Questions And
Answers With 2026 Solutions
A nurse is caring for a client who is recovering from a stroke. The
provider reco mmends
an extracranial - intracranial bypass, but the client tells the nurse
that he will not have the
surgery. Which of the following actions should the nurse take?
- Inform the client of the consequences of decreased cerebral
circulation
- Initiate a mental health consultation to determine why the client
refuses the surgery
- Discuss the client's concerns about having the surgery
- Provide the client with information on additional treatment options
✔✔ Discuss the
client's concerns about having the surgery
A nur se on a quality improvement team is implementing a plan to
decrease the rate of
pressure injuries in a LTC facility. Which of the following actions
should the team take to
evaluate the effectiveness of the plan?
- Compare data from clients' records regardin g skin integrity with
established criteria
- Measure staff attendance at an educational program on managing
pressure injuries
,- Interview clients regarding their satisfaction with their care
- Monitor use of supplies used to prevent pressure injuries ✔✔
Compar e data from
clients' regarding skin integrity with established criteria
A nurse asks a newly hired assistive personnel to remove a client's
indwelling catheter.
Which of the following actions should the nurse take to ensure they
are qualified to
perform t his task?
- Show them how to remove an indwelling catheter
- Review their skill competency checklist
- Ask them if they know how to remove an indwelling catheter
- Pair the newly hired AP with an experienced AP ✔✔ Review
their skill competency
checklist
A nurse is caring for 4 clients. Which of the following assessment
findings is the priority?
- A client who has facial drooping following a stroke 8hrs ago
- A client who has a femur fracture and reports feeling short of
breath
- A client who had an appendect omy 12hr ago and reports pain as 5
- A client who had an open cholecystectomy 4 days ago and has
serosanguineous
drainage on the wound dressing ✔✔ A client who has a femur
fracture and reports
feeling short of breath
, A home health nurse is planning her dai ly visits and receives labs for
4 clients. The
nurse should first visit the client who has which of the following labs?
- Digoxin 1.0 ng/mL
- WBC 6,000
- Platelets 100,000
- Serum potassium 4.0 ✔✔ Platelets 100,000 (answered wrong,
put dig)
A nurse is assignin g care for 4 clients. Which of the following tasks
should the nurse
plan to delegate to an assistive personnel?
- Instruct a client how to take their BP
- Administer subcutaneous medications to a client
- Determine a client's I/O
- Provide a status update to a client's family member ✔✔
Determine a client's I/O
A client who has back pain presents to an ED and is provided a
prescription for
oxycodone. A staff nurse tells the charge nurse that they think the
client is seeking
drugs and is not actually in distress. Which of the following
responses should the charge
nurse make?
- It sounds like nonpharmacological interventions would be best for
this client