RETAKE GUIDE 2026 COMPLETE
QUESTIONS AND ANSWERS GRADED A+
⩥ . a nurse is assessing a client who is immobile and notices a red area
over the client's coccyx. Which of the following actions should the nurse
take? Answer: Assess the red area for blanching
⩥ . a nurse is preparing to insert an iv catheter for a client following a
right mastectomy. Which of the following veins should the nurse select
when initiating an IV therapy? Answer: The cephalic vein in the left
distal forearm
⩥ a nurse is preparing to administer a medication into a client by the
intradermal route after applying gloves and cleaning the site with an
antiseptic swab. In what order should the nurse take the steps to
administer the medication? (move steps into box 1- 4 priority) Answer:
⩥ . a nurse is providing teaching to a client about colorectal cancer
prevention guidelines. Which of the following recommendations should
the nurse include? Answer: Reduce intake of red meats
⩥ a nurse is planning care to prevent skin breakdown for a client who is
immobile and is urinary incontinent. Which of the following actions
, should the nurse include in the plan of care? Answer: Request a
prescription for an indwelling urinary catheter
⩥ a nurse is preparing to apply a condom catheter for a client who is
uncircumcised which of the following actions should the nurse plan to
take? Answer: Place adhesive tape directly on the penis
⩥ a nurse is teaching a client who had an enucleation about care of an
artificial eye. Which of the following information should the include in
the teaching? (select all that apply) Answer: -Apply pressure just below
artificial eye to break the suction
-Retract the upper and lower lids to reinsert the artificial eye
⩥ 9. a nurse is reviewing client confidentiality with a newly licensed
nurse. The nurse should identify which of the following examples as a
violation of HIPPA? Answer: Discussing the clients transfer to a long-
term care facility with a nurse from another unit
⩥ 10. a nurse is caring for a client who is 2 days postoperative following
bowel resection and reports sudden severe abdominal pain. Which of the
following actions should the nurse take first? Answer: Expose the clients
abdomen to look for changes in appearance
⩥ 11. a nurse is providing care for a client who is to undergo a total
laryngectomy. Which of the following interventions is the nurses