NSG 100 Practice Test
1. A nurse is receiving change-of-shift report for a group of assigned clients. The nurse
anticipates which of the following activities first in delivering client care using the nursing
process?
A. critically analyze client data to determine priorities
B. collect and organize data
C. set client-centered, measureable, and realistic goals
D. determine effectiveness of interventions.: B.
The steps in the nursing process include assessment, analysis/diagnosis, planning,
implementation and evaluation.
The nurse should first collect client data, and then critically analyze the data todetermine the
client's' priorities.
This is followed by the nurse planning client-centered, measurable and realisticgoals.
The nurse implements care, which involves putting the plan into action, followed byevaluation
to determine the effectiveness of the interventions.
2. The nurse is presenting a class about fall prevention to a group of as- sisted-living
residents. Which of the following statements by a resident bestindicates an understanding of
the teaching?
A. "It is a good idea to use handrails in the bathroom."
B. "I should use chairs without armrests."
C. "I should place a throw rug over electrical cords."
D. "I should get a longer cord for my telephone.": A.
Handrails or grab bars in the bathroom can help prevent falls. Clients should usethem for
added stability when changing positions.
3. A client receives a wrong medication. The nurse who made the medicationerror should
take which of the following actions first?
A. call the client's provider
B. assess the client
C. notify the nurse manager
, D. complete an incident report: B.
The first action the nurse should take using the nursing process is to assess the client. The
nurse must first determine whether or not the error has caused the clientany harm and also
provide any relevant interventions.
4. A charge nurse is observing a newly licensed nurse administer medica- tions to a client.
Which of the following actions by the newly licensed nurse should prompt the charge nurse to
intervene?
A. verifies medication against prescription and medication label
B. scans the barcode on the medication administration record and the client'sarm band
C. checks the provider's orders and confirmed dosage in a medication refer-ence guide
D. documents medication administration prior to administering it: D. The nurse should
document administering medications after they are given toreduce the risk of error.
5. A nurse is assisting with the admission of a client to an inpatient unit. Which of the
following sources of information should the nurse rely on foraccurate information about the
client?
A. client concerns
B. family information
C. medical history
D. progress note: A.
Information the nurse obtains directly from the client is generally the most accurateand
provides the best information available. The client is a primary source of information.
6. Before administering a medication to a client, the nurse must identify theclient. Which of
the following methods of identification should the nurse use?
A. ask the client's full name and date of birth
B. verify client's room number
C. check the client's name on the medication administer record (MAR)
D. ask a family member to verify client's identity: A.
The nurse must use two identifiers before administering medications. Acceptable identifiers
include the client's name, date of birth, identification number within the facility or system,
telephone number, and photo identification card or badge.
7. 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 whichphase of the nursing process?
A. planning
B. evaluation
1. A nurse is receiving change-of-shift report for a group of assigned clients. The nurse
anticipates which of the following activities first in delivering client care using the nursing
process?
A. critically analyze client data to determine priorities
B. collect and organize data
C. set client-centered, measureable, and realistic goals
D. determine effectiveness of interventions.: B.
The steps in the nursing process include assessment, analysis/diagnosis, planning,
implementation and evaluation.
The nurse should first collect client data, and then critically analyze the data todetermine the
client's' priorities.
This is followed by the nurse planning client-centered, measurable and realisticgoals.
The nurse implements care, which involves putting the plan into action, followed byevaluation
to determine the effectiveness of the interventions.
2. The nurse is presenting a class about fall prevention to a group of as- sisted-living
residents. Which of the following statements by a resident bestindicates an understanding of
the teaching?
A. "It is a good idea to use handrails in the bathroom."
B. "I should use chairs without armrests."
C. "I should place a throw rug over electrical cords."
D. "I should get a longer cord for my telephone.": A.
Handrails or grab bars in the bathroom can help prevent falls. Clients should usethem for
added stability when changing positions.
3. A client receives a wrong medication. The nurse who made the medicationerror should
take which of the following actions first?
A. call the client's provider
B. assess the client
C. notify the nurse manager
, D. complete an incident report: B.
The first action the nurse should take using the nursing process is to assess the client. The
nurse must first determine whether or not the error has caused the clientany harm and also
provide any relevant interventions.
4. A charge nurse is observing a newly licensed nurse administer medica- tions to a client.
Which of the following actions by the newly licensed nurse should prompt the charge nurse to
intervene?
A. verifies medication against prescription and medication label
B. scans the barcode on the medication administration record and the client'sarm band
C. checks the provider's orders and confirmed dosage in a medication refer-ence guide
D. documents medication administration prior to administering it: D. The nurse should
document administering medications after they are given toreduce the risk of error.
5. A nurse is assisting with the admission of a client to an inpatient unit. Which of the
following sources of information should the nurse rely on foraccurate information about the
client?
A. client concerns
B. family information
C. medical history
D. progress note: A.
Information the nurse obtains directly from the client is generally the most accurateand
provides the best information available. The client is a primary source of information.
6. Before administering a medication to a client, the nurse must identify theclient. Which of
the following methods of identification should the nurse use?
A. ask the client's full name and date of birth
B. verify client's room number
C. check the client's name on the medication administer record (MAR)
D. ask a family member to verify client's identity: A.
The nurse must use two identifiers before administering medications. Acceptable identifiers
include the client's name, date of birth, identification number within the facility or system,
telephone number, and photo identification card or badge.
7. 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 whichphase of the nursing process?
A. planning
B. evaluation
