QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADRED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
-The other 3 are incorrect because they are all something a nurse would do after assessing
The nurse is obtaining a history from a client who is experiencing pain. The nurse understands
that when assessing pain:
A. Some clients exaggerate pain
B. Pain is whatever the client says it is
C. Objective data is essential in assessing pain
D. Pain must have a source to justify the use of opioids - CORRECT ANSWER-B. Pain is whatever
the client says it is
A nurse is caring for a client who fell in an acute-care facility. Which actions should the nurse
take to decrease the risk of another fall? (Select all that apply)
A. Place a belt restraint on the client when sitting on a bedside commode
B. Keep the bed in its lowest position with all side rails up
C. Make sure that the client's call light is within reach
D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily - CORRECT ANSWER-C. Make sure that the client's call
light is within reach
, D. Provide the client with nonskid footwear
E. Complete a fall risk assessment daily
- A is incorrect because a RESTRAINT should never be used unless the patient is acting up
- B is incorrect because with all side rails being up the patient may try to climb over them and
injure themselves.
A nurse is planning care for a client who is on bed rest. Which intervention should the nurse
plan to implement?
A. Encourage the client to perform anti-embolic exercises hourly
B. Instruct the client to cough and deep breathe every 4 hrs
C. Restrict the client's fluid intake
D. Reposition the client every 4 hrs - CORRECT ANSWER-A. Encourage the client to perform anti-
embolic exercises hourly
-B is incorrect because they should perform respiratory exercises every 1-2hrs
-C is incorrect because you do not need to decrease fluids with bed rest
-D is incorrect because you should reposition the patient at least every 2 hours
What are the consequences of bed rest the nurse will tell the patient about? (Select all that
apply)
A. Pneumonia
B. Muscle atrophy
C. Loose bowels
D. Thrombus formation
E. Pressure ulcers
F. Renal calculi