NUR 112 Practice Assessment UPDATED
ACTUAL Questions and CORRECT Answers
"Please explain what you mean by the word 'nervous'." - CORRECT ANSWER - A nurse asks a client how he is
feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make?
Cranberry juice - CORRECT ANSWER - A nurse is caring for a client who is postoperative following abdominal
surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the
lunch tray?
A. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor
rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back) -
CORRECT ANSWER - A nurse is assessing a client at a follow-up clinic for acute low back pain. A goal for this
client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this
goal?
a. The client faces the direction of movement when sliding an object across the floor
b. When pushing an object the client moves his front foot backward
c. When moving an object to one side, the client pushes his weight on his heels
d. The client stands with his feet close together when lifting an object
c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must
question the provider) - CORRECT ANSWER - 4. When reviewing the admitting prescriptions for a client, the
nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following
actions should this nurse take?
a. Contact the pharmacy and confirm that the dosage is safe to administer
b. Ask another nurse to verify that the dosage is appropriate for the client
c. Contact the provider to question the dosage
d. Inform the charge nurse and administer the dose of the medication the provider prescribed
a. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices
and strategies to help with self-care activities such as feeding) - CORRECT ANSWER - 5. A nurse is caring for a
client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should
initiate a referral with which of the following members of the interprofessional health care team?
a. Occupational therapist
b. Social worker
c. Registered dietician
d. Speech pathologist
c. Interpersonal (interpersonal communication is face-to-face interaction with another person. It results in an exchange of
ideas, problem solving expression of feelings, decision making, and personal growth) - CORRECT ANSWER - 6.
A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to
the charge nurse. The nurse is using which level of communication at this time?
a. Transpersonal
b. Intrapersonal
c. Interpersonal
d. Public
b. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency
in her primary language and the nurse's language to provide teaching the client can understand) - CORRECT
ANSWER - 7. A nurse is developing a plan of care for a client who does not speak the same language as the nurse.
Which of the following interventions should the nurse include?
a. Make sure a family member is present to interpret for the staff.
b. Determine the client's level of fluency in his primary language
c. Speak directly to the interpreter when teaching the client
d. Encourage the client to nod to indicate understanding
, c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed
consent from the client) - CORRECT ANSWER - 8. A nurse is caring for a client who has a hip fracture that
requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent
from the client for the procedure?
a. Nurse
b. Anesthesiologist
c. Surgeon
d. Surgical suite nurse
a. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion) -
CORRECT ANSWER - 9. A nurse on a medical unit is caring for a client who suddenly becomes confused and
drowsy. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). which of the
following actions should the nurse perform?
a. Complete a neurological check
b. Administer the prescribed PRN antihypertensive medication
c. Increase the fluid intake
d. Hold the client's evening dose of digoxin
a. Documentation is a communication tool for the interprofessional health care team - CORRECT ANSWER - 10.
A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record.
Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation?
a. Documentation is a communication tool for the interprofessional health care team
b. Documentation provides information to the client about financial charges for care provided
c. Documentation provides information for a client audit
d. Documentation allows providers to monitor the nurse's activities
c. Washes and rinses her hands for 10 seconds - CORRECT ANSWER - 11. A nurse is orienting a new assistive
personal (AP) to the unit. For which of the following actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact precautions
b. Dons gloves to empty a urinary drainage device
c. Washes and rinses her hands for 10 seconds
d. Wears a respirator mask when entering the room of a client who requires airborne precautions
c. Industry vs inferiority (a school age child (6-12) is in this stage of development) - CORRECT ANSWER - 12. A
nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of
Erikson's developmental stages should the nurse consider in the planning?
a. Autonomy vs shame and doubt
b. Initiative vs guilt
c. Industry vs inferiority
d. Identity vs role confusion
b. Assigning tasks to an AP (delegation is considered indirect care) - CORRECT ANSWER - 13. A nurse is
implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the
nurse is considered an indirect nursing care activity?
a. Determining the client's length of stay
b. Assigning tasks to an AP
c. Providing anticipatory guidance to a client in crisis
d. Establishing the client's secondary medical diagnoses
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to
withdraw consent therefore the surgeon should be the one notified of the request) - CORRECT ANSWER - 14. A
nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not
want to have the procedure done." Which of the following actions should the nurse take?
a. Remind the client that a signed informed consent form is a legally binding document
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure
c. Inform the surgical team to cancel the client's surgery
d. Proceed with the preparation of the patient's surgical procedure
ACTUAL Questions and CORRECT Answers
"Please explain what you mean by the word 'nervous'." - CORRECT ANSWER - A nurse asks a client how he is
feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make?
Cranberry juice - CORRECT ANSWER - A nurse is caring for a client who is postoperative following abdominal
surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the
lunch tray?
A. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor
rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back) -
CORRECT ANSWER - A nurse is assessing a client at a follow-up clinic for acute low back pain. A goal for this
client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this
goal?
a. The client faces the direction of movement when sliding an object across the floor
b. When pushing an object the client moves his front foot backward
c. When moving an object to one side, the client pushes his weight on his heels
d. The client stands with his feet close together when lifting an object
c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must
question the provider) - CORRECT ANSWER - 4. When reviewing the admitting prescriptions for a client, the
nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following
actions should this nurse take?
a. Contact the pharmacy and confirm that the dosage is safe to administer
b. Ask another nurse to verify that the dosage is appropriate for the client
c. Contact the provider to question the dosage
d. Inform the charge nurse and administer the dose of the medication the provider prescribed
a. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices
and strategies to help with self-care activities such as feeding) - CORRECT ANSWER - 5. A nurse is caring for a
client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should
initiate a referral with which of the following members of the interprofessional health care team?
a. Occupational therapist
b. Social worker
c. Registered dietician
d. Speech pathologist
c. Interpersonal (interpersonal communication is face-to-face interaction with another person. It results in an exchange of
ideas, problem solving expression of feelings, decision making, and personal growth) - CORRECT ANSWER - 6.
A nurse receives a client care assignment from the charge nurse that he believes is unfair. The nurse voices his concern to
the charge nurse. The nurse is using which level of communication at this time?
a. Transpersonal
b. Intrapersonal
c. Interpersonal
d. Public
b. Determine the client's level of fluency in his primary language (it is important to determine the client's level of fluency
in her primary language and the nurse's language to provide teaching the client can understand) - CORRECT
ANSWER - 7. A nurse is developing a plan of care for a client who does not speak the same language as the nurse.
Which of the following interventions should the nurse include?
a. Make sure a family member is present to interpret for the staff.
b. Determine the client's level of fluency in his primary language
c. Speak directly to the interpreter when teaching the client
d. Encourage the client to nod to indicate understanding
, c. Surgeon (the health care provider who will perform the treatment or procedure is responsible for obtaining informed
consent from the client) - CORRECT ANSWER - 8. A nurse is caring for a client who has a hip fracture that
requires surgical repair. Which of the following health care professionals is responsible for obtaining informed consent
from the client for the procedure?
a. Nurse
b. Anesthesiologist
c. Surgeon
d. Surgical suite nurse
a. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion) -
CORRECT ANSWER - 9. A nurse on a medical unit is caring for a client who suddenly becomes confused and
drowsy. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). which of the
following actions should the nurse perform?
a. Complete a neurological check
b. Administer the prescribed PRN antihypertensive medication
c. Increase the fluid intake
d. Hold the client's evening dose of digoxin
a. Documentation is a communication tool for the interprofessional health care team - CORRECT ANSWER - 10.
A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record.
Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation?
a. Documentation is a communication tool for the interprofessional health care team
b. Documentation provides information to the client about financial charges for care provided
c. Documentation provides information for a client audit
d. Documentation allows providers to monitor the nurse's activities
c. Washes and rinses her hands for 10 seconds - CORRECT ANSWER - 11. A nurse is orienting a new assistive
personal (AP) to the unit. For which of the following actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact precautions
b. Dons gloves to empty a urinary drainage device
c. Washes and rinses her hands for 10 seconds
d. Wears a respirator mask when entering the room of a client who requires airborne precautions
c. Industry vs inferiority (a school age child (6-12) is in this stage of development) - CORRECT ANSWER - 12. A
nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of
Erikson's developmental stages should the nurse consider in the planning?
a. Autonomy vs shame and doubt
b. Initiative vs guilt
c. Industry vs inferiority
d. Identity vs role confusion
b. Assigning tasks to an AP (delegation is considered indirect care) - CORRECT ANSWER - 13. A nurse is
implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the
nurse is considered an indirect nursing care activity?
a. Determining the client's length of stay
b. Assigning tasks to an AP
c. Providing anticipatory guidance to a client in crisis
d. Establishing the client's secondary medical diagnoses
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to
withdraw consent therefore the surgeon should be the one notified of the request) - CORRECT ANSWER - 14. A
nurse has completed an informed consent form with a client. The client then states, "I have changed my mind and do not
want to have the procedure done." Which of the following actions should the nurse take?
a. Remind the client that a signed informed consent form is a legally binding document
b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure
c. Inform the surgical team to cancel the client's surgery
d. Proceed with the preparation of the patient's surgical procedure
