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