NUR-111 final Guilford Technical Community College | UPDATED
Questions with 100% Verified Answers
Question:
A nurse is caring for a client who states, "My doctor was just
here, but I still do not understand my diagnosis." The nurse
contacts the provider to return to speak with the client. Which
of the following principles is the nurse demonstrating
A. Advocacy
B. Accountability
C. Confidentially
D. Fidelity
Answer:
Advocacy Rationale: The nurse is demonstrating advocacy.
The nurse is advocating for the client by notifying the
provider that the client has questions and concerns about their
diagnosis. As a client advocate, the nurse should act on behalf
of the client to protect their rights, health, and safety.
Question:
A nurse is caring for a client who acquired a Staphylococcus
aureus infection from touching a contaminated towel.
Through which of the following modes of transmission did
the client acquire the infection?
A. Airborne
B. Vector
C. Indirect contact
D. Droplet
Answer:
Indirect contact- Rationale: Indirect contact occurs when an
infectious agent is transmitted to an individual through an
inanimate object, such as a towel.
,Question:
A nurse is teaching a client about maintaining skin integrity to
decrease the risk of infection. Which of the following
instructions should the nurse include?
A. Rub your skin firmly when cleaning
B. Use a moisturizer on your skin after cleaning
C. Wash your skin daily with hot water
D. Allow your sin to dry after bathing
Answer:
Use a moisturizer on your skin after cleaning." Rationale: The
client should use gentle moisturizers on the skin to promote
hydration and protect the skin from injury that might lead to
an infection.
Question:
A nurse is preparing a client for a procedure. Which of the
following is an acceptable identifier to use identify the client
A. Telephone number
B. Home address
C. Room number
D. Medical condition
Answer:
Telephone number
Question:
A nurse is assessing a client who was brought to the
emergency department with an ankle injury. Which of the
following manifestations should the nurse identify as
localized inflammation of the tissues.
A. 3+ palpable pedal pulses below the affected injury site.
B. Sanguineous drainage at site of injury
C. Full range of motion at the site of injury
D. Localized warmth at the site of injury
, Answer:
Localized warmth at the site of injury Rationale:
Manifestations of localized inflammation can include redness,
pain, warmth, and decreased function
Question:
A nurse is providing change-of-shift report to another nurse
for a client using the Introduction, Situation, Background,
Assessment and Recommendation (ISBARR) communication
tool. Which of the following information should the nurse
include as part of the situation component of this
communication tool?
A. Medical condition
B. Vital signs
C. List of medications
D. Treatment
Answer:
Medical condition Rationale: The nurse should include the
client's medical condition or diagnosis in the situation
component of the ISBARR communication tool. Other
findings that can be included in this component are the client's
age, chief complaint, and urgent needs.
Question:
A nurse is reviewing laboratory values for a client. Which of
the following findings indicates the presence of an infection?
A. Creatinine kinase 75units/L
B. WBC count 22,000/mm3
C. Platelet count 200,000mm3
D. Hgb 15 g/dL
Answer:
, WBC count 22,000/mm3 Rationale: The client's WBC count
is greater than the expected reference range of 5,000 to
10,000/mm3. An elevated WBC count is a manifestation of an
infection
Question:
A nurse is observing a newly licensed nurse perform hand
hygiene. Which of the following actions by the newly
licensed nurse indicates an understanding of the procedure?
A. Holds their hands below the elbows while rinsing off soap
B. Uses hot water to wash their hands
C. Turns off faucet with their hands
D. Washes their hands for 10 seconds
Answer:
Holds their hands below the elbows while rinsing off soap
Rationale: The nurse should keep their hands below the
elbows while rinsing off soap so water flows from the least
contaminated to the most contaminated area
Question:
A nurse sees smoke coming from the central supply room.
Which of the following actions should the nurse take first?
A. Close all the doors
B. Wrap clients in blankets
C. Stay close to the ground
D. Walk to a safe area
Answer:
Close all the doors. Rationale: The greatest risk to clients is
injury from smoke inhalation or burns; therefore, the first
action the nurse should take is to close all the doors to contain
the smoke or fire.
Questions with 100% Verified Answers
Question:
A nurse is caring for a client who states, "My doctor was just
here, but I still do not understand my diagnosis." The nurse
contacts the provider to return to speak with the client. Which
of the following principles is the nurse demonstrating
A. Advocacy
B. Accountability
C. Confidentially
D. Fidelity
Answer:
Advocacy Rationale: The nurse is demonstrating advocacy.
The nurse is advocating for the client by notifying the
provider that the client has questions and concerns about their
diagnosis. As a client advocate, the nurse should act on behalf
of the client to protect their rights, health, and safety.
Question:
A nurse is caring for a client who acquired a Staphylococcus
aureus infection from touching a contaminated towel.
Through which of the following modes of transmission did
the client acquire the infection?
A. Airborne
B. Vector
C. Indirect contact
D. Droplet
Answer:
Indirect contact- Rationale: Indirect contact occurs when an
infectious agent is transmitted to an individual through an
inanimate object, such as a towel.
,Question:
A nurse is teaching a client about maintaining skin integrity to
decrease the risk of infection. Which of the following
instructions should the nurse include?
A. Rub your skin firmly when cleaning
B. Use a moisturizer on your skin after cleaning
C. Wash your skin daily with hot water
D. Allow your sin to dry after bathing
Answer:
Use a moisturizer on your skin after cleaning." Rationale: The
client should use gentle moisturizers on the skin to promote
hydration and protect the skin from injury that might lead to
an infection.
Question:
A nurse is preparing a client for a procedure. Which of the
following is an acceptable identifier to use identify the client
A. Telephone number
B. Home address
C. Room number
D. Medical condition
Answer:
Telephone number
Question:
A nurse is assessing a client who was brought to the
emergency department with an ankle injury. Which of the
following manifestations should the nurse identify as
localized inflammation of the tissues.
A. 3+ palpable pedal pulses below the affected injury site.
B. Sanguineous drainage at site of injury
C. Full range of motion at the site of injury
D. Localized warmth at the site of injury
, Answer:
Localized warmth at the site of injury Rationale:
Manifestations of localized inflammation can include redness,
pain, warmth, and decreased function
Question:
A nurse is providing change-of-shift report to another nurse
for a client using the Introduction, Situation, Background,
Assessment and Recommendation (ISBARR) communication
tool. Which of the following information should the nurse
include as part of the situation component of this
communication tool?
A. Medical condition
B. Vital signs
C. List of medications
D. Treatment
Answer:
Medical condition Rationale: The nurse should include the
client's medical condition or diagnosis in the situation
component of the ISBARR communication tool. Other
findings that can be included in this component are the client's
age, chief complaint, and urgent needs.
Question:
A nurse is reviewing laboratory values for a client. Which of
the following findings indicates the presence of an infection?
A. Creatinine kinase 75units/L
B. WBC count 22,000/mm3
C. Platelet count 200,000mm3
D. Hgb 15 g/dL
Answer:
, WBC count 22,000/mm3 Rationale: The client's WBC count
is greater than the expected reference range of 5,000 to
10,000/mm3. An elevated WBC count is a manifestation of an
infection
Question:
A nurse is observing a newly licensed nurse perform hand
hygiene. Which of the following actions by the newly
licensed nurse indicates an understanding of the procedure?
A. Holds their hands below the elbows while rinsing off soap
B. Uses hot water to wash their hands
C. Turns off faucet with their hands
D. Washes their hands for 10 seconds
Answer:
Holds their hands below the elbows while rinsing off soap
Rationale: The nurse should keep their hands below the
elbows while rinsing off soap so water flows from the least
contaminated to the most contaminated area
Question:
A nurse sees smoke coming from the central supply room.
Which of the following actions should the nurse take first?
A. Close all the doors
B. Wrap clients in blankets
C. Stay close to the ground
D. Walk to a safe area
Answer:
Close all the doors. Rationale: The greatest risk to clients is
injury from smoke inhalation or burns; therefore, the first
action the nurse should take is to close all the doors to contain
the smoke or fire.
