NUR 100 Exam # 1 | Questions and
Answers | 2026/27 Updates | 100%
correct | Fortis College
A nurse in a long-term care facility is performing client checks and observes a fire in a client's
room. Which of the following should be the first action by the nurse?
A- Activate the fire alarm
B- Close all the doors and windows
C- Evacuate the client from the room
D- Extinguish the fire - ANSWER- -C- Evacuate the client from the room.
Client safety is the priority, therefore evacuating the client from teh room is the first action the
nurse should take.
A nurse is assisting a client during ambulation when the client begins to fall. Which of the
following actions should the nurse take?
A - provide support by holding the client's arm
B - Lean the client toward the wall
C- Lower the client to the floor
D- Assume a narrow base of support - ANSWER- -C - lower the client to the floor
This is an appropriate action. The nurse should gently lower the client to the floor.
,Which activity would be most appropriate for the RN to delegate to the unlicensed assistive
personnel (UAP)?
A - Assessing the patient for fall risk and complications of restraint use
B - Evaluating the patient's ability to performs ADLs
C - Assisting the patient with ADLs
D- Teaching the patient how to use an assistive device for walking - ANSWER- -C - Assisting
the patient with ADLs
UAP can assist with the performance of ADLS
A nurse is planning care for a client admitted with a positive culture for methicillin-resistant
Staphylococcus aureus (MRSA). Which prevention should be implemented to prevent spreading
the infection to health care workers and other clients?
A - Wearing a mask within 3 feet of the client
B - Placing the client in a private room
C - Wearing a N95 respirator mask
D - Ensuring a negative air pressure room - ANSWER- -B - Placing the client in a private room
Contact isolation
A nurse is teaching a new group of assistive personnel (AP) about the importance of hand
hygiene. Which of the following statements should the nurse include?
A - If you wear gloves, you do not have to wash your hands
B - Hand hygiene is crucial in preventing the spread of germs.
C- Use an alcohol rub when your hands are visibly soiled
D - If you do not have an infection, your hand won't infect others - ANSWER- -B- Handy
hygiene is crucial in preventing the spread of germs
, Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Either
the nurse or the client may have microorganisms on or in their body that do not harm them but
may harm others.
The nurse is documenting the client's nursing diagnosis as "Altered speech related to recent
neurological disturbance as evidenced by inability to speak in complete sentences". Identify the
defining characteristics below.
A - "Altered speech"
B - "As evidenced by"
C - "Inability to speak in complete sentences"
D - "recent neurological disturbance" - ANSWER- -C - "Inability to speak in complete
sentences"
The 3 step nursing diagnosis process is Problem r/t etiology aeb defining characteristics
An unlicensed personnel (UAP) is obtaining a client's oral temperature. The client informs the
UAP that he has just had some ice chips. Which of the following is an appropriate action by the
UAP?
A- Wait 20-30 minutes and return to take the oral temperature
B - provide a sip of warm water, wait 5 minutes and take the temperature
C- Document that a temperature was unable to be obtained
D - Proceed to take the oral temperature - ANSWER- -A - Wait 20-30 minutes and return to
take the oral temperature
Healthcare workers need to wait 20-30 minutes and then take the oral temperature because the
ice will artificially lower the clients' temperature.
A nurse is caring for a client who is suspected of having measles. The nurse should assure the
client is placed on which transmission based precaution?
Answers | 2026/27 Updates | 100%
correct | Fortis College
A nurse in a long-term care facility is performing client checks and observes a fire in a client's
room. Which of the following should be the first action by the nurse?
A- Activate the fire alarm
B- Close all the doors and windows
C- Evacuate the client from the room
D- Extinguish the fire - ANSWER- -C- Evacuate the client from the room.
Client safety is the priority, therefore evacuating the client from teh room is the first action the
nurse should take.
A nurse is assisting a client during ambulation when the client begins to fall. Which of the
following actions should the nurse take?
A - provide support by holding the client's arm
B - Lean the client toward the wall
C- Lower the client to the floor
D- Assume a narrow base of support - ANSWER- -C - lower the client to the floor
This is an appropriate action. The nurse should gently lower the client to the floor.
,Which activity would be most appropriate for the RN to delegate to the unlicensed assistive
personnel (UAP)?
A - Assessing the patient for fall risk and complications of restraint use
B - Evaluating the patient's ability to performs ADLs
C - Assisting the patient with ADLs
D- Teaching the patient how to use an assistive device for walking - ANSWER- -C - Assisting
the patient with ADLs
UAP can assist with the performance of ADLS
A nurse is planning care for a client admitted with a positive culture for methicillin-resistant
Staphylococcus aureus (MRSA). Which prevention should be implemented to prevent spreading
the infection to health care workers and other clients?
A - Wearing a mask within 3 feet of the client
B - Placing the client in a private room
C - Wearing a N95 respirator mask
D - Ensuring a negative air pressure room - ANSWER- -B - Placing the client in a private room
Contact isolation
A nurse is teaching a new group of assistive personnel (AP) about the importance of hand
hygiene. Which of the following statements should the nurse include?
A - If you wear gloves, you do not have to wash your hands
B - Hand hygiene is crucial in preventing the spread of germs.
C- Use an alcohol rub when your hands are visibly soiled
D - If you do not have an infection, your hand won't infect others - ANSWER- -B- Handy
hygiene is crucial in preventing the spread of germs
, Hand hygiene is one of the most effective ways to prevent the transmission of pathogens. Either
the nurse or the client may have microorganisms on or in their body that do not harm them but
may harm others.
The nurse is documenting the client's nursing diagnosis as "Altered speech related to recent
neurological disturbance as evidenced by inability to speak in complete sentences". Identify the
defining characteristics below.
A - "Altered speech"
B - "As evidenced by"
C - "Inability to speak in complete sentences"
D - "recent neurological disturbance" - ANSWER- -C - "Inability to speak in complete
sentences"
The 3 step nursing diagnosis process is Problem r/t etiology aeb defining characteristics
An unlicensed personnel (UAP) is obtaining a client's oral temperature. The client informs the
UAP that he has just had some ice chips. Which of the following is an appropriate action by the
UAP?
A- Wait 20-30 minutes and return to take the oral temperature
B - provide a sip of warm water, wait 5 minutes and take the temperature
C- Document that a temperature was unable to be obtained
D - Proceed to take the oral temperature - ANSWER- -A - Wait 20-30 minutes and return to
take the oral temperature
Healthcare workers need to wait 20-30 minutes and then take the oral temperature because the
ice will artificially lower the clients' temperature.
A nurse is caring for a client who is suspected of having measles. The nurse should assure the
client is placed on which transmission based precaution?
