Study Questions and Answers | 2026 Updated
| 100% Correct.
e Older client who has dementia and displays confabulation to cope with anxiety. The
nurse would recognize this type of coping mechanism how?
Pt will tell made up stories
e Ifperforming tracheostomy care what would require interventions before leaving the
room?
The tracheostomy tube moves when the client coughs
e Discharge instructions to the parents of a child with sickle cell crisis. What would you
teach them?
Maintain a warm temperature in your home
e Review telemetry strips. Tall-peaked T waves and what causes it
Hyperkalemia
e Mechanical ventilation patients with low pressure alarm sounds. What action should the
nurse take?
Assess the client ET tube cuff
e Priority changes to notify MD for a pt with a kidney transplant 1 week ago
Pt has more than 21b weight gain in 24 hours
e Laboring patient with FHR greater than 170, what would be the first action?
Turn pt to their L side
e What interventions would you place in the plan of care for a pt who had gastric surgery
within the last 12 hours and has a NG tube to low wall suction?
Reposition every 2 hours, use of sequential compression devices to BLE, sign at HOB
instructing to not move the NG tube
e Which pediatric pt would you assess first?
Child sitting at a table eating with elevated pulse, this task should not cause HR to go up
e Understand correct actions to perform when giving insulin injection
3/8 in needle, 25 gauge
e Pt with cancer receiving radiation therapy, how to know they understand teaching?
Avoid direct skin exposure to sun during treatment
e Pediatric pt with VP shunt placement post op is difficult to arouse, immediate actions?
Elevate the HOB to 30 degrees to decrease ICP
e Which pt would be most important to notify MD over during med administration?
Diabetic pt who had a CT scan with IV contrast and has been prescribed metformin
e Pthas ahistory of peptic ulcer disease and presents with normal labs and complaints of
belching and vomiting, what would be the nurse’s priority action?
Give pt antiemetic
e Pt prescribed warfarin, what is therapeutic effect of medication?
INR of 2-3 seconds
, ‘What is an adverse effect of streptomycin?
Nephrotoxic monitor BUN and creatinine
Teaching a newly hired nurse about examples of malpractice
Nurse gives a pt their refused medication mixed into food without pt knowledge
Care for newborn immediately after birth after assessing patent airway?
Dry the newborn to maintain warmth
Pt with sealed radiation implant, precautions the nurse should implement.
Do not assign the same nurse to this pt each day
Know correct actions for TB skin test technique (Mantoux test)
Give 0.1mL of medication
Pt who is A+ is found to be receiving O+ blood, what should the nurse do ?
Continue to assess the pt
‘What are side effects of pyridostigmine?
Nausea
Nurse working crisis hotline and pt calls and reports taking medications, what is best
response?
Tam glad you called
Catheter insertion observation, what would require follow up?
Inflating balloon as soon as urine return is noted in tubing
Plan of care for pt with preeclampsia
Quiet darkened environment
Health care screening for male pts teaching
Examine testicles monthly immediately after a bath or shower
Parent of toddler worried because their child is hyperactive, best response by nurse?
Description of when and where hyperactivity occurs
Caring for 24 hour post op pts, priority pt
Pt who has an increase in pain even after pain medications given
Newly hired UAP demonstrates correct pt care when?
Equipment needed is placed in room of isolation pt
Pt receiving continuous feedings by G-tube, how often should irrigation set be changed?
Every 24 hours
Expected outcomes for pt with DI (Diabetes Insipidus) receiving vasopressin
Decrease in urinary output
Correct administration of enoxaparin
Insert at a 90-degree angle
Correct technique to collect midstream urine specimen
Cleanse from front to back
Priority action for burn patient to lower portion of body?
Not airway, patient will need a foley due to swelling of thigh area