|ACTUAL EXAM
QUESTIONS WITH WELL DETAILED CORRECT ANSWERS|GRADED
A+|BRAND NEW 2026/2027 UPDATE
The nurse is preparing to receive an 18-month-old client from surgery who had repair of a
congenital hip deformity. What type of traction does the nurse anticipate setting up for the
client? - ANSWER Bryant's Traction
The nurse is discharging a client who was prescribed prednisone. The nurse tells the client
that one of the side effects may be impaired sleep. The client says, "I already have a hard
time sleeping. What can I do to help with that?" Which recommendations should the nurse
make? Select all that apply.
A. avoid alcohol late in the evening
B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F. do a vigorous exercise routine after work to help him become tired - ANSWER a. avoid
alcohol late in the evening
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is caring for a client whose lab results show triglycerides of 380 and cholesterol
level of 240. Which foods would the nurse educate the client about including in his diet
when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
1
,C. an egg-white omelet with vegetables
D. natural honey from a local farmer's market
E. plain grilled steak prepared with pepper only - ANSWER b. grilled salmon seasoned
with herbs
c. an egg-white omelet with vegetables
The nurse is caring for a client who has a nasogastric tube for medication administration and
tube feedings. How should the nurse care for the tube during her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300 mL
E. check under the adhesive tape on the nose daily to assess for skin breakdown
F. assess the bowel sounds before feeding, and feed at half the rate if bowel sounds are
absent - ANSWER c. maintain the head of bed in a high-Fowler's position during feedings
e. check under the adhesive tape on the nose daily to assess for skin breakdown
The nurse is preparing to discharge a client who was treated for tuberculosis. Which
guidelines for home management should the nurse include in his discharge teaching? Select
all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible side effects and
their management. - ANSWER b. the family should maintain respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
2
,d. the client may return to work when three sputum cultures are negative
The nurse is teaching a group of nursing students about proper client positioning. Which
statement by a student nurse indicates an understanding of proper positioning?
A. A client receiving an enema should be placed on the right side in the Sims' position.
B. A client with a below-the-knee amputation should be positioned with the affected limb
elevated at a 45-degree angle. C. Clients with pulmonary edema should be positioned
upright with the legs dangling over the side of the bed.
D. Clients with a craniotomy should be positioned with the head of bed at a 20-degree angle
with the head in a neutral, midline position. - ANSWER c. clients with pulmonary edema
should be positioned upright with the legs dangling over the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which should be included in
the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D. sitting up in the chair
for all meals and during visitation time - ANSWER a. bed rest with the affected extremity
elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse strokes from the
heel of the foot upward toward the ball, the infant exhibits no movement. Which action is
the priority for the nurse?
A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D. ask how much formula the infant consumes daily - ANSWER b. order a neurology
consult
3
, The nurse is caring for a client with COPD who complains of poor quality of sleep. Which
question should the nurse ask next?
A. "Does your partner snore heavily?"
B. "Do you get exercise during the day?"
C. "How many pillows do you sleep on?"
D. "Do you eat large meals right before bed?" - ANSWER c. "How many pillows do you
sleep on?"
The nurse is caring for a comatose client with a Salem sump tube. Which action by the nurse
is correct regarding care of this client?
A. clamp the air vent during tube feedings
B. place the client on the left side in a high-Fowler's position
C. assess the position of the Salem sump before each feeding
D. infuse bolus feedings with a pump or by gently plunging into the stomach - ANSWER c.
assess the position of the salem sump before each feeding
The nurse is teaching infant CPR to a group of newly graduated nurses hired to work in the
labor and delivery unit. The nurse understands that proper technique with infants includes
which action? Select all that apply.
A. The femoral artery is checked for a pulse following each cycle of CPR.
B. Chest compression depth should be approximately 1.5 inches, or 4 cm.
C. A single rescuer should use three fingers on the dominant hand to do compressions.
D. Rest the infant facedown on the forearm with the hand supporting the head and jaw.
E. If arrest is witnessed the emergency response system should be activated before
beginning CPR - ANSWER b. Chest compression depth should be approximately 1.5
inches, or 4 cm
4
QUESTIONS WITH WELL DETAILED CORRECT ANSWERS|GRADED
A+|BRAND NEW 2026/2027 UPDATE
The nurse is preparing to receive an 18-month-old client from surgery who had repair of a
congenital hip deformity. What type of traction does the nurse anticipate setting up for the
client? - ANSWER Bryant's Traction
The nurse is discharging a client who was prescribed prednisone. The nurse tells the client
that one of the side effects may be impaired sleep. The client says, "I already have a hard
time sleeping. What can I do to help with that?" Which recommendations should the nurse
make? Select all that apply.
A. avoid alcohol late in the evening
B. keep the bedroom dark and quiet
C. maintain the same consistent sleep schedule
D. eat a large, heavy meal at dinner to help promote sleep
E. read or do another quiet, noncomputer activity before bed
F. do a vigorous exercise routine after work to help him become tired - ANSWER a. avoid
alcohol late in the evening
b. keep the bedroom dark and quiet
c. maintain the same consistent sleep schedule
e. read or do another quiet, noncomputer activity from bed
The nurse is caring for a client whose lab results show triglycerides of 380 and cholesterol
level of 240. Which foods would the nurse educate the client about including in his diet
when he is discharged? Select all that apply.
A. wheat toast with sugar-free jelly
B. grilled salmon seasoned with herbs
1
,C. an egg-white omelet with vegetables
D. natural honey from a local farmer's market
E. plain grilled steak prepared with pepper only - ANSWER b. grilled salmon seasoned
with herbs
c. an egg-white omelet with vegetables
The nurse is caring for a client who has a nasogastric tube for medication administration and
tube feedings. How should the nurse care for the tube during her shift? Select all that apply.
A. flush tube every 4 hours with hot water to maintain patency
B. allow the feeding and tubing to hang until empty, up to 48 hours
C. maintain the head of bed in a high-Fowler's position during feedings
D. check residuals and replace them unless the amount is greater than 300 mL
E. check under the adhesive tape on the nose daily to assess for skin breakdown
F. assess the bowel sounds before feeding, and feed at half the rate if bowel sounds are
absent - ANSWER c. maintain the head of bed in a high-Fowler's position during feedings
e. check under the adhesive tape on the nose daily to assess for skin breakdown
The nurse is preparing to discharge a client who was treated for tuberculosis. Which
guidelines for home management should the nurse include in his discharge teaching? Select
all that apply.
A. The client may resume his normal activities.
B. The family should maintain respiratory isolation at home.
C. The medication regimen should be followed diligently as prescribed.
D. The client may return to work when three sputum cultures are negative.
E. The nurse should educate the client about the medication and possible side effects and
their management. - ANSWER b. the family should maintain respiratory isolation at home
c. the medication regimen should be followed diligently as prescribed
2
,d. the client may return to work when three sputum cultures are negative
The nurse is teaching a group of nursing students about proper client positioning. Which
statement by a student nurse indicates an understanding of proper positioning?
A. A client receiving an enema should be placed on the right side in the Sims' position.
B. A client with a below-the-knee amputation should be positioned with the affected limb
elevated at a 45-degree angle. C. Clients with pulmonary edema should be positioned
upright with the legs dangling over the side of the bed.
D. Clients with a craniotomy should be positioned with the head of bed at a 20-degree angle
with the head in a neutral, midline position. - ANSWER c. clients with pulmonary edema
should be positioned upright with the legs dangling over the side of the bed
The nurse is caring for a client with deep vein thrombosis (DVT). Which should be included in
the plan of care?
A. bed rest with the affected extremity elevated
B. bed rest with the bed in reverse Trendelenburg
C. walking slowly in the hall with assistance to prevent pneumonia D. sitting up in the chair
for all meals and during visitation time - ANSWER a. bed rest with the affected extremity
elevated
The nurse is assessing a six-month-old infant at the clinic. When the nurse strokes from the
heel of the foot upward toward the ball, the infant exhibits no movement. Which action is
the priority for the nurse?
A. take the infant's vital signs
B. order a neurology consult
C. examine the infant's nose and ears
D. ask how much formula the infant consumes daily - ANSWER b. order a neurology
consult
3
, The nurse is caring for a client with COPD who complains of poor quality of sleep. Which
question should the nurse ask next?
A. "Does your partner snore heavily?"
B. "Do you get exercise during the day?"
C. "How many pillows do you sleep on?"
D. "Do you eat large meals right before bed?" - ANSWER c. "How many pillows do you
sleep on?"
The nurse is caring for a comatose client with a Salem sump tube. Which action by the nurse
is correct regarding care of this client?
A. clamp the air vent during tube feedings
B. place the client on the left side in a high-Fowler's position
C. assess the position of the Salem sump before each feeding
D. infuse bolus feedings with a pump or by gently plunging into the stomach - ANSWER c.
assess the position of the salem sump before each feeding
The nurse is teaching infant CPR to a group of newly graduated nurses hired to work in the
labor and delivery unit. The nurse understands that proper technique with infants includes
which action? Select all that apply.
A. The femoral artery is checked for a pulse following each cycle of CPR.
B. Chest compression depth should be approximately 1.5 inches, or 4 cm.
C. A single rescuer should use three fingers on the dominant hand to do compressions.
D. Rest the infant facedown on the forearm with the hand supporting the head and jaw.
E. If arrest is witnessed the emergency response system should be activated before
beginning CPR - ANSWER b. Chest compression depth should be approximately 1.5
inches, or 4 cm
4
