WITH UPGRADED QUESTIONS AND
ANSWERS 2026
A nurse is using the I-SBAR communication tool to provide the client's provider with information about
the client. The nurse should convey the client's pain status in which portion of the report? - ANSWER-
Assessment
Rationale:
The nurse provides information about assessment findings in this portion of the report. This includes
vital signs, pain assessment, and changes in assessment findings.
A nurse is providing discharge teaching to a client who is recovering from lung cancer. The provider
instructed the client that he could resume lower-intensity activities of daily living. Which of the following
activities should the nurse recommend to the client? - ANSWER-Washing dishes
Rationale:
Washing dishes requires a low level of activity and is appropriate for this client.
A nurse in the emergency department is caring for a client who has abdominal trauma. Which of the
following assessment findings should the nurse identify as an indication of hypovolemic shock? -
ANSWER-Tachycardia
Rationale:
Due to the decrease in circulating blood volume that occurs with internal bleeding, the oxygen-carrying
capacity of the blood is reduced. The body attempts to relieve the hypoxia by increasing the heart rate
and cardiac output, along with increasing the respiratory rate.
, A nurse is planning to assess the abdomen of a client who reports feeling bloated for several weeks.
Which of the following methods of assessment should the nurse use first? - ANSWER-Inspection
Rationale:
According to evidence-based practice, the nurse should inspect the abdomen first by observing the
contour of the abdomen, the condition of the skin, and the position of the umbilicus. Findings from this
step of assessment are used by the nurse in the subsequent steps.
A nurse is responding to a parent's question about his infant's expected physical development during
the first year of life. Which of the following information should the nurse include? - ANSWER-A 10-
month-old infant can pull up to a standing position.
Rationale:
An 8 to 10-month-old infant can pull himself to a standing position.
A client who reports shortness of breath requests her nurse's help in changing positions. After
repositioning the client, which of the following actions should the nurse take next? - ANSWER-Observe
the rate, depth, and character of the client's respirations.
Rationale:
The nurse should apply the nursing process priority-setting framework when caring for this client. The
nurse can use the nursing process to plan client care and prioritize nursing actions. Each step of the
nursing process builds on the previous step, beginning with assessment or data collection. Before the
nurse can formulate a plan of action, implement a nursing intervention, or notify a provider of a change
in the client's status, the nurse must first collect adequate data from the client. Assessing or collecting
additional data will provide the nurse with knowledge to make an appropriate decision; therefore, the
first action the nurse should take is to assess the client's respiratory status.
A nurse is planning to insert a nasogastric tube for a client after explaining the procedure. The client
states, "You are not putting that hose down my throat." Which of the following statements should the
nurse make? - ANSWER-"I can see that this is upsetting you."