NURS 251 EXAM QUESTIONS WITH VERIFIED ANSWERS
A nurse prepares to insert an indwelling urinary catheter. Which of the following
actions best demonstrates adherence to surgical asepsis?
A. Washing hands before and after the procedure
B. Wearing nonsterile gloves to open the sterile catheter kit
C. Keeping sterile gloved hands above waist level during the procedure
D. Cleaning the perineal area with soap and water before insertion
c
A client who is post-stroke exhibits expressive aphasia. Which nursing
intervention is most appropriate to enhance communication?
A. Speak loudly and slowly
B. Ask open-ended questions
C. Provide a communication board
D. Avoid eye contact to reduce pressure
c
Which of the following actions best represents the ethical principle of
beneficence in nursing care?
A. Respecting a client's refusal of treatment
B. Maintaining client confidentiality
C. Administering pain medication promptly
D. Explaining a procedure's risks and benefits
c
A nurse notices a patient avoiding eye contact and speaking minimally. What is
the most appropriate initial action?
A. Ask, "Why aren't you talking to me?"
B. Sit quietly and remain present
C. Increase the frequency of assessments
D. Contact a psychiatric consult
b
Which statement by a nursing student indicates correct understanding of
standard precautions?
, A. "I only wear gloves when I see visible blood."
B. "Hand hygiene is necessary only after removing gloves."
C. "I use standard precautions for all clients regardless of diagnosis."
D. "I can reuse PPE between patients with the same diagnosis."
c
Which entry best demonstrates proper documentation?
A. "Patient is doing well."
B. "Patient states, 'I feel sharp pain in my abdomen.'"
C. "Pain improved."
D. "Medication given as needed."
b
A client who is dying yells at the nurse, "I put my light on a long time ago and you
do not even care enough to see what I need!" How should the nurse respond?
A. "I apologize for not responding more quickly and would be glad to helpwith
whatever you need now."
B. "I do not appreciate that you are speaking to me in that tone and would like
you to lower your voice."
C. "I was with another client who had pain, which was a priority for me at that
time."
D. "You have not had the light on for long and I got here as quickly as Icould."
a
A client who is terminally ill states to the nurse, "My situation is hopeless; I have
no control over anything." The nurse implements which interventions to enable
hope for the client? Select all that apply.
A. State, "We have explored all options."
B. Sit next to the client
C. Encourage the client to talk about feelings.
D. Hold the client's hand
E. Withhold information about disease progression.
b,c,d
A nurse prepares to insert an indwelling urinary catheter. Which of the following
actions best demonstrates adherence to surgical asepsis?
A. Washing hands before and after the procedure
B. Wearing nonsterile gloves to open the sterile catheter kit
C. Keeping sterile gloved hands above waist level during the procedure
D. Cleaning the perineal area with soap and water before insertion
c
A client who is post-stroke exhibits expressive aphasia. Which nursing
intervention is most appropriate to enhance communication?
A. Speak loudly and slowly
B. Ask open-ended questions
C. Provide a communication board
D. Avoid eye contact to reduce pressure
c
Which of the following actions best represents the ethical principle of
beneficence in nursing care?
A. Respecting a client's refusal of treatment
B. Maintaining client confidentiality
C. Administering pain medication promptly
D. Explaining a procedure's risks and benefits
c
A nurse notices a patient avoiding eye contact and speaking minimally. What is
the most appropriate initial action?
A. Ask, "Why aren't you talking to me?"
B. Sit quietly and remain present
C. Increase the frequency of assessments
D. Contact a psychiatric consult
b
Which statement by a nursing student indicates correct understanding of
standard precautions?
, A. "I only wear gloves when I see visible blood."
B. "Hand hygiene is necessary only after removing gloves."
C. "I use standard precautions for all clients regardless of diagnosis."
D. "I can reuse PPE between patients with the same diagnosis."
c
Which entry best demonstrates proper documentation?
A. "Patient is doing well."
B. "Patient states, 'I feel sharp pain in my abdomen.'"
C. "Pain improved."
D. "Medication given as needed."
b
A client who is dying yells at the nurse, "I put my light on a long time ago and you
do not even care enough to see what I need!" How should the nurse respond?
A. "I apologize for not responding more quickly and would be glad to helpwith
whatever you need now."
B. "I do not appreciate that you are speaking to me in that tone and would like
you to lower your voice."
C. "I was with another client who had pain, which was a priority for me at that
time."
D. "You have not had the light on for long and I got here as quickly as Icould."
a
A client who is terminally ill states to the nurse, "My situation is hopeless; I have
no control over anything." The nurse implements which interventions to enable
hope for the client? Select all that apply.
A. State, "We have explored all options."
B. Sit next to the client
C. Encourage the client to talk about feelings.
D. Hold the client's hand
E. Withhold information about disease progression.
b,c,d
