Question 1: A client receiving total parenteral nutrition (TPN) develops a fever. What is the nurse’s priority action?
Rationale: Checking the insertion site for infection is the priority as TPN is delivered through a central line, which carries a risk of central line-associated bloodstream infections (CLABSIs).
Question 2: A client with a newly placed tracheostomy is having difficulty communicating. What is the best intervention by the nurse?
Rationale: A whiteboard and marker are easy and effective tools for communication, especially for clients who cannot speak but can write.
Question 3: A nurse is teaching a client about preventing urinary tract infections (UTIs). Which statement indicates the need for further teaching?
Rationale: Wiping from back to front increases the risk of introducing bacteria into the urinary tract, which can cause infections.
Question 4: A client is admitted with hyperkalemia. Which food should the nurse teach the client to avoid?
Rationale: Bananas are high in potassium and should be avoided by clients with hyperkalemia.
Question 5: A nurse is caring for a client with a new diagnosis of tuberculosis (TB). Which instruction is most important?
Rationale: Completing the full course of medication is critical to ensure the TB infection is treated and to prevent drug resistance.
