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NSE 111 final EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A patient is placed on Contact Precautions. Which of the following
interventions would the nurse implement?
a) Wear an N95 respirator when entering the room.
b) Place the patient in a private room, if possible.
c) Ensure the patient's door remains closed at all times.
d) Wear a surgical mask when within 2 meters of the patient.
......ANSWER......b) Place the patient in a private room, if possible.
Contact Precautions are used for patients known or suspected to be
infected with microorganisms that can be transmitted through direct or
indirect contact. A private room helps prevent the spread of infection.
While a private room is ideal, if one is unavailable, a cohort room with
patients with the same diagnosis can be used. The door can remain
open if the patient is placed in a private room.
Which of the following is a characteristic of normal urine?
a) Cloudy appearance, even when freshly voided.
b) Strong, ammonia-like odor.
c) Pale straw color to amber.
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d) Thick, mucus-like consistency. ......ANSWER......c) Pale straw color to
amber.
Normal urine is typically transparent and ranges in color from pale
straw to amber. A cloudy appearance may indicate an infection or other
abnormality. Normal urine should also be relatively odorless.
The nurse is caring for a patient with dysphagia. Which of the following
is an appropriate intervention to prevent aspiration?
a) Position the patient in a supine position during meals.
b) Encourage the patient to drink thin liquids.
c) Instruct the patient to tuck their chin when swallowing.
d) Offer large portions of food to ensure adequate intake.
......ANSWER......c) Instruct the patient to tuck their chin when
swallowing.
Tucking the chin when swallowing helps close off the trachea and direct
food down the esophagus, reducing the risk of aspiration. Patients with
dysphagia should be positioned upright during meals, and food and
fluids may need to be thickened to make swallowing easier.
The nurse is caring for a patient who is immobile. Which of the
following interventions would be appropriate to prevent pressure
injuries?
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a) Massage the patient's bony prominences regularly. b) Keep the head
of the bed elevated at 30 degrees. c) Use a draw sheet to reposition the
patient.
d) Apply a heating pad to promote circulation. ......ANSWER......c) Use a
draw sheet to reposition the patient.
Using a draw sheet to reposition a patient helps reduce friction and
shear, which are contributing factors to the development of pressure
injuries. Massaging bony prominences is not recommended, as it can
increase pressure and damage to tissues. While elevating the head of
the bed can be helpful for other reasons, it may actually increase shear
forces on the patient's skin. Applying a heating pad can increase the risk
of burns and is not recommended.
Which of the following actions by a nurse would best demonstrate the
principle of client-centered care?
a) Following a standardized care plan for all patients with the same
diagnosis.
b) Involving the client in decisions about their care, considering their
preferences and values.
c) Prioritizing the nurse's own schedule and efficiency when providing
care.
d) Using medical jargon to explain procedures, ensuring the client
understands fully. ......ANSWER......b) Involving the client in decisions
about their care, considering their preferences and values.
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Client-centered care is an approach where the patient's needs,
preferences, and values are central to the care provided. It involves
treating each person as a whole, not just their medical condition.
The nurse is assessing a patient's risk of falling using the Morse Fall
Scale. Which of the following factors is NOT included in this assessment
tool?
a) History of previous falls.
b) Age of the patient.
c) Presence of intravenous (IV) lines.
d) Mental status. ......ANSWER......c) Presence of intravenous (IV) lines.
The Morse Fall Scale includes six variables: history of falling; secondary
diagnosis; ambulatory aid; IV/heparin lock; gait/transferring; and
mental status. The presence of IV lines is not specifically assessed as
part of this tool.
Which type of therapeutic diet would be most appropriate for a patient
with dysphagia?
a) Clear liquid diet.
b) Full liquid diet.
NSE 111 final EXAM REVIEW WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
ALREADY GRADED A+ (BRAND NEW!!)
A patient is placed on Contact Precautions. Which of the following
interventions would the nurse implement?
a) Wear an N95 respirator when entering the room.
b) Place the patient in a private room, if possible.
c) Ensure the patient's door remains closed at all times.
d) Wear a surgical mask when within 2 meters of the patient.
......ANSWER......b) Place the patient in a private room, if possible.
Contact Precautions are used for patients known or suspected to be
infected with microorganisms that can be transmitted through direct or
indirect contact. A private room helps prevent the spread of infection.
While a private room is ideal, if one is unavailable, a cohort room with
patients with the same diagnosis can be used. The door can remain
open if the patient is placed in a private room.
Which of the following is a characteristic of normal urine?
a) Cloudy appearance, even when freshly voided.
b) Strong, ammonia-like odor.
c) Pale straw color to amber.
,2|Page
d) Thick, mucus-like consistency. ......ANSWER......c) Pale straw color to
amber.
Normal urine is typically transparent and ranges in color from pale
straw to amber. A cloudy appearance may indicate an infection or other
abnormality. Normal urine should also be relatively odorless.
The nurse is caring for a patient with dysphagia. Which of the following
is an appropriate intervention to prevent aspiration?
a) Position the patient in a supine position during meals.
b) Encourage the patient to drink thin liquids.
c) Instruct the patient to tuck their chin when swallowing.
d) Offer large portions of food to ensure adequate intake.
......ANSWER......c) Instruct the patient to tuck their chin when
swallowing.
Tucking the chin when swallowing helps close off the trachea and direct
food down the esophagus, reducing the risk of aspiration. Patients with
dysphagia should be positioned upright during meals, and food and
fluids may need to be thickened to make swallowing easier.
The nurse is caring for a patient who is immobile. Which of the
following interventions would be appropriate to prevent pressure
injuries?
,3|Page
a) Massage the patient's bony prominences regularly. b) Keep the head
of the bed elevated at 30 degrees. c) Use a draw sheet to reposition the
patient.
d) Apply a heating pad to promote circulation. ......ANSWER......c) Use a
draw sheet to reposition the patient.
Using a draw sheet to reposition a patient helps reduce friction and
shear, which are contributing factors to the development of pressure
injuries. Massaging bony prominences is not recommended, as it can
increase pressure and damage to tissues. While elevating the head of
the bed can be helpful for other reasons, it may actually increase shear
forces on the patient's skin. Applying a heating pad can increase the risk
of burns and is not recommended.
Which of the following actions by a nurse would best demonstrate the
principle of client-centered care?
a) Following a standardized care plan for all patients with the same
diagnosis.
b) Involving the client in decisions about their care, considering their
preferences and values.
c) Prioritizing the nurse's own schedule and efficiency when providing
care.
d) Using medical jargon to explain procedures, ensuring the client
understands fully. ......ANSWER......b) Involving the client in decisions
about their care, considering their preferences and values.
, 4|Page
Client-centered care is an approach where the patient's needs,
preferences, and values are central to the care provided. It involves
treating each person as a whole, not just their medical condition.
The nurse is assessing a patient's risk of falling using the Morse Fall
Scale. Which of the following factors is NOT included in this assessment
tool?
a) History of previous falls.
b) Age of the patient.
c) Presence of intravenous (IV) lines.
d) Mental status. ......ANSWER......c) Presence of intravenous (IV) lines.
The Morse Fall Scale includes six variables: history of falling; secondary
diagnosis; ambulatory aid; IV/heparin lock; gait/transferring; and
mental status. The presence of IV lines is not specifically assessed as
part of this tool.
Which type of therapeutic diet would be most appropriate for a patient
with dysphagia?
a) Clear liquid diet.
b) Full liquid diet.
