NURS 115 EXAM 1 QUESTIONS WITH ACCURATE
ANSWERS
A charge nurse is observing a newly licensed nurse care for a client who reports
pain. The nurse checked the client's MAR and noted the last dose of pain
medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The
nurse administered the medication and checked with the client 40 min later,
when the client reported improvement. The newly licensed nurse left out which
of the following steps of the nursing process?
a. assessment
b. planning
c. intervention
d. evaluation correct answer a. assessment
(the nurse should have used the assessment step by asking the patient to rate the
severity of pain on a 0 to 10 scale)
A charge nurse is reviewing the steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as objective
data? (Select all that apply.)
a. respiratory rate that is 22/min with even, unlabored respirations
b. the client's partner states, "they said they hurt after walking about 10 minutes"
c. the client's pain rating is 3 on a scale of 0 to 10
d. the client's skin is pink, warm, and dry
e. the assistive personnel reports that the client walked with a limp correct
answer a. respiratory rate that is 22/min with even, unlabored respirations
(vital signs)
,d. the client's skin is pink, warm, and dry
(skin appearance)
e. the assistive personnel reports that the client walked with a limp
(family and staff)
A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a provider's prescription. Which of the following
interventions should the charge nurse include? (Select all that apply.)
a. writing a prescription for morphine sulfate as needed for pain
b. inserting a nasogastric (NG) tube to relieve gastric distention
c. showing a client how to use progressive muscle relaxation
d. performing a daily bath after the evening meal
e. repositioning a client every 2 hr to reduce pressure injury risk correct answer c.
showing a client how to use progressive muscle relaxation
d. performing a daily bath after the evening meal
e. repositioning a client every 2 hr to reduce pressure injury risk
A nurse educator is reviewing proper body mechanics during employee
orientation. Which of the following statements should the nurse identify as an
indication that an attendee understands the teaching? (Select all that apply.)
a. "My line of gravity should fall outside my base of support"
b. "The lower my center of gravity, the more stability I will have"
c. "To broaden my base of support, I should spread my feet apart"
, d. "When I lift an object, I should hold it as close to my body as possible"
e. "When pulling an object, I should move my front foot forward" correct answer
b. "The lower my center of gravity, the more stability I will have"
c. "To broaden my base of support, I should spread my feet apart"
d. "When I lift an object, I should hold it as close to my body as possible"
A nurse enters the room of a client who is crying while reading from a religious
book and asks to be left alone. Which of the following actions should the nurse
take?
a. contact the hospital's spiritual services
b. ask what is making the client cry
c. ensure no visitors or staff enter the room for a short time period
d. turn on the television for a distraction correct answer c. ensure no visitors or
staff enter the room for a short time period
A nurse has noticed several occasions in the past week when another nurse on
the unit seemed drowsy & unable to focus on the issue at hand. Today, she found
the nurse asleep in a chair in the break room when she was not on break. Which
of the following actions should the nurse take?
A. Alert the ANA
B. Fill out an incident report
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep correct answer
ANSWERS
A charge nurse is observing a newly licensed nurse care for a client who reports
pain. The nurse checked the client's MAR and noted the last dose of pain
medication was 6 hr ago. The prescription reads every 4 hr PRN for pain. The
nurse administered the medication and checked with the client 40 min later,
when the client reported improvement. The newly licensed nurse left out which
of the following steps of the nursing process?
a. assessment
b. planning
c. intervention
d. evaluation correct answer a. assessment
(the nurse should have used the assessment step by asking the patient to rate the
severity of pain on a 0 to 10 scale)
A charge nurse is reviewing the steps of the nursing process with a group of
nurses. Which of the following data should the charge nurse identify as objective
data? (Select all that apply.)
a. respiratory rate that is 22/min with even, unlabored respirations
b. the client's partner states, "they said they hurt after walking about 10 minutes"
c. the client's pain rating is 3 on a scale of 0 to 10
d. the client's skin is pink, warm, and dry
e. the assistive personnel reports that the client walked with a limp correct
answer a. respiratory rate that is 22/min with even, unlabored respirations
(vital signs)
,d. the client's skin is pink, warm, and dry
(skin appearance)
e. the assistive personnel reports that the client walked with a limp
(family and staff)
A charge nurse is talking with a newly licensed nurse and is reviewing nursing
interventions that do not require a provider's prescription. Which of the following
interventions should the charge nurse include? (Select all that apply.)
a. writing a prescription for morphine sulfate as needed for pain
b. inserting a nasogastric (NG) tube to relieve gastric distention
c. showing a client how to use progressive muscle relaxation
d. performing a daily bath after the evening meal
e. repositioning a client every 2 hr to reduce pressure injury risk correct answer c.
showing a client how to use progressive muscle relaxation
d. performing a daily bath after the evening meal
e. repositioning a client every 2 hr to reduce pressure injury risk
A nurse educator is reviewing proper body mechanics during employee
orientation. Which of the following statements should the nurse identify as an
indication that an attendee understands the teaching? (Select all that apply.)
a. "My line of gravity should fall outside my base of support"
b. "The lower my center of gravity, the more stability I will have"
c. "To broaden my base of support, I should spread my feet apart"
, d. "When I lift an object, I should hold it as close to my body as possible"
e. "When pulling an object, I should move my front foot forward" correct answer
b. "The lower my center of gravity, the more stability I will have"
c. "To broaden my base of support, I should spread my feet apart"
d. "When I lift an object, I should hold it as close to my body as possible"
A nurse enters the room of a client who is crying while reading from a religious
book and asks to be left alone. Which of the following actions should the nurse
take?
a. contact the hospital's spiritual services
b. ask what is making the client cry
c. ensure no visitors or staff enter the room for a short time period
d. turn on the television for a distraction correct answer c. ensure no visitors or
staff enter the room for a short time period
A nurse has noticed several occasions in the past week when another nurse on
the unit seemed drowsy & unable to focus on the issue at hand. Today, she found
the nurse asleep in a chair in the break room when she was not on break. Which
of the following actions should the nurse take?
A. Alert the ANA
B. Fill out an incident report
C. Report the observations to the nurse manager on the unit
D. Leave the nurse alone to sleep correct answer
