NURS 101 ACTUAL EXAM QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |A GRADE
A nurse is reviewing the laboratory results of a patient who has rheumatoid
arthritis.Which of the following findings should the nurse report to the provider?
a. WBC count 8,000
b. platelets 150,000
c. aspartate aminotransferase 10 units
d. erythrocyte sedimentation rate 75mm - ANSWER d
A nurse is caring for a patientwho has generalized petechiae and ecchymoses.
Thenurse should expect a prescription for which of the following laboratory
tests?
a. platelet count
b. potassium level
c. creatine clearance
d. prealbumin - ANSWER a
A nurse is caring for a patientfollowing application of a cast. Which of the
following actions should the nurse take first?
a. place an ice pack over the cast
b. palpate the pulse distal to the cast
c. teach the patientto keep the cast clean and dry
d. position the casted extremity on a pillow - ANSWER b
A nurse is caring for a patientwho has vision loss. Which of the following actions
shouldthe nurse take? SATA
• keep objects in the clients room in the same place.
,• ensure there is high-wattage lighting in the clients
room.c. approach the patientfrom the side
d. allow extra time for the patientto perform tasks
e. touch the patientgently to announce presence - ANSWER a, b, d
A nurse is caring for a patientwho is newly diagnosed with pancreatic cancer and
has questions about the disease. To research the nurse should identify that which of
the following electronic database has the most comprehensive collection nursing
articles?
a. medline
b. C inahl
c. ProQuest
d. health source - ANSWER b
A nurse in the emergency department is assessing newly admitted patientwho is
experiencing drooling and hoarseness following a brain injury. Which of the following
actions should the nurse take first?
• obtain a baseline EKG
• Obtain a blood specimen for ABG analysis
• c. insert an 18 gauge IV catheter
d. Administer 100% humidified oxygen - ANSWER d
A nurse is planning care for a patientwho has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should
thenurse include in the plan?
a. Place food on the left side of the client's mouth when he is ready to
eat.
b. Provide total care in performing the client's ADLs.
c. Maintain the patienton bed rest.
d. Place the client's left arm on a pillow while he is sitting. - ANSWER d
,A nurse is caring for a patientwho is in a seclusion room following violent behavior.
Thepatientcontinues to display aggressive behavior. Which of the following actions
should the nurse take?
• Confront the patientabout this behavior.
• Express sympathy for the client's
situation.
• c. Speak assertively to the client.
d. Stand within 30 cm (1 ft) of the patientwhen speaking with them. - ANSWER a
A nurse is caring for a patientwho is receiving brachytherapy for treatment of
prostate cancer. Which of the following actions should the nurse take?
a. Cleanse equipment before removal from the client's
room.
b. Limit the client's visitors to 30 min per day.
c. Discard the client's linens in a double bag.
d. Discard the radioactive source in a biohazard bag - ANSWER b
A nurse is caring for a patientwho has severe preeclampsia and is receiving
magnesiumsulfate intravenously. The nurse discontinues the magnesium sulfate
after the patientdisplaces toxicity. Which of the following actions should the nurse
take?
• Position the patientsupine
• Prepare an IV bolus of dextrose 5% in water
• c. Administer methylergonovine IM
• Administer calcium gluconate IV - ANSWER d
A charge nurse is teaching new staff members about factors that increase a client's
riskto become violent. Which of the following risk factors should the nurse include as
the best predictor of future violence?
, a. Experiencing
delusions
b. Male gender
c. Pervious violent behavior
d. A history of being in prison - ANSWER c
A nurse is preparing to perform a sterile dressing change. Which of the following
actionsshould the nurse take when setting up the sterile field?
• Place the cap from the solution sterile side up on clean surface
• Open the outermost flap of the sterile kit toward the body→ flap AWAY from
thebody's first
• Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field →
2.5cm (1-inch) border around any sterile drape or wrap that is considered
contaminated.
• Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist
level;should be ABOVE waist level - ANSWER a
A nurse is providing teaching to an older adult patientabout methods to
promote nighttime sleep. Which of the following instructions should the nurse
include?
a. Eat a light snack before bedtime
c. Stay in bed at least 1 hr if unable to fall
asleep
d. Take a 1 hr nap during the day
e. Perform exercises prior to bedtime - ANSWER a
A home health nurse is preparing for an initial visit with an older adult patientwho
livesalone. Which of the following actions should the nurse take first?
a. Educate the patientabout current medical diagnosis
b. Refer the patientto a meal delivery program
DETAILED ANSWERS (VERIFIED ANSWERS) |A GRADE
A nurse is reviewing the laboratory results of a patient who has rheumatoid
arthritis.Which of the following findings should the nurse report to the provider?
a. WBC count 8,000
b. platelets 150,000
c. aspartate aminotransferase 10 units
d. erythrocyte sedimentation rate 75mm - ANSWER d
A nurse is caring for a patientwho has generalized petechiae and ecchymoses.
Thenurse should expect a prescription for which of the following laboratory
tests?
a. platelet count
b. potassium level
c. creatine clearance
d. prealbumin - ANSWER a
A nurse is caring for a patientfollowing application of a cast. Which of the
following actions should the nurse take first?
a. place an ice pack over the cast
b. palpate the pulse distal to the cast
c. teach the patientto keep the cast clean and dry
d. position the casted extremity on a pillow - ANSWER b
A nurse is caring for a patientwho has vision loss. Which of the following actions
shouldthe nurse take? SATA
• keep objects in the clients room in the same place.
,• ensure there is high-wattage lighting in the clients
room.c. approach the patientfrom the side
d. allow extra time for the patientto perform tasks
e. touch the patientgently to announce presence - ANSWER a, b, d
A nurse is caring for a patientwho is newly diagnosed with pancreatic cancer and
has questions about the disease. To research the nurse should identify that which of
the following electronic database has the most comprehensive collection nursing
articles?
a. medline
b. C inahl
c. ProQuest
d. health source - ANSWER b
A nurse in the emergency department is assessing newly admitted patientwho is
experiencing drooling and hoarseness following a brain injury. Which of the following
actions should the nurse take first?
• obtain a baseline EKG
• Obtain a blood specimen for ABG analysis
• c. insert an 18 gauge IV catheter
d. Administer 100% humidified oxygen - ANSWER d
A nurse is planning care for a patientwho has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should
thenurse include in the plan?
a. Place food on the left side of the client's mouth when he is ready to
eat.
b. Provide total care in performing the client's ADLs.
c. Maintain the patienton bed rest.
d. Place the client's left arm on a pillow while he is sitting. - ANSWER d
,A nurse is caring for a patientwho is in a seclusion room following violent behavior.
Thepatientcontinues to display aggressive behavior. Which of the following actions
should the nurse take?
• Confront the patientabout this behavior.
• Express sympathy for the client's
situation.
• c. Speak assertively to the client.
d. Stand within 30 cm (1 ft) of the patientwhen speaking with them. - ANSWER a
A nurse is caring for a patientwho is receiving brachytherapy for treatment of
prostate cancer. Which of the following actions should the nurse take?
a. Cleanse equipment before removal from the client's
room.
b. Limit the client's visitors to 30 min per day.
c. Discard the client's linens in a double bag.
d. Discard the radioactive source in a biohazard bag - ANSWER b
A nurse is caring for a patientwho has severe preeclampsia and is receiving
magnesiumsulfate intravenously. The nurse discontinues the magnesium sulfate
after the patientdisplaces toxicity. Which of the following actions should the nurse
take?
• Position the patientsupine
• Prepare an IV bolus of dextrose 5% in water
• c. Administer methylergonovine IM
• Administer calcium gluconate IV - ANSWER d
A charge nurse is teaching new staff members about factors that increase a client's
riskto become violent. Which of the following risk factors should the nurse include as
the best predictor of future violence?
, a. Experiencing
delusions
b. Male gender
c. Pervious violent behavior
d. A history of being in prison - ANSWER c
A nurse is preparing to perform a sterile dressing change. Which of the following
actionsshould the nurse take when setting up the sterile field?
• Place the cap from the solution sterile side up on clean surface
• Open the outermost flap of the sterile kit toward the body→ flap AWAY from
thebody's first
• Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field →
2.5cm (1-inch) border around any sterile drape or wrap that is considered
contaminated.
• Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist
level;should be ABOVE waist level - ANSWER a
A nurse is providing teaching to an older adult patientabout methods to
promote nighttime sleep. Which of the following instructions should the nurse
include?
a. Eat a light snack before bedtime
c. Stay in bed at least 1 hr if unable to fall
asleep
d. Take a 1 hr nap during the day
e. Perform exercises prior to bedtime - ANSWER a
A home health nurse is preparing for an initial visit with an older adult patientwho
livesalone. Which of the following actions should the nurse take first?
a. Educate the patientabout current medical diagnosis
b. Refer the patientto a meal delivery program
