QUESTIONS & ANSWERS UPDATED 2026 || GRADED A+
A nurse is caring for an adult client who has an NG tube in place and a prescription
for continuous enteral feedings. Which of the following actions should the nurse
perform to reduce the client's risk of aspiration? - CORRECT ANSWER -
Elevate the head of the bed to 30° or 45°
A nurse is inserting an NG tube into a client who begins to cough and gag. Which
of the following actions should the nurse take? - CORRECT ANSWER - Pull
the NG tube back slightly
A nurse is called away for an emergency while conversing with a client who is
concerned about his medical diagnosis. The nurse returns to the client promptly, as
promised. Which of the following ethical principles is the nurse demonstrating? -
CORRECT ANSWER - Fidelity
A nurse is teaching an assistive personnel (AP) about proper hand hygiene. Which
of the following statements by the AP indicates an understanding of the teaching? -
CORRECT ANSWER - "There are times I should use soap and water rather
than an alcohol-based rub to clean my hands."
A nurse is preparing to administer an afternoon dose of ampicillin to a client. The
client appears upset and refuses to take the medication before throwing the pill on
the floor. Which of the following entries should the nurse enter into the client's
medical record? - CORRECT ANSWER - The client threw the medication on
the floor
,A nurse is preparing to administer an otic antibiotic to an adult client who has otitis
media. Which of the following actions should the nurse plan to take? -
CORRECT ANSWER - Hold the dropper 1 cm (0.5 in) above the ear canal
during administration
A nurse is assisting a client who has right-sided weakness while ambulating using a
cane. Which of the following client actions should indicate to the nurse that the
client understands the procedure of cane walking? - CORRECT ANSWER -
The client keeps 2 points of support on the ground
A nurse is teaching a client about the use of a straight-legged cane. Which of the
following client actions indicates an understanding of the teaching? - CORRECT
ANSWER - The client holds the cane on the unaffected side.
A nurse is caring for an adult client who is grieving following the death of a loved
one. Which of the following factors increases the client's risk of developing
complicated grief? - CORRECT ANSWER - The death was sudden.
A nurse is applying an ice bag to the ankle of a client following a sports injury.
Which of the following actions should the nurse take? - CORRECT ANSWER
- Leave the bag in place for 45 min B. Fill the bag 2/3 full with ice
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the
following pieces of information must the nurse verify with another nurse prior to
the administration? (Select all that apply.) - CORRECT ANSWER - A. The
client's ID number
C. The client's name
, D. ABO compatibility
E. Rh compatibility Check
A nurse is calculating a client's intake for a 12-hr shift. The client had dextrose 5%
in 0.45% sodium chloride infusing at 125 mL/hr, gentamicin 150 mg in 100 mL at
1400, famotidine 20 mg in 50 mL at 1000 and 1600, 250 mL of blood over 2 hr,
and a nasogastric flush of 30 mL every 2 hr. What is the total intake in milliliters
that the nurse should document for this client for this 12-hr period? - CORRECT
ANSWER - 2130
A nurse is preparing a sterile field for a procedure the provider will perform at the
client's bedside. Which of the following actions should the nurse take? -
CORRECT ANSWER - Hold the sterile drape above the waist and away from
the body
A nurse is communicating with a group of clients about what to expect during the
postoperative phase of a total hip arthroplasty. Which of the following elements of
the communication process should the nurse identify as an evaluation of effective
communication? - CORRECT ANSWER - Feedback is provided
A nurse is caring for a client who has breast cancer. The client has been receiving
radiation therapy for several months and now refuses to undergo further treatment.
Which of the following actions should the nurse take? - CORRECT ANSWER
- Support the client's decision
A nurse is assessing a client's vascular system. Which of the following techniques
should the nurse use when evaluating the carotid arteries? - CORRECT
ANSWER - Auscultation of the arteries with the bell of the stethoscope