Hondros

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Sample questions from Hondros

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical-surgical unit, a charge nurse receives reports on four clients. Which client should the nurse assess first?

   • A.A client 6 hours after thyroidectomy who has new stridor and restlessness
   • B.A client with heart failure who has bilateral ankle edema unchanged from yesterday
   • C.A client 1 day after knee replacement who reports pain of 7 on a 0-to-10 scale
   • D.A client with pneumonia whose temperature is 38.2 C and who is due for acetaminophen

   Rationale: Stridor and restlessness after thyroid surgery suggest airway obstruction from swelling or bleeding, so immediate assessment and intervention are required. Fever, chronic edema, and postoperative pain need care but do not take priority over a threatened airway. Use the airway-breathing-circulation framework when prioritizing.

2. 2.During a home visit, a 7-month-old infant is found in a crib with a loose blanket, pillow, and stuffed toys. The parent says the infant usually sleeps on the stomach. Which teaching is most important?

   • A.Place the infant prone after feeding to reduce aspiration risk
   • B.Add a loose blanket so the infant stays warm overnight
   • C.Use a pillow to keep the infant positioned on the side
   • D.Place the infant supine on a firm, flat sleep surface without loose objects

   Rationale: Placing an infant supine on a firm, flat surface with no pillows, toys, or loose bedding reduces sleep-related injury and death risk. Side positioning is not a safe substitute for supine sleep, and prone positioning increases risk. A wearable sleep sack can provide warmth without loose blankets.

3. 3.A client states, "I do not want to live anymore," while being assessed at an outpatient mental health clinic. Which response should the nurse make first?

   • A."Try to focus on the positive things happening in your life."
   • B."Are you thinking about killing yourself, and do you have a plan or access to the means?"
   • C."You should promise me that you will not hurt yourself."
   • D."Would you like to discuss this at your next scheduled visit?"

   Rationale: Directly assessing suicidal thoughts, plan, and access to means is necessary to determine immediate risk and guide protective action. Reassurance and a promise do not establish safety or replace assessment. Delaying discussion could leave an imminent threat unaddressed.

4. 4.On a pediatric unit, a 10-year-old client with a new tracheostomy is preparing for discharge. Which tasks may the registered nurse delegate to experienced assistive personnel? Select all that apply.

   • A.Assist the client with bathing while maintaining prescribed precautions
   • B.Assess the stoma for signs of infection
   • C.Report the client's oxygen saturation measured with a pulse oximeter
   • D.Teach the caregiver how to suction the tracheostomy
   • E.Measure and record the client's temperature

   Answer and rationale are in the full material.

5. 5.A 58-year-old client is admitted with a stroke and has right-sided weakness. The registered nurse is assigning care to a licensed practical nurse and assistive personnel. Which assignment is appropriate?

   • A.Ask the licensed practical nurse to develop the initial plan of care
   • B.Ask assistive personnel to perform the initial neurological assessment
   • C.Ask the licensed practical nurse to administer prescribed oral medications to a stable client after swallowing safety is established
   • D.Ask assistive personnel to decide whether the client can safely swallow water

   Answer and rationale are in the full material.