Update 2026/2027 | Exam Success Guide | Graded A+
1. Why is it important to assign a client with depressive disorder and feelings of
hopelessness close to the nurse's station?
Clients with somatic symptom disorder are less likely to need
immediate attention.
Clients with depressive disorder may require closer monitoring due
to the risk of self-harm.
Clients with anxiety disorders need less supervision than others.
Clients with bipolar disorder are always stable and do not require
close monitoring.
2. What is the first action a nurse should take when a client in the PACU reports
nausea?
Administer an analgesic.
Monitor the client's vital signs.
Turn the client on their side.
Administer antiemetic.
3. The nurse conducts a preoperative assessment of an adult client admitted to
the medical-surgical unit. When the nurse asks if the client has a durable
power of attorney, the client states, 'Yes, I already have an attorney who
helps me with finances.' Which is the best response by the nurse?
'It's the same as a health care proxy. I'll leave some information with
you and you can read about it.'
'A durable power of attorney is someone you have chosen to make
decisions on your behalf if you are unable to make and/or
, communicate decisions.'
'You don't have to have a durable power of attorney, but it would be a
good idea to talk to your family.'
'That's not the same thing. Your regular legal attorney can't help you
with your health care. You need to think about that.'
4. Why is it important for a patient with an ICD to wear loose clothing?
Loose clothing is a fashion choice for patients with ICDs.
Loose clothing prevents irritation and allows for proper functioning
of the ICD.
Loose clothing is required for all patients regardless of their condition.
Loose clothing helps in reducing the weight of the ICD.
5. A nurse is planning for a client who practices Orthodox Judaism. The client
tells the nurse that ...... Passover holiday. Which of the following action should
the nurse include in the plan of care?
Avoid serving fish with fins and scales.
Provide unleavened bread.
Provide chicken with cream sauce.
Avoid serving foods containing lamb
6. Why is it important for a nurse to ensure a referral for physical therapy in a
client with left-sided hemiplegia?
Physical therapy is optional for clients with hemiplegia.
Physical therapy is only needed for elderly patients.
Physical therapy is essential for rehabilitation and improving the
client's independence.
, Physical therapy focuses solely on pain management.
7. Why is using a donut-shaped cushion beneficial for a client with
nonblanchable erythema over the ischium?
It promotes better circulation to the lower extremities.
It provides support for the client's back while sitting.
It allows the client to sit for longer periods without discomfort.
It helps to relieve pressure on the affected area and prevent further
skin breakdown.
8. If a nurse encounters a client with major depressive disorder who has
recently started giving away personal items, what should be the nurse's
immediate course of action?
Suggest the client engage in more social activities.
Encourage the client to talk about their feelings.
Conduct a thorough risk assessment for suicide.
Increase the client's medication dosage.
9. As the nurse is completing the assessment of a newly pregnant Kelly, the
patient shares that she wasn't planning another pregnancy at this time and
isn't sure how she feels about it. What is the nurse's best response to the
patient?
"You should be happy that you have the opportunity to add to your
family."
"It is normal to feel ambivalent the first few months. Would you like
to talk about it?"
, "Some women struggle to become pregnant; you should be happy
you are not one of those women."
"I will make a referral to a counselor for you to express your feelings."
10. Why is it necessary for a client on warfarin to limit their intake of spinach?
Spinach can cause allergic reactions in some patients.
Spinach contains vitamin K, which can interfere with warfarin's
effectiveness.
Spinach has no effect on warfarin and can be consumed freely.
Spinach is high in potassium, which is harmful for all patients.
11. What is a common manifestation of hypoglycemia in newborns?
Loose stools
Hypertonia
Jitteriness
Abdominal distention
12. A nurse is creating a plan of care for a group of clients. Which of the
following interventions is the priority for the nurse to include?
Practicing relaxation techniques with a client who has an anxiety
disorder
Offering high calorie beverages to a client who is in the manic
phase of bipolar
Assisting a client who has a depressive disorder with decision making
regarding group activities
Providing teaching to a client who has schizophrenia about a new
prescription for clozapine