Test your knowledge with real exam-style questions. Answers and rationales included.
Question 1 of 5
When turning an immobile bedridden client without assistance, which action best ensures client safety?
📚 Rationale: Bed rails on the opposite side prevent the client from falling while the nurse stands on one side. Grasping arms/legs can cause skin/joint injury. Turn sheets and HOB positioning are useful but less of a safety priority.
Score: 0/0
Question 2 of 5
A client with hyperparathyroidism has calcium of 12.5 mg/dL and oral phosphate is ordered. What should the nurse do?
📚 Rationale: Calcium 12.5 is high (normal 8.5-10.5). Calcium and phosphate have an INVERSE relationship — giving phosphate will help LOWER the calcium. Administering the ordered phosphate is correct.
Score: 0/0
Question 3 of 5
The nurse is caring for a client who has burns on 30% of the body. What intervention has highest priority for infection prevention?
📚 Rationale: Hand hygiene is the single most effective way to prevent infection transmission. While other interventions help, handwashing is always the priority infection control measure.
Score: 0/0
Question 4 of 5
A client with renal disease needs a test to determine protein status over the longest time period. Which test should be ordered?
📚 Rationale: Serum albumin has a half-life of 18-20 days, making it the best indicator of long-term protein status. Prealbumin reflects 2-3 days, transferrin 8-10 days, and urine urea reflects immediate nitrogen balance.
Score: 0/0
Question 5 of 5
A client who had surgery 4 hours ago has BP decreased from 150/80 to 110/70. The UAP reports this. What should the nurse do?
📚 Rationale: A significant BP drop in a post-op client may indicate hemorrhage or shock. The nurse must ASSESS the client immediately. The nurse cannot delegate assessment — this requires RN judgment.