NUR 100 Exam # 1 Questions With Complete Solutions
A nurse is using standard precautions while caring for a group of
clients. Which of the following situations would require the
nurse to wear gloves? (Select all that apply).
A. Emptying urine from a urinal.
B. Providing oral care.
C. Delivering a food tray to a client.
D. Washing the client's perineal area.
A. Emptying urine from a urinal.
B. Providing oral care.
D. Washing the client's perineal area.
A nurse is planning to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks should the nurse
plan to perform?
A. Transfer of a client from bed to chair.
B. Putting anti-embolic stockings on the client's legs.
C. Assessing the client's skin for redness.
D. Assisting a client to the bathroom.
C - Assessing the client's skin for redness.
Assessment techniques specialized knowledge of the nurse and
cannot be delegated to an AP.
,A nurse is changing the client's arm dressing and accidentally
drops the dressing on the bed. The client has a large incision in
his arm. The nurse should?
A. Add alcohol to the dressing and insert it into the incision to
assure sterility.
B. Throw the dressing away and prepare a new dressing.
C. Pick up the dressing and gently place it into the incision site.
D. Since the dressing is on the client's bed sheets there is no
issue.
B. Throw the dressing away and prepare a new dressing.
Assures sterility.
After measuring the client's vital signs using an electronic vital
sign machine, the nurse obtains the following results: T=98.2,
P=62, BP= 170/62, Pulse O = 96%. The nurse should?
A. Report findings to the primary healthcare provider
immediately.
B. Retake the client's temperature using a thermometer versus an
electronic thermometer.
C. Retake the blood pressure manually.
D. Document the findings because they are within normal limits.
C. Retake the blood pressure manually.
This demonstrates the nursing using critical thinking skills in
, making assessment. It could be that the electronic vital sign
machine is not calibrated correctly or not working correctly.
A nurse is preparing to collect health history data during a client
admission. Which of the following questions by the nurse best
promotes this discussion?
A. "Tell me what brought you to the hospital."
B. "Would you tell me about all of your medical issues?"
C. "Do you want to talk about your health concerns?"
D. "Would it help to discuss your feelings about this
hospitalization?"
A. "Tell me what brought you to the hospital.
This response is focused, open ended statement. Open ended
questions allow a client to tell his or her story in detail. It invites
the client to communicate.
During the admission history, the client states that he has trouble
breathing at night. In obtaining data for a problem oriented
database the nurse should first question the client about?
A. Tell me when did it start and how long have you been
experiencing the breathing problem.
B. His personal smoking history.
C. Changes in other body systems that the client perceives as
problematic.
D. Assess for respiratory risk exposure, question client on
current occupation and living environment.
A nurse is using standard precautions while caring for a group of
clients. Which of the following situations would require the
nurse to wear gloves? (Select all that apply).
A. Emptying urine from a urinal.
B. Providing oral care.
C. Delivering a food tray to a client.
D. Washing the client's perineal area.
A. Emptying urine from a urinal.
B. Providing oral care.
D. Washing the client's perineal area.
A nurse is planning to delegate tasks to an unlicensed assistive
personnel (UAP). Which of the following tasks should the nurse
plan to perform?
A. Transfer of a client from bed to chair.
B. Putting anti-embolic stockings on the client's legs.
C. Assessing the client's skin for redness.
D. Assisting a client to the bathroom.
C - Assessing the client's skin for redness.
Assessment techniques specialized knowledge of the nurse and
cannot be delegated to an AP.
,A nurse is changing the client's arm dressing and accidentally
drops the dressing on the bed. The client has a large incision in
his arm. The nurse should?
A. Add alcohol to the dressing and insert it into the incision to
assure sterility.
B. Throw the dressing away and prepare a new dressing.
C. Pick up the dressing and gently place it into the incision site.
D. Since the dressing is on the client's bed sheets there is no
issue.
B. Throw the dressing away and prepare a new dressing.
Assures sterility.
After measuring the client's vital signs using an electronic vital
sign machine, the nurse obtains the following results: T=98.2,
P=62, BP= 170/62, Pulse O = 96%. The nurse should?
A. Report findings to the primary healthcare provider
immediately.
B. Retake the client's temperature using a thermometer versus an
electronic thermometer.
C. Retake the blood pressure manually.
D. Document the findings because they are within normal limits.
C. Retake the blood pressure manually.
This demonstrates the nursing using critical thinking skills in
, making assessment. It could be that the electronic vital sign
machine is not calibrated correctly or not working correctly.
A nurse is preparing to collect health history data during a client
admission. Which of the following questions by the nurse best
promotes this discussion?
A. "Tell me what brought you to the hospital."
B. "Would you tell me about all of your medical issues?"
C. "Do you want to talk about your health concerns?"
D. "Would it help to discuss your feelings about this
hospitalization?"
A. "Tell me what brought you to the hospital.
This response is focused, open ended statement. Open ended
questions allow a client to tell his or her story in detail. It invites
the client to communicate.
During the admission history, the client states that he has trouble
breathing at night. In obtaining data for a problem oriented
database the nurse should first question the client about?
A. Tell me when did it start and how long have you been
experiencing the breathing problem.
B. His personal smoking history.
C. Changes in other body systems that the client perceives as
problematic.
D. Assess for respiratory risk exposure, question client on
current occupation and living environment.
