NURS 5335 STUDY GUIDE 2026
COMPREHENSIVE ADVANCED NURSING
QUESTIONS AND SOLUTIONS
◉ . a nurse is assessing a client who is immobile and notices a red
area over the client's coccyx. Which of the following actions should
the nurse take?
Answer: Assess the red area for blanching
◉ . a nurse is preparing to insert an iv catheter for a client following
a right mastectomy. Which of the following veins should the nurse
select when initiating an IV therapy?
Answer: The cephalic vein in the left distal forearm
◉ a nurse is preparing to administer a medication into a client by
the intradermal route after applying gloves and cleaning the site
with an antiseptic swab. In what order should the nurse take the
steps to administer the medication? (move steps into box 1- 4
priority)
Answer:
,◉ . a nurse is providing teaching to a client about colorectal cancer
prevention guidelines. Which of the following recommendations
should the nurse include?
Answer: Reduce intake of red meats
◉ a nurse is planning care to prevent skin breakdown for a client
who is immobile and is urinary incontinent. Which of the following
actions should the nurse include in the plan of care?
Answer: Request a prescription for an indwelling urinary catheter
◉ a nurse is preparing to apply a condom catheter for a client who is
uncircumcised which of the following actions should the nurse plan
to take?
Answer: Place adhesive tape directly on the penis
◉ a nurse is teaching a client who had an enucleation about care of
an artificial eye. Which of the following information should the
include in the teaching? (select all that apply)
Answer: -Apply pressure just below artificial eye to break the
suction
-Retract the upper and lower lids to reinsert the artificial eye
◉ 9. a nurse is reviewing client confidentiality with a newly licensed
nurse. The nurse should identify which of the following examples as
a violation of HIPPA?
, Answer: Discussing the clients transfer to a long-term care facility
with a nurse from another unit
◉ 10. a nurse is caring for a client who is 2 days postoperative
following bowel resection and reports sudden severe abdominal
pain. Which of the following actions should the nurse take first?
Answer: Expose the clients abdomen to look for changes in
appearance
◉ 11. a nurse is providing care for a client who is to undergo a total
laryngectomy. Which of the following interventions is the nurses
priority?
Answer: For the client explain the techniques of esophageal speech
◉ 12. a home care nurse is teaching a client about home safety.
Which of the following statements by the client indicates an
understanding of the teaching? (select all that apply)
Answer: -I will use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
◉ 13. a nurse is assessing a client's cranial nerve VII. Which of the
following responses should the nurse expect?
Answer: The client has a symmetrical smile
COMPREHENSIVE ADVANCED NURSING
QUESTIONS AND SOLUTIONS
◉ . a nurse is assessing a client who is immobile and notices a red
area over the client's coccyx. Which of the following actions should
the nurse take?
Answer: Assess the red area for blanching
◉ . a nurse is preparing to insert an iv catheter for a client following
a right mastectomy. Which of the following veins should the nurse
select when initiating an IV therapy?
Answer: The cephalic vein in the left distal forearm
◉ a nurse is preparing to administer a medication into a client by
the intradermal route after applying gloves and cleaning the site
with an antiseptic swab. In what order should the nurse take the
steps to administer the medication? (move steps into box 1- 4
priority)
Answer:
,◉ . a nurse is providing teaching to a client about colorectal cancer
prevention guidelines. Which of the following recommendations
should the nurse include?
Answer: Reduce intake of red meats
◉ a nurse is planning care to prevent skin breakdown for a client
who is immobile and is urinary incontinent. Which of the following
actions should the nurse include in the plan of care?
Answer: Request a prescription for an indwelling urinary catheter
◉ a nurse is preparing to apply a condom catheter for a client who is
uncircumcised which of the following actions should the nurse plan
to take?
Answer: Place adhesive tape directly on the penis
◉ a nurse is teaching a client who had an enucleation about care of
an artificial eye. Which of the following information should the
include in the teaching? (select all that apply)
Answer: -Apply pressure just below artificial eye to break the
suction
-Retract the upper and lower lids to reinsert the artificial eye
◉ 9. a nurse is reviewing client confidentiality with a newly licensed
nurse. The nurse should identify which of the following examples as
a violation of HIPPA?
, Answer: Discussing the clients transfer to a long-term care facility
with a nurse from another unit
◉ 10. a nurse is caring for a client who is 2 days postoperative
following bowel resection and reports sudden severe abdominal
pain. Which of the following actions should the nurse take first?
Answer: Expose the clients abdomen to look for changes in
appearance
◉ 11. a nurse is providing care for a client who is to undergo a total
laryngectomy. Which of the following interventions is the nurses
priority?
Answer: For the client explain the techniques of esophageal speech
◉ 12. a home care nurse is teaching a client about home safety.
Which of the following statements by the client indicates an
understanding of the teaching? (select all that apply)
Answer: -I will use the bars when getting in and out of the bathtub
-I need to check my medications for expiration dates
-I need to have a fire escape plan with my family
◉ 13. a nurse is assessing a client's cranial nerve VII. Which of the
following responses should the nurse expect?
Answer: The client has a symmetrical smile
