NURS 3632 EXAM 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
Nurse enters the room of a female client and ask how she is doing, client states
"I'm a little nervous this morning". What would be the nurses best reply?
Answer:
"Can you tell me more about how you are feeling?"
Question:
A nurse observes a client pacing the halls, and it appears as if the client has
been crying. What is the appropriate action?
Answer:
Validate perceptions with the client
Question:
The nurse is assessing the client who has an onset of severe back pain of an
unknown origin. Which would the nurse ask to encourage discussion?
Answer:
What do you think caused the onset of your back pain?
Question:
In which of the following situations would the nurse be more justified in
implementing trial-and-error problem solving?
Answer:
The nurse is attempting to landmark an obese clients apical pulse
Question:
A client comes to the ED complaining of severe chest pain. The nurse ask the
client questions and takes VS. Which step in the nursing process is this?
Answer:
Assesing
Question:
A nurse is examining a child 2 years old. Asked on her findings, she initiates a
care plan for a potential problem with normal growth and development.
Which step of the nursing process identifies actual and potential problems?
Answer:
Diagnosing
Question:
Self evaluation is a method that nurses use to promote their own development
and to grow in confidence in their nursing roles. The process is refereed to as
what?
Answer:
Reflective practice
Question:
Profuse smoke is coming out of the heating unit in a patient's room. What
, should the nurse do first?
Answer:
Move the patient out of the room
Question:
The nurse is providing instructions to the unlicensed assistive personnel (UAP)
who will be caring for a client with hand restraints. The nurse asks the UAP to
repeat the instructions to ensure that the UAP understands the care. Which
statement, if made by the UAP, indicated an understanding of the care for this
client?
Answer:
"I need to remove the restraints at least every 2 hours to perform
range-of-motion exercises"
Question:
Client is hospitalized for the first time. Which of the following actions would
the nurse take to ensure the safety of the client?
Answer:
Keep unnecessary furniture out of the way
Question:
After correctly positioning a client for a urinary catheterization procedure, the
nurse sets up a sterile field and places the kit supplies on the area. The nurse
hears a page to respond to another client who has fallen in the hallway. Which
of the following would be the most appropriate nursing actions?
Answer:
Ensure the clients safety, discard the sterile equipment, and resound to the
other client.
Question:
A patient's stool specimen is positive for Clostridium difficile. Which isolation
precautions should the nurse institute for this patient?
Answer:
Contact
Question:
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse
follows these recommended guidelines?
Answer:
The nurse moves the patient table away from the nurse's body when wiping it
off after a meal
Question:
The nurse has opened the sterile supplies and put on two sterile gloves to
complete a sterile dressing change, a procedure that requires surgical asepsis.
Which action by the nurse is appropriate?
Answer:
Consider the outer 1 in of the sterile field as contaminated.
Question:
The nurse caring for patients in a hospital setting institutes CDC standard
CORRECT ANSWERS
Question:
Nurse enters the room of a female client and ask how she is doing, client states
"I'm a little nervous this morning". What would be the nurses best reply?
Answer:
"Can you tell me more about how you are feeling?"
Question:
A nurse observes a client pacing the halls, and it appears as if the client has
been crying. What is the appropriate action?
Answer:
Validate perceptions with the client
Question:
The nurse is assessing the client who has an onset of severe back pain of an
unknown origin. Which would the nurse ask to encourage discussion?
Answer:
What do you think caused the onset of your back pain?
Question:
In which of the following situations would the nurse be more justified in
implementing trial-and-error problem solving?
Answer:
The nurse is attempting to landmark an obese clients apical pulse
Question:
A client comes to the ED complaining of severe chest pain. The nurse ask the
client questions and takes VS. Which step in the nursing process is this?
Answer:
Assesing
Question:
A nurse is examining a child 2 years old. Asked on her findings, she initiates a
care plan for a potential problem with normal growth and development.
Which step of the nursing process identifies actual and potential problems?
Answer:
Diagnosing
Question:
Self evaluation is a method that nurses use to promote their own development
and to grow in confidence in their nursing roles. The process is refereed to as
what?
Answer:
Reflective practice
Question:
Profuse smoke is coming out of the heating unit in a patient's room. What
, should the nurse do first?
Answer:
Move the patient out of the room
Question:
The nurse is providing instructions to the unlicensed assistive personnel (UAP)
who will be caring for a client with hand restraints. The nurse asks the UAP to
repeat the instructions to ensure that the UAP understands the care. Which
statement, if made by the UAP, indicated an understanding of the care for this
client?
Answer:
"I need to remove the restraints at least every 2 hours to perform
range-of-motion exercises"
Question:
Client is hospitalized for the first time. Which of the following actions would
the nurse take to ensure the safety of the client?
Answer:
Keep unnecessary furniture out of the way
Question:
After correctly positioning a client for a urinary catheterization procedure, the
nurse sets up a sterile field and places the kit supplies on the area. The nurse
hears a page to respond to another client who has fallen in the hallway. Which
of the following would be the most appropriate nursing actions?
Answer:
Ensure the clients safety, discard the sterile equipment, and resound to the
other client.
Question:
A patient's stool specimen is positive for Clostridium difficile. Which isolation
precautions should the nurse institute for this patient?
Answer:
Contact
Question:
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse
follows these recommended guidelines?
Answer:
The nurse moves the patient table away from the nurse's body when wiping it
off after a meal
Question:
The nurse has opened the sterile supplies and put on two sterile gloves to
complete a sterile dressing change, a procedure that requires surgical asepsis.
Which action by the nurse is appropriate?
Answer:
Consider the outer 1 in of the sterile field as contaminated.
Question:
The nurse caring for patients in a hospital setting institutes CDC standard
