2026 Questions and Correct Detailed Answers Already
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A nurse is caring for a client who is scheduled for a masectomy. The client tells the
nurse, "I'm not sure I want to have a mastectomy." Which of the following
statements should the nurse make?
a. "I can give you a list of other people who had the same procedure"
b. "you will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "you should get a second opinion regarding the procedure" - CORRECT
ANSWER-c. "I can give you additional information about the procedure"
A nurse is preparing to administer a unit of packed RBCs to a client who is anemic.
Identify the sequence of steps the nurse should follow:
a. verify blood compatibility with another nurse
b. obtain venous access using 19-gauge needle
c. obtain the unit of packed RBCs from blood bank
d. remain with client for the first 15 to 30 minutes of infusion
e. Initiate transfusion of the unit of packed RBCs - CORRECT ANSWER-B, C, A,
E, D
,A nurse is preparing a teaching plan for a client who has mucositis related to
chemotherapy treatment. Which of the following instructions should the nurse
include?
a. "rinse your mouth with hydrogen peroxide"
b. "brush your teeth for 60 seconds twice daily"
c. "wear your dentures only during meals"
d. "floss your teeth following meals" - CORRECT ANSWER-d. "floss your teeth
following meals"
A critical care nurse is assessing a client who has severe head injury. In response
to painful stimuli, the client does not open her eyes, dispays decerebrate
posturing, and makes incomprehensible sounds. Which of the following Glasgow
Coma Scale scores should the nurse assign the client?
a. 5
b. 2
c. 13
d. 10 - CORRECT ANSWER-a. 5
,A nurse is providing discharge teaching to a client who has heart failure and
instucts him to limit sodium intake to 2g per day. Which of the following
statements by the client indicates an understanding of the teaching?
a. I can season my foods with garlic and onion salts
b. I can have mayonnaise on my sandwhiches
c. I can have frozen fruit juice bar for dessert
d. I can drink vegetable juice with a meal - CORRECT ANSWER-c. I can have
frozen fruit juice bar for dessert
A nurse in an emergency department is preparing to perform ocular irrigation for
a client. Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5in) above the eye
d. Perform the irrigation with sterile water for irrigation - CORRECT ANSWER-
d. perform the irrigation with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at
200 ml/hr. The IV tubing has a drop factor of 10 drops / mL. How many gtt/min
should the nurse set the IV pump to administer? Round to the nearest whole
number - CORRECT ANSWER-33 gtt/min
, A nurse is providing discharge teaching to a client who has a new prescription for
sublingual nitroglycerin. Which of the following client statements indicates an
understanding of the teaching?
a. I can keep my medications for 1 year before replacing it.
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache.
d. I can take up to 5 tablets in 15 minutes before seeking medical attention -
CORRECT ANSWER-b. I should lie down when I take this medication
M/S c. 31/p. 201 "Stop activity and rest. Heachace is a common AE of this
medication, change positions slowly"
A nurse is providing discharge teaching to an older adult following a left total hip
arthroplasty. Which of the follwoing instructions should the nurse include in the
teaching?
a. clean the incision daily with hydrogen peroxid
b. you can cross your legs and the ankles when sitting down
c. you should use an incentive spirometer every 8 hours
d. install a raised toilet in your bathroom - CORRECT ANSWER-d. install a
raised toilet in your bathroom