(Grade A+)
A nurse is reviewing information about the Health Insurance
Portability and Accountability Act (HIPAA) with a newly licensed
nurse. Which of the following statement by the newly licensed
nurse indicates a need for further teaching?
A. "Information about a client can be disclosed to family members
at any time"
B. "HIPAA established regulations of individually identifiable health
information in verbal, electronic, or written form."
C. "A client's address would be an example of personally
identifiable information."
D. "HIPAA is a federal law, not a state law." -
correct answer ✅A. "Information about a client can be disclosed to
family members at any time"
A nurse is preparing to perform an abdominal assessment on a
child. Identify the sequence the nurse should follow.
A. Inspection
B. Superficial palpation
C. Deep palpation
D. Auscultation -
correct answer ✅A. Inspection
D. Auscultation
,NUR 102 Exam 4 Questions & Answers
(Grade A+)
B. Superficial palpation
C. Deep palpation
A nurse in an emergency department is caring for an infant who has
a 2-day history of vomiting and an elevated temperature. Which of
the following should the nurse recognize as the most reliable
indicator of fluid loss?
A. Body weight
B. Skin integrity
C. Blood pressure
D. Respiratory rate -
correct answer ✅A. Body weight
A school nurse is assessing a child for pediculosis capitis. Which of
the following manifestations should the nurse recognize as an
indication of this condition?
A. Firmly attached white particles on the hair
B. Itching and scratching of the head
C. Patchy areas of hair loss
D. Thick yellow crusted lesion on a red base -
correct answer ✅A. Firmly attached white particles on the hair
, NUR 102 Exam 4 Questions & Answers
(Grade A+)
A nurse is admitting a client who has experienced a weight loss of
11kg (25lb) in the past 3 months. The client weighs 40kg (88lb) and
believes she is fat. Which of the following aspects of care should
the nurse consider the first priority for this client?
A. Identify the client's nutritional status.
B. Request a mental health consult.
C. Plan a therapeutic diet for the client.
D. Provide a structured environment for the client. -
correct answer ✅A. Identify the client's nutritional status.
A home health nurse is assessing an older adult client in the home
who has decreased vision due to a history of glaucoma. Which of
the following findings should the nurse identify as a safety risk?
A. Electrical cords are placed along the walls.
B. Scatter rugs are present in the kitchen.
C. Handrails are present in the bathroom.
D. Uses a microwave for cooking. -
correct answer ✅B. Scatter rugs are present in the kitchen.