2026 Questions and Correct Detailed Answers Already
Graded A+
The new nurse has been oriented to the PACU and is caring for the client who had
general anesthesia. The charge nurse determines that the new nurse can correctly
position the client in the PACU when making which observation?
1. Assists the client to the prone position when the client is nauseated
2. Places the client in the Trendelenburg position when hypotensive
3. Positions the newly admitted client supine with the head elevated
4. Turns the client side lying when the client arrives in the PACU - CORRECT
ANSWER-4. The client should initially be placed in the lateral side-lying position
to keep the client's airway open and avoid aspiration
After working with the client, the UAP tells the nurse, "I have had it with that
demanding client. I just can't do anything that pleases him. I'm not going in there
again." Which should be the nurse's response?
1. "He has a lot of problems. You need to have patience when caring for him".
2. "It is your responsibility to accept your assignment. I will write you up if you
don't".
,3. "He may be scared and taking it out on you. Let's figure out what to do
together".
4. "Ignore him and get the rest of your work done. I can go in and check on him". -
CORRECT ANSWER-3. Offering to "figure out what to do together" uses
problem-solving, fosters team communication, and facilitates teamwork
The UAP's job responsibilities include checking vital signs every four hours,
completing morning care on assigned clients, assisting clients with activity,
answering lights, and totaling I&O records for clients at the end of an 8-hour shift.
Near the end of the shift, the LPN reports to the RN that the UAP has not
competed all of the morning care on assigned clients. Which is the RN's best
action?
1. Remind the UAP that the morning care needs to be completed as quickly as
possible
2. Notify the charge nurse that the UAP needs additional orientation on job
responsibilities
3. Complete and incident report on the UAP about the inability to complete
assigned tasks
4. Ask the UAP about morning care completed and the reasons for uncompleted
care - CORRECT ANSWER-4. Asking the UAP about care completed and the
reason for uncompleted AM care will help determine the UAP's understanding of
job responsibilities and any impeding factors and is the most appropriate action
to be taken by the nurse. The UAP's workload may have been too heavy
,The nurse is preparing to supervise the inexperienced LPN inserting a urinary
catheter. Which question by the nurse would best assess the LPN's knowledge
and skill about inserting a urinary catheter?
1. "How many times have you inserted a urinary catheter?"
2. "How would you perform insertion of a urinary catheter?"
3. "When was the last time you were observed inserting a urinary catheter?"
4. "When was the last time you inserted a urinary catheter?" - CORRECT
ANSWER-2. Having the LPN describe the procedure is one method of evaluating
the LPN's knowledge and skill. Using an open-ended question elicits conversation
and details
The nurse received a change-of-shift report on four assigned clients. In what order
should the nurse attend to the clients? Prioritize the nurse's actions by placing
each client in the correct order.
1. The 57-year-old client who was admitted 24 hours ago after being struck by
lightning and has a serum potassium level of 5.5 mEq/L
2. The 33-year-old client with a deep partial-thickness leg burn who has a
temperature of 102.8F, BP 98/66 mmHg, and P 114 bpm
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a
house fire who has been crying since recent visitors left
, 4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is
requesting a medication for pain rated at a 6 on the 0 - 10 scale. - CORRECT
ANSWER-2, 4, 1, 3
2. The 33-year-old client with a deep partial-thickness leg burn who has a
temperature of 102.8F, BP 98/66 mmHg, and P 114 bpm should be attended to
first. The elevated temperature, low BP, and tachycardia are signs that indicate
septic shock or sepsis may be developing.
4. The 58-year-old client who had a skin graft to a leg burn 6 hours ago and is
requesting a medication for pain rated at a 6 on a 0-10 scale should be attended
to next. Post-op pain control is needed to keep on top of the pain and enable the
client to be involved in post-op activities, such as coughing and deep breathing, to
prevent complications of bed rest
1. The 57-year-old client who was admitted 24 hours ago after being struck by
lightning and has a serum potassium level of 5.5 mEq/L should be attended to
third. The serum potassium level is borderline high (normal 3.5-5.5)
3. The 25-year-old client admitted 1 week ago with facial and chest burns from a
house fire who has been crying since recent visitors left can be attended to last
among the clients. The client needs emotional support, which is important to
recovery, but clients with physiological needs are priority.
The RN is leading a team of an NA and an LPN in the care of a group of clients.
Which tasks should the nurse assign to the NA and LPN?