11.0 (ACTUAL 2025) WITH SORTED QUESTIONS
AND VERIFIED ANSWERS A+ GRADE
A nurse is discussing the purpose of regulatory agencies
during a staff meeting . Which of the following tasks should
the nurse identify as the responsibility of state licensing
boards?
A. Monitoring evidence - based practice for clients who have
a specific diagnosis
B. Ensuring that health care providers comply with
regulations
C. Setting quality standards for accreditation of health care
facilities
D. Determining whether medications are safe for
administration to clients
1. A. Utilization review committees have the responsibility of
monitoring for appropriate diagnosis and treatment according
to evidence-based practice for diagnosis and treatment of
hospitalized clients.
B. CORRECT: State licensing boards are responsible for
ensuring that health care providers and agencies comply with
state regulations.
,C. The Joint Commission has the responsibility of setting
quality standards for accreditation of health care facilities.
D. The U.S. Food and Drug Administration has the
responsibility of determining whether medications are safe for
administration to clients.
3. A nurse is instructing a client, who has an injury of the left
lower extremity, about the use of a cane. Which of the
following instructions should the nurse include? (Select all
that apply.)
A. Hold the cane on the right side.
B. Keep two points of support on the floor.
C. Place the cane 38 cm (15 in) in front of the feet before
advancing.
D. After advancing the cane, move the weaker leg forward.
E. Advance the stronger leg so that it aligns evenly with the
cane.
3. A. CORRECT: When taking actions, the nurse should
Instruct the client to hold the cane on the uninjured side to
provide support for the injured left leg.
,B. CORRECT: When taking actions, the nurse should instruct
the client to keep two points of support on the ground at all
times for stability.
C. The client should place the cane 15 to 25 cm (6 to 10 in) in
front of their feet before advancing.
D. CORRECT: When taking actions, the nurse should instruct
the client to advance the weaker leg first, followed by the
stronger leg.
E. The client should advance the stronger leg past the cane.
4. A nurse is planning care for a client who is on bed rest.
Which of the following interventions should the nurse plan to
implement?
A. Encourage the client to perform antiembolic exercises
every 2 hr.
B. Instruct the client to cough and deep breathe every 4 hr.
C. Restrict the client's fluid intake.
D. Reposition the client every 4 hr.
, 4. A. CORRECT: When generating solutions, the nurse
should encourage the client to perform antiembolic exercises
every 1 to 2 hr to promote venous return and reduce the risk
of thrombus formation.
B. The nurse should instruct the client to cough and deep
breathe every 1 to 2 hr to reduce the risk of atelectasis.
C. The nurse should increase the client's intake of fluids,
unless contraindicated, to reduce the risk of thrombus
formation, constipation, and urinary dysfunction.
D. The nurse should plan to reposition the client every 1 to 2
hr to reduce the risk for pressure injuries.
1. A nurse is discussing the care of a group of clients with a
newly licensed nurse. Which of the following clients should
the newly licensed nurse identify as experiencing chronic
pain?
A. A client who has a broken femur and reports hip pain.
B. A client who has incisional pain 72 hr following
pacemaker insertion.
C. A client who has food poisoning and reports abdominal
cramping.