NURS 168 COMPREHENSIVE SCRIPT 2026
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ The nurse is assessing several clients prior to surgery. Which
factor in a client's history poses the greatest threat for complications
to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months. Answer: B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which
can pose a threat for the development of surgical complications. The
health care provider should be informed that the client is taking
these drugs. Although clients who take birth control pills may be
more susceptible to the development of thrombi, such problems
usually occur postoperatively. A client with option C or D is at less of
a surgical risk than with option B.
◉ When assisting a client from the bed to a chair, which procedure is
best for the nurse to follow?
,A. Place the chair parallel to the bed, with its back toward the head
of the bed and assist the client in moving to the chair.
B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair.
C. Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D. Stand beside the client, place the client's arms around the nurse's
neck, and gently move the client to the chair. Answer: B
Rationale: Option B describes the correct positioning of the nurse
and affords the nurse a wide base of support while stabilizing the
client's knees when assisting to a standing position. The chair
should be placed at a 45-degree angle to the bed, with the back of
the chair toward the head of the bed. Clients should never be lifted
under the axillae; this could damage nerves and strain the nurse's
back. The client should be instructed to use the arms of the chair and
should never place his or her arms around the nurse's neck; this
places undue stress on the nurse's neck and back and increases the
risk for a fall.
◉ Which step(s) should the nurse take when administering ear
drops to an adult client? (Select all that apply.)
A. Place the client in a side-lying position.
B. Pull the auricle upward and outward.
C. Hold the dropper 6 cm above the ear canal.
D. Place a cotton ball into the inner canal.
,E. Pull the auricle down and back. Answer: A, B
Rationale: The correct answers (A and B) are the appropriate
administration of ear drops. The dropper should be held 1 cm (½
inch) above the ear canal (C). A cotton ball should be placed in the
outermost canal (D). The auricle is pulled down and back for a child
younger than 3 years of age, but not an adult (E).
◉ The nurse is instructing a client in the proper use of a metered-
dose inhaler. Which instruction should the nurse provide the client
to ensure the optimal benefits from the drug?
A. "Fill your lungs with air through your mouth and then compress
the inhaler."
B. "Compress the inhaler while slowly breathing in through your
mouth."
C. "Compress the inhaler while inhaling quickly through your nose."
D. "Exhale completely after compressing the inhaler and then
inhale." Answer: B
Rationale: The medication should be inhaled through the mouth
simultaneously with compression of the inhaler. This will facilitate
the desired destination of the aerosol medication deep in the lungs
for an optimal bronchodilation effect. Options A, C, and D do not
allow for deep lung penetration.
◉ A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
, that it is harmful to bathe during my period." Which action should
the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation
with the client. Answer: D
Rationale: Because a shower is most beneficial for the client in terms
of hygiene, the client should receive teaching first, respecting any
personal beliefs such as cultural or spiritual values. After client
teaching, the client may still choose option A or B. Brochures
reinforce the teaching.
◉ While reviewing the side effects of a newly prescribed medication,
a 72-year-old client notes that one of the side effects is a reduction
in sexual drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." Answer: A
Rationale: Option A offers an open-ended question most relevant to
the client's statement. Option B does not offer the client the
opportunity to express concerns. Options C and D are even less
relevant to the client's statement.
QUESTIONS AND ANSWERS GUARANTEED TO
PASS
◉ The nurse is assessing several clients prior to surgery. Which
factor in a client's history poses the greatest threat for complications
to occur during surgery?
A. Taking birth control pills for the past 2 years
B. Taking anticoagulants for the past year
C. Recently completing antibiotic therapy
D. Having taken laxatives PRN for the last 6 months. Answer: B
Rationale:
Anticoagulants increase the risk for bleeding during surgery, which
can pose a threat for the development of surgical complications. The
health care provider should be informed that the client is taking
these drugs. Although clients who take birth control pills may be
more susceptible to the development of thrombi, such problems
usually occur postoperatively. A client with option C or D is at less of
a surgical risk than with option B.
◉ When assisting a client from the bed to a chair, which procedure is
best for the nurse to follow?
,A. Place the chair parallel to the bed, with its back toward the head
of the bed and assist the client in moving to the chair.
B. With the nurse's feet spread apart and knees aligned with the
client's knees, stand and pivot the client into the chair.
C. Assist the client to a standing position by gently lifting upward,
underneath the axillae.
D. Stand beside the client, place the client's arms around the nurse's
neck, and gently move the client to the chair. Answer: B
Rationale: Option B describes the correct positioning of the nurse
and affords the nurse a wide base of support while stabilizing the
client's knees when assisting to a standing position. The chair
should be placed at a 45-degree angle to the bed, with the back of
the chair toward the head of the bed. Clients should never be lifted
under the axillae; this could damage nerves and strain the nurse's
back. The client should be instructed to use the arms of the chair and
should never place his or her arms around the nurse's neck; this
places undue stress on the nurse's neck and back and increases the
risk for a fall.
◉ Which step(s) should the nurse take when administering ear
drops to an adult client? (Select all that apply.)
A. Place the client in a side-lying position.
B. Pull the auricle upward and outward.
C. Hold the dropper 6 cm above the ear canal.
D. Place a cotton ball into the inner canal.
,E. Pull the auricle down and back. Answer: A, B
Rationale: The correct answers (A and B) are the appropriate
administration of ear drops. The dropper should be held 1 cm (½
inch) above the ear canal (C). A cotton ball should be placed in the
outermost canal (D). The auricle is pulled down and back for a child
younger than 3 years of age, but not an adult (E).
◉ The nurse is instructing a client in the proper use of a metered-
dose inhaler. Which instruction should the nurse provide the client
to ensure the optimal benefits from the drug?
A. "Fill your lungs with air through your mouth and then compress
the inhaler."
B. "Compress the inhaler while slowly breathing in through your
mouth."
C. "Compress the inhaler while inhaling quickly through your nose."
D. "Exhale completely after compressing the inhaler and then
inhale." Answer: B
Rationale: The medication should be inhaled through the mouth
simultaneously with compression of the inhaler. This will facilitate
the desired destination of the aerosol medication deep in the lungs
for an optimal bronchodilation effect. Options A, C, and D do not
allow for deep lung penetration.
◉ A 20-year-old female client with a noticeable body odor has
refused to shower for the last 3 days. She states, "I have been told
, that it is harmful to bathe during my period." Which action should
the nurse take first?
A. Accept and document the client's wish to refrain from bathing.
B. Offer to give the client a bed bath, avoiding the perineal area.
C. Obtain written brochures about menstruation to give to the client.
D. Teach the importance of personal hygiene during menstruation
with the client. Answer: D
Rationale: Because a shower is most beneficial for the client in terms
of hygiene, the client should receive teaching first, respecting any
personal beliefs such as cultural or spiritual values. After client
teaching, the client may still choose option A or B. Brochures
reinforce the teaching.
◉ While reviewing the side effects of a newly prescribed medication,
a 72-year-old client notes that one of the side effects is a reduction
in sexual drive. Which is the best response by the nurse?
A. "How will this affect your present sexual activity?"
B. "How active is your current sex life?"
C. "How has your sex life changed as you have become older?"
D. "Tell me about your sexual needs as an older adult." Answer: A
Rationale: Option A offers an open-ended question most relevant to
the client's statement. Option B does not offer the client the
opportunity to express concerns. Options C and D are even less
relevant to the client's statement.
