2026/LATEST UPDATE EXAM QUESTIONS & ANSWERS
WITH RATIONALES |A+ GRADE
Can an RN delegate to the LPN to provide tracheostomy care to a client with pneumonia?
- Answer-Yes.
A nurse on a med-surg unit has received change-of-shift report & will care for 4 clients.
Which of the following client's needs may the nurse assign to an assistive personnel
(AP)?
A. Feeding a client who was admitted 24 hrs. ago w/aspiration pneumoni
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
- Answer-C. Reapplying a condom catheter for a client who has urinary incontinence
Rationale: The application of a condom catheter is a noninvasive, routine procedure that
the nurse may delegate to the AP
A client returning from surgery requires assessment and establishment of a plan of care.
RNs are responsible for this, especially if the client is potentially unstable.
A nurse observes an AP reprimanding a client for not using the urinal properly. The AP
tells him she will put a diaper on him if he does not use the urinal more carefully next
time. Which of the following torts is the AP committing?
A. Assault
,B. IBattery
C. IFalse Iimprisonment
D. IInvasion Iof Iprivacy
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- Answer-A. IAssault
Rationale: IBy Ithreatening Ithe Iclient, Ithe IAPIis Icommitting Iassault.
An Iadult Iclient Iwho Iis Icompetent Itells Ithe Inurse Ithat Ihe Iis Ithinking Iabout Ileaving Ithe
hospital Iagainst Imedical Iadvice. IThe Inurse Ibelieves Ithat Ithis Iis Inot Iin Ithe Iclient's Ibest
interest, Iso Ishe Iadministers Ia IPRN Isedative Imed Ithat Ithe Iclient Ihas Inot Irequested Ialong
w/his Iusual Imeds. IWhich Iof Ithe Ifollowing Itort Ihas Ithe Inurse Icommitted?
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A. Assault
B. False Iimprisonment
C. INegligence
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D. IBreach Iof Iconfidentiality
- Answer-B. IFalse Iimprisonment
Rationale: IThe Inurse Igave Ithe Imed Ias Ia Ichemical Irestraint Ito Ikeep Ithe Iclient Ifrom Ileaving
the Ifacility Iagainst Imedical Iadvice. IThe Iclient Idid Inot Iconsent.
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An IRN Iis Imaking Iassignments Ifor Iclient Icare Ito Ia ILPNIat Ithe Ibeginning Iof Ithe Ishift.
Which Iof Ithe Ifollowing Iassignments Ishould Ithe ILPN Iquestion?
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A. Assisting Ia Iclient Iwho Iis I24hr Ipostop Ito Iuse Ian Iincentive Ispirometer
B. Collecting Ia Iclean-catch Iurine Ispecimen Ifrom Ia Iclient Iwho Iwas Iadmitted Ion Ithe
,previous Ishift
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C. Providing Inasopharyngeal Isuctioning Ifor Ia Iclient Iwho Ihas Ipneumonia
D. Replacing Ithe Icartridge Iand Itubing Ion Ia IPCA Ipump
- IAnswer-D. IReplacing Ithe Icartridge Iand Itubing Ion Ia IPCA Ipump
Rationale: IThe IRN Iis Iresponsible Ifor Ithe IPCA Ipump
AIclient Iwho Iwill Iundergo Ineurosurgery Ithe Ifollowing Iweek Itells Ithe Inurse Iin Ithe
surgeon's Ioffice Ithat Ihe Iwill Iprepare Ihis Iadvance Idirectives Ibefore Ihe Igoes Ito Ithe
hospital.IWhich Iof Ithe Ifollowing Istatements Iby Ithe Iclient Iindicates Ito Ithe Inurse Ithat Ihe
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understandsIadvance Idirectives?
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A. I"I'd Irather Ihave ImyIbrother Imake Idecisions Ifor Ime, Ibut II Iknow Iit Ihas Ito Ibe ImyIwife."
B. I"I Iknow Ithey Iwon't Igo Iahead Iw/the Isurgery Iunless II Iprepare Ithese Iforms."
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C. I"I Iplan Ito Iwrite Ithat II Idon't Iwant Ithem Ito Ikeep Ime Ion Ia Ibreathing Imachine."
D. I"I Iwill Iget Imy Iregular Idoctor Ito Iapprove Imy Iplan Ibefore II Ihand Iit Iin Iat Ithe Ihospital."
- Answer-C.
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Rationale: IThe Iclient Ihas Ithe Iright Ito Idecide Iand IspecifyIwhich Imedical Iprocedures Ihe
wants Iwhen Ia Ilife-threatening Isituation Iarrives
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AIclient Iis Iabout Ito Iundergo Ian Ielective Isurgical Iprocedure. IWhich Iof Ithe Ifollowing
actions Iare Iappropriate Ifor Ithe Inurse Iwho Iis Iproviding Ipeople Icare Iregarding Iinformed
consent? ISelect Iall.
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, A. IMake Isure Ithe Isurgeon Iobtained Ithe Iclient's Iconsent
B. IWitness Ithe Iclient's Isignature Ion Ithe Iconsent Iform
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C. IExplain Ithe Irisks Iand Ibenefits Iof Ithe Iprocedure
D. IDescribe Ithe Iconsequences Iof Ichoosing Inot Ito Ihave Ithe Isurgery
E. ITell Ithe Iclient Iabout Ialternatives Ito Ihaving Ithe Isurgery I–
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Answer-A, IB
Rationale: IThe Irest Iof Ithe Ichoices Iare Ithe Isurgeon's Iresponsibility, Inot Ithe Inurse
AInurse Ihas Inoticed Iseveral Ioccasions Iin Ithe Ipast Iweek Iwhen Ianother Inurse Ion Ithe Iunit
seemed Idrowsy I& Iunable Ito Ifocus Ion Ithe Iissue Iat Ihand. IToday, Ishe Ifound Ithe Inurse
asleepIin Ia Ichair Iin Ithe Ibreak Iroom Iwhen Ishe Iwas Inot Ion Ibreak. IWhich Iof Ithe Ifollowing
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actions should Ithe Inurse Itake?
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A. Remind Ithe Inurse Ithat Isafe Iclient Icare Iis Ia Ipriority Ion Ithe Iunit
B. Ask Iothers Ion Ithe Iteam Iwhether ItheyIhave Iobserved Ithe Isame Ibehavior
C. IReport Iobservations Ito Ithe Inurse Imanager Ion Ithe Iunit
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D. IConclude Ithat Iher Icoworker's Ifatigue Iis Inot Iher Iproblem Ito Isolve
- IAnswer-C.
Rationale: IAny Inurse Iwho Inotices Ibehavior Ithat Icould IpossiblyIjeopardize Iclient Icare Ior
indicate Ia Isubstance Iabuse Iproblem Ihas Ia Iduty Ito Ireport Ithe Isituation Iimmediately Ito Ithe
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nurse Imanager
AInurse Iis Ipreparing Iinfo Ifor Ia Ichange-of-shift Ireport. IWhich Iof Ithe Ifollowing Iinfo Ishould