NURS 3110 EXAM QUESTIONS AND
ANSWERS
As the client is ambulating to the bathroom they fall. Which initial action will the nurse
take?
Select one:
a. Assess the patient.
b. Set new priorities for the patient.
c. Lift them back onto bed.
d. Consult physical therapy. - ANSWER-A. Assess the patient
The nurse is caring for a patient who is to complete a 24-hour urine collection to
measure creatinine clearance. Which of the following is true?
Select one:
a. It is Important to keep the urine container in a safe place in the room so it doesn't
spill, for example, in the closet.
b. At the start of the test the patient will urinate and discard the first voided
specimen.
c. Teaching the patient how to void carefully into the container so as not to spill any
urine is very important.
d. The test will be more accurate if oral fluid intake is restricted during the test. -
ANSWER-B. at the start of the test the patient will urinate and discard the first voided
specimen
A patient's son decides to stay at the bedside while his father is confused. When
developing the plan of care for this patient, what should the nurse do?
Select one:
a. Individualize the care plan only according to the patient's needs.
b. Request that the son leave at bedtime, so the patient can rest.
c. Suggest that a female member of the family stay with the patient.
d. Involve the son in the plan of care as much as possible. - ANSWER-D
Which of the following circumstances would cause a client to develop active
immunity?
Select one:
a. Being breastfed.
b. Having chickenpox
c. Receiving a dose of snake antivenum after a snake bite.
d. Obtaining an injection of gamma globulin. - ANSWER-B.
The nurse is caring for a patient with a tracheostomy tube. Which nursing
intervention is most effective in promoting effective airway clearance?
Select one:
a. Suctioning respiratory secretions several times every hour.
b. Administering humidified oxygen through a tracheostomy collar.
c. Deflating the tracheostomy cuff before allowing the patient to cough up secretions.
, d. Instilling normal saline into the tracheostomy to thin secretions before suctioning. -
ANSWER-B
The nurse is caring for a patient who has experienced a total joint replacement. For
which type of healing will the nurse focus the care plan?
Select one:
a. Partial-thickness repair
b. Tertiary intention
c. Secondary intention
d. Primary intention - ANSWER-D
A nurse is caring for a male patient with urinary retention. Which action should the
nurse take first?
Select one:
a. Limit fluid intake.
b. Insert a urinary catheter.
c. Ask for a diuretic medication.
d. Assist to a standing position. - ANSWER-D
The nurse is completing an assessment of the patient's skin's integrity. Which
assessment is the priority?
Select one:
a. Pressure points.
b. Pulse points.
c. Breath sounds.
d. Bowel sounds. - ANSWER-A
You are the nurse inserting an indwelling urinary catheter on your elderly female
patient with severe arthritis in her hips. She is unable to maintain the dorsal
recumbent position and hip rotation due to the arthritis.
What is your next step?
Select one:
a. Assist the patient into the Lithotomy position.
b. Assist the patient into the lateral Sims position.
c. Inform the patient this is necessary and you will do the procedure real fast so she
will not be in that position very long.
d. Assist the patient into the knee to chest position. - ANSWER-B
The nurse is teaching about the process of exchanging gases through the alveolar
capillary membrane. Which term will the nurse use to describe this process?
Select one:
a. Ventilation
b. Diffusion
c. Surfactant
d. Perfusion - ANSWER-B
ANSWERS
As the client is ambulating to the bathroom they fall. Which initial action will the nurse
take?
Select one:
a. Assess the patient.
b. Set new priorities for the patient.
c. Lift them back onto bed.
d. Consult physical therapy. - ANSWER-A. Assess the patient
The nurse is caring for a patient who is to complete a 24-hour urine collection to
measure creatinine clearance. Which of the following is true?
Select one:
a. It is Important to keep the urine container in a safe place in the room so it doesn't
spill, for example, in the closet.
b. At the start of the test the patient will urinate and discard the first voided
specimen.
c. Teaching the patient how to void carefully into the container so as not to spill any
urine is very important.
d. The test will be more accurate if oral fluid intake is restricted during the test. -
ANSWER-B. at the start of the test the patient will urinate and discard the first voided
specimen
A patient's son decides to stay at the bedside while his father is confused. When
developing the plan of care for this patient, what should the nurse do?
Select one:
a. Individualize the care plan only according to the patient's needs.
b. Request that the son leave at bedtime, so the patient can rest.
c. Suggest that a female member of the family stay with the patient.
d. Involve the son in the plan of care as much as possible. - ANSWER-D
Which of the following circumstances would cause a client to develop active
immunity?
Select one:
a. Being breastfed.
b. Having chickenpox
c. Receiving a dose of snake antivenum after a snake bite.
d. Obtaining an injection of gamma globulin. - ANSWER-B.
The nurse is caring for a patient with a tracheostomy tube. Which nursing
intervention is most effective in promoting effective airway clearance?
Select one:
a. Suctioning respiratory secretions several times every hour.
b. Administering humidified oxygen through a tracheostomy collar.
c. Deflating the tracheostomy cuff before allowing the patient to cough up secretions.
, d. Instilling normal saline into the tracheostomy to thin secretions before suctioning. -
ANSWER-B
The nurse is caring for a patient who has experienced a total joint replacement. For
which type of healing will the nurse focus the care plan?
Select one:
a. Partial-thickness repair
b. Tertiary intention
c. Secondary intention
d. Primary intention - ANSWER-D
A nurse is caring for a male patient with urinary retention. Which action should the
nurse take first?
Select one:
a. Limit fluid intake.
b. Insert a urinary catheter.
c. Ask for a diuretic medication.
d. Assist to a standing position. - ANSWER-D
The nurse is completing an assessment of the patient's skin's integrity. Which
assessment is the priority?
Select one:
a. Pressure points.
b. Pulse points.
c. Breath sounds.
d. Bowel sounds. - ANSWER-A
You are the nurse inserting an indwelling urinary catheter on your elderly female
patient with severe arthritis in her hips. She is unable to maintain the dorsal
recumbent position and hip rotation due to the arthritis.
What is your next step?
Select one:
a. Assist the patient into the Lithotomy position.
b. Assist the patient into the lateral Sims position.
c. Inform the patient this is necessary and you will do the procedure real fast so she
will not be in that position very long.
d. Assist the patient into the knee to chest position. - ANSWER-B
The nurse is teaching about the process of exchanging gases through the alveolar
capillary membrane. Which term will the nurse use to describe this process?
Select one:
a. Ventilation
b. Diffusion
c. Surfactant
d. Perfusion - ANSWER-B
