Nur101 - PCHS Exam 1 Questions with
Correct Answers 2025/2026
Which of the following actions by the nurse is the MOST appropriate means of preventing
infection?
A. Washing hands after client contact
B. Washing hands after removing gloves
C. Hand hygiene between clients
D. Hand hygiene before entry to a client's room and upon exit of a client's room - CORRECT
ANSWER -D. Hand hygiene before entry to a client's room and upon exit of a client's room
The nurse witnesses another nurse, wearing a gown and gloves, enter a client room labeled
"Airborne Precautions". Which of the following actions by the witnessing nurse is MOST
appropriate?
A. Notify the nurse manager to discuss policies with the other nurse.
B. Ask a physician to give a presentation on which precautions require which types of personal
protective equipment (PPE).
C. Remind the other nurse that she needs a mask in addition to a gown and gloves for airborne-
type precautions.
D. Ask the other nurse to look up the policy about precautions. - CORRECT ANSWER -C. Remind
the other nurse that she needs a mask in addition to a gown and gloves for airborne-type
precautions.
The client who has a fever experienced significant diaphoresis during the night. The client
stated, "I am tired and I just want to sleep." What is the most appropriate action for the nurse
to do regarding bathing the client?
,A. Consult with the physician before providing care
B. Give a complete bed bath
C. Postpone bathing until the afternoon
D. Wait until the client feels better - CORRECT ANSWER -B. Give a complete bed bath
The nurse is working with a middle-aged female after knee surgery. Ambulation is still difficult
for the client, and the physical therapist has suggested the client use a cane. The nurse states
which of the following with respect to using a cane rather than a walker for this injury?
A. "The cane is just a reminder to use good posture."
B. "The cane can be more dangerous than helpful, and another type of assistive device should
be considered for this client."
C. "The cane will help with fatigue while assisting the client with balance and support.
D. "A cane does not offer any relief on weight-bearing joints." - CORRECT ANSWER -C. "The cane
will help with fatigue while assisting the client with balance and support.
An elderly client, who is not oriented to time, place or person, had a total hip replacement. The
client is attempting to get out of bed and pull out the IV line that is infusing antibiotics. The
client has bilateral soft wrist restraints and a vest restraint. Which of the following interventions
by the nurse are appropriate? Select all that apply.
A. Ask the client if he needs to use the bathroom, and provide range-of-motion exercises every
2 hours.
B. Document the type of restraint used and assess the need for continued use.
C. Tie the restraints to the side rail of the bed.
D. Obtain a new physician order for the restraint every 12 hours. - CORRECT ANSWER -A. Ask the
client if he needs to use the bathroom, and provide range-of-motion exercises every 2 hours.
B. Document the type of restraint used and assess the need for continued use.
, Which principle of body mechanics should the nurse implement when providing nursing care?
A. Hold an object away from the body.
B. Extend the arms when lifting objects
C. Squat when lifting objects off the floor
D. Keep feet together when moving an object - CORRECT ANSWER -C. Squat when lifting objects
off the floor
A nurse needs to document a patients intake for the shift. Which of the following items would
be included in the total? Select all that apply.
A. 4 ounces of orange juice
B. 6 ounces of broth
C. 8 ounces of applesauce
D. 8 ounces of ice cream - CORRECT ANSWER -A. 4 ounces of orange juice
B. 6 ounces of broth
D. 8 ounces of ice cream
Which of the following procedure techniques has the most effect on the accuracy of an apical
pulse count?
A. Counting the rate for one full minute
B. Exposing only the left side of the chest
C. Determining why assessment of apical pulse is indicated
D. Using your ring finger to palpate the intercostal spaces - CORRECT ANSWER -A. Counting the
rate for one full minute
Correct Answers 2025/2026
Which of the following actions by the nurse is the MOST appropriate means of preventing
infection?
A. Washing hands after client contact
B. Washing hands after removing gloves
C. Hand hygiene between clients
D. Hand hygiene before entry to a client's room and upon exit of a client's room - CORRECT
ANSWER -D. Hand hygiene before entry to a client's room and upon exit of a client's room
The nurse witnesses another nurse, wearing a gown and gloves, enter a client room labeled
"Airborne Precautions". Which of the following actions by the witnessing nurse is MOST
appropriate?
A. Notify the nurse manager to discuss policies with the other nurse.
B. Ask a physician to give a presentation on which precautions require which types of personal
protective equipment (PPE).
C. Remind the other nurse that she needs a mask in addition to a gown and gloves for airborne-
type precautions.
D. Ask the other nurse to look up the policy about precautions. - CORRECT ANSWER -C. Remind
the other nurse that she needs a mask in addition to a gown and gloves for airborne-type
precautions.
The client who has a fever experienced significant diaphoresis during the night. The client
stated, "I am tired and I just want to sleep." What is the most appropriate action for the nurse
to do regarding bathing the client?
,A. Consult with the physician before providing care
B. Give a complete bed bath
C. Postpone bathing until the afternoon
D. Wait until the client feels better - CORRECT ANSWER -B. Give a complete bed bath
The nurse is working with a middle-aged female after knee surgery. Ambulation is still difficult
for the client, and the physical therapist has suggested the client use a cane. The nurse states
which of the following with respect to using a cane rather than a walker for this injury?
A. "The cane is just a reminder to use good posture."
B. "The cane can be more dangerous than helpful, and another type of assistive device should
be considered for this client."
C. "The cane will help with fatigue while assisting the client with balance and support.
D. "A cane does not offer any relief on weight-bearing joints." - CORRECT ANSWER -C. "The cane
will help with fatigue while assisting the client with balance and support.
An elderly client, who is not oriented to time, place or person, had a total hip replacement. The
client is attempting to get out of bed and pull out the IV line that is infusing antibiotics. The
client has bilateral soft wrist restraints and a vest restraint. Which of the following interventions
by the nurse are appropriate? Select all that apply.
A. Ask the client if he needs to use the bathroom, and provide range-of-motion exercises every
2 hours.
B. Document the type of restraint used and assess the need for continued use.
C. Tie the restraints to the side rail of the bed.
D. Obtain a new physician order for the restraint every 12 hours. - CORRECT ANSWER -A. Ask the
client if he needs to use the bathroom, and provide range-of-motion exercises every 2 hours.
B. Document the type of restraint used and assess the need for continued use.
, Which principle of body mechanics should the nurse implement when providing nursing care?
A. Hold an object away from the body.
B. Extend the arms when lifting objects
C. Squat when lifting objects off the floor
D. Keep feet together when moving an object - CORRECT ANSWER -C. Squat when lifting objects
off the floor
A nurse needs to document a patients intake for the shift. Which of the following items would
be included in the total? Select all that apply.
A. 4 ounces of orange juice
B. 6 ounces of broth
C. 8 ounces of applesauce
D. 8 ounces of ice cream - CORRECT ANSWER -A. 4 ounces of orange juice
B. 6 ounces of broth
D. 8 ounces of ice cream
Which of the following procedure techniques has the most effect on the accuracy of an apical
pulse count?
A. Counting the rate for one full minute
B. Exposing only the left side of the chest
C. Determining why assessment of apical pulse is indicated
D. Using your ring finger to palpate the intercostal spaces - CORRECT ANSWER -A. Counting the
rate for one full minute
