NUR 112 PRACTICE ASSESSMENT /ACTUAL
EXAMS
"Please explain what you mean by the word 'nervous'." - ANSWER-A nurse
asks a client how he is feeling. The client states, "I'm feeling a bit nervous
today." Which of the following responses should the nurse make?
Cranberry juice - ANSWER-A nurse is caring for a client who is postoperative
following abdominal surgery. The surgeon initially prescribes a clear liquid
diet. Which of the following items should the nurse include on the lunch
tray?
A. The client faces the direction of movement when sliding an object across
the floor (sliding an object across the floor rather than lifting it prevents
strain on the lower back muscles and facing the direction prevents from
twisting his back) - ANSWER-A nurse is assessing a client at a follow-up clinic
for acute low back pain. A goal for this client is to use proper body
mechanics at all times. Which of the following findings indicates that the
client is meeting this goal?
a. The client faces the direction of movement when sliding an object across
the floor
b. When pushing an object the client moves his front foot backward
c. When moving an object to one side, the client pushes his weight on his
heels
d. The client stands with his feet close together when lifting an object
c. Contact the provider to question the dosage (when a nurse believes there
is an error in a prescription, the nurse must question the provider) -
ANSWER-4. When reviewing the admitting prescriptions for a client, the
nurse notes that the dose of one medication is three times the usual dose of
this medication. Which of the following actions should this nurse take?
,a. Contact the pharmacy and confirm that the dosage is safe to administer
b. Ask another nurse to verify that the dosage is appropriate for the client
c. Contact the provider to question the dosage
d. Inform the charge nurse and administer the dose of the medication the
provider prescribed
a. Occupational therapist (an occupational therapist assists clients who have
physical challenges to use adaptive devices and strategies to help with self-
care activities such as feeding) - ANSWER-5. A nurse is caring for a client
who has rheumatoid arthritis and is experiencing difficulty feeding herself
using adaptive devices. The nurse should initiate a referral with which of the
following members of the interprofessional health care team?
a. Occupational therapist
b. Social worker
c. Registered dietician
d. Speech pathologist
c. Interpersonal (interpersonal communication is face-to-face interaction
with another person. It results in an exchange of ideas, problem solving
expression of feelings, decision making, and personal growth) - ANSWER-6.
A nurse receives a client care assignment from the charge nurse that he
believes is unfair. The nurse voices his concern to the charge nurse. The
nurse is using which level of communication at this time?
a. Transpersonal
b. Intrapersonal
c. Interpersonal
d. Public
b. Determine the client's level of fluency in his primary language (it is
important to determine the client's level of fluency in her primary language
,and the nurse's language to provide teaching the client can understand) -
ANSWER-7. A nurse is developing a plan of care for a client who does not
speak the same language as the nurse. Which of the following interventions
should the nurse include?
a. Make sure a family member is present to interpret for the staff.
b. Determine the client's level of fluency in his primary language
c. Speak directly to the interpreter when teaching the client
d. Encourage the client to nod to indicate understanding
c. Surgeon (the health care provider who will perform the treatment or
procedure is responsible for obtaining informed consent from the client) -
ANSWER-8. A nurse is caring for a client who has a hip fracture that requires
surgical repair. Which of the following health care professionals is
responsible for obtaining informed consent from the client for the
procedure?
a. Nurse
b. Anesthesiologist
c. Surgeon
d. Surgical suite nurse
a. Complete a neurological check (appropriate nursing intervention when a
client displays sudden confusion) - ANSWER-9. A nurse on a medical unit is
caring for a client who suddenly becomes confused and drowsy. Additional
data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C
(98.2 F). which of the following actions should the nurse perform?
a. Complete a neurological check
b. Administer the prescribed PRN antihypertensive medication
c. Increase the fluid intake
d. Hold the client's evening dose of digoxin
, a. Documentation is a communication tool for the interprofessional health
care team - ANSWER-10. A nurse is orienting a newly licensed nurse about
documentation of a client's information in the electronic health record.
Which of the following statements by the newly licensed nurse indicates
understanding of the purpose of documentation?
a. Documentation is a communication tool for the interprofessional health
care team
b. Documentation provides information to the client about financial charges
for care provided
c. Documentation provides information for a client audit
d. Documentation allows providers to monitor the nurse's activities
c. Washes and rinses her hands for 10 seconds - ANSWER-11. A nurse is
orienting a new assistive personal (AP) to the unit. For which of the following
actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact
precautions
b. Dons gloves to empty a urinary drainage device
c. Washes and rinses her hands for 10 seconds
d. Wears a respirator mask when entering the room of a client who requires
airborne precautions
c. Industry vs inferiority (a school age child (6-12) is in this stage of
development) - ANSWER-12. A nurse is planning home care for a 9-year-old
child following an acute exacerbation of asthma. Which of the following of
Erikson's developmental stages should the nurse consider in the planning?
a. Autonomy vs shame and doubt
b. Initiative vs guilt
c. Industry vs inferiority
d. Identity vs role confusion
EXAMS
"Please explain what you mean by the word 'nervous'." - ANSWER-A nurse
asks a client how he is feeling. The client states, "I'm feeling a bit nervous
today." Which of the following responses should the nurse make?
Cranberry juice - ANSWER-A nurse is caring for a client who is postoperative
following abdominal surgery. The surgeon initially prescribes a clear liquid
diet. Which of the following items should the nurse include on the lunch
tray?
A. The client faces the direction of movement when sliding an object across
the floor (sliding an object across the floor rather than lifting it prevents
strain on the lower back muscles and facing the direction prevents from
twisting his back) - ANSWER-A nurse is assessing a client at a follow-up clinic
for acute low back pain. A goal for this client is to use proper body
mechanics at all times. Which of the following findings indicates that the
client is meeting this goal?
a. The client faces the direction of movement when sliding an object across
the floor
b. When pushing an object the client moves his front foot backward
c. When moving an object to one side, the client pushes his weight on his
heels
d. The client stands with his feet close together when lifting an object
c. Contact the provider to question the dosage (when a nurse believes there
is an error in a prescription, the nurse must question the provider) -
ANSWER-4. When reviewing the admitting prescriptions for a client, the
nurse notes that the dose of one medication is three times the usual dose of
this medication. Which of the following actions should this nurse take?
,a. Contact the pharmacy and confirm that the dosage is safe to administer
b. Ask another nurse to verify that the dosage is appropriate for the client
c. Contact the provider to question the dosage
d. Inform the charge nurse and administer the dose of the medication the
provider prescribed
a. Occupational therapist (an occupational therapist assists clients who have
physical challenges to use adaptive devices and strategies to help with self-
care activities such as feeding) - ANSWER-5. A nurse is caring for a client
who has rheumatoid arthritis and is experiencing difficulty feeding herself
using adaptive devices. The nurse should initiate a referral with which of the
following members of the interprofessional health care team?
a. Occupational therapist
b. Social worker
c. Registered dietician
d. Speech pathologist
c. Interpersonal (interpersonal communication is face-to-face interaction
with another person. It results in an exchange of ideas, problem solving
expression of feelings, decision making, and personal growth) - ANSWER-6.
A nurse receives a client care assignment from the charge nurse that he
believes is unfair. The nurse voices his concern to the charge nurse. The
nurse is using which level of communication at this time?
a. Transpersonal
b. Intrapersonal
c. Interpersonal
d. Public
b. Determine the client's level of fluency in his primary language (it is
important to determine the client's level of fluency in her primary language
,and the nurse's language to provide teaching the client can understand) -
ANSWER-7. A nurse is developing a plan of care for a client who does not
speak the same language as the nurse. Which of the following interventions
should the nurse include?
a. Make sure a family member is present to interpret for the staff.
b. Determine the client's level of fluency in his primary language
c. Speak directly to the interpreter when teaching the client
d. Encourage the client to nod to indicate understanding
c. Surgeon (the health care provider who will perform the treatment or
procedure is responsible for obtaining informed consent from the client) -
ANSWER-8. A nurse is caring for a client who has a hip fracture that requires
surgical repair. Which of the following health care professionals is
responsible for obtaining informed consent from the client for the
procedure?
a. Nurse
b. Anesthesiologist
c. Surgeon
d. Surgical suite nurse
a. Complete a neurological check (appropriate nursing intervention when a
client displays sudden confusion) - ANSWER-9. A nurse on a medical unit is
caring for a client who suddenly becomes confused and drowsy. Additional
data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C
(98.2 F). which of the following actions should the nurse perform?
a. Complete a neurological check
b. Administer the prescribed PRN antihypertensive medication
c. Increase the fluid intake
d. Hold the client's evening dose of digoxin
, a. Documentation is a communication tool for the interprofessional health
care team - ANSWER-10. A nurse is orienting a newly licensed nurse about
documentation of a client's information in the electronic health record.
Which of the following statements by the newly licensed nurse indicates
understanding of the purpose of documentation?
a. Documentation is a communication tool for the interprofessional health
care team
b. Documentation provides information to the client about financial charges
for care provided
c. Documentation provides information for a client audit
d. Documentation allows providers to monitor the nurse's activities
c. Washes and rinses her hands for 10 seconds - ANSWER-11. A nurse is
orienting a new assistive personal (AP) to the unit. For which of the following
actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact
precautions
b. Dons gloves to empty a urinary drainage device
c. Washes and rinses her hands for 10 seconds
d. Wears a respirator mask when entering the room of a client who requires
airborne precautions
c. Industry vs inferiority (a school age child (6-12) is in this stage of
development) - ANSWER-12. A nurse is planning home care for a 9-year-old
child following an acute exacerbation of asthma. Which of the following of
Erikson's developmental stages should the nurse consider in the planning?
a. Autonomy vs shame and doubt
b. Initiative vs guilt
c. Industry vs inferiority
d. Identity vs role confusion
