HANDBOOK 2026 SAFETY INFECTION
CONTROL AND COMMUNICATION SKILLS
◉ a nurse is verifying ng tube placement by the pH of aspirated
gastric fluid. which of the following pH values provides a good
indication of correct tube placement?
Answer: 2
(pH between 0-4)
◉ a nurse is caring for a client with a closed head injury. when
pressure is applied to the client's nail beds, the clients eyes open and
adduction of the arms with flexion of the elbows and wrists is noted.
the client also moans with stimulation, what is the GCS?
Answer: 7
eye opening 1-4
verbal 1-5
motor 1-6
◉ a nurse should teach which of the following clients requiring
crutches about how to use a three point gait?
,Answer: a client who has a R femur fracture with no weight bearing
on the affected leg
(bears all weight on one foot, then both shoulders on crutches, and
uninvolved leg, the affected leg does not touch the ground)
◉ a nurse is providing teaching about the Mediterranean diet to a
client newly who has a new diagnosis of hypertension. what
statement indicates need for further teaching?
Answer: i will limit my intake of red meat to 2x weekly
(should be limited to 2x monthly)
◉ a nurse is providing dietary education to a client with
cholecystitis who has been prescribed a low-fat diet. which of the
following meal selections by the client indicates understanding of
education?
Answer: roast turkey, rice pilaf, green beans
◉ a client with cystocele is encouraged to exercise to strengthen
pelvic floor muscles and prevent pelvic organ prolapse. What
exercise will the client need to perform
Answer: Kegals
, (reduce pelvic prolapse and stress urinary incontinence)
◉ a nurse is caring for an older adult client with delirium. which
intervention will most likely reduce the client's risk for falls?
Answer: hourly rounding by the nurse
◉ a nurse is caring for a client who has been prescribed furosemide.
which of the following foods should the nurse encourage this to
include in his diet?
Answer: oranges
(along with dried fruits, tomatoes, avocados, dried peas, meats,
broccoli, bananas are good for a potassium wasting diuretic)
◉ a menopausal client is having difficulty getting to sleep and asks
what actions she should incorporate in her daily routine to promote
sleep. the nurse would encourage, which of the below measures to
promote sleep?
Answer: limit alcohol and nicotine prior to bedtime
(at least 4 hours)