NURSING 101 FINAL EXAM UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS VERIFIED 2027 EDITION
1. Normal HR per minute.
60-100
2. Normal temperature in Fahrenheit.
96.8-99.5
3. Normal respirations per minute.
12-20
4. Normal BP.
120/80
5. 5th vital sign.
Pain
6. Vital signs that should be checked prior to giving digoxin.
Apical pulse
7. For Roman Catholic's, what is important during severe illness or possible pending death?
Sacrament of the Sick
8. Type of sleep accounting for 75-80% of sleep during the night.
NREM
9. Normal emotional reaction to a loss.
Grieving
10. Standard of care a nursing student is held to.
Same as RN
11. Catholic's take part in this, and an infant born with a life threatening condition gets this as soon
as possible.
Baptism
12. Type of breath sounds heard in the periphery of the lungs.
Vesicular
13. Two long term oxygenation issues that can be observed on inspection of the client.
Clubbing of nails, barrel chest
14. Position in which a client experiencing respiratory distress should be placed.
Orthopneic
15. Most important infection control measure.
Handwashing
16. NANDA diagnosis in which inspiration and/or expiration does not provide adequate ventilation.
Ineffective Breathing Pattern
1
, 17. NANDA diagnosis with the inability to clear secretions or obstructions from the respiratory tract
to maintain a clear airway.
Ineffective Airway Clearance
18. NANDA diagnosis with an excess or deficit in oxygenation and/or CO2 elimination at the
alveolar-capillary membrane.
Ineffective Gas Exchange
19. Decreased intravascular, interstitial, and/or intracellular fluid. This refers to dehydration, water
loss alone w/o change in Na level.
FVD
20. increased isotonic fluid retention.
FVE
21. Maslow's Hierarchy of Needs.
Physiological, Safety/Security, Love/Belonging, Self-esteem needs, Self actualization
22. Which stage of pressure ulcer has non-blanchable redness?
Stage 1
23. Which stage of pressure ulcer is a broken blister?
Stage 2
24. Which stage of pressure ulcer is a small crater and has no tunneling? Down to subQ fat.
Stage 3
25. Which stage of pressure ulcer is a crater deep to muscle and bone?
Stage 4
26. Which stages of pressure ulcer require debridement?
3 and 4
27. Infection causes HR to do what, Temp to do what, and WBC to do what? (increase/decrease)
increase, increase, increase
28. Kubler-Ross's stages of death and dying.
Anger, depression, denial, bargaining, acceptance
29. REEDA
Redness, Edema, Ecchymosis, Discharge, Approximation
30. Type of discharge from a wound that consists of blood.
Sanguinous
31. Type of discharge from a wound that consists of clear and blood.
Serosanguinous
32. Type of discharge from a wound that consists of pus and blood.
Purosanguinous
33. Type of discharge from a wound that consists of watery, clear portion of blood.
Serous
2
ANSWERS VERIFIED 2027 EDITION
1. Normal HR per minute.
60-100
2. Normal temperature in Fahrenheit.
96.8-99.5
3. Normal respirations per minute.
12-20
4. Normal BP.
120/80
5. 5th vital sign.
Pain
6. Vital signs that should be checked prior to giving digoxin.
Apical pulse
7. For Roman Catholic's, what is important during severe illness or possible pending death?
Sacrament of the Sick
8. Type of sleep accounting for 75-80% of sleep during the night.
NREM
9. Normal emotional reaction to a loss.
Grieving
10. Standard of care a nursing student is held to.
Same as RN
11. Catholic's take part in this, and an infant born with a life threatening condition gets this as soon
as possible.
Baptism
12. Type of breath sounds heard in the periphery of the lungs.
Vesicular
13. Two long term oxygenation issues that can be observed on inspection of the client.
Clubbing of nails, barrel chest
14. Position in which a client experiencing respiratory distress should be placed.
Orthopneic
15. Most important infection control measure.
Handwashing
16. NANDA diagnosis in which inspiration and/or expiration does not provide adequate ventilation.
Ineffective Breathing Pattern
1
, 17. NANDA diagnosis with the inability to clear secretions or obstructions from the respiratory tract
to maintain a clear airway.
Ineffective Airway Clearance
18. NANDA diagnosis with an excess or deficit in oxygenation and/or CO2 elimination at the
alveolar-capillary membrane.
Ineffective Gas Exchange
19. Decreased intravascular, interstitial, and/or intracellular fluid. This refers to dehydration, water
loss alone w/o change in Na level.
FVD
20. increased isotonic fluid retention.
FVE
21. Maslow's Hierarchy of Needs.
Physiological, Safety/Security, Love/Belonging, Self-esteem needs, Self actualization
22. Which stage of pressure ulcer has non-blanchable redness?
Stage 1
23. Which stage of pressure ulcer is a broken blister?
Stage 2
24. Which stage of pressure ulcer is a small crater and has no tunneling? Down to subQ fat.
Stage 3
25. Which stage of pressure ulcer is a crater deep to muscle and bone?
Stage 4
26. Which stages of pressure ulcer require debridement?
3 and 4
27. Infection causes HR to do what, Temp to do what, and WBC to do what? (increase/decrease)
increase, increase, increase
28. Kubler-Ross's stages of death and dying.
Anger, depression, denial, bargaining, acceptance
29. REEDA
Redness, Edema, Ecchymosis, Discharge, Approximation
30. Type of discharge from a wound that consists of blood.
Sanguinous
31. Type of discharge from a wound that consists of clear and blood.
Serosanguinous
32. Type of discharge from a wound that consists of pus and blood.
Purosanguinous
33. Type of discharge from a wound that consists of watery, clear portion of blood.
Serous
2
