LATEST compiled from 2019 to 2025 over 200
questions are provided with answers.
A nurse is assisting with the plan of care for four clients . Which of the following
tasks should the nurse assign to an assistive personnel (AP)?
Assist a client to get out of bed after breathing treatment.
A nurse is reinforcing teaching with a client about the use of crutches. Which of
the following actions by the client indicates an understanding of the teaching?
The client advance the unaffected legs first while climbing stairs
A nurse is preparing to remove a client's peripheral IV catheter. After performing
hand hygiene and applying clean gloves, which of the following actions should
the nurse take first?
Clamp the infusion tubing.
A nurse is reinforcing teaching with a client about living wills, Which of the
following clients statements indicates an understanding of the teaching?
The living will direct my medical care when I am unable to make decision".
A nurse is contributing to the plan of care for a client who has a positive throat
culture for streptococci. Which of the following interventions should the nurse
recommend to be included in the plane of care?
Ensure that the client wears a surgical mask during transportation throughout the
facility.
A nurse is caring for a client who has an indwelling urinary catheter. Which of the
following actions should the nurse take to prevent urinary tract infection.
Drain urine from the tubing before ambulation.
A nurse at a long term care facility is caring for a client who is alert. Which of the
following actions should the nurse take to protect the clients privacy?
Speak with the clients about their condition after visitors have left.
A nurse is reinforcing preoperative teaching with a client who speaks a different
language than the nurse. Which of the following in actions should the nurse take?
Provide handouts written in the client's primary language.
A nurse is taking notes of clients' information on a piece of paper while receiving
a report. Which of the following actions should the nurse take to dispose of the
paper?
Shred the paper in a secure container.
A nurse is reinforcing teaching with a client about smoking cessation. Which of
the following should the nurse identify as the first stage of health behavior
change?
Precontemplation
A nurse is collecting data from a client who has an NG tube set to low intermittent
suction. Which of the following findings indicates hypomagnesemia?
Positive Chvostek's sign
,A charge nurse is reinforcing teaching with an assistive personnel (AP) about
performing pulse oximetry. Which of the following information should the nurse
include in the teaching?
Remove polish from the client's fingernail before applying the oximetry probe
A nurse is collecting data on four clients. Which of the following findings should
the nurse report to the provider?
Urine output of 200 mL over 8 hr
A nurse is assisting with the care of a recently deceased client. Which of the
following actions should the nurse complete prior to the family viewing the body?
- Clean soiled areas of the body
A nurse is explaining ethics and values to a newly licensed nurse. The nurse
should explain that allowing a client to make a decision about a treatment is an
example of which of the following ethical principles?
Autonomy
A nurse is planning to perform wound irrigation for a client who has a large
abdominal wound. Which of the following actions should the nurse plan to take?
Administer an analgesic 30 min before starting the procedure.
A nurse is assisting with the admission of a client who has active tuberculosis.
Which of the following actions should the nurse plan to take?
Assign the client to a negative- pressure airflow room
A nurse is reinforcing teaching with a client about the prevention of stress
injuries. Which of the following instructions should the nurse include?
When lifting a heavy object, keep it close to your body."
A nurse is assisting with a presentation to a group of older adults at a community
center about hypothermia and hyperthermia. Which of the following information
should the nurse include about age-related change?
Circulation become less efficient with age
A nurse is caring for a client who has COPD. Which three findings that require
follow-up?
Breath sounds, blood pressure, oxygen saturation
A nurse is reinforcing teaching about health promotion with a group of young
adult clients. Which of the following information should the nurse include?
Young adults should receive a dental assessment every 6 months
A nurse is caring for a postoperative client who is at risk for thrombus formation.
Which of the following interventions should the nurse delegate to an assistive
personnel (AP)?
Apply thromboembolic stocking
A nurse is reviewing the vital signs of four adult clients. Which of the following
findings requires further data collection by the nurse?
A client who has a pulse rate of 110/min
A nurse is caring for a client who has metastatic cancer and practices
Catholicism. The client asks the nurse to discuss the afterlife with them.Which of
the following statements by the nurse assist in the meeting the client's spiritual?
Tell me what the afterlife means to you".
A nurse is preparing to administer topical medication to a client. Which of the
following actions should the nurse take?
, Compare the label of the medication container with the medication administration record
three times.
A charge nurse smells smoke, enters the visitor restroom, and sees flames in the
trash can. What is the sequence of actions that the nurse should take?
1.Evacuate client from area 2. Pull the lever of the fire alarm box 3. Close the fire doors
on the united 4. Use a fire extinguisher to put out the fire.
A nurse is reinforcing preoperative teaching with a client about how to turn,
cough, and deep breathe. Which of the following statements by the clients
indicates an understanding of the teaching?
"This can help prevent pneumonia".
A nurse is assisting in the care of a client who is being placed on transmission -
based precautions. Which of the following actions should the nurse plan to take
when caring for these clients?
1. Wear an N95 mask when caring for the client 2. Place a trash can for soiled linens
inside the client's room 3. Place the client in a negative airflow room 4. Perform hand
hygiene before leaving the client's room
A nurse is positioning a client who has quadriplegia in the supine position. Which
of the following actions should the nurse take to prevent client musculoskeletal
injury?
Internally rotate the client's hip by using a trochanter roll
A nurse is contributing to a place of care for a client who has a new prescription
for a wrist restraint. Which of the following actions should the nurse include in
the plan?
Pad bony prominences on the wrist.
A nurse is reinforcing teaching with a client who has partial hearing loss about
how to modify the home environment. Which of the following is a priority
modification that the nurse should include?
Flashing smoke alarm
A nurse is assisting with the plan of care for a client who has aphasia following a
stroke. Which of the following interventions should the nurse use to assist the
client with communication?
Ask the client close- ended question
A nurse in an emergency department is caring for a client. Complete the following
sentence by using the list of options?
1. Obtain a prescription from the provider for restraints is incorrect. 2. Using alternative
methods to keep the client safe is correct.
A nurse is reinforcing teaching about the use of crutches with a client who has a
fractured right tibia and fibula. Which of the following statements by the client
indicate an understanding of the teaching?
I will be sure to keep the crutch tips dry".
A client who has advanced cancer tells the nurse that they have a difficult time
talking to the illness. Which of the following actions should the nurse take to
encourage therapeutic communication?
let the client know that, as their nurse, they are available and willing to listen