Nursing 101 Final Exam (NCLEX-Style practice) UPDATED ACTUAL
Questions and CORRECT Answers
The Nurse is caring for a client who speaks softly, avoids The client is demonstrating nonverbal communication
eye contact, and folds their arms during teaching. What is 3 multiple choice options
the most accurate interpretation of the clients behavior?
Which change in the cardiovascular system is expected Decreased cardiac output with activity
with normal aging? 3 multiple choice options
An older adult reports "food doesn't taste the same Reduction in taste bud number
anymore." The nurse understands this is primarily caused 3 multiple choice options
by
Which assessment most concerns the nurse in an older Sudden onset confusion
adult? 3 multiple choice options
The nurse evaluates an older adult's respiratory status. Increased residual lung volume
Which finding reflects a normal age-related change? 3 multiple choice options
An older adult patient states, "I'm always tired even after Decreased stage III sleep
a full night's sleep." The nurse recognizes this may be due 3 multiple choice options
to?
Which teaching should the nurse include to promote Wear firm, low-heeled shoes indoors
safety for an older adult with reduced proprioception?
3 multiple choice options
Which renal change is expected in older adults? Decreased ability to concentrate urine
3 multiple choice options
A client states, "If I follow everything the doctors say, this Bargaining
disease will go away." Which stage of grief is this? 3 multiple choice options
Which behavior indicates the ACCEPTANCE stage? "I understand this is part of my journey."
3 multiple choice options
The family of a terminally ill client begins yelling at the Anger
nurse after receiving an update on the client's declining 3 multiple choice options
condition. Which stage of Kubler-Ross grief does this
behavior MOST likely represent?
Which finding is MOST suspicious for elder abuse? Multiple bruises in different stages of healing
3 multiple choice options
, The nurse is counseling a client experiencing anxiety. Use active listening and reflection
Which action is MOST appropriate? 3 multiple choice options
The nurse plans care for an older adult with osteoarthritis. Providing adaptive equipment
Which intervention BEST promotes independence? 3 multiple choice options
Which nutritional teaching promotes wound healing in Increase protein and vitamin C
older adults? 3 multiple choice options
The nurse enters a client's room and stands 6 feet away Social zone
while speaking. This distance is considered 3 multiple choice options
A 5-year-old is fearful during assessment. Which strategy Use play to reduce anxiety
is MOST therapeutic? 3 multiple choice options
A teenager states, "You don't understand me." "Tell me more about what you mean."
What is the nurses best response? 3 multiple choice options
A confused older adult repeatedly asks, "Where am I?" "You're in the hospital, and I'm here to keep you safe."
Which response is MOST therapeutic? 3 multiple choice options
During the alarm stage of GAS, the nurse expects Increased heart rate and BP
3 multiple choice options
For a homeless client who has not eaten in two days, Physiological
which need takes PRIORITY? 3 multiple choice options
Which action MOST effectively prevents postoperative Encourage incentive spirometry hourly
respiratory complications? 3 multiple choice options
A post-op client rates pain 8/10. Why must the nurse still Prevents pneumonia and atelectasis
encourage coughing and deep breathing? 3 multiple choice options
A client scheduled for surgery says they don't understand Notify the surgeon immediately
why they need surgery. What should the nurse do? 3 multiple choice options
Which action by the circulating nurse maintains OR Performing time-out verification
safety? 3 multiple choice options
Teaching an older adult with memory issues is MOST Written materials are provided in large print
effective when: 3 multiple choice options
A client learning to self-inject insulin demonstrates which Psychomotor
domain? 3 multiple choice options
Questions and CORRECT Answers
The Nurse is caring for a client who speaks softly, avoids The client is demonstrating nonverbal communication
eye contact, and folds their arms during teaching. What is 3 multiple choice options
the most accurate interpretation of the clients behavior?
Which change in the cardiovascular system is expected Decreased cardiac output with activity
with normal aging? 3 multiple choice options
An older adult reports "food doesn't taste the same Reduction in taste bud number
anymore." The nurse understands this is primarily caused 3 multiple choice options
by
Which assessment most concerns the nurse in an older Sudden onset confusion
adult? 3 multiple choice options
The nurse evaluates an older adult's respiratory status. Increased residual lung volume
Which finding reflects a normal age-related change? 3 multiple choice options
An older adult patient states, "I'm always tired even after Decreased stage III sleep
a full night's sleep." The nurse recognizes this may be due 3 multiple choice options
to?
Which teaching should the nurse include to promote Wear firm, low-heeled shoes indoors
safety for an older adult with reduced proprioception?
3 multiple choice options
Which renal change is expected in older adults? Decreased ability to concentrate urine
3 multiple choice options
A client states, "If I follow everything the doctors say, this Bargaining
disease will go away." Which stage of grief is this? 3 multiple choice options
Which behavior indicates the ACCEPTANCE stage? "I understand this is part of my journey."
3 multiple choice options
The family of a terminally ill client begins yelling at the Anger
nurse after receiving an update on the client's declining 3 multiple choice options
condition. Which stage of Kubler-Ross grief does this
behavior MOST likely represent?
Which finding is MOST suspicious for elder abuse? Multiple bruises in different stages of healing
3 multiple choice options
, The nurse is counseling a client experiencing anxiety. Use active listening and reflection
Which action is MOST appropriate? 3 multiple choice options
The nurse plans care for an older adult with osteoarthritis. Providing adaptive equipment
Which intervention BEST promotes independence? 3 multiple choice options
Which nutritional teaching promotes wound healing in Increase protein and vitamin C
older adults? 3 multiple choice options
The nurse enters a client's room and stands 6 feet away Social zone
while speaking. This distance is considered 3 multiple choice options
A 5-year-old is fearful during assessment. Which strategy Use play to reduce anxiety
is MOST therapeutic? 3 multiple choice options
A teenager states, "You don't understand me." "Tell me more about what you mean."
What is the nurses best response? 3 multiple choice options
A confused older adult repeatedly asks, "Where am I?" "You're in the hospital, and I'm here to keep you safe."
Which response is MOST therapeutic? 3 multiple choice options
During the alarm stage of GAS, the nurse expects Increased heart rate and BP
3 multiple choice options
For a homeless client who has not eaten in two days, Physiological
which need takes PRIORITY? 3 multiple choice options
Which action MOST effectively prevents postoperative Encourage incentive spirometry hourly
respiratory complications? 3 multiple choice options
A post-op client rates pain 8/10. Why must the nurse still Prevents pneumonia and atelectasis
encourage coughing and deep breathing? 3 multiple choice options
A client scheduled for surgery says they don't understand Notify the surgeon immediately
why they need surgery. What should the nurse do? 3 multiple choice options
Which action by the circulating nurse maintains OR Performing time-out verification
safety? 3 multiple choice options
Teaching an older adult with memory issues is MOST Written materials are provided in large print
effective when: 3 multiple choice options
A client learning to self-inject insulin demonstrates which Psychomotor
domain? 3 multiple choice options
