TEST BANK 2026 FULL QUESTIONS WITH
VERIFIED ANSWERS
◉ A nurse is receiving a client from the PACU who is postoperative
following abdominal surgery. Which of the following actions should the
nurse take to transfer the client from the stretcher to the bed?
A. Lock the wheels on the bed and stretcher.
B. Instruct the client to raise his arms above his head.
C. Elevate the stretcher 2.5 cm (1 in) above the height of the bed.
D. Log roll the client. Answer: A. Lock the wheels on the bed and
stretcher.
The nurse should ask the client to cross his arms across his chest to
prevent injuring the arms during the transfer. The stretcher should be no
more than 1.3 cm (0.5 in) above the height of the bed. Logrolling is a
technique used to prevent injury when moving a client who requires
immobilization of the neck, back, or spine. It is not indicated for a client
following abdominal surgery.
, ◉ A nurse is planning to obtain the vital signs of a 2-year-old child who
is experiencing diarrhea and who might have a right ear infection. Which
of the following routes should the nurse use to obtain the temperature?
A. Rectal
B. Tympanic
C. Oral
D. Temporal. Answer: D. Temporal
The temporal artery route, while not as accurate as the rectal route for
obtaining a precise body temperature, is noninvasive and can be used to
obtain a temperature in a toddler who might have an ear infection and
who is having diarrhea. The nurse should place the probe behind the ear
if the client is diaphoretic, but should avoid placing it over an area
covered with hair.
The rectal route is very accurate for obtaining body temperature in
young children; however, it should not be used for clients who have
diarrhea.
◉ A nurse is planning care for a client who reports abdominal pain. An
assessment by the nurse reveals the client has a temperature of 39.2 C
(102.6 F), heart rate of 105/min, a soft nontender abdomen, and menses
overdue by 2 days. Which of the following findings should be the nurse's
priority?