2025-2026 Update 100% Correct Latest
Question 1
A nurse is calculating a client's fluid intake over the past 8 hours. Which of the following items should the nurse plan to
document on the client's intake and output record as 120 ml of fluid?
2 cups of soup
1 quart of water
8 oz of ice chips
6 oz of tea
Correct Answer
1 quart of water
Question 2
A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the
nurse plan to take?
Insert the catheter at a 45 angle
Place the client's arm in a dependent position
Shave excess hair from the insertion site
Initiate IV therapy in the veins of the hand
Correct Answer
Place the client's arm in a dependent position
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,Question 3
A nurse is admitting a client who has rubella. Which of the following types of transmission based precautions should the
nurse initiate?
droplet
airborne
contact
protective environment
Correct Answer
droplet
Question 4
A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the
following types of transmission precautions should the nurse initiate?
Protective environment
Airborne precautions
Droplet precautions
Contact precautions
Correct Answer
Contact precautions
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,Question 5
A nurse is performing a Romberg test during the physical assessment of a client. Which of the following techniques should
the nurse use?
Touch the face with a cotton ball
Apply a vibrating tuning fork to the client's forehead
Have the client stand with their arms at their sides and their feet together
Perform direct percussion over the area of the kidneys
Correct Answer
Have the client stand with their arms at their sides and their feet together
Question 6
A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the
surgeon, who tells the nurse to continue to measure the client's vital signs every 15 minutes and to report back in 1 hour.
Which of the following actions should the nurse take?
Document the provider's statement in the medical record
Complete an incident report
Consult the facility's risk manager
Notify the nursing manager
Correct Answer
Notify the nursing manager
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, Question 7
A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take
as part of the medication reconciliation process?
Seal unused medications from the facility in a plastic bag
Evaluate the client's ability to self administer medications
Report an identified discrepancy to The Joint Commission
Compare prescriptions with medications the client received while at the facility
Correct Answer
Compare prescriptions with medications the client received while at the facility
Question 8
A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of
infection?
Carry a client's soiled linens out of the room in a mesh linen bad
Place a client who has tuberculosis in a room with negative pressure airflow
Provide disposable plates and utensils for a client who is HIV positive
Dispose of a client's blood saturated dressing in a trash bag inside a second trash bag
Correct Answer
Place a client who has tuberculosis in a room with negative pressure airflow
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