with All Correct Answers 2025-2026
Updated.
The nurse is planning discharge teaching for a client with three strange motions to the finger
and the thumb joint. What should the nurse include in the discharge teaching about the clients
functional ability? - Answer The ability to dress and feed themselves may be difficult
The nurse is preparing to insert an NG tube into a client. Which method should the nurse
identify as the best method of estimating the NG insertion length? - Answer Measure the
distance from the tip of the note so that earlobe to xiphoid process
The nurse is developing a bladder training plan for clients in a long-term care facility. Which
client should the nurse identify as a candidate for bladder training? - Answer A client with
urge incontinence
Which Braden scale risk assessment score indicates that a client is a low risk for developing a
pressure ulcer? - Answer A score of 23
A nurse in a clinic assesses a client with increased thirst, hunger, and urination. The clients vital
signs are all within normal limits. Which urine specimens the nurse request from the primary
healthcare provider based on the client, signs and symptoms? - Answer Urinalysis
What urinary symptom is consistent with dehydration? - Answer Dark amber urine
A nurse is educating the family of a client who will be on enteral feedings. Which statement by
the family member indicates further education is needed? - Answer "Enteral feedings are
started when the gastrointestinal tract stops working."
The nurse is caring for a client with dysphasia and multiple teeth missing. Which diet order from
the healthcare provider should the nurse for the safety of the client? - Answer Regular easy
to chew diet within liquids
A nurse is administrative enema when the client reports sudden, severe abdominal cramping
that is unrelieved by slowing the infusion. What should the nurse do next? - Answer Stop the
infusion
Which is a function of the skin? - Answer Synthesizes vitamin D
, A nurse is caring for group of clients. Which client has the lowest risk of aspiration? - Answer
A client who has a strong gag reflex
The nurse cares for a client who has had diarrhea for the past four days due to a foodborne
illness. Upon assessment, the client has dry mucous membranes and skin tenting. The client was
placed on IV fluids and antibiotics. Which findings should the nurse monitor for the client,
indicating the client dehydration is improving? - Answer Clients mucous membranes are
moist
The nurse assesses client with an infected wound. Which should the nurse identifies a systemic
sign of a wound infection? - Answer Fever and elevated white blood cells
A nurse is planning in hygiene care for an in mobile client. Which action should be included in
the plan of care? - Answer Allow the client to participate as much as they are able
The nurse is irrigating the wound of a client. When performing this skill, which action should the
nurse take first? - Answer Remove old wound dressing and discard in biohazard
The nurse is preparing to administer an enteral feeding to a client with an NG tube. Place an
order the steps the nurse should take to administer the enteral feeding. - Answer 1. Gather
supplies and prepare tube feeding.
2. Ensure the head of the bed is at a minimum of 30 to 45°
3. Verify tube placement and flush tube with 30 mL of water.
4. Attached tube feeding to the NG tube and start the feeding.
The nurse is caring for client who has an order for a wound dressing with enzymes for an
unstageable pressure ulcer. What does the nurse know to be the reason for the use of enzymes
with an unstageable pressure ulcer? - Answer Removes slough
The client is scheduled to have a debridement of the pressure injury on their heel. When
planning care for this client, which action to the nurse take? - Answer Administer the
ordered analgesic 30 minutes before the debridement
A nurse is planning care for a client with urinary retention related to a urinary obstruction.
Which action should the nurse include in the plan of care? Select all - Answer Assessed for
bladder distention
Request an order for a bladder scan
Monitor intake & output