REVISION HANDBOOK 2026 INFECTION
CONTROL SAFETY AND NURSING PROCESS
◉ a nurse is caring for a client who reports pain. when documenting
the quality of the client's pain on an initial pain assessment, the
nurse should record which of the following client statements?
Answer: the pain is like a dull ache in my stomach
◉ a nurse is reviewing practice guidelines with a group of newly
licensed nurses. which of the following interventions should the
nurse include that is within the RN scope of practice?
Answer: initiate an enteral feeding through a gastrostomy tube
◉ A client who is nonambulatory notifies the nurse that his trash
can is on fire. After the nurse confirms the fire, which of the
following actions should the nurse take next?
Answer: evacuate the client
◉ a nurse is discussing the use of herbal supplements for health
promotion with a client. which of the following client statements
indicates an understanding of herbal supplement use?
Answer: i can take echinacea to improve my immune system
, ◉ a nurse enters a client's room and finds 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 this incident?
Answer: client found lying on floor
◉ a nurse is performing a Romberg test during the physical
assessment of a client. which of the following techniques should the
nurse use?
Answer: have the client stand with their arms at their sides and their
feet together
◉ a nurse is teaching a client whose left leg is in a cast about using
crutches. which of the following statements should the nurse
identify as an indication that the client understands the teaching?
Answer: when descending the stairs, i will first shift my weight to
my right leg
◉ a nurse is preparing to administer multiple medications to a client
who has an enteral feeding tube. which of the following actions
should the nurse plan to take?
Answer: flush the tube with 15 mL of sterile water