2026 STUDY QUESTIONS WITH VERIFIED CORRECT
ANSWERS 100% GUARANTEED PASS | RATED A+
A nurse is caring for a client who is about to undergo exploratory surgery to remove a malignant
tumor and to determine the extent of any metastasis. The client tells the nurse that she is not
hopeful that she will recover and begins to cry. Which of the following responses should the
nurse make? - Answer>>> Sit quietly with the client and follow her cues.
A nurse is contributing to the plan of care for a client who has a pressure ulcer on his heel.
Which of the following information should the nurse include in the plan? - Answer>>> Provide
the client a diet high in vitamin C.
A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed
rest. Which of the following actions should the nurse take? - Answer>>> Reposition the client at
least every 2 hr.
A nurse is checking the apical pulse of a client who is taking several cardiovascular medications.
Which of the following actions should the nurse take? - Answer>>> Count the apical pulsations
for a full minute.
After signing an informed consent form, a client tells the nurse, "I have changed my mind and do
not want to have the procedure." Which of the following actions should the nurse take? -
Answer>>> Notify the surgeon that the client wishes to withdraw informed consent for the
procedure.
A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an
appendectomy. Which of the following actions requires the nurse to wear a gown as personal
protective equipment (PPE)? - Answer>>> Changing a wound dressing
A nurse is caring for a client who has a wound infection. Which of the following actions should
the nurse take when obtaining a wound drainage specimen for culture? - Answer>>> Cleanse the
wound with 0.9% sodium chloride irrigation before obtaining the specimen.
, A nurse is reviewing the laboratory values for a client who takes spironolactone and notes that
the client's serum potassium level is 6.8 mEq/L. The nurse notifies the provider and anticipates
that the provider will provide which of the following instructions? - Answer>>> Obtain a 12-
lead ECG.
A nurse is caring for a client receiving IV therapy in the left forearm and notices that the site is
red, swollen, and warm. Which of the following actions should the nurse perform first? -
Answer>>> Discontinue the existing IV infusion.
A nurse is reinforcing teaching with group of assistive personnel (AP) about hand hygiene.
Which of the following statements by an AP should the nurse identify as an indication that the
AP requires further teaching? - Answer>>> "As long as I change my gloves between clients, it is
not necessary to wash my hands."
A nurse is assisting with discharge of a client who is postoperative from a kidney transplant. The
nurse should instruct the client that which of the following is an indication of rejection -
Answer>>> Decreased urine output
A client who is about to undergo hip arthroplasty tells the nurse she is afraid of not receiving
adequate anesthesia during the procedure. Which of the following is an appropriate response? -
Answer>>> "Can you tell me more about this concern?"
A nurse is reinforcing preoperative teaching with a client who will undergo abdominal surgery.
The nurse explains that the client will wear antiembolism stockings after the procedure. When
the client asks what the stockings do, which of the following responses should the nurse make? -
Answer>>> "They'll improve your circulation to keep blood from pooling in your legs."
A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of
the following laboratory values should the nurse review to determine the client's renal function? -
Answer>>> Serum creatinine
A nurse is collecting data from a child and notes the presence of bruises on her arms and legs.
Which of the following actions should the nurse take first? - Answer>>> Obtain a detailed
history.