NUR 256 - Exam 1 UPDATED ACTUAL Questions and CORRECT Answers
A nurse is performing a pre-admission maintain a fair distance between self and client
assessment on a client and employs the
use of nonverbal and verbal
communication which of the following
actions demonstrates the use of a
nonverbal communication technique by the
nurse
A. asking the client to clarify a statement
B. asking the client open-ended questions
C. maintain a fair distance between self and
client
D. stating the name and providing
credentials upon entering the client's room
A nurse is preparing to irrigate a client's leg Goggles, gown, gloves
wound what PPE should the nurse wear?
surgical cap
gown
goggles
gloves
N95 mask
,A nurse has performed pre-operative care Autonomy
on a client and is transferring the client to
the surgical holding area when the client
states " I have changed my mind; Ido not
want to have this surgery" which of the
following ethical principles is the client
using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity
A nurse is preparing to perform a physical Do not expose any more of the client's body than required at a time
examination on a client. Which of the
following interventions should the nurse
perform to ensure client privacy?
A. Close the examination room door but do
not pull the curtain in the examination
room
B. Remain in the client's room while the
client is getting undressed
C. Ask the client if they would like to empty
their bladder or bowels before the physical
examination begins
D. Do not expose any more of the client's
body than required at a time
A nurse is assisting a client with ambulating Implementation
around the nurses' station. which of the
following steps of the nursing process is
the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning
A nurse is performing an assessment on a Objective
client the client states "I have a dry cough
every morning when I wake up" which of
the following is the type of date the nurse
is collecting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory
, A nurse is caring for a client who is crying Show interest in the client's feelings by acknowledging that they are upset
and appears upset after receiving news
that they will need to have a surgical
procedure which of the following actions
should the nurse take to display empathy
towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is
discussing their feelings
C. Show interest in the client's feelings by
acknowledging that they are upset
D. Tell the client that it is wrong to be
crying over this situation
A nurse is preparing to assess a newly Tongue depressor, penlight, tape measure
admitted client which of the following
pieces of equipment does the nurse need
to begin the inspection part of the physical
examination?
Electrocardiogram monitor
Tongue Depressor
Doppler
Penlight
Tape measure
A nurse is performing auscultation during a Stethoscope
client's physical assessment which of the
following tools should the nurse use for this
part of the assessment?
A. Tongue Depressor
B. Penlight
C. Reflex hammer
D. Stethoscope
A nurse in the emergency department has Assessment
received report on a child who has a
laceration to the right calf which of the
following steps of the nursing process
should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning
A nurse is performing a pre-admission maintain a fair distance between self and client
assessment on a client and employs the
use of nonverbal and verbal
communication which of the following
actions demonstrates the use of a
nonverbal communication technique by the
nurse
A. asking the client to clarify a statement
B. asking the client open-ended questions
C. maintain a fair distance between self and
client
D. stating the name and providing
credentials upon entering the client's room
A nurse is preparing to irrigate a client's leg Goggles, gown, gloves
wound what PPE should the nurse wear?
surgical cap
gown
goggles
gloves
N95 mask
,A nurse has performed pre-operative care Autonomy
on a client and is transferring the client to
the surgical holding area when the client
states " I have changed my mind; Ido not
want to have this surgery" which of the
following ethical principles is the client
using?
A. Nonmaleficence
B. Autonomy
C. Justice
D. Fidelity
A nurse is preparing to perform a physical Do not expose any more of the client's body than required at a time
examination on a client. Which of the
following interventions should the nurse
perform to ensure client privacy?
A. Close the examination room door but do
not pull the curtain in the examination
room
B. Remain in the client's room while the
client is getting undressed
C. Ask the client if they would like to empty
their bladder or bowels before the physical
examination begins
D. Do not expose any more of the client's
body than required at a time
A nurse is assisting a client with ambulating Implementation
around the nurses' station. which of the
following steps of the nursing process is
the nurse performing?
A. Implementation
B. Evaluation
C. Analysis
D. Planning
A nurse is performing an assessment on a Objective
client the client states "I have a dry cough
every morning when I wake up" which of
the following is the type of date the nurse
is collecting?
A. Subjective
B. Social determinants of health
C. Objective
D. Olfactory
, A nurse is caring for a client who is crying Show interest in the client's feelings by acknowledging that they are upset
and appears upset after receiving news
that they will need to have a surgical
procedure which of the following actions
should the nurse take to display empathy
towards the client?
A. Tell the client that everything will be fine
B. Change the subject while the client is
discussing their feelings
C. Show interest in the client's feelings by
acknowledging that they are upset
D. Tell the client that it is wrong to be
crying over this situation
A nurse is preparing to assess a newly Tongue depressor, penlight, tape measure
admitted client which of the following
pieces of equipment does the nurse need
to begin the inspection part of the physical
examination?
Electrocardiogram monitor
Tongue Depressor
Doppler
Penlight
Tape measure
A nurse is performing auscultation during a Stethoscope
client's physical assessment which of the
following tools should the nurse use for this
part of the assessment?
A. Tongue Depressor
B. Penlight
C. Reflex hammer
D. Stethoscope
A nurse in the emergency department has Assessment
received report on a child who has a
laceration to the right calf which of the
following steps of the nursing process
should the nurse perform first?
A. Assessment
B. Analysis
C. Evaluation
D. Planning
