TRANSITIONS ALL COMPS FOR
NURSING STUDY QUESTIONS WITH
CORRECT DETAILED ANSWERS
LATEST UPGRADE
The nurse is preparing to develop a plan of care after assessing a newly
admitted client who is diagnosed with pericarditis. Which of the following
actions should the nurse take next?
A. Prioritize the client's reported concerns
B. Determine any referrals that need to be initiated
C. Ask the client what they would like to achieve by discharge
D. Review client data to identify the areas of concern --CORRECT ANSWER--
D. Review client data to identify the areas of concern
The charge nurse is reviewing clients' electronic medical records (EMR). Which
of the following indicated correct documentation by a staff nurse?
A. "Intravenous (IV) catheter site in antecubital space is red and warm. IV
catheter removed. New IV started"
B. "Found client sitting on floor. All 4 side rails were in upright position. Client
reports no pain. No abrasions or bleeding note. Primary health care provider
(PHCP) notified. Incident report completed"
Page 1 of 72
,C. "Returned from radiology department following a diagnostic procedure. Vital
signs obtained with slight increase in blood pressure from before procedure"
D. "Late entry: Ambulated from bed to doorway without assistance. No
shortness of breath or diaphoresis noted. Vital signs remain within baseline after
ambulations" --CORRECT ANSWER--D. "Late entry: Ambulated from bed to
doorway without assistance. No shortness of breath or diaphoresis noted. Vital
signs remain within baseline after ambulations"
The nurse working in a medical-surgical unit is aware of the following
situations. Which situations require the nurse to complete an incident report?
A. A client has developed phlebitis from an intravenous (IV) catheter and is
now receiving antibiotics
B. A staff member called a code for a client who developed respiratory distress
C. The client who reports having an advance directive does not have a copy on
their chart
D. The nurse finds a PRN prescription for restraints on a client's medical record
--CORRECT ANSWER--A. A client has developed phlebitis from an
intravenous (IV) catheter and is now receiving antibiotics
The nurse working on a medical surgical unit is caring for the following
assigned clients when the facilities emergency response plan is activated. Which
client should the nurse recommend for discharge?
A. The client with suspected appendicitis, intense pain at McBurney's point, and
now reports cessation of the pain
Page 2 of 72
,B. The client with pneumonia, a history of asthma, and a new prescription to
switch from intravenous (IV) to oral antibiotics
C. The client who is positive for human immunodeficiency virus (HIV), has a
nonproductive cough, and a 24-hour Mantoux test reading of 6mm induration
D. The client who has cirrhosis of the liver, coarse had tremors, fruity breath,
and a 2 lb weight gain in the last 48 hours. --CORRECT ANSWER--B. The
client with pneumonia, a history of asthma, and a new prescription to switch
from intravenous (IV) to oral antibiotics
The nurse is observing a newly hired unlicensed assistive personnel (UAP) care
for assigned clients. It indicates correct client care of the newly hired UAP is
observed
A. Donning sterile gloves to empty a urinary drainage device
B. Removing protective eyewear before removing gloves
C. Wearing a gown, mask, and gloves when entering the room of a client who
has influenza
D. Placing dedicated equipment in the room of a client who has cystic fibrosis
(CF) --CORRECT ANSWER--C. Wearing a gown, mask, and gloves when
entering the room of a client who has influenza
The nurse manager is preparing an in-service regarding legal issues and client
care. Which of the following is a correct example for the nurse manager to give
during the in-service?
A. Battery is having security keep a client in their room when they want to leave
against medical advice (AMA)
Page 3 of 72
, B. Using a recliner's attached lap tray to keep the client in the chair is
considered assault
C. Malpractice is applying restraints without an order from the primary health
care provider (PHCP)
D. Defamation is posting inaccurate information regarding a coworker on social
media --CORRECT ANSWER--D. Defamation is posting inaccurate
information regarding a coworker on social media
The nurse is assigned clients for hospice services. The nurse should recommend
hospice care for the client who
A. Has Diabetes Mellitus and has developed chronic kidney disease (CKD)
B. Has terminal cancer and needs assistance with pain management at home
C. Has dysphagia due to a stroke and needs administration of gastric tube (g-
tube) feedings
D. Has dementia and needs assistance with activities of daily living (ADLs) --
CORRECT ANSWER--B. Has terminal cancer and needs assistance with pain
management at home
The nurse working on a pediatric unit has received the change-of-shift report
and is reviewing client data and prescriptions. Which of the following clients
should the nurse plan to see first?
A. the school-aged child who has diabetes mellitus (type 1) and requires blood
glucose monitoring
B. The infant who has a diagnosis of pertussis and has a dry hacking cough
Page 4 of 72
NURSING STUDY QUESTIONS WITH
CORRECT DETAILED ANSWERS
LATEST UPGRADE
The nurse is preparing to develop a plan of care after assessing a newly
admitted client who is diagnosed with pericarditis. Which of the following
actions should the nurse take next?
A. Prioritize the client's reported concerns
B. Determine any referrals that need to be initiated
C. Ask the client what they would like to achieve by discharge
D. Review client data to identify the areas of concern --CORRECT ANSWER--
D. Review client data to identify the areas of concern
The charge nurse is reviewing clients' electronic medical records (EMR). Which
of the following indicated correct documentation by a staff nurse?
A. "Intravenous (IV) catheter site in antecubital space is red and warm. IV
catheter removed. New IV started"
B. "Found client sitting on floor. All 4 side rails were in upright position. Client
reports no pain. No abrasions or bleeding note. Primary health care provider
(PHCP) notified. Incident report completed"
Page 1 of 72
,C. "Returned from radiology department following a diagnostic procedure. Vital
signs obtained with slight increase in blood pressure from before procedure"
D. "Late entry: Ambulated from bed to doorway without assistance. No
shortness of breath or diaphoresis noted. Vital signs remain within baseline after
ambulations" --CORRECT ANSWER--D. "Late entry: Ambulated from bed to
doorway without assistance. No shortness of breath or diaphoresis noted. Vital
signs remain within baseline after ambulations"
The nurse working in a medical-surgical unit is aware of the following
situations. Which situations require the nurse to complete an incident report?
A. A client has developed phlebitis from an intravenous (IV) catheter and is
now receiving antibiotics
B. A staff member called a code for a client who developed respiratory distress
C. The client who reports having an advance directive does not have a copy on
their chart
D. The nurse finds a PRN prescription for restraints on a client's medical record
--CORRECT ANSWER--A. A client has developed phlebitis from an
intravenous (IV) catheter and is now receiving antibiotics
The nurse working on a medical surgical unit is caring for the following
assigned clients when the facilities emergency response plan is activated. Which
client should the nurse recommend for discharge?
A. The client with suspected appendicitis, intense pain at McBurney's point, and
now reports cessation of the pain
Page 2 of 72
,B. The client with pneumonia, a history of asthma, and a new prescription to
switch from intravenous (IV) to oral antibiotics
C. The client who is positive for human immunodeficiency virus (HIV), has a
nonproductive cough, and a 24-hour Mantoux test reading of 6mm induration
D. The client who has cirrhosis of the liver, coarse had tremors, fruity breath,
and a 2 lb weight gain in the last 48 hours. --CORRECT ANSWER--B. The
client with pneumonia, a history of asthma, and a new prescription to switch
from intravenous (IV) to oral antibiotics
The nurse is observing a newly hired unlicensed assistive personnel (UAP) care
for assigned clients. It indicates correct client care of the newly hired UAP is
observed
A. Donning sterile gloves to empty a urinary drainage device
B. Removing protective eyewear before removing gloves
C. Wearing a gown, mask, and gloves when entering the room of a client who
has influenza
D. Placing dedicated equipment in the room of a client who has cystic fibrosis
(CF) --CORRECT ANSWER--C. Wearing a gown, mask, and gloves when
entering the room of a client who has influenza
The nurse manager is preparing an in-service regarding legal issues and client
care. Which of the following is a correct example for the nurse manager to give
during the in-service?
A. Battery is having security keep a client in their room when they want to leave
against medical advice (AMA)
Page 3 of 72
, B. Using a recliner's attached lap tray to keep the client in the chair is
considered assault
C. Malpractice is applying restraints without an order from the primary health
care provider (PHCP)
D. Defamation is posting inaccurate information regarding a coworker on social
media --CORRECT ANSWER--D. Defamation is posting inaccurate
information regarding a coworker on social media
The nurse is assigned clients for hospice services. The nurse should recommend
hospice care for the client who
A. Has Diabetes Mellitus and has developed chronic kidney disease (CKD)
B. Has terminal cancer and needs assistance with pain management at home
C. Has dysphagia due to a stroke and needs administration of gastric tube (g-
tube) feedings
D. Has dementia and needs assistance with activities of daily living (ADLs) --
CORRECT ANSWER--B. Has terminal cancer and needs assistance with pain
management at home
The nurse working on a pediatric unit has received the change-of-shift report
and is reviewing client data and prescriptions. Which of the following clients
should the nurse plan to see first?
A. the school-aged child who has diabetes mellitus (type 1) and requires blood
glucose monitoring
B. The infant who has a diagnosis of pertussis and has a dry hacking cough
Page 4 of 72
