NUR 102 EXAM 4 2026/2027 – NURSING STUDY GUIDE, PRACTICE QUESTIONS,
EXAM REVIEW & TEST PREP
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA)
with a newly licensed nurse. Which of the following statement by the newly licensed nurse indicates a
need for further teaching?
A. "Information about a client can be disclosed to family members at any time"
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or
written form."
C. "A client's address would be an example of personally identifiable information."
D. "HIPAA is a federal law, not a state law." - correct answer ✔✔A. "Information about a client can be
disclosed to family members at any time"
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse
should follow.
A. Inspection
B. Superficial palpation
C. Deep palpation
D. Auscultation - correct answer ✔✔A. Inspection
D. Auscultation
B. Superficial palpation
C. Deep palpation
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an
elevated temperature. Which of the following should the nurse recognize as the most reliable indicator
of fluid loss?
A. Body weight
B. Skin integrity
C. Blood pressure
D. Respiratory rate - correct answer ✔✔A. Body weight
A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should
the nurse recognize as an indication of this condition?
A. Firmly attached white particles on the hair
B. Itching and scratching of the head
C. Patchy areas of hair loss
D. Thick yellow crusted lesion on a red base - correct answer ✔✔A. Firmly attached white particles on
the hair
A nurse is admitting a client who has experienced a weight loss of 11kg (25lb) in the past 3 months. The
client weighs 40kg (88lb) and believes she is fat. Which of the following aspects of care should the nurse
consider the first priority for this client?
A. Identify the client's nutritional status.
B. Request a mental health consult.
C. Plan a therapeutic diet for the client.
, D. Provide a structured environment for the client. - correct answer ✔✔A. Identify the client's nutritional
status.
A home health nurse is assessing an older adult client in the home who has decreased vision due to a
history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
A. Electrical cords are placed along the walls.
B. Scatter rugs are present in the kitchen.
C. Handrails are present in the bathroom.
D. Uses a microwave for cooking. - correct answer ✔✔B. Scatter rugs are present in the kitchen.
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the
nurse examine to identify cyanosis in this client?
A. Pinnae of ears
B. Dorsal surface of hand
C. Conjunctivae
D. Dorsal surface of the foot - correct answer ✔✔C. Conjunctivae
A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester.
Which of the following findings should the nurse expect?
A. Eczema
B. Psoriasis
C. Linea nigra
D. Chloasma
E. Striae gravidarum - correct answer ✔✔C. Linea nigra
D. Chloasma
E. Striae gravidarum
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities
should the nurse expect to find in this client?
A. Lordosis (sway back)
B. Ankylosis (stiff joints)
C. Kyphosis (stooping forward)
D. Scoliosis (s shape) - correct answer ✔✔C. Kyphosis
A nurse in a long term care facility is caring for an older adult client who had a stroke 4 weeks ago and
who is unable to move independently. The nurse should monitor for which of the following
complications of immobility?
A. A reddened area over the sacrum
B. Stiffness in the lower extremities
C. Difficulty moving upper extremities
D. Difficulty hearing some types of sounds - correct answer ✔✔A. A reddened area over the sacrum
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The
nurse should assess the client for which of the following expected outcomes of catheter removal?
A. Temporary urinary retention
B. Urinary frequency for several days
C. Blood-tinged urine
D. Highly concentrated urine - correct answer ✔✔A. Temporary urinary retention
EXAM REVIEW & TEST PREP
A nurse is reviewing information about the Health Insurance Portability and Accountability Act (HIPAA)
with a newly licensed nurse. Which of the following statement by the newly licensed nurse indicates a
need for further teaching?
A. "Information about a client can be disclosed to family members at any time"
B. "HIPAA established regulations of individually identifiable health information in verbal, electronic, or
written form."
C. "A client's address would be an example of personally identifiable information."
D. "HIPAA is a federal law, not a state law." - correct answer ✔✔A. "Information about a client can be
disclosed to family members at any time"
A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse
should follow.
A. Inspection
B. Superficial palpation
C. Deep palpation
D. Auscultation - correct answer ✔✔A. Inspection
D. Auscultation
B. Superficial palpation
C. Deep palpation
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an
elevated temperature. Which of the following should the nurse recognize as the most reliable indicator
of fluid loss?
A. Body weight
B. Skin integrity
C. Blood pressure
D. Respiratory rate - correct answer ✔✔A. Body weight
A school nurse is assessing a child for pediculosis capitis. Which of the following manifestations should
the nurse recognize as an indication of this condition?
A. Firmly attached white particles on the hair
B. Itching and scratching of the head
C. Patchy areas of hair loss
D. Thick yellow crusted lesion on a red base - correct answer ✔✔A. Firmly attached white particles on
the hair
A nurse is admitting a client who has experienced a weight loss of 11kg (25lb) in the past 3 months. The
client weighs 40kg (88lb) and believes she is fat. Which of the following aspects of care should the nurse
consider the first priority for this client?
A. Identify the client's nutritional status.
B. Request a mental health consult.
C. Plan a therapeutic diet for the client.
, D. Provide a structured environment for the client. - correct answer ✔✔A. Identify the client's nutritional
status.
A home health nurse is assessing an older adult client in the home who has decreased vision due to a
history of glaucoma. Which of the following findings should the nurse identify as a safety risk?
A. Electrical cords are placed along the walls.
B. Scatter rugs are present in the kitchen.
C. Handrails are present in the bathroom.
D. Uses a microwave for cooking. - correct answer ✔✔B. Scatter rugs are present in the kitchen.
A nurse is assessing for cyanosis in a client who has dark skin. Which of the following sites should the
nurse examine to identify cyanosis in this client?
A. Pinnae of ears
B. Dorsal surface of hand
C. Conjunctivae
D. Dorsal surface of the foot - correct answer ✔✔C. Conjunctivae
A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester.
Which of the following findings should the nurse expect?
A. Eczema
B. Psoriasis
C. Linea nigra
D. Chloasma
E. Striae gravidarum - correct answer ✔✔C. Linea nigra
D. Chloasma
E. Striae gravidarum
A nurse is assessing an older adult client who has osteoporosis. Which of the following spinal deformities
should the nurse expect to find in this client?
A. Lordosis (sway back)
B. Ankylosis (stiff joints)
C. Kyphosis (stooping forward)
D. Scoliosis (s shape) - correct answer ✔✔C. Kyphosis
A nurse in a long term care facility is caring for an older adult client who had a stroke 4 weeks ago and
who is unable to move independently. The nurse should monitor for which of the following
complications of immobility?
A. A reddened area over the sacrum
B. Stiffness in the lower extremities
C. Difficulty moving upper extremities
D. Difficulty hearing some types of sounds - correct answer ✔✔A. A reddened area over the sacrum
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The
nurse should assess the client for which of the following expected outcomes of catheter removal?
A. Temporary urinary retention
B. Urinary frequency for several days
C. Blood-tinged urine
D. Highly concentrated urine - correct answer ✔✔A. Temporary urinary retention
