Questions (Module 1-3) Latest Update 2025-2026
220 Questions and 100% Verified Correct
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Which equipment gathered by a nurse who is preparing to administer an intramuscular
injection in the deltoid muscle of an adult client would indicate that the nurse is not sure
of proper supplies needed to administer the injection? Select all that apply.
A. Needle length of 5/8 to 1/2 inch
B. Needle length that is 1 to 1 1/2 inch
C. Syringe with 30 mL volume
D. Syringe volume of 0.5 mL
E. Syringe with 2-3 mL volume - CORRECT ANSWER: a, c, d
The nurse asks the unlicensed assistive personnel assigned to a client who was
admitted in fluid overload to keep strict record of the clients intake and output for the
shift. The client drink one and a half E ounce serving of the whole milk, two bottles of
water that or 0.75 L each, and half cup of orange juice. What was the clients total intake
for the shift?
A. 1230 mL
B. 1980 mL
C. 2100 mL
D. 1860 mL - CORRECT ANSWER: b
A client who is being admitted to the medical floor has insomnia and is concerned about
sleeping in the hospital. What is important for the nurse to include in the clients care
plan? Select all that apply.
,A. Placed the client in a room close to the nurses station
B. Cluster nighttime care to minimize trips to the clients room
C. Discourage the client from sleeping in the daytime
D. Keep the clients door open so the client can be observed
E. Use a nightlight in the clients room when possible - CORRECT ANSWER: b, c, e
A client is receiving a transfusion of packed red blood cells. A few minutes into the
transfusion the client develops a reaction and the nurse intervenes. Placed the steps
that the nurse takes in the correct order, from start to finish. Ring order the options.
Please only placed the letter of the option in the blanks provided.
A. Notifies the healthcare provider and remains of the client
B. Observe client and measures vital signs every five minutes
C. Infuses 0.9% sodium chloride via the new line
D. Sends blood container, tubing, and record of transfusion to blood bank
E. Collects and sends clients urine and blood specimen's laboratory per protocol
F. Stops the blood in ministration and replaces IV tubing with new tubing - CORRECT
ANSWER: F
C
A
B
D
E
The parish nurse presented an education session to a female members on breast self
examination. What statement by one member indicates misunderstanding of the
teaching? Select all that apply.
,A. " when I do my breast self examination, I should check my armpits as well."
B. "I will conduct my breast self examination when I am having my menstrual cycle"
C. " I am breast-feeding, so I do not need to perform breast examinations"
D. " I should observe my breast by placing my hands on my hips and standing in front of
a mirror."
E. " I should tell my husband that he should examine his breasts as well." - CORRECT
ANSWER: B C
The nurse assesses the client sacral pressure ulcer and notes that it has increased in
size and depth and the bone is now Exposed. Based on these findings, the nurse
places calls to the wound care nurse and the health care provider. What risk related to
the wound assessment caused urgency in the nurses calls to the health care provider
and wound care nurse?
A. The client being upset
B. Bone erosion
C. Tissue necrosis
D. Osteomyelitis - CORRECT ANSWER: D
The quality department has determined that there is an outbreak of clostridium Dificil (c.
Diff) on the geriatric unit because there have been five new cases this week and clients
who have been on the unit for over 7 days, including two clients in the same room. What
might the unit educators discover as the likely cause of the outbreak?
A. The faucet in one infected clients room was broken so the unlicensed assistive
personnel performed hand hygiene using the hand sanitizer
B. All clients with the infection were placed on contact isolation immediately when they
were determined to have the infection
C. The UAP changed gloves and wash hands with soap and water when caring for the
two infected clients in the same room
, D. All five clients did not get the infection inside the hospital but were admitted with the
infection and was discovered later - CORRECT ANSWER: A
The nurse arrives at 11 PM for the night shift and is assigned five clients. After report,
the nurse is planning the order in which the client will be seen. Place the clients in order
to be seen by the nurse from most to least critical. Rank order the options. Please only
placed the letter of the option in the blanks provided.
A. Client who had surgery, arrived back from the operating room at 1 PM and is stable
B. Elderly confused client who wanders into other clients rooms in the daytime
C. Client whose blood pressure at shift change was 180/96 and received as needed
blood pressure medication
D. Client who was hypoglycemic at 10 PM, was given glucose and their blood glucose
at 10 PM was 68 mg/dL
E. Client who has insomnia and must receive sleep medications no later than midnight -
CORRECT ANSWER: C
D
A
E
B
The nurse conducts a respiratory assessment of a client who presents to the
emergency department and reports " I feel like my chest is tight and it's a little hard to
breathe." The nurse assesses the clients chest and here's what sounds like a squeaky,
high pitch sound that is assessed in all of the clients lung fields. What is the priority
action by the nurse?
A. have the client sit up in a chair and take some deep breath's
B. Ask the bed coordinator to get a bed on the floor for the Client
C. Provide oxygen and initiate aerosol breathing treatment
D. Prepare the client for intravenous diuretic administration - CORRECT ANSWER: C