2026/2027 | Verified Q&A | Latest Update | Graded A+
1. In a scenario where a nurse is caring for multiple patients under contact
precautions, how should the nurse manage equipment to ensure safety?
The nurse should assign specific equipment for each patient to
prevent cross-contamination.
The nurse should use the same equipment for all patients to save time.
The nurse should limit the use of equipment to only essential items.
The nurse should clean equipment after each use but share it among
patients.
2. What is the first action a nurse should take when observing an evisceration in
a postoperative patient?
Notify the physician immediately.
Place the client in a supine position.
Assess the client's vital signs.
Cover the wound with sterile saline-soaked gauze.
3. Why is it important for a nurse to provide specific dietary weight gain
recommendations based on a client's prepregnancy BMI?
It focuses solely on the client's calorie intake.
It is not necessary to provide weight gain recommendations.
It ensures that the client gains an appropriate amount of weight for
a healthy pregnancy.
It allows the nurse to avoid discussing dietary needs.
,4. Why is it critical for the nurse to notify the charge nurse when a pulse cannot
be found in the affected leg post-surgery?
The charge nurse will only be informed of positive findings.
It is not necessary to notify anyone if the patient is stable.
Notifying the charge nurse is critical because it may indicate a
serious complication requiring immediate intervention.
The nurse can manage the situation without involving the charge
nurse.
5. If a client recovering from an acute myocardial infarction reports feeling
fatigued after walking for 10 minutes, what should the nurse advise?
To rest and gradually increase walking duration as tolerated.
To stop all physical activity until the next follow-up appointment.
To continue walking for at least 30 minutes regardless of fatigue.
To switch to more strenuous exercises immediately.
6. A nurse administered an IM injection to a client. Which of the following
actions should the nurse take to reduce the risk of needlestick injury?
Place a cap holder securely on the used needle before disposal.
Recap the needle for disposal later.
Dispose of the used needle immediately in a sharps container.
Detach the used needle and dispose of it promptly
7. In a clinical scenario, if a patient presents with abdominal cramps and a
potassium level of 5.8 mEq/L, what immediate nursing intervention should be
prioritized?
, Monitor cardiac function.
Administer potassium supplements.
Perform a physical assessment for dehydration.
Increase fluid intake.
8. A nurse is collecting data from a client who has diabetes mellitus and a blood
glucose of 40 mg/dl. Which of the following findings should the nurse
expect?
Fruity breath
Deep respirations
Clammy skin
Increased thirst
9. If a nurse observes that a parent has incorrectly installed a car seat for their
newborn in a forward-facing position, what should the nurse do next?
Suggest that the parent consult a mechanic for installation help.
Advise the parent to switch to a booster seat instead.
Educate the parent on the correct installation of the car seat in a
rear-facing position in the back seat.
Ignore the installation as long as the seat is secured.
10. If a nurse observes a child riding a bicycle without a helmet, what action
should the nurse take to promote safety?
Advise the child to ride on the sidewalk instead.
Educate the child and parent about the importance of wearing a
helmet.
, Ignore the situation as it is not the nurse's responsibility.
Suggest that the child only rides in the backyard.
11. Who should the nurse report the lack of knowledge about blood glucose
monitoring to?
Nursing Assistant
Unit Clerk
Charge Nurse
Staff Nurse
12. What is one important resource a nurse should provide to a client with newly
diagnosed type 2 diabetes mellitus upon discharge?
Advise the client to avoid all carbohydrates.
Refer the client to a diabetic support group.
Provide the client with a prescription for insulin.
Schedule a follow-up appointment with a specialist.
13. What is the recommended frequency for inspecting the ropes, knots, and
pulleys in a patient with balanced skeletal traction?
Every 4 hours
Every 12 hours
Every 6 hours
Every 8 hours