EXAM 4 2026 HEALTH PROMOTION
WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ A nurse is caring for a client who is immobile. The nurse should
recognize that immobility places the client at risk of which of the
following health alterations?
A) Increased intestinal motility
B) Respiratory alkalosis
C) Decreased cardiac output
D) Hypocalcemia.
Answer: C) Decreased cardiac output
◉ A nurse is preparing to perform mouth care for an unresponsive
client. Which of the following actions should the nurse plan to take?
A) Place the client supine
B) Keep both side rails up
C) Raise the level of the bed
D) Inspect the clients mouth using a finger sweep.
Answer: C)Raise the level of the bed
,◉ A nurse is preparing to administer an afternoon dose of ampicillin
to a client. The client appears upset and refuses to take the
medication before throwing the pill on the floor. Which of the
following entries should the nurse enter into the clients medical
record?
A) the client refuses to take medication today
B) The client states, "I will not take this pill."
C) The client seemed angry and hostile
D) The client threw the medication on the floor.
Answer: D) The client threw the medication on the floor
◉ A nurse is a rehabilitation facility is observing an assistive
personal (AP) help a client transfer from a bed to a wheelchair.
Which of the following actions indicates to the nurse that the AP
understands how to perform this task
A) Locking the brakes on the bed and the wheelchair before moving
the client
B) Lowering the footplates of the wheelchair before the transfer
C) Placing the wheelchair perpendicular to the bed
D) Placing the wheelchair on the clients weaker side prior to the
transfer.
Answer: A) Locking the brakes on the bed and the wheelchair before
moving the client
,◉ A nurse is caring for a client who has cancer and refuses visitors
because of his debilitated physical appearance. Which of the
following comments should the nurse make?
A) "You look just fine to me."
B) "Nobody expects you to look beautiful in the hospital."
C) "I understand how you feel. I would feel the same way."
D) Would you like to talk about how you feel?".
Answer: D) "Would you like to talk about how you feel?"
◉ A nurse is assessing the pH of a clients gastric fluid to confirm the
placement of an NG tube in the stomach. Which of the following pH
values should the nurse expect?
A) 6
B) 2
C) 10
D) 8.
Answer: B) 2
◉ A nurse is caring for a client who is scheduled to receive
transcutaneous electrical nerve (TENS) for pain management. The
client asks the nurse how a TENS unit helps to relieve pain. Which of
the following responses should the nurse make?
A) "It provides a distraction from the pain"
B) "It modulates the transmission of the pain impulse"
, C) "It promotes increased circulation to the painful area"
D) "It elicits a relaxation response".
Answer: B) "It modulates the transmission of the pain impulse"
◉ A nurse is performing a physical assessment of a client. The nurse
should recognize that which of the following places the client at risk
of impaired skin integrity?
A) 3+ Achilles reflex
B) Faint pedal pulses
C) Feet warm to the touch bilaterally
D) Capillary refill of <2 seconds.
Answer: B) Faint pedal pulse
◉ A nurse is assessing a client. Which of the following findings
should the nurse identify as an indication of protein-calorie
malnourishment (SATA)
A) Gingivitis
B) Dry, brittle hair
C) Edema
D) Spoon-shaped nails
E) Poor wound healing.
Answer: B) Dry, brittle hair
D) Spoon-shaped nails