EXAM PREPARATION PACK 2026 KEY
CONCEPTS AND REVISION NOTES
◉ A nurse enters a client's room and finders her on the floor. The
client's roommate reports that the client was trying to get out of bed
and fell over the side rail onto the floor. Which of the following
statements should the nurse document about the incident?
Answer: "Client found lying on floor"
◉ A nurse on a medical unit is preparing to discharge a client to
home. Which of the following actions should the nurse take as part
of the medication reconciliation process?
Answer: Compare prescriptions with medications the client received
while at the facility
◉ A nurse is caring for a client who requires an informed consent for
a surgical procedure. Which of the following actions is the nurse's
responsibility?
Answer: Witness the client's signature on the consent form
◉ A nurse is planning an educational program for a group of adults
at a senior living center. Which of the following recommendation
should the nurse include?
, Answer: "You should receive the pneumococcal vaccine when you
are 65 years old."
◉ A nurse is caring for a client who is refusing a blood transfusion
for religious reasons. The client's parter wants the client to have the
blood transfusion. Which of the following actions should the nurse
take?
Answer: Withhold the blood transfusion
◉ A nurse is admitting a client who had rubella. Which of the follow
types of transmission-based precautions should the nurse initiate?
Answer: Droplet
◉ A nurse is administering IV fluids to a client. When monitoring for
adverse effects, which of the following assessments should the nurse
identify as the priority?
Answer: Auscultate lung sounds
◉ A middle adult client tells the nurse, "I feel so useless now that my
children do not need me anymore." Which of the following responses
should the nurse make?
Answer: People in middle adulthood often find satisfaction in
nurturing and guiding young people