88 PRACTICE QUESTIONS WITH DETAILED
EXPLANATIONS 2026
◉ When assisting an 82-year-old client to ambulate, it is important
for the nurse to realize that the center of gravity for an elderly
person is the
A) Arms.
B) Upper torso.
C) Head.
D) Feet
Answer: B) Upper torso
The center of gravity for adults is the hips. However, as the person
grows older, a stooped posture is common because of the changes
from osteoporosis and normal bone degeneration, and the knees,
hips, and elbows flex. This stooped posture results in the upper
torso (B) becoming the center of gravity for older persons. Although
(A) is a part, or an extension of the upper torso, this is not the best
and most complete answer.
,◉ Which action is most important for the nurse to implement when
donning sterile gloves?
A) Maintain thumb at a ninety degree angle.
B) Hold hands with fingers down while gloving.
C) Keep gloved hands above the elbows.
D) Put the glove on the dominant hand first.
Answer: C) Keep gloved hands above the elbows
Gloved hands held below waist level are considered unsterile (C). (A
and B) are not essential to maintaining asepsis. While it may be
helpful to put the glove on the dominant hand first, it is not
necessary to ensure asepsis (D).
◉ An adult male client with a history of hypertension tells the nurse
that he is tired of taking antihypertensive medications and is going
to try spiritual meditation instead. What should be the nurse's first
response?
A) It is important that you continue your medication while learning
to meditate.
B) Spiritual meditation requires a time commitment of 15 to 20
minutes daily.
,C) Obtain your healthcare provider's permission before starting
meditation.
D) Complementary therapy and western medicine can be effective
for you.
Answer: A) It is important that you continue your medication while
learning to meditate
The prolonged practice of meditation may lead to a reduced need for
antihypertensive medications. However, the medications must be
continued (A) while the physiologic response to meditation is
monitored. (B) is not as important as continuing the medication. The
healthcare provider should be informed, but permission is not
required to meditate (C). Although it is true that this complimentary
therapy might be effective (D), it is essential that the client continue
with antihypertensive medications until the effect of meditation can
be measured
◉ The nurse plans to obtain health assessment information from a
primary source. Which option is a primary source for the completion
of the health assessment?
A) Client.
B) Healthcare provider.
C) A family member.
D) Previous medical records
, Answer: A) Client
A primary source of information for a health assessment is the client
(A). (B, C, and D) are considered secondary sources about the
client's health history, but other details, such as subjective data, can
only be provided directly from the client.
◉ The nurse is instructing a client with high cholesterol about diet
and life style modification. What comment from the client indicates
that the teaching has been effective?
A) If I exercise at least two times weekly for one hour, I will lower my
cholesterol.
B) I need to avoid eating proteins, including red meat.
C) I will limit my intake of beef to 4 ounces per week.
D) My blood level of low density lipoproteins needs to increase.
Answer: C) I will limit my intake of beef to 4 ounces per week
Limiting saturated fat from animal food sources to no more than 4
ounces per week (C) is an important diet modification for lowering
cholesterol. To be effective in reducing cholesterol, the client should
exercise 30 minutes per day, or at least 4 to 6 times per week (A).
Red meat and all proteins do not need to be eliminated (B) to lower
cholesterol, but should be restricted to lean cuts of red meat and