NUR110 QUESTIONS WITH ANSWERS
RATED A+
1. The 67 year old client is being treated for an acute attack of gout. Which finding would the nurse
expect to observe when assessing the client's foot?
1. pale.
1. red.
2. mottled.
3. cyanotic.
2. The nurse returns to the nurse's station after making client rounds and finds four phone messages.
Which of the follow ing messages should the nurse return FIRST?
1 A client with a cast on the right leg who states, "I have a funny feeling in my right leg.”
4. A client with hepatitis A who states, "My arms and legs are itching."
2. A client with a cast on the right leg who states, "I have a funny feeling in my right leg."
5. A client with osteomyelitis of the spine who states, "I am so nauseated that I can't eat."
6. A client with arthritis who states, "I am having trouble sleeping at night.”
3. Following total hip arthroplasty, an elderly client is ordered to begin ambulation with a walker.
Which statement by the nurse is correct? Select all that apply.
1 "Sit in a low chair for ease in getting up to use the walker."
3. "Make sure rubber caps are in place on all four legs of the walker."
7. "You will begin weight bearing on the affected hip soon."
4. "Have someone help you tie your shoes before you begin ambulating."
8. "Your walker is the correct height when your elbows bend at a 50° angle."
5. "Always wear non skid footwear when you walk.”
4. A client comes to the hospital at term in the early stages of labor. A diagnosis of complete placenta
previa is made. It is MOST important for the nurse to take which of the following actions?
1. Start an IV of terbutaline (Brethine) and monitor the patient's vital signs closely.
1. Prepare the patient for an immediate cesarean section.
2. Maintain the patient on bedrest until spontaneous vaginal delivery is achieved.
3. Monitor the patient's length and duration of contractions.
5. The RN cares for the 4yearold diagnosed with epiglottitis. Which observation indicates to the nurse
that the child is experiencing an early complication of hypoxemia? Select all that apply.
1. Heart rate of 148 beats per minute (bpm).
1
,9. Bluish discoloration of the skin.
10. Bluish discoloration around the mouth.
6. Throwing toys and kicking the bed.
11. Difficulty swallowing.
7. Nasal flaring with activity.
6. After stabilizing a client with severe multiple trauma injuries from a motor vehicle accident, which of
the following ac tions by the nurse is BEST?
1 Limit visiting hours to promote optimal rest.
8. Arrange for clergy to visit with the client and family as requested.
12. Arrange for a psychologist to visit with the family.
13. Arrange for the family to meet with a social worker to discuss financial aid.
2
,7. The nurse's aide comes to take a client by wheelchair for a magnetic resonance imaging (MRI) scan of
the head and neck. Which of the following observations, if made by the nurse, requires an
intervention?
1 The client removes her dentures and gives them to her spouse.
14. The client's vital signs are BP 120/70, pulse 80, respirations 12, temperature 99°F (37.3°C).
9. The client has a nitroglycerine patch on the right chest area.
15. The client has red nail polish on both fingers and toes.
8. The neonatal nurse instructs the family of a newborn about an apnea monitor. The nurse is MOST
concerned if a family member makes which of the following statements?
1 "We will be able to leave our baby for brief periods of time."
16. "We plan to sleep by our baby's crib."
17. "We can remove the monitor during our baby's bath."
10. "A family member will closely watch the monitor all the time."
9. complains that it is hot and painful under the cast. Which of the following is the MOST appropriate
action for the nurse to take?
1 Assess the cast for wet spots, and increase air circulation in the room.
11. Check the circulation in the casted extremity, and change the client's position.
18. Take the client's temperature, and observe for other signs of infection.
19. Medicate the client for pain, and notify the physician of his complaint.
10. A client is admitted to the hospital with dry mucous membranes and decreased skin turgor. The client's
vital signs are BP 120/70, temperature 101°F (38.3°C), pulse 88, respirations 14. Laboratory tests indicate
the serum sodium is 150 mEq/L and the Hct is 48%. The nurse expects the physician to order which of
the following IV fluids?
1 D5NS.
12. 0.45% NaCl.
20. 0.9% NaCl.
21. Lactated Ringer’s.
11. Which of the following plans is MOST appropriate for the nurse to use to prepare a 10yearold for a
cardiac catheteri zation?
1 Show a videotape specifically prepared for children about cardiac catheterization.
22. Provide the child with a pamphlet about the procedure, and encourage him to read it.
13. Draw a picture of a heart, and explain where the tube will go and what the doctor will see.
23. Present a puppet show explaining the anatomy and physiology of the heart.
12. The nurse cares for a client complaining of moderate pain. Which of the following nursing actions is
MOST important to provide the patient with effective pain relief?
3
, Teach the patient about the pain.
Establish a trusting relationship with the
patient. Determine how various relaxation
techniques affect the pain. Provide alternative
measures to relieve pain
13. A client diagnosed with a necrotizing spider bite is to perform dressing changes at home. The
nurse determines which statement, if made by the client, indicates a correct understanding of aseptic
technique? Select all that apply.
1 "I need to buy sterile gloves to redress this wound."
14. "I should wash my hands before redressing my wound."
24. "I should keep the wound covered at all times."
15. "I should only use whatever my health care provider orders for the dressing change."
16. "I should make sure someone looks at my wound every dressing change."
4
RATED A+
1. The 67 year old client is being treated for an acute attack of gout. Which finding would the nurse
expect to observe when assessing the client's foot?
1. pale.
1. red.
2. mottled.
3. cyanotic.
2. The nurse returns to the nurse's station after making client rounds and finds four phone messages.
Which of the follow ing messages should the nurse return FIRST?
1 A client with a cast on the right leg who states, "I have a funny feeling in my right leg.”
4. A client with hepatitis A who states, "My arms and legs are itching."
2. A client with a cast on the right leg who states, "I have a funny feeling in my right leg."
5. A client with osteomyelitis of the spine who states, "I am so nauseated that I can't eat."
6. A client with arthritis who states, "I am having trouble sleeping at night.”
3. Following total hip arthroplasty, an elderly client is ordered to begin ambulation with a walker.
Which statement by the nurse is correct? Select all that apply.
1 "Sit in a low chair for ease in getting up to use the walker."
3. "Make sure rubber caps are in place on all four legs of the walker."
7. "You will begin weight bearing on the affected hip soon."
4. "Have someone help you tie your shoes before you begin ambulating."
8. "Your walker is the correct height when your elbows bend at a 50° angle."
5. "Always wear non skid footwear when you walk.”
4. A client comes to the hospital at term in the early stages of labor. A diagnosis of complete placenta
previa is made. It is MOST important for the nurse to take which of the following actions?
1. Start an IV of terbutaline (Brethine) and monitor the patient's vital signs closely.
1. Prepare the patient for an immediate cesarean section.
2. Maintain the patient on bedrest until spontaneous vaginal delivery is achieved.
3. Monitor the patient's length and duration of contractions.
5. The RN cares for the 4yearold diagnosed with epiglottitis. Which observation indicates to the nurse
that the child is experiencing an early complication of hypoxemia? Select all that apply.
1. Heart rate of 148 beats per minute (bpm).
1
,9. Bluish discoloration of the skin.
10. Bluish discoloration around the mouth.
6. Throwing toys and kicking the bed.
11. Difficulty swallowing.
7. Nasal flaring with activity.
6. After stabilizing a client with severe multiple trauma injuries from a motor vehicle accident, which of
the following ac tions by the nurse is BEST?
1 Limit visiting hours to promote optimal rest.
8. Arrange for clergy to visit with the client and family as requested.
12. Arrange for a psychologist to visit with the family.
13. Arrange for the family to meet with a social worker to discuss financial aid.
2
,7. The nurse's aide comes to take a client by wheelchair for a magnetic resonance imaging (MRI) scan of
the head and neck. Which of the following observations, if made by the nurse, requires an
intervention?
1 The client removes her dentures and gives them to her spouse.
14. The client's vital signs are BP 120/70, pulse 80, respirations 12, temperature 99°F (37.3°C).
9. The client has a nitroglycerine patch on the right chest area.
15. The client has red nail polish on both fingers and toes.
8. The neonatal nurse instructs the family of a newborn about an apnea monitor. The nurse is MOST
concerned if a family member makes which of the following statements?
1 "We will be able to leave our baby for brief periods of time."
16. "We plan to sleep by our baby's crib."
17. "We can remove the monitor during our baby's bath."
10. "A family member will closely watch the monitor all the time."
9. complains that it is hot and painful under the cast. Which of the following is the MOST appropriate
action for the nurse to take?
1 Assess the cast for wet spots, and increase air circulation in the room.
11. Check the circulation in the casted extremity, and change the client's position.
18. Take the client's temperature, and observe for other signs of infection.
19. Medicate the client for pain, and notify the physician of his complaint.
10. A client is admitted to the hospital with dry mucous membranes and decreased skin turgor. The client's
vital signs are BP 120/70, temperature 101°F (38.3°C), pulse 88, respirations 14. Laboratory tests indicate
the serum sodium is 150 mEq/L and the Hct is 48%. The nurse expects the physician to order which of
the following IV fluids?
1 D5NS.
12. 0.45% NaCl.
20. 0.9% NaCl.
21. Lactated Ringer’s.
11. Which of the following plans is MOST appropriate for the nurse to use to prepare a 10yearold for a
cardiac catheteri zation?
1 Show a videotape specifically prepared for children about cardiac catheterization.
22. Provide the child with a pamphlet about the procedure, and encourage him to read it.
13. Draw a picture of a heart, and explain where the tube will go and what the doctor will see.
23. Present a puppet show explaining the anatomy and physiology of the heart.
12. The nurse cares for a client complaining of moderate pain. Which of the following nursing actions is
MOST important to provide the patient with effective pain relief?
3
, Teach the patient about the pain.
Establish a trusting relationship with the
patient. Determine how various relaxation
techniques affect the pain. Provide alternative
measures to relieve pain
13. A client diagnosed with a necrotizing spider bite is to perform dressing changes at home. The
nurse determines which statement, if made by the client, indicates a correct understanding of aseptic
technique? Select all that apply.
1 "I need to buy sterile gloves to redress this wound."
14. "I should wash my hands before redressing my wound."
24. "I should keep the wound covered at all times."
15. "I should only use whatever my health care provider orders for the dressing change."
16. "I should make sure someone looks at my wound every dressing change."
4
