NUR 1100 Nursing Fundamentals
Exam 1
/. A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs.
The nurse should identify this action as part of which of the following components of the
nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation - Answer-✅C. Assessment
-The nurse should explore the client's health history and perform a physical examination
/.A nurse is caring for a client who has osteoarthritis. The client states she does not
want to perform her prescribed exercises because of the pain. Which of the following
responses should the nurse make?
A. The exercises are important. The quicker we do them, the sooner they will be done.
B. The pain will go away once you start doing the exercises regularly
C. Think of something pleasant while exercising, and you will not have pain
D. Tell me more about the pain you experience during exercise - Answer-✅D. "Tell me
more about the pain you experience during exercise"
-This is the therapeutic communication response because the nurse is acknowledging
the client's feelings
/.A nurse is preparing to assist an older adult client with ambulation following bed rest
for 3 days. Which of the following actions should the nurse take to decrease the risk of a
fall?
A. Use a gait belt during ambulation
B. Ensure the client is wearing socks before ambulating
C. Instruct the client to sit on the edge of the bed for 15 seconds before ambulating
D. Walk 2 ft behind the client during ambulation - Answer-✅A. Use a gait belt during
ambulation
-This helps keep the client's center of gravity midline and decreases the risk of fall
/.A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved
hand. The client has no documented bloodstream infection. Which of the following
actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away
B. Prepare an incident report to document the event
C. Carefully remove the gloves and proceed with hand hygiene
D. Ask the provider to order a blood culture to determine the risk of infection - Answer-
✅C. Carefully remove the gloves and proceed with hand hygiene
, -This would be the nurse following standard precautions
/.A nurse is admitting an older client who has chronic obstructive pulmonary disease.
The client's daughter is present and states that her father will become uncooperative if
he is not able to follow his usual routines. Which of the following actions should the
nurse take?
A. Assure the client that his usual routines will be followed
B. Ask the daughter what routines her father follows at home
C. Inform the daughter that the facility policies must be followed
D. Ask the daughter to tell the provider how she wants her father's care organized -
Answer-✅B. Ask the daughter what routines her father follows at home
-The nurse is seeking more information in order to address the daughter's concerns.
The nurse is providing general leads to encourage communication
/.A nurse is preparing a client for discharge and providing instructions about performing
dressing changes at home. Which of the following statements should the nurse identify
as an indication that the client understands medical asepsis?
A. I'll wrap the old dressing in a paper bag and put it in the trash
B. I'll wash my hands before i remove the old dressing and again before putting on the
new one
C. I'll need to take a pain pill 30 minutes before changing the dressing
D. I'll wear sterile gloves when applying the new dressing - Answer-✅B. I'll wash my
hands before I remove the old dressing and again before putting on the new one
-Hand hygiene is essential when handing wounds
/.A nurse is caring for a client who has a suspected brain tumor and is scheduled for a
computerized axial tomography (CAT) scan. After the procedure is explained, the client
expresses fear about entering the enclosed space of teh scanner. Which of the
following statements should the nurse offer?
A. I thnk you should request a Magnetic Resonance Image instead
B. Let me review some breathing exercises with you
C. It is scary to go into an enclosed space
D. This is a routine test, so there is no reason to worry. - Answer-✅B. Let me review
some breathing exercises with you
-To help minimize anxiety, the nurse should encourage relaxation techniques prior to
the procedure
/.A nurse is caring for an adolescent client who is overweight. The adolescent tells the
nurse that classmates tease him about his weight. Which of the following responses
should the nurse make?
A. You shouldn't worry about what other people say
B. Tell me how you feel when your classmates tease you
C. Your friends will learn to like you for who you are inside, not what you look like
D. It is important to begin to eat healthier so you can look the way you want to look -
Answer-✅B. Tell me how you feel when your classmates tease you
Exam 1
/. A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs.
The nurse should identify this action as part of which of the following components of the
nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation - Answer-✅C. Assessment
-The nurse should explore the client's health history and perform a physical examination
/.A nurse is caring for a client who has osteoarthritis. The client states she does not
want to perform her prescribed exercises because of the pain. Which of the following
responses should the nurse make?
A. The exercises are important. The quicker we do them, the sooner they will be done.
B. The pain will go away once you start doing the exercises regularly
C. Think of something pleasant while exercising, and you will not have pain
D. Tell me more about the pain you experience during exercise - Answer-✅D. "Tell me
more about the pain you experience during exercise"
-This is the therapeutic communication response because the nurse is acknowledging
the client's feelings
/.A nurse is preparing to assist an older adult client with ambulation following bed rest
for 3 days. Which of the following actions should the nurse take to decrease the risk of a
fall?
A. Use a gait belt during ambulation
B. Ensure the client is wearing socks before ambulating
C. Instruct the client to sit on the edge of the bed for 15 seconds before ambulating
D. Walk 2 ft behind the client during ambulation - Answer-✅A. Use a gait belt during
ambulation
-This helps keep the client's center of gravity midline and decreases the risk of fall
/.A nurse is inserting an IV catheter for a client that results in a blood spill on her gloved
hand. The client has no documented bloodstream infection. Which of the following
actions should the nurse take?
A. Wash the gloved hands and then throw the gloves away
B. Prepare an incident report to document the event
C. Carefully remove the gloves and proceed with hand hygiene
D. Ask the provider to order a blood culture to determine the risk of infection - Answer-
✅C. Carefully remove the gloves and proceed with hand hygiene
, -This would be the nurse following standard precautions
/.A nurse is admitting an older client who has chronic obstructive pulmonary disease.
The client's daughter is present and states that her father will become uncooperative if
he is not able to follow his usual routines. Which of the following actions should the
nurse take?
A. Assure the client that his usual routines will be followed
B. Ask the daughter what routines her father follows at home
C. Inform the daughter that the facility policies must be followed
D. Ask the daughter to tell the provider how she wants her father's care organized -
Answer-✅B. Ask the daughter what routines her father follows at home
-The nurse is seeking more information in order to address the daughter's concerns.
The nurse is providing general leads to encourage communication
/.A nurse is preparing a client for discharge and providing instructions about performing
dressing changes at home. Which of the following statements should the nurse identify
as an indication that the client understands medical asepsis?
A. I'll wrap the old dressing in a paper bag and put it in the trash
B. I'll wash my hands before i remove the old dressing and again before putting on the
new one
C. I'll need to take a pain pill 30 minutes before changing the dressing
D. I'll wear sterile gloves when applying the new dressing - Answer-✅B. I'll wash my
hands before I remove the old dressing and again before putting on the new one
-Hand hygiene is essential when handing wounds
/.A nurse is caring for a client who has a suspected brain tumor and is scheduled for a
computerized axial tomography (CAT) scan. After the procedure is explained, the client
expresses fear about entering the enclosed space of teh scanner. Which of the
following statements should the nurse offer?
A. I thnk you should request a Magnetic Resonance Image instead
B. Let me review some breathing exercises with you
C. It is scary to go into an enclosed space
D. This is a routine test, so there is no reason to worry. - Answer-✅B. Let me review
some breathing exercises with you
-To help minimize anxiety, the nurse should encourage relaxation techniques prior to
the procedure
/.A nurse is caring for an adolescent client who is overweight. The adolescent tells the
nurse that classmates tease him about his weight. Which of the following responses
should the nurse make?
A. You shouldn't worry about what other people say
B. Tell me how you feel when your classmates tease you
C. Your friends will learn to like you for who you are inside, not what you look like
D. It is important to begin to eat healthier so you can look the way you want to look -
Answer-✅B. Tell me how you feel when your classmates tease you
