DETAILED ANSWERS/NEWEST UPDATE 2026!!!
A nurse is assessing a preschooler who has a urinary tract infection (UTI). Which of the
following findings should the nurse expect?
1. Diarrhea
2. Abdominal pain
3. Increased thirst
4. Skin rash - (Correct Answer)-Abdominal Pain
Rat: The nurse should expect a preschooler who has a UTI to experience abdominal pain. Other
manifestations include constipation, dysuria, foul-smelling urine, and fever.
A nurse is counseling a client who has a family history of colorectal cancer about management of
nutrition to help prevent gastrointestinal (GI) cancers. Which of the following images indicates a
food or beverage the nurse should encourage the client to include liberally in his diet? - (Correct
Answer)-Fruits and Veggies
Rat: To help reduce the risk of cancers of the GI system, the nurse should instruct the client to
consume at least 2.5 cups of fruits and vegetables per day.
A nurse is preparing to extinguish a small fire in a clients room. Which of the following actions
should the nurse take when using the fire extinguisher?
1. Aim the fire extinguisher at the top of the flames.
2. Pump the handles of the fire extinguisher up and down three times.
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3. Sweep the fire extinguisher in a circular motion until the fire is extinguished.
4. Slide the pin on top of the fire extinguisher straight out. - (Correct Answer)-Slide the pin on
top of the fire extinguisher straight out.
Rat: The nurse should pull the pin on the top of the fire extinguisher to allow for use to
extinguish the fire.
A nurse is caring for a child who has celiac disease. Which of the following items should the
nurse remove from the child's meal tray?
1. Corn-flake cereal
2. Orange juice
3. Scrambled eggs
4. Oatmeal with raisins - (Correct Answer)-Oatmeal with raisins
Rat: Celiac disease is the intolerance to dietary gluten, which is a protein in wheat, rye, oats, and
barley. This intolerance causes diarrhea, weight loss, abdominal pain, and fatigue. Therefore, the
nurse should remove oatmeal from the child's meal tray.
A nurse at a providers office is counseling a client who reports insomnia. Which of the following
statements should the nurse make to include the clients preferences into a sleep promotion plan?
1. "If alcoholic beverages are desired, consume them in the early evenings"
2. "Sleep in the location of your home where you feel your rest best"
3. "Turn on a favorite television show just before going to bed"
4. "Allow your sleep and wake times to vary depending on how you feel each day" - (Correct
Answer)-"Sleep in the location of your home where you feel your rest best"
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Rat: The nurse should encourage the client to sleep wherever she feels she gets the most rest,
whether it be a bed, couch, or chair.
A nurse is assessing the spiritual wellbeing and development of a preschooler. The nurse asks the
preschooler, "Why is it wrong to kick our baby sister?" Which of the following responses should
the nurse expect?
1. "It's not wrong because she made me mad."
2. "It's wrong because my dad said I can't kick her."
3. "It's wrong to kick her because the gods won't like it."
4. "It's wrong because she would get hurt and be sad." - (Correct Answer)-"It's wrong because
my dad said I can't kick her."
Rat: The nurse should expect the preschooler to be motivated to choose right from wrong
because of rules taught to him by his parents. The nurse should understand that, even though the
preschooler might know the rules, he is not yet able to understand the rationale for the rules.
A nurse in a long term care facility is admitting a new client following a brief stay in acute care.
In adherence with the Joint Commission National Patient Safety Goals regarding medication
administration, which of the following actions should the nurse take?
A. Inform the client that he will not be receiving the medications he took prior to his
hospitalization.
B. Compare a list of the client's current medications with the ones he will take in long-term care.
C. Eliminate any over-the-counter products from the client's current medication list.
D. Omit the medication indications when listing the client's medication dose information. -
(Correct Answer)-Compare a list of the client's current medications with the ones he will take in
long-term care.
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Rat: The Joint Commission National Patient Safety Goals regarding medication reconciliation
includes maintaining and communicating accurate client medication information. The nurse
should complete a medication reconciliation to identify and resolve any discrepancies by
comparing the client's list of current medications with the medications he will take in the long-
term care facility and addressing any duplications, omissions, or interactions.
A nurse is caring for a client who is 2 days postoperative following an above-the-knee
amputation. The client states he is experiencing a dull, burning pain in the leg that was
amputated. Which of the following actions should the nurse take to treat the client's neuropathic
pain?
A. Inform the client that phantom limb pain is not real.
B. Administer a beta-blocking medication to the client.
C. Place the client on a soft mattress.
D. Loosen the bandage on the client's residual limb. - (Correct Answer)-Administer a beta-
blocking medication to the client
Rat: The nurse should administer a beta-blocking medication to the client. This classification of
medication has been shown to relieve the phantom limb pain manifestations of constant dull and
burning type pain.
A nurse is teaching the parent of a toddler about home injury prevention. When discussing
snacks, which of the following statements by the parent indicates an understanding of the
teaching?
1. "I can offer her grapes as long as I peel them first."
2. "I can give her watermelon pieces after I remove the seeds."
3. "I should give her popcorn that is air-popped and without salt or butter."
4. "I should cut hot dogs into thin, round slices before giving them to her." - (Correct Answer)-"I
can give her watermelon pieces after I remove the seeds."