NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The
nurse documents the breath sounds heard as:
crackles
Which medication is administered in the home or the hospital to relieve inflammation in the lung
tissue?
corticosteroids
When a nurse observes that an older client's skin is dry and shiny and his nails are thickened, the
nurse determines that the client is most likely experiencing
poor tissue perfusion
The nurse is caring for a client who has a compromised cardiopulmonary system and needs to
assess the client's tissue oxygenation. The nurse would use which appropriate method to assess
this client's oxygenation?
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
arterial blood gas
The nurse is caring for a client with metabolic acidosis whose breathing rate is 28 breaths per
minute. Which arterial blood gas data does the nurse anticipate finding?
pH less than 7.35; HCO3 low; PaCO2 low
The plan of care for a client exhibiting signs of sensory deprivation includes incorporating tactile
stimulation. Which nursing intervention will provide tactile stimulation?
providing a backrub with morning and evening care
During the nurse's morning assessment of a client with a diagnosis of dementia, the client states
that the year is 1949 and she believes she is in a hotel. How should the nurse best respond to this
client's disorientation?
Reorient the client to place and time.
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
The physician tells the nurse that the elderly client has presbycusis. Which of the following
interventions will the nurse place in the client's care plan?
Decrease background noises, as much as possible, before speaking
The nurse assesses that her client has olfactory disturbances. Which of the following health
topics would be important to teach the client?
Eliminating disturbing odors with adequate ventilation
The community health nurse wants to identify clients who have lifestyle factors that may place
them at risk for sensory disturbances. Which of the following questions should she ask?
Do you work around loud noises at work?"
Which example indicates the use of an internal sensory receptor?
spitting out of hot coffee
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A client reports to a health care facility with reporting abdominal pain and vomiting. The client's
wife informs the nurse that the client had gone out for dinner the previous night. Which of the
following would be the primary source of assessment data?
client himself
During morning report, the night nurse tells the day nurse that the client refused to allow the
technician to draw blood for laboratory testing. What step would be essential for the day nurse to
complete before selecting a nursing diagnosis to address this issue?
The nurse should determine the reason for the client's refusal.
The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have
this baby, but I have always believed that abortion is a sin. I don't know what to do." What
nursing diagnosis would be most appropriate for the nurse to formulate?
Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement
A 50-year-old female client is admitted to a hospital unit with the diagnosis of scleroderma. The
nurse is unfamiliar with this condition. What is the nurse's best source of information?
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
The nurse auscultates a client with soft, high-pitched popping breath sounds on inspiration. The
nurse documents the breath sounds heard as:
crackles
Which medication is administered in the home or the hospital to relieve inflammation in the lung
tissue?
corticosteroids
When a nurse observes that an older client's skin is dry and shiny and his nails are thickened, the
nurse determines that the client is most likely experiencing
poor tissue perfusion
The nurse is caring for a client who has a compromised cardiopulmonary system and needs to
assess the client's tissue oxygenation. The nurse would use which appropriate method to assess
this client's oxygenation?
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
arterial blood gas
The nurse is caring for a client with metabolic acidosis whose breathing rate is 28 breaths per
minute. Which arterial blood gas data does the nurse anticipate finding?
pH less than 7.35; HCO3 low; PaCO2 low
The plan of care for a client exhibiting signs of sensory deprivation includes incorporating tactile
stimulation. Which nursing intervention will provide tactile stimulation?
providing a backrub with morning and evening care
During the nurse's morning assessment of a client with a diagnosis of dementia, the client states
that the year is 1949 and she believes she is in a hotel. How should the nurse best respond to this
client's disorientation?
Reorient the client to place and time.
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
The physician tells the nurse that the elderly client has presbycusis. Which of the following
interventions will the nurse place in the client's care plan?
Decrease background noises, as much as possible, before speaking
The nurse assesses that her client has olfactory disturbances. Which of the following health
topics would be important to teach the client?
Eliminating disturbing odors with adequate ventilation
The community health nurse wants to identify clients who have lifestyle factors that may place
them at risk for sensory disturbances. Which of the following questions should she ask?
Do you work around loud noises at work?"
Which example indicates the use of an internal sensory receptor?
spitting out of hot coffee
, NUR 101/ NUR101 Exam 2 v1
(Latest 2026/ 2027 Update) Health
Assessment | Questions &
Answers| Grade A| 100% Correct
(Verified Elaborations)- Fortis
A client reports to a health care facility with reporting abdominal pain and vomiting. The client's
wife informs the nurse that the client had gone out for dinner the previous night. Which of the
following would be the primary source of assessment data?
client himself
During morning report, the night nurse tells the day nurse that the client refused to allow the
technician to draw blood for laboratory testing. What step would be essential for the day nurse to
complete before selecting a nursing diagnosis to address this issue?
The nurse should determine the reason for the client's refusal.
The client, who is 8 weeks pregnant as the result of a rape, tells the nurse, "I do not want to have
this baby, but I have always believed that abortion is a sin. I don't know what to do." What
nursing diagnosis would be most appropriate for the nurse to formulate?
Decisional Conflict related to conflict with moral beliefs as evidenced by the client's statement
A 50-year-old female client is admitted to a hospital unit with the diagnosis of scleroderma. The
nurse is unfamiliar with this condition. What is the nurse's best source of information?
