NR101 Fundamentals of Nursing Practice
Actual Exam1{ Part i} Questions and Correct
Answers& Rationales 2025 Latest
Which communication skills is most effective in dealing with covert communication?
A. Clarification
B. Listening
C. Evaluation
D. Validation
D. Validation
Covert communication reflects inner feelings that a person may be uncomfortable
talking about. Such communication may be revealed through body language, silence,
withdrawn behavior, or crying. Validation is an attempt to confirm the observer's
perceptions through feedback, interpretation and clarification.
The nurse's main priority when caring for a patient with hemiplegia?
A. Educating the patient
B. Providing a safe environment
C. Promoting a positive self-image
D. Helping the patient accept the illness
B. Providing a safe environment
A patient with hemiplegia (paralysis of one side of the body) has a high risk of injury
because of his altered motor and sensory function, so safety is the nurse's main
priority.
A sudden redness of the skin is known as:
A. Flush
B. Cyanosis
C. Jaundice
,D. Pallor
A. Flush
Flush is a sudden redness of the skin. Cyanosis is a slightly bluish, grayish skin
discoloration caused by abnormal amounts or reduced hemoglobin in the blood.
Jaundice is a yellow discoloration of the skin, mucous membranes and sclera caused
by excessive amounts of bilirubin in the blood. Pallor is an unnatural paleness or
absence of color in the skin indicating insufficient oxygen and excessive carbon
dioxide in the blood.
A patient states that he has difficulty sleeping in the hospital because of noise. Which
of the following would be an appropriate nursing action?
A. Administer a sedative at bedtime, as ordered by the physician
B. Ambulate the patient for 5 minutes before he retires
C. Give the patient a glass of warm milk before bedtime
D. Close the patient's door from 9pm to 7am
C. Give the patient a glass of warm milk before bedtime
Warm milk will relax the patient because it contains tryptophan, a natural sedative.
The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound.
The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular
A. Wheezes
Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or
expiration. Rhonchi are usually coarse breath sounds. Gurgles are loud gurgling,
bubbling sound. Vesicular breath sounds are low pitch, soft intensity on expiration.
, .
Becky is on NPO since midnight as preparation for blood test. Adreno-cortical
response is activated. Which of the following is an expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output
D. Decreased urine output
Adreno-cortical response involves release of aldosterone that leads to retention of
sodium and water. This results to decreased urine output.
.
When performing an abdominal examination, the patient should be in a supine
position with the head of the bed at what position?
A. 30 degrees
B. 90 degrees
C. 45 degrees
D. 0 degree
D. 0 degree
The patient should be positioned with the head of the bed completely flattened to
perform an abdominal examination. If the head of the bed is elevated, the abdominal
muscles and organs can be bunched up, altering the findings.
.
Which of the following is inappropriate nursing action when administering NGT
feeding?
A. Place the feeding 20 inches above the point of insertion of NGT
B. Introduce the feeding slowly
Actual Exam1{ Part i} Questions and Correct
Answers& Rationales 2025 Latest
Which communication skills is most effective in dealing with covert communication?
A. Clarification
B. Listening
C. Evaluation
D. Validation
D. Validation
Covert communication reflects inner feelings that a person may be uncomfortable
talking about. Such communication may be revealed through body language, silence,
withdrawn behavior, or crying. Validation is an attempt to confirm the observer's
perceptions through feedback, interpretation and clarification.
The nurse's main priority when caring for a patient with hemiplegia?
A. Educating the patient
B. Providing a safe environment
C. Promoting a positive self-image
D. Helping the patient accept the illness
B. Providing a safe environment
A patient with hemiplegia (paralysis of one side of the body) has a high risk of injury
because of his altered motor and sensory function, so safety is the nurse's main
priority.
A sudden redness of the skin is known as:
A. Flush
B. Cyanosis
C. Jaundice
,D. Pallor
A. Flush
Flush is a sudden redness of the skin. Cyanosis is a slightly bluish, grayish skin
discoloration caused by abnormal amounts or reduced hemoglobin in the blood.
Jaundice is a yellow discoloration of the skin, mucous membranes and sclera caused
by excessive amounts of bilirubin in the blood. Pallor is an unnatural paleness or
absence of color in the skin indicating insufficient oxygen and excessive carbon
dioxide in the blood.
A patient states that he has difficulty sleeping in the hospital because of noise. Which
of the following would be an appropriate nursing action?
A. Administer a sedative at bedtime, as ordered by the physician
B. Ambulate the patient for 5 minutes before he retires
C. Give the patient a glass of warm milk before bedtime
D. Close the patient's door from 9pm to 7am
C. Give the patient a glass of warm milk before bedtime
Warm milk will relax the patient because it contains tryptophan, a natural sedative.
The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound.
The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular
A. Wheezes
Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or
expiration. Rhonchi are usually coarse breath sounds. Gurgles are loud gurgling,
bubbling sound. Vesicular breath sounds are low pitch, soft intensity on expiration.
, .
Becky is on NPO since midnight as preparation for blood test. Adreno-cortical
response is activated. Which of the following is an expected response?
A. Low blood pressure
B. Warm, dry skin
C. Decreased serum sodium levels
D. Decreased urine output
D. Decreased urine output
Adreno-cortical response involves release of aldosterone that leads to retention of
sodium and water. This results to decreased urine output.
.
When performing an abdominal examination, the patient should be in a supine
position with the head of the bed at what position?
A. 30 degrees
B. 90 degrees
C. 45 degrees
D. 0 degree
D. 0 degree
The patient should be positioned with the head of the bed completely flattened to
perform an abdominal examination. If the head of the bed is elevated, the abdominal
muscles and organs can be bunched up, altering the findings.
.
Which of the following is inappropriate nursing action when administering NGT
feeding?
A. Place the feeding 20 inches above the point of insertion of NGT
B. Introduce the feeding slowly
