NUR 256 - Exam 1
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1. A nurse is performing a pre-admission assessment on a client and employs
the use of nonverbal and verbal communication which of the following actions
demonstrates the use of a nonverbal communication technique by the nurse
A. asking the client to clarify a statement
B. asking the client open-ended questions
C. maintain a fair distance between self and client
D. stating the name and providing credentials upon entering the client's
room: maintain a fair distance between self and client
2. A nurse is preparing to irrigate a client's leg wound what PPE should the
nurse wear?
surgical cap
gown
goggles
gloves
N95 mask: Goggles, gown, gloves
3. A nurse has performed pre-operative care on a client and is transferring the
client to the surgical holding area when the client states " I have changed
my mind; Ido not want to have this surgery" which of the following ethical
principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity: Autonomy
4. A nurse is preparing to perform a physical examination on a client. Which
of the following interventions should the nurse perform to ensure client pri-
vacy?
A. Close the examination room door but do not pull the curtain in the exami-
nation room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder or bowels before the
physical examination begins
D. Do not expose any more of the client's body than required at a time: Do not
expose any more of the client's body than required at a time
5. A nurse is assisting a client with ambulating around the nurses' station.
which of the following steps of the nursing process is the nurse performing?
, NUR 256 - Exam 1
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A. Implementation
B. Evaluation
C. Analysis
D. Planning: Implementation
6. A nurse is performing an assessment on a client the client states "I have a
dry cough every morning when I wake up" which of the following is the type
of date the nurse is collecting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory: Objective
7. A nurse is caring for a client who is crying and appears upset after receiving
news that they will need to have a surgical procedure which of the following
actions should the nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation: Show interest
in the client's feelings by acknowledging that they are upset
8. A nurse is preparing to assess a newly admitted client which of the following
pieces of equipment does the nurse need to begin the inspection part of the
physical examination?
Electrocardiogram monitor
Tongue Depressor
Doppler
Penlight
Tape measure: Tongue depressor, penlight, tape measure
9. A nurse is performing auscultation during a client's physical assessment
which of the following tools should the nurse use for this part of the assess-
ment?
A. Tongue Depressor
B. Penlight
C. Reflex hammer
D. Stethoscope: Stethoscope
, NUR 256 - Exam 1
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10. A nurse in the emergency department has received report on a child who
has a laceration to the right calf which of the following steps of the nursing
process should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning: Assessment
11. A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following findings is the nurse assessing during
palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
C. Heart sounds, lunch sounds, and bowel sounds
D. The client's cleanliness and grooming: Skin temperature, moisture, or unex-
pected findings
12. A nurse is performing a physical assessment of a client who has reported
abdominal tenderness which of the following actions should the nurse take?
A. Use the soft end of a cotton swab over the client's abdomen
B. Auscultate the tender areas of the client's abdomen through clothing
C. Palpate the tender areas of the client's abdomen last
D. Use deep palpation when assessing the client's abdomen: Palpate the tender
areas of the client's abdomen last
13. A nurse has just received report on a newly admitted client who reports
abdominal tenderness in the lower right quadrant which of the following is
the first step the nurse should perform during the abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection: Inspection
14. A nurse is completing documentation in a client's medical record. Which
of the following entries display proper documentation by the nurse?
A. The client is feeling better
B. The client's abdomen is soft and distended
Study online at https://quizlet.com/_ff0nt4
1. A nurse is performing a pre-admission assessment on a client and employs
the use of nonverbal and verbal communication which of the following actions
demonstrates the use of a nonverbal communication technique by the nurse
A. asking the client to clarify a statement
B. asking the client open-ended questions
C. maintain a fair distance between self and client
D. stating the name and providing credentials upon entering the client's
room: maintain a fair distance between self and client
2. A nurse is preparing to irrigate a client's leg wound what PPE should the
nurse wear?
surgical cap
gown
goggles
gloves
N95 mask: Goggles, gown, gloves
3. A nurse has performed pre-operative care on a client and is transferring the
client to the surgical holding area when the client states " I have changed
my mind; Ido not want to have this surgery" which of the following ethical
principles is the client using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity: Autonomy
4. A nurse is preparing to perform a physical examination on a client. Which
of the following interventions should the nurse perform to ensure client pri-
vacy?
A. Close the examination room door but do not pull the curtain in the exami-
nation room
B. Remain in the client's room while the client is getting undressed
C. Ask the client if they would like to empty their bladder or bowels before the
physical examination begins
D. Do not expose any more of the client's body than required at a time: Do not
expose any more of the client's body than required at a time
5. A nurse is assisting a client with ambulating around the nurses' station.
which of the following steps of the nursing process is the nurse performing?
, NUR 256 - Exam 1
Study online at https://quizlet.com/_ff0nt4
A. Implementation
B. Evaluation
C. Analysis
D. Planning: Implementation
6. A nurse is performing an assessment on a client the client states "I have a
dry cough every morning when I wake up" which of the following is the type
of date the nurse is collecting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory: Objective
7. A nurse is caring for a client who is crying and appears upset after receiving
news that they will need to have a surgical procedure which of the following
actions should the nurse take to display empathy towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is discussing their feelings
C. Show interest in the client's feelings by acknowledging that they are upset
D. Tell the client that it is wrong to be crying over this situation: Show interest
in the client's feelings by acknowledging that they are upset
8. A nurse is preparing to assess a newly admitted client which of the following
pieces of equipment does the nurse need to begin the inspection part of the
physical examination?
Electrocardiogram monitor
Tongue Depressor
Doppler
Penlight
Tape measure: Tongue depressor, penlight, tape measure
9. A nurse is performing auscultation during a client's physical assessment
which of the following tools should the nurse use for this part of the assess-
ment?
A. Tongue Depressor
B. Penlight
C. Reflex hammer
D. Stethoscope: Stethoscope
, NUR 256 - Exam 1
Study online at https://quizlet.com/_ff0nt4
10. A nurse in the emergency department has received report on a child who
has a laceration to the right calf which of the following steps of the nursing
process should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning: Assessment
11. A nurse is preparing to perform palpation on a client during a physical
assessment. Which of the following findings is the nurse assessing during
palpation?
A. Unexpected sounds made by tapping on the client's skin
B. Skin temperature, moisture, or unexpected findings
C. Heart sounds, lunch sounds, and bowel sounds
D. The client's cleanliness and grooming: Skin temperature, moisture, or unex-
pected findings
12. A nurse is performing a physical assessment of a client who has reported
abdominal tenderness which of the following actions should the nurse take?
A. Use the soft end of a cotton swab over the client's abdomen
B. Auscultate the tender areas of the client's abdomen through clothing
C. Palpate the tender areas of the client's abdomen last
D. Use deep palpation when assessing the client's abdomen: Palpate the tender
areas of the client's abdomen last
13. A nurse has just received report on a newly admitted client who reports
abdominal tenderness in the lower right quadrant which of the following is
the first step the nurse should perform during the abdominal assessment?
A. Palpation
B. Percussion
C. Auscultation
D. Inspection: Inspection
14. A nurse is completing documentation in a client's medical record. Which
of the following entries display proper documentation by the nurse?
A. The client is feeling better
B. The client's abdomen is soft and distended
