NU 136 EXAM 5 QUESTIONS & A+
ALREADY GRADED ANSWERS
The nurse observes a coworker who has been dealing with a difficult family member yell at
unlicensed assistive
personnel (UAP) for taking a bathroom break without notifying the coworker. The nurse
understands that the
coworker is using which of the following defense mechanisms? - correct answer ✔✔B.
Displacement
• a) Rationalization.
• b) Displacement.
• c) Reaction-formation.
• d) Sublimation.
The nurse working on a medical-surgical unit is administering medications to an assigned client.
Which of the following actions is appropriate for the nurse to take? - correct answer ✔✔C.
Documenting reasons the client declined taking any medications on the medication
administration record (MAR)
A. Initializing medications on the medication administration record (MAR) as given prior to
entering ghe room.
B. Notifying the primary healthcare provider (PHCP) that the client has received their assigned
medications.
C. Documenting reasons the client declined taking any medications on the medication
aministration record (MAR)
D. Providing the client with a copy of their medication administration record (MAR) upon
request.
,• The nurse is caring for a client diagnosed with anemia. Which of the following should the
nurse encourage the client to increase in their diet?
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin. - correct answer ✔✔A. Folic Acid
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin.
A nurse is caring for a client who reports feeling anxious about an upcoming procedure. Which
of the following
actions should the nurse take to help reduce the client's anxiety? - correct answer ✔✔C. Listen
carefully to the client about their concerns.
a) Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety medications.
b) Check on the client every 15 minutes until the anxiety has passed.
c) Listen carefully to the client about their concerns.
d) Limit the number of visitors until the client is coping more effectively.
The nurse Is assessing a client for clinical manifestations of stress. Which of the following
findings should the
nurse recognize as an indicator of stress? - correct answer ✔✔D. Dilation of the pupils
, • a) Slow, shallow respirations.
• b) Decreased blood glucose level.
• c) Apical pulse (P) of 82.
• d) Dilation of the pupils.
• The nurse preceptor is discussing Maslow's hierarchy of needs with a student nurse. The
student nurse recently
received an award for student of the year. Which of the following levels of Maslow's hierarchy
of needs has
been met for the student nurse? - correct answer ✔✔D. Self-esteem needs.
• a) Security needs.
• b) Love and belonging needs.
• c) Safety needs.
• d) Self-esteem needs.
The nurse encourages a client to receive an annual influenza vaccination. The nurse recognizes
this as which of
the following types of prevention? - correct answer ✔✔C. Primary prevention
• a) Tertiary prevention.
• b) Secondary prevention.
• c) Primary prevention.
• The nurse is performing a respiratory assessment on an assigned client. The nurse auscultates
a whistling, high-pitched sound of air when it is forced through narrowed airways. The nurse
documents this as: - correct answer ✔✔C. Adventitious
ALREADY GRADED ANSWERS
The nurse observes a coworker who has been dealing with a difficult family member yell at
unlicensed assistive
personnel (UAP) for taking a bathroom break without notifying the coworker. The nurse
understands that the
coworker is using which of the following defense mechanisms? - correct answer ✔✔B.
Displacement
• a) Rationalization.
• b) Displacement.
• c) Reaction-formation.
• d) Sublimation.
The nurse working on a medical-surgical unit is administering medications to an assigned client.
Which of the following actions is appropriate for the nurse to take? - correct answer ✔✔C.
Documenting reasons the client declined taking any medications on the medication
administration record (MAR)
A. Initializing medications on the medication administration record (MAR) as given prior to
entering ghe room.
B. Notifying the primary healthcare provider (PHCP) that the client has received their assigned
medications.
C. Documenting reasons the client declined taking any medications on the medication
aministration record (MAR)
D. Providing the client with a copy of their medication administration record (MAR) upon
request.
,• The nurse is caring for a client diagnosed with anemia. Which of the following should the
nurse encourage the client to increase in their diet?
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin. - correct answer ✔✔A. Folic Acid
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin.
A nurse is caring for a client who reports feeling anxious about an upcoming procedure. Which
of the following
actions should the nurse take to help reduce the client's anxiety? - correct answer ✔✔C. Listen
carefully to the client about their concerns.
a) Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety medications.
b) Check on the client every 15 minutes until the anxiety has passed.
c) Listen carefully to the client about their concerns.
d) Limit the number of visitors until the client is coping more effectively.
The nurse Is assessing a client for clinical manifestations of stress. Which of the following
findings should the
nurse recognize as an indicator of stress? - correct answer ✔✔D. Dilation of the pupils
, • a) Slow, shallow respirations.
• b) Decreased blood glucose level.
• c) Apical pulse (P) of 82.
• d) Dilation of the pupils.
• The nurse preceptor is discussing Maslow's hierarchy of needs with a student nurse. The
student nurse recently
received an award for student of the year. Which of the following levels of Maslow's hierarchy
of needs has
been met for the student nurse? - correct answer ✔✔D. Self-esteem needs.
• a) Security needs.
• b) Love and belonging needs.
• c) Safety needs.
• d) Self-esteem needs.
The nurse encourages a client to receive an annual influenza vaccination. The nurse recognizes
this as which of
the following types of prevention? - correct answer ✔✔C. Primary prevention
• a) Tertiary prevention.
• b) Secondary prevention.
• c) Primary prevention.
• The nurse is performing a respiratory assessment on an assigned client. The nurse auscultates
a whistling, high-pitched sound of air when it is forced through narrowed airways. The nurse
documents this as: - correct answer ✔✔C. Adventitious
