NUR 101 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
A nurse needs to enter into the computer the time the D. 03:30 p.m.
client took medication. However, the time is written in the
military format, and the computer accepts only the
traditional format. How should the nurse enter the time in
the computer if the client took medication at 1530 hours?
A. 03:00 p.m.
B. 05:30 a.m.
C. 03:30 a.m.
D. 03:30 p.m.
A client newly diagnosed with type 2 diabetes is admitted D. exercise and a weight-reduction diet
to the metabolic unit for treatment initiation and education.
Which information should the nurse reinforce to this client
as a goal for treatment?
A. maintenance of blood glucose levels between 180 and
200 mg/dL
B. smoking reduction but not complete cessation
C. an eye examination every 2 years, until age 50
D. exercise and a weight-reduction diet
The unlicensed assistive personnel tells the nurse that it is D. "Let's discuss how we can meet our clients' needs."
unreasonable to expect a response to all call lights within
10 minutes. Which statement by the nurse best illustrates
appropriate assertive behavior by a supervisor?
A. “I will have to report to the supervisor if you can’t do it.”
B. “All clients have a right to compassionate and timely
care.”
C. “I will take care of any client needs that you can’t
provide.”
D. “Let’s discuss how we can meet our clients’ needs.”
A client undergoing a brain computed tomography (CT) C. Panic attack
scan because of continual migraine headaches is placed in
the CT scanner and suddenly reports having palpitations,
shortness of breath and shaking. What is the client most
likely experiencing?
A. Allergic reaction
B. Myocardial infarction (MI)
C. Panic attack
D. Hypoglycemic episode
,The nurse obtains laboratory results on assigned clients D. potassium level 6.2 mg/dL
during morning report. Which results needs to be
immediately reported to the health care provider?
A. hemoglobin 13.6 mg/dL
B. creatinine level 0.6 mg/dL
C. glucose level 98 mg/dL
D. potassium level 6.2 mg/dL
A licensed practical nurse (LPN) who usually works on a B. Identify the tasks that the nurse feels he or she can safely perform on arriving at
medical-surgical unit is told to report to the cardiac care the CCU.
unit (CCU) for the day because the CCU is short-staffed.
The nurse has never worked in a CCU. Which action by the
nurse would be most appropriate?
A. Call the hospital risk manager to report the request as a
violation.
B. Identify the tasks that the nurse feels he or she can
safely perform on arriving at the CCU.
C. Speak to the nursing supervisor about the request for
the nurse to go to the CCU.
D. Refuse to go to the CCU due to lack of experience.
A client is admitted with acute chest pain. When obtaining C. "How would you rate your pain on a scale of one to ten, with ten being the worst
the health history, which question would be most helpful pain imaginable?"
for the nurse to ask?
A. "Do you need anything now?"
B. "Why do you think you had a heart attack?"
C. "How would you rate your pain on a scale of one to ten,
with ten being the worst pain imaginable?"
D. "Has anyone in your family been sick lately?"
A nurse on a labor and birth unit goes to the cafeteria for A. Discuss the colleague's behavior in private.
lunch with colleagues. One colleague begins talking about
a newer staff member and says, “I heard that she does not
have any labor and birth nursing experience.” Which is the
nurse’s most appropriate action?
A. Discuss the colleague’s behavior in private.
B. Confront the colleague immediately to prevent causing
additional harm.
C. Ignore the comment because it is not considered
harmful.
D. Ask how the colleague knows this information.
The licensed practical nurse (LPN) prepares a client's C. Document in the client's medication administration record that the medications
regularly scheduled prescribed medications. The client were refused
refuses to take them. Which action should the LPN take?
A. Explain to the client about the need for the medications
because the health care provider prescribed them.
B. Tell the client that refusing to take the medications will
worsen the current condition.
C. Document in the client's medication administration
record that the medications were refused.
D. Explain to the client's family that the client refused to
take the medications.
, A client is having trouble sleeping. Which nursing B. "Maintain the same schedule for waking and sleeping."
intervention should the nurse suggest to the client?
A. "Take a warm bath in the early morning, just after rising."
B. "Maintain the same schedule for waking and sleeping."
C. "Exercise after dinner each night to bring on fatigue."
D. "Take frequent naps, especially in the afternoon."
A nurse in a physician's office has noted on several A. unprofessional, incompetent, unethical, or illegal physician practice
occasions that one of the physicians frequently obtains
controlled drug prescription forms for prescription writing.
The physician reports that their spouse has chronic back
pain and requires pain medication. One day the nurse
enters the physician's office and sees the physician take a
pill out of a bottle, and mentions the physician suffers from
migraines and it really helps when the physician takes the
spouse's pain medication. What type of nurse-physician
ethical situation is illustrated in this scenario?
A. unprofessional, incompetent, unethical, or illegal
physician practice
B. disagreements about the proposed medical regimen
C. conflicts regarding the scope of the nurse's role
D. claims of loyalty
A nurse is caring for a 7-year-old child with Down C. Evaluate the child's current developmental level and plan care accordingly.
syndrome. What action should the nurse take when
assisting with the plan of care for this child?
A. Plan interventions at the developmental level of a 7-
year-old because that is the child's age.
B. Plan interventions at the developmental level of a 5-
year-old because the child with Down syndrome has
developmental delays.
C. Evaluate the child's current developmental level and
plan care accordingly.
D. Direct all teaching to the parents because the child
cannot understand.
A nurse has administered one unit of glucose to the client A. 1 Unit of glucose
as per order. What is the correct documentation of this
information?
A. 1 Unit of glucose
B. 1 bottle of glucose
C. one U of glucose
D. 1U of glucose
Which intervention does the nurse educator include in his B. Administering a measles, mumps, and rubella immunization to an infant
or her preparation as an example of primary prevention?
A. Administering digoxin to a client with heart failure
B. Administering a measles, mumps, and rubella
immunization to an infant
C. Obtaining a Papanicolaou (PAP) test to screen for
cervical cancer
D. Using occupational therapy to help a client cope with
arthritis
Answers
A nurse needs to enter into the computer the time the D. 03:30 p.m.
client took medication. However, the time is written in the
military format, and the computer accepts only the
traditional format. How should the nurse enter the time in
the computer if the client took medication at 1530 hours?
A. 03:00 p.m.
B. 05:30 a.m.
C. 03:30 a.m.
D. 03:30 p.m.
A client newly diagnosed with type 2 diabetes is admitted D. exercise and a weight-reduction diet
to the metabolic unit for treatment initiation and education.
Which information should the nurse reinforce to this client
as a goal for treatment?
A. maintenance of blood glucose levels between 180 and
200 mg/dL
B. smoking reduction but not complete cessation
C. an eye examination every 2 years, until age 50
D. exercise and a weight-reduction diet
The unlicensed assistive personnel tells the nurse that it is D. "Let's discuss how we can meet our clients' needs."
unreasonable to expect a response to all call lights within
10 minutes. Which statement by the nurse best illustrates
appropriate assertive behavior by a supervisor?
A. “I will have to report to the supervisor if you can’t do it.”
B. “All clients have a right to compassionate and timely
care.”
C. “I will take care of any client needs that you can’t
provide.”
D. “Let’s discuss how we can meet our clients’ needs.”
A client undergoing a brain computed tomography (CT) C. Panic attack
scan because of continual migraine headaches is placed in
the CT scanner and suddenly reports having palpitations,
shortness of breath and shaking. What is the client most
likely experiencing?
A. Allergic reaction
B. Myocardial infarction (MI)
C. Panic attack
D. Hypoglycemic episode
,The nurse obtains laboratory results on assigned clients D. potassium level 6.2 mg/dL
during morning report. Which results needs to be
immediately reported to the health care provider?
A. hemoglobin 13.6 mg/dL
B. creatinine level 0.6 mg/dL
C. glucose level 98 mg/dL
D. potassium level 6.2 mg/dL
A licensed practical nurse (LPN) who usually works on a B. Identify the tasks that the nurse feels he or she can safely perform on arriving at
medical-surgical unit is told to report to the cardiac care the CCU.
unit (CCU) for the day because the CCU is short-staffed.
The nurse has never worked in a CCU. Which action by the
nurse would be most appropriate?
A. Call the hospital risk manager to report the request as a
violation.
B. Identify the tasks that the nurse feels he or she can
safely perform on arriving at the CCU.
C. Speak to the nursing supervisor about the request for
the nurse to go to the CCU.
D. Refuse to go to the CCU due to lack of experience.
A client is admitted with acute chest pain. When obtaining C. "How would you rate your pain on a scale of one to ten, with ten being the worst
the health history, which question would be most helpful pain imaginable?"
for the nurse to ask?
A. "Do you need anything now?"
B. "Why do you think you had a heart attack?"
C. "How would you rate your pain on a scale of one to ten,
with ten being the worst pain imaginable?"
D. "Has anyone in your family been sick lately?"
A nurse on a labor and birth unit goes to the cafeteria for A. Discuss the colleague's behavior in private.
lunch with colleagues. One colleague begins talking about
a newer staff member and says, “I heard that she does not
have any labor and birth nursing experience.” Which is the
nurse’s most appropriate action?
A. Discuss the colleague’s behavior in private.
B. Confront the colleague immediately to prevent causing
additional harm.
C. Ignore the comment because it is not considered
harmful.
D. Ask how the colleague knows this information.
The licensed practical nurse (LPN) prepares a client's C. Document in the client's medication administration record that the medications
regularly scheduled prescribed medications. The client were refused
refuses to take them. Which action should the LPN take?
A. Explain to the client about the need for the medications
because the health care provider prescribed them.
B. Tell the client that refusing to take the medications will
worsen the current condition.
C. Document in the client's medication administration
record that the medications were refused.
D. Explain to the client's family that the client refused to
take the medications.
, A client is having trouble sleeping. Which nursing B. "Maintain the same schedule for waking and sleeping."
intervention should the nurse suggest to the client?
A. "Take a warm bath in the early morning, just after rising."
B. "Maintain the same schedule for waking and sleeping."
C. "Exercise after dinner each night to bring on fatigue."
D. "Take frequent naps, especially in the afternoon."
A nurse in a physician's office has noted on several A. unprofessional, incompetent, unethical, or illegal physician practice
occasions that one of the physicians frequently obtains
controlled drug prescription forms for prescription writing.
The physician reports that their spouse has chronic back
pain and requires pain medication. One day the nurse
enters the physician's office and sees the physician take a
pill out of a bottle, and mentions the physician suffers from
migraines and it really helps when the physician takes the
spouse's pain medication. What type of nurse-physician
ethical situation is illustrated in this scenario?
A. unprofessional, incompetent, unethical, or illegal
physician practice
B. disagreements about the proposed medical regimen
C. conflicts regarding the scope of the nurse's role
D. claims of loyalty
A nurse is caring for a 7-year-old child with Down C. Evaluate the child's current developmental level and plan care accordingly.
syndrome. What action should the nurse take when
assisting with the plan of care for this child?
A. Plan interventions at the developmental level of a 7-
year-old because that is the child's age.
B. Plan interventions at the developmental level of a 5-
year-old because the child with Down syndrome has
developmental delays.
C. Evaluate the child's current developmental level and
plan care accordingly.
D. Direct all teaching to the parents because the child
cannot understand.
A nurse has administered one unit of glucose to the client A. 1 Unit of glucose
as per order. What is the correct documentation of this
information?
A. 1 Unit of glucose
B. 1 bottle of glucose
C. one U of glucose
D. 1U of glucose
Which intervention does the nurse educator include in his B. Administering a measles, mumps, and rubella immunization to an infant
or her preparation as an example of primary prevention?
A. Administering digoxin to a client with heart failure
B. Administering a measles, mumps, and rubella
immunization to an infant
C. Obtaining a Papanicolaou (PAP) test to screen for
cervical cancer
D. Using occupational therapy to help a client cope with
arthritis
