COMPREHENSIVE SCRIPT 2026 QUESTIONS
AND SOLUTIONS
◉ Child with sickle cell anemia. The nurse should emphasize the
importance of which of the following factors to prevent sickle cell
crisis?
a. A low-protein diet
b. Adequate hydration
c. Calorie restriction
d. Increased iron intake Answer: b. Adequate hydration
◉ Client with indwelling urinary catheter. Which of the following
actions should the nurse take to provide catheter care?
a. Provide perineal hygiene after defecation
b. Empty the collected urine once every 24 hr.
c. Hang the drainage bag on a bed rail
d. Change the indwelling catheter every 8 hr Answer: a. Provide
perineal hygiene after defecation
◉ Client experiencing acute mania. Which of the foods should the
nurse provide for this client?
,a. Peanut butter sandwich
b. Chicken noodle soup
c. Celery sticks
d. Oatmeal with butter Answer: a. Peanut butter sandwich
◉ A home health nurse is completing screenings for elder abuse
during client visits. Which of the following findings should the nurse
identify as an indication of potential elder abuse?
a. Client who reports being given sedative medications by family
members
b. Client who is taking warfarin and has several small bruises on her
shins and hands
c. Client who schedules multiple visits with his provider every
month
d. Client who lives with family members and begins to take more
responsibility for self-care Answer: b. Client who is taking warfarin
and has several small bruises on her shins and hands
◉ A nurse is caring for a school age child who is postoperative and
received morphine IV bolus for pain 10 min ago. Which of the
following findings is the nurse's priority?
a. Bradypnea
b. Sedation
c. Euphoria
,d. Constipation Answer: a. Bradypnea
◉ A nurse is planning to administer 2 units of packed RBCs to an
older adult who has anemia. Which of the following actions should
the nurse plan to take? [SATA]
a. Prime the infusion tubing with 0.45 NaCl
b. Infuse blood over 4 hr.
c. Don sterile gloves to prepare blood administration setup
d. Assess the client's lung sounds prior to the infusion
e. Verify with another nurse that the unit of blood is compatible with
the client's blood type Answer: d. Assess the client's lung sounds
prior to the infusion
e. Verify with another nurse that the unit of blood is compatible with
the client's blood type
◉ A nurse is planning care for a client who is scheduled to receive a
PICC in the arm. Which of the following interventions is appropriate
for the nurse to include in the plan of care?
a. Administer sedation for the procedure
b. Measure the arm circumference above the insertion site daily
c. Use gauze to secure an arm board to the involved extremity
d. Schedule and MRI postprocedure to verify placement Answer: b.
Measure the arm circumference above the insertion site daily
, ◉ Which of the following clients should the nurse place near the
nurses' station?
a. A client who is in Buck's traction
b. A client who has orthostatic hypotension
c. A client who has an open wound
d. A client who is on fluid restriction Answer: b. A client who has
orthostatic hypotension
◉ Older client transferred from another facility. Nurse notes ulcers
on the coccyx and abrasions around both wrists. Which of the
following actions should the nurse take to address suspicions of
elder abuse?
a. Notify risk management
b. Inform the transferring agency of the client's condition
c. Privately interview the client about her condition
d. Contact the family regarding the client's condition Answer: c.
Privately interview the client about her condition
◉ Client receiving intermittent enteral tube feedings. Which of the
following places the client at risk for aspiration?
a. History of GERD
b. Sitting in a high-Fowler's position during the feeding
c. A residual of 65 mL 1 hr. postprandial
d. Receiving a high osmolarity formula Answer: a. History of GERD