QUESTIONS AND ANSWERS New UPDATE 2025-2026
A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu.
The nurse should recognize which of the following findings as a potential contraindication for using
lavender?
A. The client takes vitamin C daily
B. The client has a history of alcohol use disorder
C. The client has a history of asthma
D. The client takes furosemide twice daily - answers-C. The client has a history of asthma
A nurse is caring for a client who has major depressive disorder and a new prescription
for amitriptyline. The nurse should monitor for which of the following adverse effects?
A. Increased salivation
B. Urinary retention
C. Weight loss - answers-B. Urinary retention
A nurse is conducting a health promotion class about the use of oral contraceptives.
Which of the following disorders is a contraindication for oral contraceptive use?
A. Asthma
B. Hypertension
C. Fibromyalgia
D. Fibrocystic breast condition - answers-B. Hypertension
A nurse is preparing to witness a client's signature on a consent form for a colon resection. The nurse
should recognize that which of the following information should be
provided to the client by the provider before signing the form? (SATA)
,A. Explain the procedure
B. Expected outcome of the procedure
C. Potential complications
D. Possible alternative treatments
E. Cost of the procedure - answers-A. Explain the procedure
B. Expected outcome of the procedure
C. Potential complications
D. Possible alternative treatments
A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan.
Which of the following statements is appropriate to include in the teaching?
A. You should not have this procedure if you are allergic to iodine."
B. You should not have this procedure if you have a tattoo."
C. "The nurse will ask you to wear protective eyewear during this procedure."
D. "The nurse will ask you to remove any transdermal patches prior to the procedure." - answers-A.
You should not have this procedure if you are allergic to iodine."
A nurse is caring for a child who has sickle cell anemia and experiencing vasoconstrictive crisis. Which of
the following actions should the nurse include in the plan of care?
A. Initiate IV fluid replacement
B. Start a 24 hour urine collection
C. Give aspirin
D. encourage ambulation - answers-A. Initiate IV fluid replacement
A nurse is caring for a client who is dissatisfied with the care from the provider and decides to leave the
facility against medical advice. After notifying the provider, which of the following actions is appropriate
for the nurse to take?
A. Summon a security guard
B. Explain the risks of leaving
C. Complete an incident report - answers-B. Explain the risks of leaving
,A nurse is making an initial postpartum home visit. Which of the following client statements should the
nurse identify as a manifestation of increased risk for child abuse?
A. "I try to respond to the baby quickly ."
B. I think the baby should be sleeping through the night by now
C. "I have several friends who come by to help out with the baby." - answers-B. I think the baby
should be sleeping through the night by now
A nurse is caring for an infant who has gastroenteritis. Which of the following assessments should the
nurse report to the provider? A. Temperature 38 C(100.4 F) and pulse rate 124/min p
B. Decreased appetite and irritability
C. Pale and 24-hour fluid deficit of 30 mL
D. Sunken fontanels and dry mucous membranes - answers-D. Sunken fontanels and dry mucous
membranes
A nurse is admitting a client who is 1 week postpartum and reports excessive vaginal bleeding. The
nurse does not speak the same language as the client . The client partner and a 10 year old child are
accompanying her. Which of the following actions should the nurse take to gather the clients
information?
A. Request a female translator
B. Ask a student nurse who speaks the same language to translate
C. Have the child translate
D. Allow the clients partner to translate - answers-A. Request a female translator
A nurse is caring for a client who has pernicious anemia, Which of the following
laboratory values should the nurse evaluate effectiveness of the treatment ?
A. Folate levelB.
B. INR level
C. Vitamin b12 level
D. Creatinine level - answers-C. Vitamin b12 level
, A nurse is assigning tasks to assistive personnel(AP). Which of the following tasks should the nurse
assign to the AP?
A. Suction a new tracheostomy
B. Remove an NG tube
C. Perform post mortem care
D. Change the dressing on an implanted central venous access device - answers-C. Perform post
mortem care
A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of the following
findings should indicate to the nurse that the client's ability to eliminate urine from the bladder is
restored?
A. Two voids of 150 mL each over the past 2 hours= 2 x 30 = 60 mls
B. Fundus 2 fingerbreadths above the umbilicus( needs to be below or at the umbilicus)
C. Uterine atony( fundus not firm which means possible hemorrhage)
D. Fundus firm and to the right of the abdominal midline( fundus not midline, bladder may cause
shifting if patient not voiding properly) - answers-A. Two voids of 150 mL each over the past 2 hours= 2 x
30 = 60 mls
A nurse is caring for a client who has acute glomerulonephritis. Which of the following
should the nurse expect ?
A. Polyuria- oliguria
B. Hypotension- hypertension
C. Hematuria
D. Weight loss - weight gain - answers-C. Hematuria
A nurse is providing teaching to the parents of a newborn about genetic screening.
Which of the following statements should the nurse include in the teaching?
A. your baby will be given 2 ounces of water to drink prior to the test
B. this test will be repeated when your baby is 2 months old
C. a nurse will draw blood from your baby's inner elbow