QUESTIONS WITH CORRECT
ANSWERS 2025/2026
TheAnurseAisAcalledAtoAtheAwaitingAroomAofAaApediatricAclinic.ATheAfranticAmotherAstates,A"IAthinkAmyA4-
month-oldAbabyAisAchoking!"AWhatAstepsAwillAtheAnurseAtake?A(SelectAallAthatAapply.)
A.
CompressAtheAchestAonceAbetweenAtheAnipplesAwithAtwoAfingers.
B.
A
NoteAanyAobstructionAorAabsenceAofAbreathing.
C.
A
DeliverAfiveAbackslapsAbetweenAtheAshoulderAblades.
D.
A
PlaceAtheAinfantAoverAtheAnurse'sAarm.
E.
A
PerformAaAblindAfingerAsweep.A-AcorrectAanswersB,AC,AD
Rationale:ATheAfingersAareAplacedAatAtheAsameAlocationAonAanAinfantAasAchestAcompressionsAforACPR;Ah
owever,AtheAnurseAmustAdeliverAfiveAchestAthrusts,AafterAtheAfiveAbackAslaps.ABlindAsweepsAareAnotAuse
dAasAthisAactionAmayApushAtheAobjectAdeeperAintoAtheAthroat.ATheAremainingAstepsAareAcorrect.
WhichAfluidAwillAtheAnurseAselectAtoAadministerAwithAtheAprescribedAbloodAtransfusion?
A.
5%ADextroseAandAwater
B.
A
NormalAsaline
C.
A
LactatedARingersAsolution
D.
A
5%ADextroseAandAlactatedAringersA-AcorrectAanswersBA
Rationale:ANormalAsalineAsolutionAisAtheAonlyAsolutionAthatAisAcompatibleAwithAblood.
WhenAassistingAaAclientAfromAtheAbedAtoAaAchair,AwhichAprocedureAisAbestAforAtheAnurseAtoAfollow?
A.
PlaceAtheAchairAparallelAtoAtheAbed,AwithAitsAbackAtowardAtheAheadAofAtheAbedAandAassistAtheAclientAinA
movingAtoAtheAchair.
,B.
A
WithAtheAnurse'sAfeetAspreadAapartAandAkneesAalignedAwithAtheAclient'sAknees,AstandAandApivotAtheAcli
entAintoAtheAchair.
C.
A
AssistAtheAclientAtoAaAstandingApositionAbyAgentlyAliftingAupward,AunderneathAtheAaxillae.
D.
A
StandAbesideAtheAclient,AplaceAtheAclient'sAarmsAaroundAtheAnurse'sAneck,AandAgentlyAmoveAtheAclientA
toAtheAchair.A-AcorrectAanswersB
Rationale:AOptionABAdescribesAtheAcorrectApositioningAofAtheAnurseAandAaffordsAtheAnurseAaAwideAbase
AofAsupportAwhileAstabilizingAtheAclient'sAkneesAwhenAassistingAtoAaAstandingAposition.ATheAchairAshoul
dAbeAplacedAatAaA45-
degreeAangleAtoAtheAbed,AwithAtheAbackAofAtheAchairAtowardAtheAheadAofAtheAbed.AClientsAshouldAneve
rAbeAliftedAunderAtheAaxillae;AthisAcouldAdamageAnervesAandAstrainAtheAnurse'sAback.ATheAclientAshould
AbeAinstructedAtoAuseAtheAarmsAofAtheAchairAandAshouldAneverAplaceAhisAorAherAarmsAaroundAtheAnurse
'sAneck;AthisAplacesAundueAstressAonAtheAnurse'sAneckAandAbackAandAincreasesAtheAriskAforAaAfall.
HowAmanyAmLAwillAtheAnurseAdocumentAonAtheAclient'sAintakeAandAoutputArecordAfromAtheAitemsAliste
d?A_____AmL
1200AmLAwater
4AounceAcontainerAofAgelatin
8AouncesAofAorangeAjuice
355AmLAcanAofAsoda1AcupAofAsoupA-AcorrectAanswersAnswer:A2155
Rationale:A1200A+A240A(8Aoz)A+A240A(1Acup)A+A120A(4Aoz)A+A355A=A2155
TheAnurseAobservesAaAUAPAtakingAaAclient'sAbloodApressureAinAtheAlowerAextremity.AWhichAobservatio
nAofAthisAprocedureArequiresAtheAnurseAtoAinterveneAwithAtheAUAP'sAapproach?
A.
TheAcuffAwrapsAaroundAtheAgirthAofAtheAleg.
B.
A
TheAUAPAauscultatesAtheApoplitealApulseAwithAtheAcuffAonAtheAlowerAleg.
C.
A
TheAclientAisAplacedAinAaAproneAposition.
D.
A
TheAsystolicAreadingAisA20AmmAHgAhigherAthanAtheAbloodApressureAinAtheAclient'sAarm.A-
AcorrectAanswersB
Rationale:AWhenAobtainingAtheAbloodApressureAinAtheAlowerAextremities,AtheApoplitealApulseAisAtheAsit
eAforAauscultationAwhenAtheAbloodApressureAcuffAisAappliedAaroundAtheAthigh.ATheAnurseAshouldAinterv
eneAwithAtheAUAPAwhoAhasAappliedAtheAcuffAonAtheAlowerAleg.AOptionAAAensuresAanAaccurateAassessm
,ent,AandAoptionACAprovidesAtheAbestAaccessAtoAtheAartery.ASystolicApressureAinAtheApoplitealAarteryAisAu
suallyA10AtoA40AmmAHgAhigherAthanAinAtheAbrachialAartery.
DuringAaAclinicAvisit,AtheAmotherAofAaA7-year-
oldAreportsAtoAtheAnurseAthatAherAchildAisAoftenAawakeAuntilAmidnightAplayingAandAisAthenAveryAdifficult
AtoAawakenAinAtheAmorningAforAschool.AWhichAassessmentAdataAshouldAtheAnurseAobtainAinAresponseAt
oAtheAmother'sAconcern?
A.
TheAoccurrenceAofAanyAepisodesAofAsleepAapnea
B.
A
TheAchild'sAbloodApressure,Apulse,AandArespirations
C.
A
LengthAofArapidAeyeAmovementA(REM)AsleepAthatAtheAchildAisAexperiencing
D.
A
DescriptionAofAtheAfamily'sAhomeAenvironmentA-AcorrectAanswersD
Rationale:ASchool-
ageAchildrenAoftenAresistAbedtime.ATheAnurseAshouldAbeginAbyAassessingAtheAenvironmentAofAtheAhom
eAtoAdetermineAfactorsAthatAmayAnotAbeAconduciveAtoAtheAestablishmentAofAbedtimeAritualsAthatAprom
oteAsleep.AOptionAAAoftenAcausesAdaytimeAfatigueAratherAthanAresistanceAtoAgoingAtoAsleep.AOptionABAi
sAunlikelyAtoAprovideAusefulAdata.ATheAnurseAcannotAdetermineAoptionAC.
TheAnurseAidentifiesAaApotentialAforAinfectionAinAaAclientAwithApartial-thicknessA(second-
degree)AandAfull-thicknessA(third-
degree)Aburns.AWhatAactionAhasAtheAhighestApriorityAinAdecreasingAtheAclient'sAriskAofAinfection?
A.
AdministrationAofAplasmaAexpanders
B.
A
UseAofAcarefulAhandwashingAtechnique
C.
A
ApplicationAofAaAtopicalAantibacterialAcream
D.
A
LimitingAvisitorsAtoAtheAclientAwithAburnsA-AcorrectAanswersB
Rationale:ACarefulAhandwashingAtechniqueAisAtheAsingleAmostAeffectiveAinterventionAforAtheApreventio
nAofAcontaminationAtoAallAclients.AOptionAAAreversesAtheAhypovolemiaAthatAinitiallyAaccompaniesAburnA
traumaAbutAisAnotArelatedAtoAdecreasingAtheAproliferationAofAinfectiveAorganisms.AOptionsACAandADAare
ArecommendedAbyAvariousAburnAcentersAasApossibleAwaysAtoAreduceAtheAchanceAofAinfection.AOptionAB
AisAaAprovenAtechniqueAtoApreventAinfection.
, TheAnurseAassessesAaA2-year-
oldAwhoAisAadmittedAforAdehydrationAandAfindsAthatAtheAperipheralAIVArateAbyAgravityAhasAslowed,Aeve
nAthoughAtheAvenousAaccessAsiteAisAhealthy.AWhatAshouldAtheAnurseAdoAnext?
A.
ApplyAaAwarmAcompressAproximalAtoAtheAsite.
B.
A
CheckAforAkinksAinAtheAtubingAandAraiseAtheAIVApole.
C.
A
AdjustAtheAtapeAthatAstabilizesAtheAneedle.
D.
A
FlushAwithAnormalAsalineAandArecountAtheAdropArate.A-AcorrectAanswersB
Rationale:ATheAnurseAshouldAfirstAcheckAtheAtubingAandAheightAofAtheAbagAonAtheAIVApole,AwhichAareAc
ommonAfactorsAthatAmayAslowAtheArate.AGravityAinfusionAratesAareAinfluencedAbyAtheAheightAofAtheAba
g,AtubingAclampAclosureAorAkinks,AneedleAsizeAorAposition,AfluidAviscosity,AclientAbloodApressureA(cryingA
inAtheApediatricAclient),AandAinfiltration.AVenospasmAcanAslowAtheArateAandAoftenArespondsAtoAwarmth
AoverAtheAvessel,AbutAtheAnurseAshouldAfirstAadjustAtheAIVApoleAheight.ATheAnurseAmayAneedAtoAadjustAt
heAstabilizingAtapeAonAaApositionalAneedleAorAflushAtheAvenousAaccessAwithAnormalAsaline,AbutAlessAinv
asiveAactionsAshouldAbeAimplementedAfirst.
TheAnurseAmanagerAofAaAskilledAnursingA(chronicAcare)AunitAisAinstructingAUAPsAonAwaysAtoApreventAco
mplicationsAofAimmobility.AWhichAactionAshouldAbeAincludedAinAthisAinstruction?
A.
PerformArange-of-motionAexercisesAtoApreventAcontractures.
B.
A
DecreaseAtheAclient'sAfluidAintakeAtoApreventAdiarrhea.
C.
A
MassageAtheAclient'sAlegsAtoAreduceAembolismAoccurrence.
D.
A
TurnAtheAclientAfromAsideAtoAbackAeveryAshift.A-AcorrectAanswersA
Rationale:APerformingArange-of-
motionAexercisesAisAbeneficialAinAreducingAcontracturesAaroundAjoints.AOptionsAB,AC,AandADAareAallApot
entiallyAharmfulApracticesAthatAplaceAtheAimmobileAclientAatAriskAofAcomplications.
TheAnurseAadministeredA10AmgAofAdiazepamAtoAtheApreoperativeAclient.AWhatAstepsAwillAtheAnurseAtak
eAnext?A(SelectAallAthatAapply.)
A.
PlaceAtheAclientAinAtheAbedAnextAtoAtheAnurse'sAstation.