answers Updated RATED A+ | NEW | 2026
A nurse is providing discharge teaching to a client who has a prescrip on for daily wound care
via home health services. Which of the following statements by the client indicates an
understanding of the teaching?
"A nurse will show me how to care for my wound."
A nurse on a medical-surgical unit is caring for a client. Which of the following ac ons should
the nurse priori ze when using the nursing process?
Obtain client informa on
A nurse is witnessing a client sign an informed consent form for surgery. What is the nurse
affirming by this ac on?
The signature on the preopera ve consent form is the client's.
A nurse is using the I-SBAR communica on tool to give a client's provider informa on about the
client. The nurse should convey this client's pain status in which por on of the report?
Assessment
A nurse is providing teaching to a client about a surgical procedure that she is scheduled for
later in the day. The client states that no one has spoken to her about the procedure before.
Which of the following ac ons should the nurse take?
Stop the teaching and check with the surgeon about informed consent.
A nurse is providing discharge teaching to a client who does not speak the same language as the
nurse. The client's neighbor, who speaks both the client's na ve language and the nurse's,
arrives to drive the client home. Which of the following ac ons should the nurse take?
Obtain the services of an interpreter.
A nurse is collec ng health history data from a client who is deaf and uses American Sign
Language (ASL) to communicate. The nurse will be working with an ASL interpreter. Which of
the following ac ons should the nurse take when working with the interpreter?
Pace speech to allow me for the interpreter to convey the words.
, A nurse is presen ng an in-service training session about nutri on. Which of the following
simple sugars should the nurse iden fy as the carbohydrate found in milk?
Lactose
A nurse is working with the facility's language interpreter to explain a wound-care procedure to
a client who does not speak the same language as the nurse. Which of the following ac ons
should the nurse take when describing the procedure to the client?
Ensure the interpreter and the client speak the same dialect.
A nurse on a medical unit is caring for a client who has been coughing intermi/ently during
meals, a/emp ng to clear her throat repeatedly, and ea ng only a small por on of each meal.
The nurse should recommend a referral to which of the following members of the
interprofessional team to evaluate the client for dysphagia?
Speech-language pathologist
A nurse is caring for a client who has a Clostridium difficile infec on and is in contact isola on.
Which of the following ac ons should the nurse take?
Wear gloves when changing the client's gown.
A nurse is caring for an older adult client who is violent and a/emp ng to disconnect her IV
lines. The provider prescribes so2 wrist restraints. Which of the following ac ons should the
nurse take while the client is in restraints?
Remove the restraints one at a me.
A nurse is caring for a client who has a prescrip on for a vest restraint. Which of the following
ac ons should the nurse take?
Tie the restraint with a quick-release knot.
A nurse is inser ng an IV catheter for a client that results in a blood spill on her gloved hand.
The client has no documented bloodstream infec on. Which of the following ac ons should the
nurse take?
Carefully remove the gloves and proceed with hand hygiene.
A nurse on a rehabilita on unit is preparing to transfer a client who is unable to walk from a bed
to a wheelchair. Which of the following techniques should the nurse use?
Place the wheelchair at a 45-degree angle to the bed.