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nd ANSWERS Revised Retake EXAM 2026
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bA nurse is planning care for a group of clients. Which of the following tasks should the nurse d
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elegate to an assistive personnel?
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a. Changingbthebdressingbforbabclientbwhobhasbabstageb3bpressurebinjury
b. Determiningbabclient'sbresponsebtobabdiuretic
c. Comparingbradialbpulsesbforbabclientbwhobisbpostoperative
d. Providingbpostmortembcarebtobabclientb-bANS>>d.bProvidingbpostmortembcarebtobabclient
A nurse is conducting a health assessment for a client who takes herbal supplements. Whic
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h of the following statements by the client indicates an understanding of the use of the supple
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ments?
A. Ibtakebginkgobbilobabforbabheadache
B. Ibtakebechinaceabtobcontrolbmybcholesterol
C. IbusebgingerbwhenbIbgetbcarbsick
D. Ibusebgarlicbforbmybmenopausalbsymptoms
- ANS>>I use ginger when I get car sick
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A nurse is caring for a client who has influenza and isolation precautions in place. Which of the
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following actions should the nurse take to prevent the spread of infection?
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A. Wearbabmaskbwhenbworkingbwithinb3bfeetbofbthebclient
B. Administerbmetronidazole
C. Donbprotectivebeyewearbbeforebenteringbthebroom.
D. Placebthebclientbinbabnegativebairflowbroom.b-
ANS>>Wear a mask when working within 3 feet of the client
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A nurse obtains a prescription for wrist restraints for a client who is trying to pull out his NG tu
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be. Which of the following actions should the nurse take?
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A. Attachbthebrestraintsbsecurelybtobthebsidebrailsbofbthebclient'sbbed.
B. Applybthebrestraintsbtoballowbasblittlebmovementbasbpossible
C. Allowbroombforbtwobfingersbtobfitbbetweenbthebclientsbskinbandbthebrestraints
d. remove the restraints every 4 hours -
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,b ANS>>Allow room for two fingers to fit between the clients skin and the restraints
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,A nurse is admitting a client who has tuberculosis. Which of the following types of trans
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mission precautions should the nurse plan to initiate?
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A. Droplet
B. Airborne
c. protective environment
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d. contact - ANS>>Airborne
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A nurse in a well-
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child clinic receives a telephone call from a parent who states that their child accidentally swal
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lowed paint thinner. The child is awake and alert. Which of the following responses should th
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e nurse make?
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A. Havebyourbchildbdrinkboneblargebglassbofbwater.
B. Hangbupbandbcallbabpoisonbcontrolbcenterbhotline.
C. Bringbyourbchildbintobthebclinicblaterbtoday.
D. Inducebvomitingbinbyourbchildbwithbsyrupbofbipecac.b -
b ANS>>Have your child drink one large glass of water
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A nurse is documenting a client's medical record. Which of the following entries should the nur
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se record.
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A. Oralbtemperaturebslightlybelevatedbatb0800
B. Administeredbpainbmedication
C. Incisionbwithoutbrednessborbdrainage
D. Drankbadequatebamountsbofbfluidbwithbmeals.b-bANS>>Administeredbpainbmedication
A nurse is providing oral care for a client who is unconscious. Which of the following actions s
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hould the nurse take?
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A. Placebthebclientbinbabside-lyingbposition.
B. Brushbthebclientsbteethbdaily
C. Applybmineralboilbtobthebclient'sblips
D. Rinseb theb client'sb mouthb withb anb alcohol-basedb mouthwashb -
b ANS>>Place the client in a side-lying position b b b b b b
A nurse is collaborating with a risk management team about potential legal issues involving cl
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ient care. The nurse should identify which of the following situations is an example of negligen
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30b/b36
, ce?
A. Abnursebadministersbabmedicationbwithoutbfirstbidentifyingb thebclient.
B. Anbassistivebpersonnelbdiscussesbclientbcarebinbthebfacilitybcafeteriabwithbvisitorsbpresent.
C. Abnursebbeginsbabbloodbtransfusionbwithoutbobtainingbconsent.
D. Anb assistiveb personnelb preventsb ab clientb fromb leavingb theb facility.b -
b ANS>>A nurse begins a blood transfusion without obtaining consent
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31b/b36