ANSWERS 2026
Correct
Incorrect
1 of 101
Definition
1. C- The incident report should contain the client's name, age, and
diagnosis. The report should contain a factual description of the
incident, any injuries experienced by those involved, and the outcome
of the situation. The correct option is the only one that describes the
facts as observed by the nurse. Options 1, 2, and 4 are interpretations
of the situation and are not factual information as observed by the
nurse.
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The nurse hears a client calling out for help, hurries down the hallway to the
client's room, and finds the client lying on the floor. The nurse performs an
assessment, assists the client back to bed, notifies the health care provider of
the incident, and completes an incident report. Which statement should the
nurse document on the incident report?
a. The client fell out of bed
, b. The client climbed over the side rails
c. The client was found lying on the floor
d. The client became restless and tried to get out of bed.
Which nursing actions could result in malpractice? Select all that apply
1. Learns about a new piece of equipment
2. Forgets to complete the assessment of a client
3. Does not follow up on client's complaints.
4. Charts client's drug allergies5. Questions primary care provider about an illegible
order
Which desired outcome written by the nurse is correctly written and measurable?
A. Client will have a normal bowel pattern by April 2
B. The client will lose 4 lbs. within next 2 weeks
C. The nurse will provide skin care at least 3 times each day
D. The client will breathe better after resting for 10 minutes
A desired outcome for a client immobilized in a long leg cast reads; Client will state
three signs of impaired circulation prior to discharge. When the nurse evaluates the
client's progress, the client is able to state that numbness and tingling are signs of
impaired circulation. What would be an appropriate evaluation statement for the
nurse to write?
A. Client understands the signs of impaired circulation
B. Goal met: Client cited numbness and tingling as sign of impaired circulation
C. Goal not met: Client able to name only two signs of impaired circulation
D. Goal not met: Client unable to describe signs of impaired circulation
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2 of 101
,Definition
ANS: B
Learning is the purposeful acquisition of new knowledge, attitudes,
behaviors, and skills. Complex patterns are required if the patient is to
learn new skills, change existing attitudes, transfer learning to new
situations, or solve problems. A new mother exhibits learning when she
demonstrates how to bathe her newborn. A nurse presenting
information and a primary care provider handing a pamphlet to a
patient are examples of teaching. A family member listening to a
lecture does not indicate that learning occurred; a change in
knowledge, attitudes, behaviors, and/or skills must be evident.
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What ethical principle below is accurately paired with a way that ethical principle is
applied into nursing practice?
A. Justice: Equally dividing time and other resources among a group of clients
B. Beneficence: Doing no harm during the course of nursing care
C. Veracity: Fully answering the client's questions without any withholding of
information
D. Fidelity: Upholding the American Nurses Association's Code of Ethics
A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis
should receive the highest priority at this time?
A. Impaired gas exchange related to increased blood flow
B. Fluid volume excess related to peripheral vascular disease
C. Risk for injury related to edema
D. Altered peripheral tissue perfusion related to venous congestion
, Which nursing action is most appropriate for assessing a patient's learning needs?
a. Assess the patient's total health care needs.
b. Assess the patient's health literacy.
c. Assess all sources of patient data.
d. Assess the goals of patient care.
Which action best indicates that learning has occurred?
a. A nurse presents information about diabetes.
b. A patient demonstrates how to inject insulin.
c. A family member listens to a lecture on diabetes.
d. A primary care provider hands a diabetes pamphlet to the patient.
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3 of 101
Term
Which learning objective/outcome has the highest priority for a patient
with life-threatening, severe food allergies that require an EpiPen
(epinephrine)?
a. The patient will administer epinephrine.
b. The patient will identify the main ingredients in several foods.
c. The patient will list the side effects of epinephrine.
d. The patient will learn about food labels.
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