NURS 370 Exam 1 Questions with Correct Answers (Grade A+)
Question 1: A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client
appears upset and refuses to take the medication before throwing the pill on the floor. Which of the
following entries should the nurse enter into the client's medical record? A. The client refused to take
medication B. The client stated, "I will not take this pill." C. The client seemed angry and hostile D.
The client threw the medication on the floor
Answer: D. -The nurse should document exactly what took place for an accurate, factual account of the
events. The nurse should document the client's actions in the medical record
Question 2: A nurse is caring for a client who has major depressive disorder. The client tells the nurse,
"Don't bother me. Find someone else to talk with. I don't have anything to say that's worth sharing."
Which of the following statements should the nurse make? A. "Surely you can't think I don't want to
talk to you." B. "I would like to sit quietly with you for a while." C. "I'm assigned to take care of you,
so I intend to spend time with you." D. "Let's talk about what you would like for lunch today."
Answer: B. -This is a therapeutic response because the nurse is offering availability, which lets the client
know that the nurse has a desire to understand
Question 3: A nurse is administering an IM injection to a 5-month- old infant. Which of the following
injection sites should the nurse use? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal
Answer: C. -The nurse should use the vastus lateralis site over the anterior thigh for IM injections for
infants and children
Question 4: A nurse is teaching a client who is postoperative about the importance of turning,
coughing, and breathing deeply. Which of the following statements should the nurse identify as an
indication that the client understands the instructions? A. "If I do this often, I won't experience muscle
wasting" B. "If I do this often, I won't get pneumonia" C. "If I do this often, I won't get constipation"
D. "If I do this often, I won't have a fast heartbeat"
Answer: B. -Turning, coughing, and breathing deeply help prevent respiratory complications such as
pneumonia by promoting lung expansion and secretion removal
Question 5: A charge nurse is planning an in-service training session about client advocacy with a
group of staff nurse. Which of the following situations should the nurse include as an example of client
advocacy? A. Discussing treatment options with a client who was diagnosed with pancreatic cancer B.
Notifying the provider when a client has questions about procedure C. Helping a client make a list of
questions to ask the provider D. Clarifying the dosage of a medication prescribed for a client who has
Page 1
, Question 5 (continued):
impaired liver function E. Carrying out the end- of-life wishes outlined in the living will of an older
adult client who has end- stage renal disease
Answer: B, C, D, E -As a client advocate, the nurse should make sure clients have all their questions
answer and possess the information needed to make an informed decision
Question 6: A nurse is assisting with the informed consent process for a client who is scheduled for a
below- the-knee amputation. The client asks the nurse, "Why are they making me have this surgery
today? I don't understand why they are doing this." Which of the following actions should the nurse
take? A. Complete an incident report B. Administer an anti- anxiety medication C. Notify the provider
of the client's comments D. Answer the client's questions and verify understanding
Answer: C. -It's the nurse's responsibility to notify the provider if the client has questions or appears not to
understand the procedure. The provider is responsible for providing clarification
Question 7: A nurse is providing teaching to a client regarding protein intake. Which of the following
foods should the nurse include as an example of an incomplete protein? A. Eggs B. Soybeans C. Lentils
D. Yogurt
Answer: C. -Incomplete proteins are missing one or more of the essential amino acids necessary for the
synthesis of protein in the body. Lentils, vegetables, grains, nuts, and seeds
Question 8: A nurse is cleaning a client's wound by swabbing from the area of least contamination to
an area of greater contamination. Which of the following rationales should the nurse identify for using
this technique? A. Preventing the transfer of microorganisms to the nurse B. Keeping microorganisms
from entering the wound C. Applying minimal pressure to the wound D. Keeping excess moisture from
entering the wound
Answer: B. -Starting at the area of least contamination and working toward the area of greatest
contamination prevents the spread of microorganisms within the wound
Question 9: A nurse receives the morning change-of-shift report and delegates several tasks to an
assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to
perform first? A. Obtain the morning capillary blood glucose test B. Bathe a client scheduled for
physical therapy at 0900 C. Distribute the breakfast trays D. Fill pitchers with fresh water and ice
Answer: A. -The nurse should apply the urgent vs. non-urgent priority-setting framework when delegating
tasks
Question 10: A nurse is caring for an older adult client who dies during the night while his partner is at
Page 2
Question 1: A nurse is preparing to administer an afternoon dose of ampicillin to a client. The client
appears upset and refuses to take the medication before throwing the pill on the floor. Which of the
following entries should the nurse enter into the client's medical record? A. The client refused to take
medication B. The client stated, "I will not take this pill." C. The client seemed angry and hostile D.
The client threw the medication on the floor
Answer: D. -The nurse should document exactly what took place for an accurate, factual account of the
events. The nurse should document the client's actions in the medical record
Question 2: A nurse is caring for a client who has major depressive disorder. The client tells the nurse,
"Don't bother me. Find someone else to talk with. I don't have anything to say that's worth sharing."
Which of the following statements should the nurse make? A. "Surely you can't think I don't want to
talk to you." B. "I would like to sit quietly with you for a while." C. "I'm assigned to take care of you,
so I intend to spend time with you." D. "Let's talk about what you would like for lunch today."
Answer: B. -This is a therapeutic response because the nurse is offering availability, which lets the client
know that the nurse has a desire to understand
Question 3: A nurse is administering an IM injection to a 5-month- old infant. Which of the following
injection sites should the nurse use? A. Deltoid B. Ventrogluteal C. Vastus lateralis D. Dorsogluteal
Answer: C. -The nurse should use the vastus lateralis site over the anterior thigh for IM injections for
infants and children
Question 4: A nurse is teaching a client who is postoperative about the importance of turning,
coughing, and breathing deeply. Which of the following statements should the nurse identify as an
indication that the client understands the instructions? A. "If I do this often, I won't experience muscle
wasting" B. "If I do this often, I won't get pneumonia" C. "If I do this often, I won't get constipation"
D. "If I do this often, I won't have a fast heartbeat"
Answer: B. -Turning, coughing, and breathing deeply help prevent respiratory complications such as
pneumonia by promoting lung expansion and secretion removal
Question 5: A charge nurse is planning an in-service training session about client advocacy with a
group of staff nurse. Which of the following situations should the nurse include as an example of client
advocacy? A. Discussing treatment options with a client who was diagnosed with pancreatic cancer B.
Notifying the provider when a client has questions about procedure C. Helping a client make a list of
questions to ask the provider D. Clarifying the dosage of a medication prescribed for a client who has
Page 1
, Question 5 (continued):
impaired liver function E. Carrying out the end- of-life wishes outlined in the living will of an older
adult client who has end- stage renal disease
Answer: B, C, D, E -As a client advocate, the nurse should make sure clients have all their questions
answer and possess the information needed to make an informed decision
Question 6: A nurse is assisting with the informed consent process for a client who is scheduled for a
below- the-knee amputation. The client asks the nurse, "Why are they making me have this surgery
today? I don't understand why they are doing this." Which of the following actions should the nurse
take? A. Complete an incident report B. Administer an anti- anxiety medication C. Notify the provider
of the client's comments D. Answer the client's questions and verify understanding
Answer: C. -It's the nurse's responsibility to notify the provider if the client has questions or appears not to
understand the procedure. The provider is responsible for providing clarification
Question 7: A nurse is providing teaching to a client regarding protein intake. Which of the following
foods should the nurse include as an example of an incomplete protein? A. Eggs B. Soybeans C. Lentils
D. Yogurt
Answer: C. -Incomplete proteins are missing one or more of the essential amino acids necessary for the
synthesis of protein in the body. Lentils, vegetables, grains, nuts, and seeds
Question 8: A nurse is cleaning a client's wound by swabbing from the area of least contamination to
an area of greater contamination. Which of the following rationales should the nurse identify for using
this technique? A. Preventing the transfer of microorganisms to the nurse B. Keeping microorganisms
from entering the wound C. Applying minimal pressure to the wound D. Keeping excess moisture from
entering the wound
Answer: B. -Starting at the area of least contamination and working toward the area of greatest
contamination prevents the spread of microorganisms within the wound
Question 9: A nurse receives the morning change-of-shift report and delegates several tasks to an
assistive personnel (AP) on the team. Which of the following tasks should the nurse instruct the AP to
perform first? A. Obtain the morning capillary blood glucose test B. Bathe a client scheduled for
physical therapy at 0900 C. Distribute the breakfast trays D. Fill pitchers with fresh water and ice
Answer: A. -The nurse should apply the urgent vs. non-urgent priority-setting framework when delegating
tasks
Question 10: A nurse is caring for an older adult client who dies during the night while his partner is at
Page 2
