NUR 104 Practice Test Assessment Questions with Correct Answers
(Grade A+)
Question 1: The daughter of an older woman who became depressed following the death of her
husband asks, "My mother was always well adjusted until my father died. Will she tend to be sick from
now on?"Which response is best for the nurse to provide?
Answer: "It's highly likely that she will recover and return to her pre-illness state."
Question 2: The home health, nurse visits and elderly, female client who had a stroke three months ago,
and is now able to ambulate with assistance of a quad cane. Which assessment finding has the greatest
implications for the clients care?
Answer: The nurse notes that there are numerous scatter rugs throughout the house.
Question 3: What intervention should the nurse include in the plan of care for the client who is being
treated with an Unna's paste boot for leg ulcers due to chronic venous insufficiency?
Answer: Check, capillary refill of tools on lower extremity with Unna's paste boot
Question 4: What client statement indicates to the nurse that the client requires assistance with
bathing?
Answer: "I don't understand why I'm so weak and tired."
Question 5: A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass
down her legacy of knowledge and skills to the younger generation. According to Erikson, she is
involved in what developmental stage?
Answer: Generativity.
Question 6: Which statement best describes, durable, power of attorney for healthcare?
Answer: The client sign the document that designates another person to make legally binding healthcare
decisions if the client is unable to do so
Question 7: Which statement is an example of a correctly written nursing diagnosis statement?
Answer: Ineffective coping related to response to positive biopsy test results
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, Question 8: A client who has been on bed rest for several days now has a prescription to progress
activity as tolerated. When the nurse assist the client out of bed for the first time, the client becomes
dizzy. What action should the nurse implement?
Answer: Advise the client to sit on the side of the bed for a few minutes before standing again
Question 9: A client is admitted with a stage four pressure ulcer that has a black, hardened surface with
a light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse to use
first?
Answer: Wet to moist dressing
Question 10: The charge nurse observes an unlicensed assistive personnel (UAP), bending at the ways
to live a 20 pound box of medical supplies of the treatment room floor. What instruction should the
charge nurse provide the UAP?
Answer: Bend at the knees when lifting heavy objects
Question 11: A female client who has breast cancer with metastasis to the liver and spine is admitted
with constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Answer: Sensory pattern, area, intensity, and nature of the pain.
Question 12: A male client arrives at the outpatient surgery center for a scheduled needle aspiration of
the knee. He tells the nurse that he has already given verbal consent for the procedure to the healthcare
provider. What action should the nurse implement?
Answer: Witness the client's signature on the consent form.
Question 13: A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
Answer: Ask the client about numbness or tingling in the hands.
Question 14: The nurse is preparing a male client who has an indwelling catheter and an IV infusion to
ambulate from the bed to the chair for the first time following abdominal surgery. What action should
the nurse implement prior to assist in the client to the chair? (Select all that apply.)
Answer: Pre-medicate the client with an analgesic Inform the client of the plan for moving to the chair Ask
the client to push the IV pole to the chair Assess the clients blood pressure
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(Grade A+)
Question 1: The daughter of an older woman who became depressed following the death of her
husband asks, "My mother was always well adjusted until my father died. Will she tend to be sick from
now on?"Which response is best for the nurse to provide?
Answer: "It's highly likely that she will recover and return to her pre-illness state."
Question 2: The home health, nurse visits and elderly, female client who had a stroke three months ago,
and is now able to ambulate with assistance of a quad cane. Which assessment finding has the greatest
implications for the clients care?
Answer: The nurse notes that there are numerous scatter rugs throughout the house.
Question 3: What intervention should the nurse include in the plan of care for the client who is being
treated with an Unna's paste boot for leg ulcers due to chronic venous insufficiency?
Answer: Check, capillary refill of tools on lower extremity with Unna's paste boot
Question 4: What client statement indicates to the nurse that the client requires assistance with
bathing?
Answer: "I don't understand why I'm so weak and tired."
Question 5: A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass
down her legacy of knowledge and skills to the younger generation. According to Erikson, she is
involved in what developmental stage?
Answer: Generativity.
Question 6: Which statement best describes, durable, power of attorney for healthcare?
Answer: The client sign the document that designates another person to make legally binding healthcare
decisions if the client is unable to do so
Question 7: Which statement is an example of a correctly written nursing diagnosis statement?
Answer: Ineffective coping related to response to positive biopsy test results
Page 1
, Question 8: A client who has been on bed rest for several days now has a prescription to progress
activity as tolerated. When the nurse assist the client out of bed for the first time, the client becomes
dizzy. What action should the nurse implement?
Answer: Advise the client to sit on the side of the bed for a few minutes before standing again
Question 9: A client is admitted with a stage four pressure ulcer that has a black, hardened surface with
a light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse to use
first?
Answer: Wet to moist dressing
Question 10: The charge nurse observes an unlicensed assistive personnel (UAP), bending at the ways
to live a 20 pound box of medical supplies of the treatment room floor. What instruction should the
charge nurse provide the UAP?
Answer: Bend at the knees when lifting heavy objects
Question 11: A female client who has breast cancer with metastasis to the liver and spine is admitted
with constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain?
Answer: Sensory pattern, area, intensity, and nature of the pain.
Question 12: A male client arrives at the outpatient surgery center for a scheduled needle aspiration of
the knee. He tells the nurse that he has already given verbal consent for the procedure to the healthcare
provider. What action should the nurse implement?
Answer: Witness the client's signature on the consent form.
Question 13: A client is demonstrating a positive Chvostek's sign. What action should the nurse take?
Answer: Ask the client about numbness or tingling in the hands.
Question 14: The nurse is preparing a male client who has an indwelling catheter and an IV infusion to
ambulate from the bed to the chair for the first time following abdominal surgery. What action should
the nurse implement prior to assist in the client to the chair? (Select all that apply.)
Answer: Pre-medicate the client with an analgesic Inform the client of the plan for moving to the chair Ask
the client to push the IV pole to the chair Assess the clients blood pressure
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