CORRECT ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED ANSWERS
LATEST ALREADY GRADED A+ 2025 - 2026
The nurse teaches a client who had an above-knee amputation (AKA) 2 days
ago about how to care for the residual limb. Which statement, if made by the
client, indicates to the nurse that the teaching is effective?
1. "I shall apply cream to the residual limb to soften the skin."
2. "I should rewrap my residual limb with elastic bandages 3 times a day."
3. "I will not be able to sleep on my stomach from now on."
4. "I will no longer be able to sit in straight back chairs at home." - ANSWERS-
2
The husband of an elderly client who is incontinent asks the nurse whether
his wife will have to wear diapers. Which response, if made by the nurse, is
MOST appropriate?
1. "Let's discuss your specific concerns about your wife."
2. "Have you tried any type of incontinence pads in the past?"
3. "Let's wait and see if incontinence pads are necessary."
,4. "There are many brands of adult diapers available for you to try." -
ANSWERS-1
The school nurse teaches accident-prevention to the parents of school-aged
children. Which statement, if made by a parent to the nurse, indicates
teaching is effective?
1. "I'm going to make sure my child wears a helmet, shin guards, and gloves
when he rides his bike."
2. "I keep my guns and ammunition in a locked cabinet in the basement."
3. "The next time we go to the park, I'm going to teach my child the correct
way to climb on the monkey bars."
4. "I'm going to make sure my wife and I observe our child when he plays
outside with friends." - ANSWERS-3
The nurse cares for a client who had a Roux-en-Y gastric bypass procedure 4
hours ago. The client's vital signs are blood pressure 92/68, apical heart rate
112 per minute, and respiratory rate 22 per minute. Which order should the
nurse question?
1. 0.9% sodium chloride water infusion at 150 mL/hour.
2. Epinephrine (Adrenalin) 1 mg bolus intravenously.
3. Monitor urinary output hourly for 24 hours.
4. 50 mL 25% albumin (human) 50 mL intravenously. - ANSWERS-2
A nurse from the surgical floor is reassigned to the pediatric unit. Which of
the following client assignment is MOST appropriate for this nurse?
1. A 5-month-old infant after a cast application on the left extremity due to
club foot.
2. A 4-year-old boy with right abdominal swelling and a decreased appetite.
, 3. A 6-year-old boy admitted with cystic fibrosis and a temperature of 101.5 F
(38.68 C).
4. A 10-year-old girl with newly diagnosed type 1 diabetes. - ANSWERS-1
The home care nurse observes an elderly woman on a low-sodium diet eating
a dill pickle that her son gave her with lunch. Which response by the nurse is
MOST appropriate?
1. "Giving your mother salty food will only make her condition worse."
2. "Didn't your mother tell you she's on a low-sodium diet?"
3. "Tell me what you know about your mother's diet."
4. "Let's make an appointment for you to meet with a dietician." - ANSWERS-
3
The nurse prepares to administer the initial dose of oral enalapril (Vasotec)
20 mg in the morning. Which medication should the nurse question giving to
the client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime. - ANSWERS-2
The home care nurse visits a client with a halo fixator traction device. Which
client statement MOST concerns the nurse?
1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw." - ANSWERS-3