2026/2027 WITH CORRECT DETAILED
ANSWERS ALREADY GRADED A+ PASS
GUARANTEED
A nurse is preparing a client for an elective mastectomy. The client is wearing a
plain gold wedding band. Which of the following is an appropriate procedure for
taking care of this client's ring? - ANSWER Place the client's ring in the facility
safe.
A nurse is prioritizing postpartum care for four clients. Which of the following
actions should the nurse take first? - ANSWER Check uterine tone for a client
who received methylergonovine- if the uterine tone is not
A hospice nurse is caring for a client who has a terminal illness and reports severe
pain. After the nurse administers the prescribed opioid and benzodiazepine, the
client becomes somnolent and difficult to arouse. Which of the following actions
should the nurse take? - ANSWER Continue the medication dosages that relieve
the client's pain
A nurse is observing an assistive personnel (AP) administer 0.9% sodium chloride
enema to an adult client. For which of the following actions by the AP should the
nurse intervene? - ANSWER Position the client on her left side with knees
flexed
, A nurse is providing information to a client about advance directives. The nurse
should explain that advance directives include which of the following? -
ANSWER Instructions regarding treatments the client desires or does not desire
- (living wills and durable power of attorney make up AD).
. A nurse on a medical-surgical unit is caring for four clients. The nurse should
recognize which of the following clients is the highest priority? - ANSWER A
client who has peripheral vascular disease and has an absent pedal pulse in the
right foot
A staff development nurse is giving an in-service presentation about advocacy in
nursing. Which of the following statements by a nurse indicates an understanding
of the role of a client advocate? - ANSWER "My role as a client advocate is to
empower the clients to make informed healthcare decisions."
.A nurse manager observes an assistive personnel (AP) incorrectly transferring a
client to the bedside commode. Which of the following actions should the nurse
take first? - ANSWER Refer the AP to the facility procedure manual.
A nurse at the local health department is caring for four clients who have
communicable diseases. Which of the following infections should the nurse report
to the state health department? - ANSWER Chlamydia trachomatis
A charge nurse witnesses two nurses having a loud discussion at the nurses' station
about not wanting to care for a client who has drug-resistant tuberculosis. Which of
the following actions should the charge nurse take? - ANSWER Escort the
nurses to the nurses' lounge to continue the discussion
, A newly licensed nurse is floating to an unfamiliar unit and determines that he
does not have sufficient experience to safely care for his assigned clients. Which of
the following actions should the nurse take? - ANSWER Request that the charge
nurse modify the assignment
A nurse is conducting an in-service about the nursing code of ethics with a group
of newly licensed nurses. Which of the following pieces of information should the
nurse include in the teaching as an example of advocacy? - ANSWER a.
Recommending a referral for a client who requires physical therapy
A charge nurse in the emergency department is supervising a nurse who is floating
from the medical- surgical unit. Which of the following assignments is appropriate
for the float nurse? - ANSWER Perform a urinary catheterization for a client
who has experienced a cerebrovascular accident.
A home health nurse is assessing the home environment during an initial visit to a
client who has a history of falls. Which of the following findings should the nurse
identify as increasing the client's risk for falls? (SATA) - ANSWER a. A folding
chair without armrests
b. A wheeled office chair at the client's computer desk
c. A throw rug covering some cracked vinyl flooring in the kitchen
A nurse in a long-term care facility should identify which of the following will
provide security for clients who have dementia? - ANSWER Setting alarms on
exits
, A nurse in the emergency department is preparing to care for a client who arrived
via ambulance. The client is disoriented and has a cardiac arrhythmia. Which of the
following actions should the nurse take? - ANSWER Proceed with treatment
without obtaining written consent (Implied Consent)
A nurse is reviewing the medication administration record of a client and notices
that an additional dose of medication has been administered. Which of the
following actions should the nurse take first? - ANSWER Observe the client "'s
condition
A nurse receives notification of a fire on the unit. Which of the following actions
should the nurse take first
A. assist the clients who are in the immediate danger to a safe location
B. close the doors and windows on the unit
C. attempt to extinguish the fire using an ABC extinguisher
D. discontinue the oxygen use for clients who can breathe without it -
ANSWER A
A charge nurse is observing a nurse perform a sterile dressing change for a client.
Which of the following actions should the charge nurse identify as demonstrating
sterile technique
A. the nurse places the sterile package with the top flap opening away from the
body
B. the nurse pinches the flap on the inside of the package first to open it
C. the nurse reaches over the package to open the left flap
D. the nurse pulls the last flap of the package away from the body - ANSWER A