EXAM 2
VERSIONS EACH WITH 70 QUESTIONS AND NGN
QUESTIONS 2019 UPDATED 0N APRIL 2026 GRADED
A+
1. A nurse is preparing to administer diphenhydramine 20 mg orally to a 6-year-old
child who has difficulty swallowing pills. Available is diphenhydramine 12.5mg/5ml
oral syrup. Which of the following images indicates the correct number of mL the
nurse should administer? (round answer to the nearest whole number.)
Should be the first syringe 8ml
,1. A nurse is conducting a health assessment for a client who takes herbal supplements.
Which of the following statements by the client indicates an understanding of the use of
the supplements?
A. I take ginkgo biloba for a headache
B. I take echinacea to control my cholesterol
C. I use ginger when I get car sick
D. I use garlic for my menopausal symptoms
2. A nurse is caring for a client who has influenza and isolation precautions in place. Which
of the following actions should the nurse take to prevent the spread of infection?
A. Wear a mask when working within 3 feet of the client
B. Administer metronidazole
C. Don protective eyewear before entering the room.
D. Place the client in a negative airflow room.
3. A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his
NG tube. Which of the following actions should the nurse take?
A. Attach the restraints securely to the side rails of the client's bed.
B. Apply the restraints to allow as little movement as possible
C. Allow room for two fingers to fit between the clients skin and the restraints
D. Remove the restraints every 4 hr.
4. A nurse is admitting a client who has tuberculosis. Which of the following types of
transmission precautions should the nurse plan to initiate?
A. Droplet
B. Airbornes
C.Protective environment
D.Contact
5. A nurse in a well-child clinic receives a telephone call from a parent who states that their
child accidentally swallowed paint thinner. The child is awake and alert. Which of the
following responses should the nurse make?
A. Have your child drink one large glass of water.
B. Hang up and call a poison control center hotline.
C. Bring your child into the clinic later today.
6. A nurse receives a call from a parent whose child has ingested a small amount of
dish soap. The child is awake and alert. Which response should the nurse make?
A. "Induce vomiting immediately."
B. "Give your child a glass of milk."
C. "Call poison control for further instructions."
D. "Bring your child to the emergency department right now."
,Correct answer: C "Call poison control for further instructions."
Examiners notes For non-life-threatening ingestions, poison control should be contacted
first. Inducing vomiting is no longer routinely recommended.
7. enting in a client's medical record. Which of the following entries should the nurse
record?
A. "Client appeared anxious during the procedure."
B. "Client seemed to be in pain after walking."
C. "Client states, 'I feel dizzy when I stand up.'"
D. "Client was upset about the diagnosis."
Correct answer: C "Client states, 'I feel dizzy when I stand up.'"
Examiners notes Documentation should be objective and include direct quotes of client
statements. Avoid subjective interpretations like "appeared anxious" or "seemed in pain."
8. A nurse is providing oral care for an unconscious client. Which action should the
nurse take?
A. Place the client supine with a small pillow
B. Use lemon-glycerin swabs to moisten the mouth
C. Suction oral secretions as needed
D. Apply petroleum jelly to the lips after care
Correct answer: C Suction oral secretions as needed
Examiners notes Unconscious clients are at risk for aspiration; suctioning prevents choking.
Side-lying position is safest. Lemon-glycerin swabs dry mucous membranes; water-based
lubricant is better.
9. A nurse is reviewing potential legal issues. Which situation is an example of
battery?
A. A nurse performs a procedure after the client refused consent
B. An AP discusses a client's diagnosis in the elevator
C. A nurse forgets to give a prescribed antibiotic
D. A client is prevented from leaving the facility against medical advice
, Correct answer: A A nurse performs a procedure after the client refused consent
Examiners notes Battery is intentional, unconsented touching. Performing a procedure
after refusal is battery. Option D is false imprisonment if no legal hold exists.
10. A nurse is collecting a stool specimen for occult blood testing. Which action should
the nurse take?
A. Collect the specimen from the toilet bowl
B. Wear sterile gloves during collection
C. Obtain a sample from two different areas of the stool
D. Refrigerate the specimen immediately
Correct answer: C Obtain a sample from two different areas of the stool
Examiners notes Take samples from two different areas to increase accuracy. Clean gloves
(not sterile) are sufficient. Do not contaminate with toilet water or urine.
11. A nurse is assessing an older adult client. Which finding should the nurse expect?
A. Increased sensitivity to touch
B. Decreased sense of taste
C. Increased deep tendon reflexes
D. Decreased time to fall asleep
Correct answer: B Decreased sense of taste
Examiners notes Normal aging includes decreased taste and smell, decreased night sleep,
increased pain threshold, and unchanged or decreased reflexes.
12. A nurse is teaching a client about colostomy care. Which instructions should the
nurse include? (Select all that apply)
A. "Clean the stoma with mild soap and water."
B. "Expect the stoma to be dark purple initially."
C. "Change the pouch immediately after it becomes half full."
D. "Cut the pouch opening no more than 1/8 inch larger than the stoma."
E. "Apply a skin barrier around the stoma before attaching the pouch."