QUESTIONS AND ANSWERS | 2026 UPDATE WITH
COMPLETE SOLUTION
A nurse in a provider's clinic is taking a client's age, height, weight, and vital
signs. The nurse should identify this action as part of which of the following
components of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation Answer - C. Assessment
-The nurse should explore the client's health history and perform a physical
examination
A nurse is caring for a client who has osteoarthritis. The client states she does
not want to perform her prescribed exercises because of the pain. Which of the
following responses should the nurse make?
A. The exercises are important. The quicker we do them, the sooner they will
be done.
B. The pain will go away once you start doing the exercises regularly
C. Think of something pleasant while exercising, and you will not have pain
D. Tell me more about the pain you experience during exercise Answer - D.
"Tell me more about the pain you experience during exercise"
-This is the therapeutic communication response because the nurse is
acknowledging the client's feelings
, A nurse is preparing to assist an older adult client with ambulation following
bed rest for 3 days. Which of the following actions should the nurse take to
decrease the risk of a fall?
A. Use a gait belt during ambulation
B. Ensure the client is wearing socks before ambulating
C. Instruct the client to sit on the edge of the bed for 15 seconds before
ambulating
D. Walk 2 ft behind the client during ambulation Answer - A. Use a gait belt
during ambulation
-This helps keep the client's center of gravity midline and decreases the risk of
fall
A nurse is inserting an IV catheter for a client that results in a blood spill on her
gloved hand. The client has no documented bloodstream infection. Which of
the following actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away
B. Prepare an incident report to document the event
C. Carefully remove the gloves and proceed with hand hygiene
D. Ask the provider to order a blood culture to determine the risk of infection
Answer - C. Carefully remove the gloves and proceed with hand hygiene
-This would be the nurse following standard precautions
A nurse is admitting an older client who has chronic obstructive pulmonary
disease. The client's daughter is present and states that her father will become
uncooperative if he is not able to follow his usual routines. Which of the
following actions should the nurse take?
A. Assure the client that his usual routines will be followed
B. Ask the daughter what routines her father follows at home
C. Inform the daughter that the facility policies must be followed