correct answers | 2025/2026
Questions in this set (85)
Correct Answer: Improve the status of ventilation.
A client is diagnosed with
pneumonia secondary to Rationale: This was a question that I got caught up in the wording
COPD. Which nursing goal is and totally ignored the word ventilation in the correct answer.
most appropriate? Improving the quality of ventilation refers to levels of carbon
dioxide and oxygen.
The home health nurse is Correct Answer: Keeps clean bed linens off the floor.
expected to maintain medical
asepsis while proving client Rationale: Keeping clean bed linens off the floor is an example of medical
care in the home. The nurse asepsis.
understands which action is
medical asepsis?
Correct Answer: An enema can help to relieve constipation; an
enema can soft and eliminate stool; an enema solution should be
The nurse plans to administer retained as long as possible; an enema can decrease abdominal
an enema to an older adult distention
client. The nurse recalls
which statement about an Rationale: An enema can assist in relieving constipation and
enema is true? soften stool for easier evacuation. The enema should be retained
as long as possible for best results and can assist in decreasing
abdominal distention, once the stool is evacuated.
Correct Answer: 10-15 minutes
The nurse provides care for
Rationale: 30-60 minutes is the onset for short acting insulin, such
a client diagnosed with DM1.
as regular insulin. 10-15 minutes is the onset for rapid acting insulins,
The nurse recalls lispro
such as aspart, glulisine, and lispro. 1-2 hours is the onset for
insulin has which onset
intermediate acting insulin, such as NPH. 3-6 hours is the duration
time?
of rapid acting insulin.
, Correct Answer:
A client diagnosed with HIV;
The nurse provide care for Aclient diagnosed with cancer receiving chemo;
clients on a medical surgical A client who had a kidney transplant six months ago
unit. The nurse recalls which
client may be placed on Rationale: Clients with HIV, cancer receiving chemo, and those
neutropenic precautions? SATA receiving organ transplants have a compromised immune system
may need neutropenic precautions for protection.
Correct Answer:
Headache
A client diagnosed with an Fever and
immune deficiency is scheduled chills Joint
to receive an initial infusion of pains
IVIG. The nurse understands Fatigue
which is an expected adverse Skin rash
effect? (Select all that apply)
Rationale: Clients have commonly reported headaches, fever and
chills, joint pain, fatigue, mild skin rash after receiving IVIG for the
first time.
Correct Answer:
The home care nurse plans
1. The order adult client using diuretic medication and is expecting pink-
activities for the day. In which tinged mucus.
order does the nurse see the 2. The client discharged yesterday after IV heparin therapy for a DVT.
clients? (Place the answers in 3. The older adult client diagnosed with pneumonia and
order of priority, beginning with discharged from the hospital 3 days ago.
the first client to see. All options 4. The client breastfeeding a 2-day-old infant born 5 days before the due date.
must be used.)
Correct
A client after a motor vehicle Answer:
accident has multiple fractures Osteoporosis
and is placed on bedrest. The ; DVT;
nurse understands which Pressure injury;
condition can develop as a Orthostatic
result of immobility? SATA hypotension
Depression
Correct Answer: considerable weight loss
The health care provider
diagnoses a client with Graves Rationale: Graves disease symptoms include feeling anxious and
disease. The nurse expects the restless, heat intolerance due to increased metabolic demand,
client to exhibit which weight loss with increased appetite, and an increase in deep
symptom? tendon reflexes.
Correct
Answer:
The nurse identifies which Anger;
behaviors are expected during Depression;
the grieving process? (Select all Denial;
that apply) No eye