NSG 101 - Final Review Questions With Complete Solutions
A 55-year old female presents to the outpatient clinic describing
irregular menstrual periods and hot flashes. Which information
should the nurse share with the client?
A. The client's assessment points toward normal menopause
B. Those symptoms are normal when a woman undergoes the
climacteric
C. An assessment is not really needed because these problems
are normal for older women
D. The client should stop regular exercise because that is
probably causing these symptoms Correct Answers A. The
clients assessment points towards normal menopause
A 86-year old client is experiencing uncontrollable leakage of
urine with a strong desire to void and even leaks on the way to
the toilet. Which priority nursing diagnosis will the nurse
include in the client's plan of care?
A. Functional urinary incontinence
B. Urge urinary incontinece
C. Impaired skin integrity
D. Urinary retention Correct Answers B. Urge urinary
incontinece
A client diagnosed with chronic obstructive pulmonary disease
(COPD) asks the nurse why clubbing occurs. Which response by
the nurse is most therapeutic?
,A. "Your disease affects both your lungs and heart, and not
enough blood is being pumped"
B. "Your disease doesn't send enough oxygen to your fingers"
C. "Your disease often makes patients lose mental status"
D. "Your disease will be helped if you pursed-lip breathe"
Correct Answers B. "Your disease doesn't send enough oxygen
to your fingers"
A client diagnosed with terminal cancer asks the nurse what
criteria are for hospice care. Which information should the nurse
share with the client?
A. It is for those with completion of an advanced directive
B. It is for those having a terminal illness, such as cancer
C. It is for those needing assistance with pain management
D. It is for those expected to live less than 6 months Correct
Answers D. It is for those expected to live less than 6 months
A client has recently had surgery. Which action is best for the
nurse to take to assess this client's pain?
A. Assess the client's body language
B. Ask the client to rate the level of pain
C. Observe the cardiac monitor for increased heart rat e
D. Have the client describe the effect of pain on ability to cope
Correct Answers B. Ask the client to rate the level of pain
A client is experiencing oliguria. Which action should the nurse
perform first?
A. Encourage the client to drink caffeinated beverages
,B. Assess for bladder distention
C. Request an order for diuretics
D. Increase the client's IV fluid rate Correct Answers B. Assess
for bladder distention
A client is having lower back pain that is shooting down to the
knee. Which type is the client experiencing?
A. Visceral pain
B. Somatic pain
C. Referred pain
D. Radiating pain Correct Answers D. Radiating pain
A client was admitted 2 days ago with a diagnosis of pneumonia
and a history of angina. The client is now having chest pain with
a pulse rate of 108. Which piece of data will the nurse use for
"B" when using SBAR?
A. Having chest pain
B. Oxygen is needed
C. Pulse rate of 108
D. History of angina Correct Answers D. History of angina
A client with end stage heart disease wants to go home on
oxygen and be comfortable. The family wants the client to have
a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and explains the clients
wishes to the family. Which role is the nurse demonstrating for
the client?
A. Educator
, B. Advocate
C. Caregiver
D. Manager Correct Answers B. Advocate
A co-worker asks the nurse to explain spirituality. What is the
nurse's best response?
A. Has a minor effect on health
B. Is awareness of one's inner self
C. Not as essential as physical needs
D. Refers to fire or giving of life to a person Correct Answers
B. Is awareness of one's inner self
A home care nurse is inspecting a client's house for safety
issues. Which findings will cause the nurse to address safety
problems? (select all that apply)
A. Absence of smoke alarms
B. Level threshold between bathroom and bedroom
C. Stairway faintly lit
D. Scatter rugs in the kitchen
E. Bathtub with grab bars Correct Answers A. Absence of
smoke alarms
C. Stairway faintly lit
D. Scatter rugs in the kitchen
A newly hired experienced nurse is preparing to change a client
abdominal dressing and hasn't done this at this hospital. Which
action by the nurse is best?
A 55-year old female presents to the outpatient clinic describing
irregular menstrual periods and hot flashes. Which information
should the nurse share with the client?
A. The client's assessment points toward normal menopause
B. Those symptoms are normal when a woman undergoes the
climacteric
C. An assessment is not really needed because these problems
are normal for older women
D. The client should stop regular exercise because that is
probably causing these symptoms Correct Answers A. The
clients assessment points towards normal menopause
A 86-year old client is experiencing uncontrollable leakage of
urine with a strong desire to void and even leaks on the way to
the toilet. Which priority nursing diagnosis will the nurse
include in the client's plan of care?
A. Functional urinary incontinence
B. Urge urinary incontinece
C. Impaired skin integrity
D. Urinary retention Correct Answers B. Urge urinary
incontinece
A client diagnosed with chronic obstructive pulmonary disease
(COPD) asks the nurse why clubbing occurs. Which response by
the nurse is most therapeutic?
,A. "Your disease affects both your lungs and heart, and not
enough blood is being pumped"
B. "Your disease doesn't send enough oxygen to your fingers"
C. "Your disease often makes patients lose mental status"
D. "Your disease will be helped if you pursed-lip breathe"
Correct Answers B. "Your disease doesn't send enough oxygen
to your fingers"
A client diagnosed with terminal cancer asks the nurse what
criteria are for hospice care. Which information should the nurse
share with the client?
A. It is for those with completion of an advanced directive
B. It is for those having a terminal illness, such as cancer
C. It is for those needing assistance with pain management
D. It is for those expected to live less than 6 months Correct
Answers D. It is for those expected to live less than 6 months
A client has recently had surgery. Which action is best for the
nurse to take to assess this client's pain?
A. Assess the client's body language
B. Ask the client to rate the level of pain
C. Observe the cardiac monitor for increased heart rat e
D. Have the client describe the effect of pain on ability to cope
Correct Answers B. Ask the client to rate the level of pain
A client is experiencing oliguria. Which action should the nurse
perform first?
A. Encourage the client to drink caffeinated beverages
,B. Assess for bladder distention
C. Request an order for diuretics
D. Increase the client's IV fluid rate Correct Answers B. Assess
for bladder distention
A client is having lower back pain that is shooting down to the
knee. Which type is the client experiencing?
A. Visceral pain
B. Somatic pain
C. Referred pain
D. Radiating pain Correct Answers D. Radiating pain
A client was admitted 2 days ago with a diagnosis of pneumonia
and a history of angina. The client is now having chest pain with
a pulse rate of 108. Which piece of data will the nurse use for
"B" when using SBAR?
A. Having chest pain
B. Oxygen is needed
C. Pulse rate of 108
D. History of angina Correct Answers D. History of angina
A client with end stage heart disease wants to go home on
oxygen and be comfortable. The family wants the client to have
a new surgical procedure. The nurse explains the risks and
benefits of the surgery to the family and explains the clients
wishes to the family. Which role is the nurse demonstrating for
the client?
A. Educator
, B. Advocate
C. Caregiver
D. Manager Correct Answers B. Advocate
A co-worker asks the nurse to explain spirituality. What is the
nurse's best response?
A. Has a minor effect on health
B. Is awareness of one's inner self
C. Not as essential as physical needs
D. Refers to fire or giving of life to a person Correct Answers
B. Is awareness of one's inner self
A home care nurse is inspecting a client's house for safety
issues. Which findings will cause the nurse to address safety
problems? (select all that apply)
A. Absence of smoke alarms
B. Level threshold between bathroom and bedroom
C. Stairway faintly lit
D. Scatter rugs in the kitchen
E. Bathtub with grab bars Correct Answers A. Absence of
smoke alarms
C. Stairway faintly lit
D. Scatter rugs in the kitchen
A newly hired experienced nurse is preparing to change a client
abdominal dressing and hasn't done this at this hospital. Which
action by the nurse is best?
