QUESTIONS WITH CORRECT ANSWERS
2025/2026
• A nurse in an acute mental health facility is caring for a newly admitted client.
Which of the following should occur during the orientation phase of the nurse-
client relationship? - ANSWERS Defining responsibilities
• A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider? - ANSWERS Urine
output 12 mL/hr
• A nurse is reinforcing teaching with a client who is at 38 weeks of gestation and
is to undergo a contraction stress test. Which of the following statements by the
client indicates an understanding of the teaching? - ANSWERS I am having this
test because my baby was not reactive during a nonstress test
a charge nurse in a long-term care facility is developing a performance
improvement plan for an assistive personnel (AP). Which of the following actions
should the nurse take when developing the plans?
(Select all that apply) - ANSWERS Set a specific time frame for meeting
performance goals
Ask the nurse supervisor to review the plan
,Include the performance standard that the AP should meet
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the
nurse indicates an understanding of the teaching? - ANSWERS "I will instruct the
client to sit when putting on a pair of pants"
A charge nurse is discussing confidentiality requirements with a newly licensed
nurse when sharing a client's medical information. Which of the following
individuals should the charge nurse identify as appropriate with whom to share
client information? - ANSWERS a social worker who is assigned to an involuntary
committed school age client
A charge nurse is observing a newly licensed nurse perform suctioning for a client
who has a tracheostomy. For which of the following actions by the newly licensed
nurse should the charge nurse intervene? - ANSWERS Suction for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed nurse about floating
to a different unit.
Which of the following statements by the newly licensed nurse indicates an
understanding of the teaching? - ANSWERS "I will document in the medical record
the support nurse who assists with planning care for my clients"
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWERS Tells a client he will lose his phone privileges if he
does not take his medication
, A charge nurse working in a long-term care facility overhears two AP's in the
nurses stations discussing a client who was just admitted. Which of the following
actions should the charge nurse take? - ANSWERS Tell the APs to stop the
conversation
A community health nurse is assisting in the development of a brochure about
hypertension. Which of the following actions should the nurse take? - ANSWERS
Explain the medical terminology using basic one syllable words
A community health nurse is assisting with the development of a pamphlet
regarding choking hazards for toddlers. Which of the following foods should the
nurse include? - ANSWERS grapes
A home health nurse is caring for an older adult client who has rheumatoid
arthritis. Which of the following findings should the nurse identify as a safety risk?
- ANSWERS The client's electrical wires are run under carpeting
A nurs is caring for a client wie suddenly develops chest pain and dyspea. Which
of the following should the nurse take first? - ANSWERS Elevate the head of the
client's bed
A nurse begins to bath a newly admitted client who reports that she has not had
anything to eat that day.
The nurse interrupts the bath and obtains a healthy meal for the client. This
action by the nurse is an example of which of the following? - ANSWERS
Countertransference