ANSWERS 2025/2026
A home health nurse is discussing the dangers of food poisoning with a client. Which of
the following information should the nurse include? (Select all that apply)
A. Most food poisoning is caused by a virus
B. Immunocompromised individuals are at increased risk for complications from food
poisoning
C. Clients who are at high risk should eat or drink only pasteurized dairy products
D. Healthy individuals usually recover from the illness in a few weeks.
E. Handling raw and fresh food separately can prevent food poisoning - B, C, E
A nurse is caring for multiple clients during a mass casualty event. Which of the
following clients is the nurse's priority?
A. A client who received crush injuries to the chest and abdomen and is expected to die
B. A client who has a 4 inch laceration to the head
C. A client who has partial-thickness and full-thickness burns to his face, neck and chest
D. A client who has a fractured fibula and tibia - C
A nurse eduator is teaching staff members about facility protocol in the event of a
tornado. Which of the following should the nurse include? (select all that apply)
A. Open doors to client rooms
B. Place blankets over clients who are confined to beds.
C. Move beds away from windows.
D. Draw shades and close drapes
E. Instruct ambulatory clients in the hallways to return to their rooms - B,C,D
An occupational health nurse is caring for an employee who was exposed to an
unknown dry chemical, resulting in a chemical burn. Which of the following interventions
should the nurse include in the plan of care?
A. Irrigate the affected area with running water
B. Was the affected area with soap
C. Brush the chemical off the skin and clothing
D. Leave the clothing in place until emergency personnel arrive - C.
A security officer is reviewing actions to take in the event of a bomb threat by phone to a
group of nurses. Which of the following statements by a nurse indicates understanding?
A. I will get the caller off the phone as soon as possible so I can alert the staff.
B. I will begin evacuating clients using the elevators
C. I will not ask any questions and just let the caller talk
D. I will listen for background noise - D.
A nurse on a med-surg unit is informed that a mass casualty event occurred in the
community and that it is necessary to discharge stable clients to make beds available
for injury victims. Which of the following clients should the nurse recommend for
discharge? (Select all that apply)
,A. A client who is dehydrated and receiving IV fluid and electrolytes
B. A client who has a nasogastric tube to treat a small bowel obstruction
C. A client who is scheduled for elective surgery
D. A client who has chronic hypertension and a blood pressure of 135/85
E. A client who has acute appendicitis and is scheduled for an appendectomy - C, D
A nurse on a med-surg unit has received change of shift report and will care for four
clients. Which of the following tasks should the nurse assign to a CNA?
A. Updating the plan of care for a client who is postoperative
B. Reinforcing teaching with a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client
D. Applying a sterile dressing to a pressure injury - C, because teaching, updating plan
of care and applying sterile dressing are all nurses job.
A nurse manager is assigning care of a client who is being admitted from the PACU
following thoracic surgery. The nurse manager should assign the client to which of the
following staff members?
A. Charge nurse
B. Registered Nurse
C LPN
D. CNA - B
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago
to an AP (Assistive personnel). Which of the following information should the nurse
share with the AP?
A. The roommate ambulates independently
B. The client ambulates wearing slippers over antiembolic stockings.
C. The client uses a front-wheeled walker when ambulating
D. The client had pain medication 30 minutes ago
E. The client is allergic to codeine
F. The client ate 50% of breakfast this morning
(Select all that apply) - B, C, D
A charge nurse is assigning client care for four clients. Which of the following tasks
should the nurse assign to a PN?
A. Creating a plan of care for a client who is recovering following a stroke.
B. Assessing a pressure injury on a client who is on bed rest
C. Providing NG suctioning for a client who has pneumonia
D. Teaching a client who has asthma to use a metered-dose inhaler - C
A nurse is preparing an in-service program about delegation. Which of the following are
components of the five rights of delegation (select all that apply)
A. Right place
B. Right supervision and evaluation
C. Right direction and communication
D. right documentation
, E. Right circumstances - B, C, E
A nurse enters the room of a client and finds the client lying on the floor. Which of the
following actions should the nurse take first?
A. call the provider
B. ask a staff member for assistance getting the client back in bed.
C. inspect the client for injuries
D. instruct the client to ask for help if they need to get out of bed - C. inspect the client
for injuries
An RN on a medical-surgical unit is making assignments at the beginning of the shift.
Which of the following tasks should the nurse delegate to the LPN?
A. obtain vital signs for a client who is 2 hour post-op following a cardiac catheterization.
B. Administer a unit of packed red blood cells (RBCs) to a client who has cancer
C. Instruct a client who is scheduled for discharge in the performance of wound care
D. Develop a plan of care for a newly admitted client who has pneumonia. - A.
A PN ending their shift reports to the RN that a newly hired AP has not calculated the
intake and output for several clients. Which of the following actions should the RN take?
A. Complete an incident report.
B. Delegate this task to the PN.
C. Ask the AP if they need assistance
D. Notify the nurse manager. - C
A nurse manager is developing an orientation plan for newly licensed nurses. Which of
the following should the manager include in the plan? (Select all that apply)
A. Skill proficiency
B. Assignment to a preceptor
C. Budgetary principles
D. Computerized charting
E. Socialization into unit culture
F. Facility policies and procedures - A, B, D, E , F
A nurse manager is providing information about the audit process to members of the
nursing team. Which of the following should the nurse manager include? (select all)
A. A structure audit evaluates the setting and resources available to provide care.
B. An outcome audit evaluates the results of the nursing care provided
C. A root cause analysis is indicated when a sentinel event occurs
D. Retrospective audits are conducted while the client is receiving care
E. After data collection is completed, it is compared to a benchmark - A, B, C, E
A nurse is participating in quality improvement study of a procedure frequently
performed on the unit. Which of the following information will provide data regarding the
efficacy of the procedure?
A. Frequency with which procedure is performed
B. Client satisfaction with performance of procedure