AND ANSWERS | 2026 UPDATE | 100% CORRECT.
A nurse is teaching a client who has left hemiparesis how to use a cane. Which
of the following instructions should the nurse include? Answer - Hold the cane
on the right side to provide support for the weaker leg.
A nurse is assessing a client who is receiving a unit of packed RBCs. The client
appears flushed and reports low-back pain. Which of the following actions is
the nurses priority? Answer - Stop the transfusion.
A nurse should teach which of the following clients requiring crutches about
how to use a three-point gait? Answer - A client who has a right femur fracture
with no weight bearing on the affected leg.
A nurse is caring for a client and identifies an infiltration at the IV catheter site.
Identify the order the nurse should perform the following actions. Answer - 1.
Stop the infusion. 2. Remove the IV catheter. 3. Apply sterile dressing. 4.
Elevate the extremity. 5. Apply warm or cold compresses. (last two are
according to agency policy)
A nurse is preparing to administer an IM injection of meperidine to a client.
Which of the following is the priority assessment the nurse should complete?
Answer - Respiratory Rate
, A nurse at a provider's office is providing teaching to a client who is taking
chemotherapy and losing weight. Which of the following should the nurse
recommend to increase calorie and protein intake? SATA Answer - Top fruits
with yogurt.
Add cream to soups.
Use milk instead of water in recipes.
Dip meats in eggs and bread crumbs before cooking.
A nurse is teaching a client who reports insomnia about promoting rest and
sleep. Which of the following statements should the nurse identify as an
indication that the client understands instructions? Answer - "I will no longer
have a glass of wine before bedtime."
A nurse is teaching a client who has angina pectoris about starting therapy with
SL nitroglycerin tablets. The nurse should include which of the following
instructions regarding how to take the medication? Answer - "Take one tablet
at the first indication of chest pain."
A nurse finds an open vial of morphine lying on top of the cabinet in a clients
room. Which of the following actions should the nurse take? Answer - Report
the discrepancy immediately.
A nurse is caring for a client who has a prescription for a clear liquid diet.
Which of the following foods should the nurse allow the client to have?
Answer - Grape juice.
A nurse is preparing to initiate a continuous enteral feeding through an open
system to a client. Which of the following actions should the nurse take?
Answer - Discard unused formula after 8 hr.