Nursing 101 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
60-100 Normal HR per minute.
96.8-99.5 Normal temperature in Fahrenheit.
12-20 Normal respirations per minute.
120/80 Normal BP.
Pain 5th vital sign.
Apical pulse Vital signs that should be checked prior to giving digoxin.
Sacrament of the Sick For Roman Catholic's, what is important during severe illness or possible pending
death?
NREM Type of sleep accounting for 75-80% of sleep during the night.
Grieving Normal emotional reaction to a loss.
Same as RN Standard of care a nursing student is held to.
Baptism Catholic's take part in this, and an infant born with a life threatening condition gets
this as soon as possible.
Vesicular Type of breath sounds heard in the periphery of the lungs.
Clubbing of nails, barrel chest Two long term oxygenation issues that can be observed on inspection of the
client.
Orthopneic Position in which a client experiencing respiratory distress should be placed.
Handwashing Most important infection control measure.
Ineffective Breathing Pattern NANDA diagnosis in which inspiration and/or expiration does not provide
adequate ventilation.
Ineffective Airway Clearance NANDA diagnosis with the inability to clear secretions or obstructions from the
respiratory tract to maintain a clear airway.
Ineffective Gas Exchange NANDA diagnosis with an excess or deficit in oxygenation and/or CO2 elimination
at the alveolar-capillary membrane.
FVD Decreased intravascular, interstitial, and/or intracellular fluid. This refers to
dehydration, water loss alone w/o change in Na level.
, FVE increased isotonic fluid retention.
Physiological, Safety/Security, Love/Belonging, Self- Maslow's Hierarchy of Needs.
esteem needs, Self actualization
Stage 1 Which stage of pressure ulcer has non-blanchable redness?
Stage 2 Which stage of pressure ulcer is a broken blister?
Stage 3 Which stage of pressure ulcer is a small crater and has no tunneling? Down to
subQ fat.
CORRECT Answers
60-100 Normal HR per minute.
96.8-99.5 Normal temperature in Fahrenheit.
12-20 Normal respirations per minute.
120/80 Normal BP.
Pain 5th vital sign.
Apical pulse Vital signs that should be checked prior to giving digoxin.
Sacrament of the Sick For Roman Catholic's, what is important during severe illness or possible pending
death?
NREM Type of sleep accounting for 75-80% of sleep during the night.
Grieving Normal emotional reaction to a loss.
Same as RN Standard of care a nursing student is held to.
Baptism Catholic's take part in this, and an infant born with a life threatening condition gets
this as soon as possible.
Vesicular Type of breath sounds heard in the periphery of the lungs.
Clubbing of nails, barrel chest Two long term oxygenation issues that can be observed on inspection of the
client.
Orthopneic Position in which a client experiencing respiratory distress should be placed.
Handwashing Most important infection control measure.
Ineffective Breathing Pattern NANDA diagnosis in which inspiration and/or expiration does not provide
adequate ventilation.
Ineffective Airway Clearance NANDA diagnosis with the inability to clear secretions or obstructions from the
respiratory tract to maintain a clear airway.
Ineffective Gas Exchange NANDA diagnosis with an excess or deficit in oxygenation and/or CO2 elimination
at the alveolar-capillary membrane.
FVD Decreased intravascular, interstitial, and/or intracellular fluid. This refers to
dehydration, water loss alone w/o change in Na level.
, FVE increased isotonic fluid retention.
Physiological, Safety/Security, Love/Belonging, Self- Maslow's Hierarchy of Needs.
esteem needs, Self actualization
Stage 1 Which stage of pressure ulcer has non-blanchable redness?
Stage 2 Which stage of pressure ulcer is a broken blister?
Stage 3 Which stage of pressure ulcer is a small crater and has no tunneling? Down to
subQ fat.
