NUR 112 Practice Assessment 2022
Graded A
"Please explain what you mean by the word 'nervous'." - 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 - 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) - 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) - 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) - 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) - 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) - 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) - 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) - 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 -
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 - 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) -
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) - 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) - 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
Graded A
"Please explain what you mean by the word 'nervous'." - 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 - 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) - 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) - 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) - 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) - 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) - 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) - 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) - 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 -
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 - 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) -
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) - 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) - 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
