EVALUATION 2026 FULL QUESTIONS AND
CORRECT ANSWERS
◉ Section 1
Nursing Diagnosis.
Answer: The pt states the pain level in his right foot is 8/10. He says
he has been favoring his foot by staying in bed the past week.
◉ Before giving the initial dose of pain med or antibiotic, which
action should the RN take first?
O Ask the client what liquid he would like to drink to swallow the
pill.
O Teach the client the side effects of the medication.
O Ask the client if he is aware of any allergies to medications.
O Instruct the client to sit upright to swallow the medication..
Answer: Ask the client if he is aware of any allergies to medications.
This takes priority because it is the initial dose of a new med.
#1 should still be taken, another action takes priority.
#2 is important, but doesn't have immediate priority.
#4 is important, but is the last step.
,◉ When the client's foot pain is controlled, which nursing problem
should take priority?
O Risk for caregiver role strain.
O Risk for social isolation.
O Impaired physical mobility.
O Imbalanced nutrition: more than body requirements..
Answer: Impaired physical mobility.
The pt's limited activity support this. This is a nursing priority to
prevent many complications.
#1 exists for pt's wife, not priority.
#2 can occur, but not the priority.
#4 has no supporting evidence.
◉ Which goal is correct for the client's problem of impaired physical
mobility?
O The client will transfer to the chair with assist of one person.
O The nurse will reposition the client every hour while the client is
awake.
O The client will sit in the chair for each meal beginning on the day
of admission.
, O The nurse will assist the client to ambulate in the hall by second
hospital day..
Answer: The client will sit in the chair for each meal beginning on
the day of admission.
This is a pt goal: what pt is to achieve & sets a realistic deadline.
Subject = pt; action = measurable.
#1 is an incomplete goal.
#2 is a nursing action, not a measurable goal.
#4 is a nursing action, not a pt goal.
◉ Section 2
Prevention of Venous Thrombosis.
Answer: The pt is reluctant to move in bed or to chair. He likes
spouse to place pillow beneath knee. The RN informs them that the
PCP ordered enoxaparin injsterm-4 & antiembolic stockings. The RN
performs a focused PA, revealing diminished dorsalis pedis pulses
BIL.
◉ Which instructions should the nurse convey to help prevent
venous thromboembolism (VTE) in the client's legs?
Select all that apply.
O Encourage the client to use the incentive spirometer 10 times an
hour while awake.