2025-2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+ MUST STUDY!!
What should a nurse include in the care plan for a client on a bowel-training
program after a spinal cord injury?
Administer a rectal suppository 30 minutes prior to scheduled defecation times.
What action should a nurse take for a client in active labor requesting pain
management?
Place the client in a warm shower.
In triage after a disaster, which type of injury should a nurse assign the highest
priority?
95% full-thickness body burn.
What guideline should a nurse include when updating protocols for the use of belt
restraints?
Document the client's condition every 15 minutes.
What characteristic should be included about effective nursing leadership?
,Acts as an advocate for the nursing unit.
What laboratory finding indicates a need to revise the care plan for a client with
diabetes mellitus?
An HbA1c of 10%.
Which sexually transmitted infection is a nationally notifiable disease that must be
reported to the state health department?
Chlamydia.
What group facilitation technique should a nurse teach a newly licensed nurse for a
mental health unit?
Use modeling to help clients improve their interpersonal skills.
What dietary action should a nurse include in the care plan for a client practicing
Orthodox Judaism during Passover?
Provide unleavened bread.
What finding indicates the effectiveness of treatment for a client with a pulmonary
embolism?
The client reports feeling less anxious.
,What is the next action a nurse should take after securing the airway of a client
who ingested thirty diazepam tablets?
Administer flumazenil to the client.
What finding should a nurse expect in a client who used cocaine one hour ago?
Elevated temperature.
What manifestation should a nurse expect in a newborn with a blood glucose level
of 30 mg/dl?
Jitteriness.
Which laboratory finding in a school-age child should a nurse report to the
provider?
WBC count of 14,000/mm3.
What action should a nurse take when inserting an IV catheter for a 7-year-old
child?
Tell the child they will feel discomfort during the catheter insertion.
What finding should a nurse report for a client with an arteriovenous fistula?
Absence of a bruit.
, What statement indicates understanding of discharge teaching for a client with an
implantable cardioverter defibrillator?
I will wear loose clothing around my ICD.
What is an appropriate response for a nurse to make to a client at 14 weeks
gestation who feels ambivalent about being pregnant?
Describe your feelings to me about being pregnant.
What should a charge nurse include about designating a health care proxy?
The proxy should make health care decisions for the client regardless of the client's
ability to do so.
What can a proxy do if the client is under anesthesia?
Make treatment decisions for the client.
What is the first action a nurse should take for a client in the PACU who reports
nausea?
Turn the client on their side.