NU 136 Exam 5 Questions With Correct Marking
Scheme
The nurse working on a medical-surgical unit is administering medications to an
assigned client. Which of the following actions is appropriate for the nurse to
take?
A. Initializing medications on the medication administration record (MAR) as given prior
to entering ghe room.
B. Notifying the primary healthcare provider (PHCP) that the client has received their
assigned medications.
C. Documenting reasons the client declined taking any medications on the medication
aministration record (MAR)
D. Providing the client with a copy of their medication administration record (MAR) upon
request.
• The nurse is caring for a client diagnosed with anemia. Which of the following
should the nurse encourage the client to increase in their diet?
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin.
A. Folic Acid
The nurse observes a coworker who has been dealing with a difficult family
member yell at unlicensed assistive
personnel (UAP) for taking a bathroom break without notifying the coworker. The
nurse understands that the
coworker is using which of the following defense mechanisms?
• a) Rationalization.
• b) Displacement.
• c) Reaction-formation.
• d) Sublimation.
, A nurse is caring for a client who reports feeling anxious about an upcoming
procedure. Which of the following
actions should the nurse take to help reduce the client's anxiety?
a) Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety medications.
b) Check on the client every 15 minutes until the anxiety has passed.
c) Listen carefully to the client about their concerns.
d) Limit the number of visitors until the client is coping more effectively.
The nurse Is assessing a client for clinical manifestations of stress. Which of the
following findings should the
nurse recognize as an indicator of stress?
• a) Slow, shallow respirations.
• b) Decreased blood glucose level.
• c) Apical pulse (P) of 82.
• d) Dilation of the pupils.
• The nurse preceptor is discussing Maslow's hierarchy of needs with a student
nurse. The student nurse recently
received an award for student of the year. Which of the following levels of
Maslow's hierarchy of needs has
been met for the student nurse?
• a) Security needs.
• b) Love and belonging needs.
• c) Safety needs.
• d) Self-esteem needs.
The nurse encourages a client to receive an annual influenza vaccination. The
nurse recognizes this as which of
the following types of prevention?
• a) Tertiary prevention.
• b) Secondary prevention.
• c) Primary prevention.
• The nurse is performing a respiratory assessment on an assigned client. The
nurse auscultates a whistling, high-pitched sound of air when it is forced through
narrowed airways. The nurse documents this as:
• a) Bronchovesicular.
• b) Tracheal.
• c) Adventitious.
Scheme
The nurse working on a medical-surgical unit is administering medications to an
assigned client. Which of the following actions is appropriate for the nurse to
take?
A. Initializing medications on the medication administration record (MAR) as given prior
to entering ghe room.
B. Notifying the primary healthcare provider (PHCP) that the client has received their
assigned medications.
C. Documenting reasons the client declined taking any medications on the medication
aministration record (MAR)
D. Providing the client with a copy of their medication administration record (MAR) upon
request.
• The nurse is caring for a client diagnosed with anemia. Which of the following
should the nurse encourage the client to increase in their diet?
• a) Folic acid.
• b) Vitamin A.
• c) Vitamin E.
• d) Niacin.
A. Folic Acid
The nurse observes a coworker who has been dealing with a difficult family
member yell at unlicensed assistive
personnel (UAP) for taking a bathroom break without notifying the coworker. The
nurse understands that the
coworker is using which of the following defense mechanisms?
• a) Rationalization.
• b) Displacement.
• c) Reaction-formation.
• d) Sublimation.
, A nurse is caring for a client who reports feeling anxious about an upcoming
procedure. Which of the following
actions should the nurse take to help reduce the client's anxiety?
a) Ask the primary healthcare provider (PHCP) to prescribe anti-anxiety medications.
b) Check on the client every 15 minutes until the anxiety has passed.
c) Listen carefully to the client about their concerns.
d) Limit the number of visitors until the client is coping more effectively.
The nurse Is assessing a client for clinical manifestations of stress. Which of the
following findings should the
nurse recognize as an indicator of stress?
• a) Slow, shallow respirations.
• b) Decreased blood glucose level.
• c) Apical pulse (P) of 82.
• d) Dilation of the pupils.
• The nurse preceptor is discussing Maslow's hierarchy of needs with a student
nurse. The student nurse recently
received an award for student of the year. Which of the following levels of
Maslow's hierarchy of needs has
been met for the student nurse?
• a) Security needs.
• b) Love and belonging needs.
• c) Safety needs.
• d) Self-esteem needs.
The nurse encourages a client to receive an annual influenza vaccination. The
nurse recognizes this as which of
the following types of prevention?
• a) Tertiary prevention.
• b) Secondary prevention.
• c) Primary prevention.
• The nurse is performing a respiratory assessment on an assigned client. The
nurse auscultates a whistling, high-pitched sound of air when it is forced through
narrowed airways. The nurse documents this as:
• a) Bronchovesicular.
• b) Tracheal.
• c) Adventitious.
