NURS 4006 EXAM 2026 ACTUAL SCRIPT
WITH ACCURATE ANSWERS GRADED A+
◉After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Answer: B
Rationale: After a needle stick, the needle is considered used, so the
nurse should discard it and select another needle. Because the
needle was sterile when the nurse was stuck and the needle was not
in contact with any other person's body fluids, the nurse does not
need to complete an incident report or notify the occupational
health nurse. Disinfecting a needle with an alcohol swab is not in
accordance with standards for safe practice and infection control.
◉When emptying 350 mL of pale yellow urine from a client's urinal,
the nurse notes that this is the first time the client has voided in 4
hours. Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
,C. Notify the health care provider of the findings.
D. Palpate the client's bladder for distention. Answer: A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
◉The nurse is preparing to administer 10 mL of liquid potassium
chloride through a feeding tube, followed by 10 mL of liquid
acetaminophen. Which action should the nurse include in this
procedure?
A. Dilute each of the medications with sterile water prior to
administration.
B. Mix the medications in one syringe before opening the feeding
tube.
C. Administer water between the doses of the two liquid
medications.
D. Withdraw any fluid from the tube before instilling each
medication. Answer: C
Rationale: Water should be instilled into the feeding tube between
administering the two medications to maintain the patency of the
feeding tube and ensure that the total dose of medication enters the
stomach and does not remain in the tube. These liquid medications
do not need to be diluted when administered via a feeding tube and
should be administered separately, with water instilled between
each medication.
,◉The nurse transcribes the postoperative prescriptions for a client
who returns to the unit following surgery and notes that an
antihypertensive medication that was prescribed preoperatively is
not listed. Which action should the nurse take?
A. Consult with the pharmacist about the need to continue the
medication.
B. Administer the antihypertensive medication as prescribed
preoperatively.
C. Withhold the medication until the client is fully alert and vital
signs are stable.
D. Contact the health care provider to renew the prescription for the
medication. Answer: D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current
prescription before administering any medications.
◉A client has a nasogastric tube connected to low intermittent
suction. When administering medications through the nasogastric
tube, which action should the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
, D. Turn off the intermittent suction device. Answer: D
Rationale: The nurse should first turn off the suction and then
confirm placement of the tube in the stomach before instilling the
medications. To prevent immediate removal of the instilled
medications and allow absorption, the tube should be clamped for a
period of time before reconnecting the suction.
◉The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to
identify placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity Answer: B
Rationale: The cephalic vein is large and superficial and identifies
the anatomic name of the vein that is accessed, which should be
included in the documentation. The basilic vein of the arm is used
for IV access, not the brachial vein, which is too deep to be accessed
for IV infusion. Although veins on the dorsal side of the right wrist
are visible, they are fragile and using them would be painful, so they
are not recommended for IV access. Option D is not specific enough
for documenting the location of the IV access.
◉The nurse is administering the 0900 medications to a client who
was admitted during the night. Which client statement indicates that
the nurse should further assess the medication order?
WITH ACCURATE ANSWERS GRADED A+
◉After a needle stick occurs while removing the cap from a sterile
needle, which action should the nurse implement?
A. Complete an incident report.
B. Select another sterile needle.
C. Disinfect the needle with an alcohol swab.
D. Notify the supervisor of the department immediately. Answer: B
Rationale: After a needle stick, the needle is considered used, so the
nurse should discard it and select another needle. Because the
needle was sterile when the nurse was stuck and the needle was not
in contact with any other person's body fluids, the nurse does not
need to complete an incident report or notify the occupational
health nurse. Disinfecting a needle with an alcohol swab is not in
accordance with standards for safe practice and infection control.
◉When emptying 350 mL of pale yellow urine from a client's urinal,
the nurse notes that this is the first time the client has voided in 4
hours. Which action should the nurse take next?
A. Record the amount on the client's fluid output record.
B. Encourage the client to increase oral fluid intake.
,C. Notify the health care provider of the findings.
D. Palpate the client's bladder for distention. Answer: A
Rationale: The amount and appearance of the client's urine output is
within normal limits, so the nurse should record the output, but no
additional action is needed.
◉The nurse is preparing to administer 10 mL of liquid potassium
chloride through a feeding tube, followed by 10 mL of liquid
acetaminophen. Which action should the nurse include in this
procedure?
A. Dilute each of the medications with sterile water prior to
administration.
B. Mix the medications in one syringe before opening the feeding
tube.
C. Administer water between the doses of the two liquid
medications.
D. Withdraw any fluid from the tube before instilling each
medication. Answer: C
Rationale: Water should be instilled into the feeding tube between
administering the two medications to maintain the patency of the
feeding tube and ensure that the total dose of medication enters the
stomach and does not remain in the tube. These liquid medications
do not need to be diluted when administered via a feeding tube and
should be administered separately, with water instilled between
each medication.
,◉The nurse transcribes the postoperative prescriptions for a client
who returns to the unit following surgery and notes that an
antihypertensive medication that was prescribed preoperatively is
not listed. Which action should the nurse take?
A. Consult with the pharmacist about the need to continue the
medication.
B. Administer the antihypertensive medication as prescribed
preoperatively.
C. Withhold the medication until the client is fully alert and vital
signs are stable.
D. Contact the health care provider to renew the prescription for the
medication. Answer: D
Rationale: Medications prescribed preoperatively must be renewed
postoperatively, so the nurse should contact the health care provider
if the antihypertensive medication is not included in the
postoperative prescriptions. The pharmacist does not prescribe
medications or renew prescriptions. The nurse must have a current
prescription before administering any medications.
◉A client has a nasogastric tube connected to low intermittent
suction. When administering medications through the nasogastric
tube, which action should the nurse do first?
A. Clamp the nasogastric tube.
B. Confirm placement of the tube.
C. Use a syringe to instill the medications.
, D. Turn off the intermittent suction device. Answer: D
Rationale: The nurse should first turn off the suction and then
confirm placement of the tube in the stomach before instilling the
medications. To prevent immediate removal of the instilled
medications and allow absorption, the tube should be clamped for a
period of time before reconnecting the suction.
◉The nurse selects the best site for insertion of an IV catheter in the
client's right arm. Which documentation should the nurse use to
identify placement of the IV access?
A. Left brachial vein
B. Right cephalic vein
C. Dorsal side of the right wrist
D. Right upper extremity Answer: B
Rationale: The cephalic vein is large and superficial and identifies
the anatomic name of the vein that is accessed, which should be
included in the documentation. The basilic vein of the arm is used
for IV access, not the brachial vein, which is too deep to be accessed
for IV infusion. Although veins on the dorsal side of the right wrist
are visible, they are fragile and using them would be painful, so they
are not recommended for IV access. Option D is not specific enough
for documenting the location of the IV access.
◉The nurse is administering the 0900 medications to a client who
was admitted during the night. Which client statement indicates that
the nurse should further assess the medication order?
