Questions with Correct Answers
(Verified Answers) plus Rationales 2026
Q&A | Instant Download Pdf
1. A nurse is caring for a client with asthma. Which finding indicates worsening
status?
A. Wheezing with increased work of breathing
B. Oxygen saturation 98%
C. Clear lungs bilaterally
D. Normal respiratory effort
Answer: A. Wheezing with increased work of breathing
Rationale: Increased respiratory distress suggests worsening asthma.
2. A nurse is teaching about pressure injury prevention. Which intervention is
appropriate?
A. Reposition immobile clients regularly
B. Massage reddened areas vigorously
C. Ignore skin changes
D. Restrict nutrition
Answer: A. Reposition immobile clients regularly
Rationale: Frequent repositioning reduces pressure injury risk.
3. A nurse is caring for a client with hyperglycemia. Which finding is expected?
,A. Increased thirst
B. Diaphoresis only
C. Tremors from low glucose
D. Bradycardia
Answer: A. Increased thirst
Rationale: Hyperglycemia commonly causes polydipsia.
4. A nurse is assessing circulation. Which finding suggests poor perfusion?
A. Warm extremities
B. Delayed capillary refill
C. Strong pulses
D. Pink skin
Answer: B. Delayed capillary refill
Rationale: Delayed refill suggests impaired circulation.
5. A nurse is caring for a client with a urinary catheter. Which intervention helps
prevent infection?
A. Maintain a closed drainage system
B. Disconnect tubing frequently
C. Raise collection bag above bladder
D. Skip catheter care
Answer: A. Maintain a closed drainage system
Rationale: A closed system reduces infection risk.
6. A nurse is caring for a client with seizures. Priority action during a seizure
includes:
A. Restrain the client
B. Protect from injury
C. Insert objects into mouth
D. Force fluids
Answer: B. Protect from injury
Rationale: Safety is the immediate priority.
, 7. A nurse is caring for a client with dehydration. Which finding is expected?
A. Concentrated urine
B. Peripheral edema
C. Weight gain
D. Bounding pulse
Answer: A. Concentrated urine
Rationale: Dehydration causes urine concentration.
8. A nurse notes a potassium level of 6.2 mEq/L. Which action is priority?
A. Notify provider promptly
B. Encourage potassium-rich foods
C. Ignore result
D. Delay intervention
Answer: A. Notify provider promptly
Rationale: Hyperkalemia can cause life-threatening dysrhythmias.
9. A nurse is teaching postoperative breathing exercises. Purpose includes:
A. Prevent atelectasis
B. Increase wound pain
C. Promote infection
D. Reduce oxygenation
Answer: A. Prevent atelectasis
Rationale: Deep breathing helps expand alveoli.
10. A nurse is caring for a client with gastrointestinal bleeding. Which finding is
concerning?
A. Stable hemoglobin
B. Black tarry stools
C. Normal vital signs
D. Good appetite
Answer: B. Black tarry stools