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A nurse in a clinic is interviewing a client who will undergo
diagnostic testing. The nurse should ask about a client's potential
allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation - - -
correct answer ✅C. Assessment
A nurse is caring for an older adult patient who states, "I am afraid
that I may fall while walking to the bathroom during the night."
Which of the following actions should the nurse take?
A. Limit the patient's fluid intake in the evening
B. Obtain a bedside commode for the patient's use
C. Leave a nightlight on in the patient's room
D. Put the side rails up and tell the patient to call the nurse before
voiding - - -
correct answer ✅C. Leave a nightlight on in the patient's room
,Nur 2101 Final Exam Questions And
Answers Latest Update
A nurse is caring for a client who is at risk for falls. Which of the
following actions should the nurse take? (Select All That Apply.)
A. Keep the clients room dark at night
B. Teach the client to use the call light
C. Keep the clients bed in the lowest position
D. Place a fall risk identification band on the client's wrist
E. Assess the client every 4 hours - - -
correct answer ✅B. Teach the client to use the call light
C. Keep the clients bed in the lowest position
D. Place a fall risk identification band on the clients wrist
A nurse is completing a client's history and physical examination.
Which of the following information should the nurse consider
subjective data?
A. Blood pressure
B. Cyanosis
C. Nausea
D. Petechiae - - -
correct answer ✅C. Nausea
,Nur 2101 Final Exam Questions And
Answers Latest Update
A nurse is reviewing information about the health insurance
portability and accountability act (HIPAA) with a newly licensed
nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching?
A. Information about a patient can be disclosed to a family member
at any time
B. HIPAA established regulations of individually identifiable health
information in verbal, electronic, or written form
C. A patients address would be an example of personally
identifiable information
D. HIPAA is a federal law not a state law - - -
correct answer ✅A. Information about a patient can be disclosed
to a family member at any time
A nurse is giving a presentation about patient confidentiality to a
group of newly licensed nurses. Which of the following actions is an
example of a violation of confidentiality?
A. Discussing a patients surgical procedure with the nurse manager
B. Notifying the provider of physical examination findings
, Nur 2101 Final Exam Questions And
Answers Latest Update
C. Identifying the patient by name when making a referral for home
health services
D. Reporting laboratory findings to a member of the patient's family
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correct answer ✅D. Reporting laboratory findings to a member of
the patient's family
A nurse is receiving change of shift report for a group of assigned
patients. The nurse anticipates which of the following activities first
in delivering patient care using the nursing process?
A. Critically analyze patient data to determine priorities
B. Collect and organize patient data
C. Set patient centered measurable and realistic goals
D. Determine effectiveness of interventions - - -
correct answer ✅B. Collect and organize patient data
A nurse is caring for a group of patients on a medical surgical unit.
Which of the following situations requires that the nurse wear
gloves (Select All That Apply.)
A. Emptying urine from an indwelling urine collection bag