NUR 100 EXAM 1 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: A nurse working in a long-term care center discovers a fire
inside a resident's room. What is the immediate priority action?
Answer: The nurse's first priority is to evacuate the client from the room.
According to the RACE acronym (Rescue, Alarm, Contain, Extinguish),
ensuring the immediate safety of the individual in danger is the most critical
first step before addressing the fire itself. ✔✔
Question: While assisting a patient with walking, the nurse notices the
patient is beginning to lose their balance and fall. Which action should the
nurse perform?
Answer: The nurse should safely lower the client to the floor. By widening
their own base of support and allowing the patient to slide down their leg, the
nurse minimizes the impact and reduces the risk of injury to both the patient
and themselves. ✔✔
Question: Which of the following tasks is most suitable for a Registered
Nurse (RN) to delegate to Unlicensed Assistive Personnel (UAP)?
Answer: Helping the patient with Activities of Daily Living (ADLs). While the
RN must handle clinical assessments, evaluations, and patient education, the
UAP is trained to assist with routine tasks such as bathing, dressing, and
feeding. ✔✔
UAP can assist with the performance of ADLS
A nurse is planning care for a client admitted with a positive culture for
methicillin-resistant Staphylococcus aureus (MRSA). Which prevention should
be implemented to prevent spreading the infection to health care workers and
other clients?
A - Wearing a mask within 3 feet of the client
B - Placing the client in a private room
C - Wearing a N95 respirator mask
D - Ensuring a negative air pressure room
, B - Placing the client in a private room
Contact isolation
A nurse is teaching a new group of assistive personnel (AP) about the
importance of hand hygiene. Which of the following statements should the
nurse include?
A - If you wear gloves, you do not have to wash your hands
B - Hand hygiene is crucial in preventing the spread of germs.
C- Use an alcohol rub when your hands are visibly soiled
D - If you do not have an infection, your hand won't infect others
B- Handy hygiene is crucial in preventing the spread of germs
Hand hygiene is one of the most effective ways to prevent the transmission of
pathogens. Either the nurse or the client may have microorganisms on or in
their body that do not harm them but may harm others.
The nurse is documenting the client's nursing diagnosis as "Altered speech
related to recent neurological disturbance as evidenced by inability to speak in
complete sentences". Identify the defining characteristics below.
A - "Altered speech"
B - "As evidenced by"
C - "Inability to speak in complete sentences"
D - "recent neurological disturbance"
C - "Inability to speak in complete sentences"
The 3 step nursing diagnosis process is Problem r/t etiology aeb defining
characteristics
An unlicensed personnel (UAP) is obtaining a client's oral temperature. The
client informs the UAP that he has just had some ice chips. Which of the
following is an appropriate action by the UAP?
A- Wait 20-30 minutes and return to take the oral temperature
B - provide a sip of warm water, wait 5 minutes and take the temperature
C- Document that a temperature was unable to be obtained
D - Proceed to take the oral temperature
A - Wait 20-30 minutes and return to take the oral temperature
Healthcare workers need to wait 20-30 minutes and then take the oral
temperature because the ice will artificially lower the clients' temperature.
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
Question: A nurse working in a long-term care center discovers a fire
inside a resident's room. What is the immediate priority action?
Answer: The nurse's first priority is to evacuate the client from the room.
According to the RACE acronym (Rescue, Alarm, Contain, Extinguish),
ensuring the immediate safety of the individual in danger is the most critical
first step before addressing the fire itself. ✔✔
Question: While assisting a patient with walking, the nurse notices the
patient is beginning to lose their balance and fall. Which action should the
nurse perform?
Answer: The nurse should safely lower the client to the floor. By widening
their own base of support and allowing the patient to slide down their leg, the
nurse minimizes the impact and reduces the risk of injury to both the patient
and themselves. ✔✔
Question: Which of the following tasks is most suitable for a Registered
Nurse (RN) to delegate to Unlicensed Assistive Personnel (UAP)?
Answer: Helping the patient with Activities of Daily Living (ADLs). While the
RN must handle clinical assessments, evaluations, and patient education, the
UAP is trained to assist with routine tasks such as bathing, dressing, and
feeding. ✔✔
UAP can assist with the performance of ADLS
A nurse is planning care for a client admitted with a positive culture for
methicillin-resistant Staphylococcus aureus (MRSA). Which prevention should
be implemented to prevent spreading the infection to health care workers and
other clients?
A - Wearing a mask within 3 feet of the client
B - Placing the client in a private room
C - Wearing a N95 respirator mask
D - Ensuring a negative air pressure room
, B - Placing the client in a private room
Contact isolation
A nurse is teaching a new group of assistive personnel (AP) about the
importance of hand hygiene. Which of the following statements should the
nurse include?
A - If you wear gloves, you do not have to wash your hands
B - Hand hygiene is crucial in preventing the spread of germs.
C- Use an alcohol rub when your hands are visibly soiled
D - If you do not have an infection, your hand won't infect others
B- Handy hygiene is crucial in preventing the spread of germs
Hand hygiene is one of the most effective ways to prevent the transmission of
pathogens. Either the nurse or the client may have microorganisms on or in
their body that do not harm them but may harm others.
The nurse is documenting the client's nursing diagnosis as "Altered speech
related to recent neurological disturbance as evidenced by inability to speak in
complete sentences". Identify the defining characteristics below.
A - "Altered speech"
B - "As evidenced by"
C - "Inability to speak in complete sentences"
D - "recent neurological disturbance"
C - "Inability to speak in complete sentences"
The 3 step nursing diagnosis process is Problem r/t etiology aeb defining
characteristics
An unlicensed personnel (UAP) is obtaining a client's oral temperature. The
client informs the UAP that he has just had some ice chips. Which of the
following is an appropriate action by the UAP?
A- Wait 20-30 minutes and return to take the oral temperature
B - provide a sip of warm water, wait 5 minutes and take the temperature
C- Document that a temperature was unable to be obtained
D - Proceed to take the oral temperature
A - Wait 20-30 minutes and return to take the oral temperature
Healthcare workers need to wait 20-30 minutes and then take the oral
temperature because the ice will artificially lower the clients' temperature.
