NUR 101 FINAL PAPER 2026 AUTHENTIC
SOLVED COLLECTION
◉Formulating a nursing diagnosis is a joint function of:
A. Patient and relatives
B. Nurse and patient
C. Doctor and family
D. Nurse and doctor. Answer: B. Nurse and patient
Although diagnosing is basically the nurse's responsibility, input
from the patient is essential to formulate the correct nursing
diagnosis.
◉The nurse listens to Mrs. Sullen's lungs and notes a hissing sound
or musical sound. The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular. Answer: A. Wheezes
Wheezes are indicated by continuous, lengthy, musical; heard during
inspiration or expiration. Rhonchi are usually coarse breath sounds.
,Gurgles are loud gurgling, bubbling sound. Vesicular breath sounds
are low pitch, soft intensity on expiration.
◉Becky is on NPO since midnight as preparation for blood test.
Adreno-cortical response is activated. Which of the following is an
expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output. Answer: D. Decreased urine output
Adreno-cortical response involves release of aldosterone that leads
to retention of sodium and water. This results to decreased urine
output.
◉When performing an abdominal examination, the patient should
be in a supine position with the head of the bed at what position?
A. 30 degrees
B. 90 degrees
C. 45 degrees
D. 0 degree. Answer: D. 0 degree
The patient should be positioned with the head of the bed
completely flattened to perform an abdominal examination. If the
, head of the bed is elevated, the abdominal muscles and organs can
be bunched up, altering the findings.
◉Which of the following is inappropriate nursing action when
administering NGT feeding?
A. Place the feeding 20 inches above the point of insertion of NGT
B. Introduce the feeding slowly
C. Instill 60ml of water into the NGT after feeding
D. Assist the patient in fowler's position. Answer: A. Place the
feeding 20 inches above the point of insertion of NGT
The height of the feeding is above 12 inches above the point of
insertion, bot 20 inches. If the height of feeding is too high, this
results to very rapid introduction of feeding. This may trigger
nausea and vomiting
◉During application of medication into the ear, which of the
following is inappropriate nursing action?
A. In an adult, pull the pinna upward
B. Instill the medication directly into the tympanic membrane
C. Warm the medication at room or body temperature
D. Press the tragus of the ear a few times to assist flow of medication
into the ear canal. Answer: B. Instill the medication directly into the
tympanic membrane
SOLVED COLLECTION
◉Formulating a nursing diagnosis is a joint function of:
A. Patient and relatives
B. Nurse and patient
C. Doctor and family
D. Nurse and doctor. Answer: B. Nurse and patient
Although diagnosing is basically the nurse's responsibility, input
from the patient is essential to formulate the correct nursing
diagnosis.
◉The nurse listens to Mrs. Sullen's lungs and notes a hissing sound
or musical sound. The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular. Answer: A. Wheezes
Wheezes are indicated by continuous, lengthy, musical; heard during
inspiration or expiration. Rhonchi are usually coarse breath sounds.
,Gurgles are loud gurgling, bubbling sound. Vesicular breath sounds
are low pitch, soft intensity on expiration.
◉Becky is on NPO since midnight as preparation for blood test.
Adreno-cortical response is activated. Which of the following is an
expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output. Answer: D. Decreased urine output
Adreno-cortical response involves release of aldosterone that leads
to retention of sodium and water. This results to decreased urine
output.
◉When performing an abdominal examination, the patient should
be in a supine position with the head of the bed at what position?
A. 30 degrees
B. 90 degrees
C. 45 degrees
D. 0 degree. Answer: D. 0 degree
The patient should be positioned with the head of the bed
completely flattened to perform an abdominal examination. If the
, head of the bed is elevated, the abdominal muscles and organs can
be bunched up, altering the findings.
◉Which of the following is inappropriate nursing action when
administering NGT feeding?
A. Place the feeding 20 inches above the point of insertion of NGT
B. Introduce the feeding slowly
C. Instill 60ml of water into the NGT after feeding
D. Assist the patient in fowler's position. Answer: A. Place the
feeding 20 inches above the point of insertion of NGT
The height of the feeding is above 12 inches above the point of
insertion, bot 20 inches. If the height of feeding is too high, this
results to very rapid introduction of feeding. This may trigger
nausea and vomiting
◉During application of medication into the ear, which of the
following is inappropriate nursing action?
A. In an adult, pull the pinna upward
B. Instill the medication directly into the tympanic membrane
C. Warm the medication at room or body temperature
D. Press the tragus of the ear a few times to assist flow of medication
into the ear canal. Answer: B. Instill the medication directly into the
tympanic membrane
