., 4. & 5. Correct: The client with Addison's disease needs sodium due to low levels of
aldosterone. Fludrocortisone is a mineralocorticoid that the client will need to take for life. I&O
and daily weights are needed to monitor fluid status.
1. Incorrect: Clients with Addison's disease lose sodium and retain potassium, so this client does
not need potassium.
A licensed practical nurse (LPN) is utilizing the nursing process to care for assigned clients.
Which nursing actions should the LPN relate to the implementation step of the nursing process?
(SATA)
1. Collecting client data for a nursing history.
2. Reporting client response to a new medication.
3. Procuring equipment for a planned medical procedure.
4. Assigning client care activities to unlicensed assistive personnel.
5. Delivering skilled nursing care according to an established health care plan.
3., 4., & 5. Correct: The nurse should relate procuring medical equipment, assigning client care
activities, and delivering skilled nursing care to the implementation step of the nursing process.
Implementation is the third step of the nursing process and consists of delivering nursing care
, according to an established health care plan and as assigned by the RN or other person(s)
authorized by law.
1. Incorrect: This is not the implementation step of the nursing process. LPNs participate in the
assessment step of the nursing process by collecting client data for a nursing, psychological,
spiritual, and social histories, comparing the data collected to normal values and findings.
2. Incorrect: This is not the implementation step of the nursing process. LPNs participate in the
nursing process by reporting client responses to the RN or supervising healthcare provider.
The primary healthcare provider prescribes nafcillin 0.6 gram every 12 hours IM. Available is a
vial labeled 200 mg per 1 mL. How many mL should the nurse give? Round your answer to the
nearest whole number.
Changing 0.6 g to mg equals 600 mg.
Then 200 mg : 1 mL = 600 mg : x mL
200x = 600
x=3
The nurse should reinforce which instructions given to the unlicensed assistive personnel (UAP)
about care needed to reduce the risk of infection when a client has an indwelling catheter?
(SATA)
1. Check catheter for kinks in the tubing when the client is in the bed or chair.
2. Disconnect the catheter from the bag when measuring output.
3. Wash hands before providing personal care to the client.
4. Ensure that catheter remains secured to the thigh.
5. Make sure that the drainage bag is always below the level of the bladder.
