COLLECTION 2026 FULL QUESTIONS WITH
VERIFIED SOLUTIONS GRADED A+
⩥ A nurse is planning care for a client who has a decreased level of
consciousness the client is receiving continuous enteral feedings via a
gastrostomy tube due to inability to swallow which of the following is
the priority action by the nurse?
a. observe the clients respiratory status
b. elevate the head of the bed 30-45 degrees
c. monitor intake and output every 8 hours
d. check residual volume every 4-6 hrs. Answer: b. elevate the head of
the bed 30-45 degrees
⩥ A nurse is providing teaching to a client who has constipation which
of the following information should the nurse include
a. increase intake of low fiber foods '
b. avoid drinking hot liquids
c. increase fluid intake to 1500 mL a day
d. include probiotic foods in the daily diet
e. increase daily exercise. Answer: c. increase fluid intake to 1500 mL,
d. include probiotic foods, e. increase daily exercise
,⩥ A nurse is caring for a client who has peripheral vascular disease and
reports difficulty sleeping because of cold feet which of the following
nursing action should the nurse take to promote the clients comfort
a. obtain a pair of slipper-socks
b. rub the clients feet briskly for several minutes
c. increase the clients oral fluid intake
d. place a moist heating pad under the clients feet. Answer: a. obtain a
pair of slipper-socks
⩥ A nurse is measuring a client for knee-high antiembolic stockings to
help venous stasis which of the following action should the nurse take
a. measure from the heel to the gluteal fold
b. measure the length of the feet
c. measure from the heel to the popiteal space
d. measure the ankle circumfrance. Answer: c. measure from the heel to
the popiteal space
⩥ A nurse is assisting an older client who sometimes loses her balance
while walking which of the following devices to the nurse use when
helping the client ambulate
a. gait belt
b. jacket harness
c. four-wheel walker
d. cane. Answer: a. gait belt
, ⩥ A nurse is caring for a client who has a prescription for a stool test for
guaiac. the nurse understands the purpose of the test is to checl the stool
for which of the following substances?
a. steatorrhea
b. blood
c. bacteria
d. parasites. Answer: b. blood
⩥ A nurse is performing a cardiac assessment on a client in Alsco Tate's
in S3 sound. The nurse should recognize that this sound represent which
of the following heart conditions?
a. atrial gallop
b. ventricular gallop
c. closure of the mitral valve
d. closure of the pulmonic valve. Answer: b. ventricular gallop
⩥ A nurse is assessing a client radio pulse in the terminals that the pulse
is irregular. Which of the following action should the nurse take?
a. assess the apical pulse for a full minute
b. assess the apical pulse with a doppler
c. assess the pedal pulses for a full minute
d. assess the pedal pulses with a doppler device. Answer: a. assess the
apical pulse for a full minute