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NURSING 101 QUESTIONS AS AT 29-APRIL-2026 EXAM
QUESTIONS WITH CORRECT ANSWERS AND RATIONALES
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The nurse in charge measures a patient's temperature at 101 degrees F. What
is the equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to
°F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse
relinquishing responsibility for care of the patient to communicate. Which of
the following facts to the nurse assuming responsibility for care of the
patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning.
C. Patient's NGT was removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the patient's
condition that the nurse assuming responsibility for care of the patient will need to
monitor. The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions
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would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site
A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped
immediately and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the
nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Hemoglobin of 13 g/dl
C. Capillary refill greater than 3 seconds and buccal cyanosis
Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased
oxygen to the tissues which requires immediate attention/intervention. Oriented to
date, time and place, hemoglobin of 13 g/dl are normal data.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing
C. Assessing, diagnosing, planning, implementing, evaluating
The correct order of the nursing process is assessing, diagnosing, planning,
implementing, evaluating.
Which of the following is the most important purpose of planning care with a
patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
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C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care
C. Making of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the nursing
process must reflect the individualized needs of the patient.
What nursing action is appropriate when obtaining a sterile urine specimen
from an indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe
D. Aspirate urine from the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to obtain a
urine specimen. Opening a closed drainage system increase the risk of urinary tract
infection.
Jake is complaining of shortness of breath. The nurse assesses his
respiratory rate to be 30 breaths per minute and documents that Jake is
tachypneic. The nurse understands that tachypnea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate greater than 20 breaths per minute
D. Frequent bowel sounds
C. Respiratory rate greater than 20 breaths per minute
A respiratory rate of greater than 20 breaths per minute is tachypnea. A blood
pressure of 140/90 is considered hypertension. Pulse greater than 100 beats per
minute is tachycardia. Frequent bowel sounds refer to hyper-active bowel sounds.
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
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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
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
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
D. 0 degree
The patient should be positioned with the head of the bed completely flattened to
NURSING 101 QUESTIONS AS AT 29-APRIL-2026 EXAM
QUESTIONS WITH CORRECT ANSWERS AND RATIONALES
LATEST VERSION SOLVED QUESTIONS & ANSWERS
VERIFIED 100 %
The nurse in charge measures a patient's temperature at 101 degrees F. What
is the equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C
B. 37.95
To convert °F to °C use this formula, ( °F - 32 ) (0.55). While when converting °C to
°F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9 and 1.8 is 9/5.
During a change-of-shift report, it would be important for the nurse
relinquishing responsibility for care of the patient to communicate. Which of
the following facts to the nurse assuming responsibility for care of the
patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago
D. Patient's family came for a visit this morning.
C. Patient's NGT was removed 2 hours ago
The change-of-shift report should indicate significant recent changes in the patient's
condition that the nurse assuming responsibility for care of the patient will need to
monitor. The other options are not critical enough to include in the report
A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions
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would the nurse perform first?
A. Stop the infusion
B. Call the attending physician
C. Slow that infusion to 20 ml/hr
D. Place a cold towel on the site
A. Stop the infusion
The sign and symptoms indicate extravasation so the IVF should be stopped
immediately and put warm not cold towel on the affected site.
Which data would be of greatest concern to the nurse when completing the
nursing assessment of a 68-year-old woman hospitalized due to Pneumonia?
A. Oriented to date, time and place
B. Clear breath sounds
C. Capillary refill greater than 3 seconds and buccal cyanosis
D. Hemoglobin of 13 g/dl
C. Capillary refill greater than 3 seconds and buccal cyanosis
Capillary refill greater than 3 seconds and buccal cyanosis indicate decreased
oxygen to the tissues which requires immediate attention/intervention. Oriented to
date, time and place, hemoglobin of 13 g/dl are normal data.
What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing
C. Assessing, diagnosing, planning, implementing, evaluating
The correct order of the nursing process is assessing, diagnosing, planning,
implementing, evaluating.
Which of the following is the most important purpose of planning care with a
patient?
A. Development of a standardized NCP.
B. Expansion of the current taxonomy of nursing diagnosis
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C. Making of individualized patient care
D. Incorporation of both nursing and medical diagnoses in patient care
C. Making of individualized patient care
To be effective, the nursing care plan developed in the planning phase of the nursing
process must reflect the individualized needs of the patient.
What nursing action is appropriate when obtaining a sterile urine specimen
from an indwelling catheter to prevent infection?
A. Use sterile gloves when obtaining urine
B. Open the drainage bag and pour out the urine
C. Disconnect the catheter from the tubing and get urine
D. Aspirate urine from the tubing port using a sterile syringe
D. Aspirate urine from the tubing port using a sterile syringe
The nurse should aspirate the urine from the port using a sterile syringe to obtain a
urine specimen. Opening a closed drainage system increase the risk of urinary tract
infection.
Jake is complaining of shortness of breath. The nurse assesses his
respiratory rate to be 30 breaths per minute and documents that Jake is
tachypneic. The nurse understands that tachypnea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate greater than 20 breaths per minute
D. Frequent bowel sounds
C. Respiratory rate greater than 20 breaths per minute
A respiratory rate of greater than 20 breaths per minute is tachypnea. A blood
pressure of 140/90 is considered hypertension. Pulse greater than 100 beats per
minute is tachycardia. Frequent bowel sounds refer to hyper-active bowel sounds.
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
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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
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
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
D. 0 degree
The patient should be positioned with the head of the bed completely flattened to
