NURS 120 proctored 180 QUESTIONS AND CORRECT
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 120 EXAM//GRADED A+
a nurse is delegating client care assignment for the shift. which of the following tasks should the
nurse delegate to an AP?
-perform wound irrigation for a client
-evaluate pain relief for a client following the administration of pain meds
-measure and record intake and output for a client
-teach a client about low-Na foods - ANSWER-measure and record intake and output for a client
a nurse is providing discharge teaching about clean intermittent self-catheterization a client who has
benign prostatic hyperplasia. which of the following instructions should the nurse include -
ANSWER-use soap and water to wash the catheter after each us
a nurse on the postpartum unit is caring for a group of clients with an AP. which of the following tasks
should the nurse plan to delegate to the AP?
a. Observe an area of redness on the breast of a client who is 1 day postpartum. b .
Change the perineal pad of a client who just transferred from labor and delivery.
c. Provide a sitz bath to a client who has a fourth degree laceration and is 2 days postpartum.
d. Monitor vital signs during admission of a client who has a gestational hypertension -
ANSWERprovide a sitz bath to a client who has a fourth-degree laceration and is 2 days
postpartum
a nurse is caring for a client who falls in his room. after the nurse assesses the client. notifies the
client's provider, and completes an incident report, which of the following actions should the nurse
take?
a. make a copy of the incident report for the provider
b.submit the incident report to the risk manager
c.place the incident report in the client's chart
d.document in the chart that incidence report has been filed - ANSWER-submit the incident report
to the risk manager
,a nurse is caring for a client who is scheduled for surgery. the nurse's role in regard to informed
consent is which of the following? - ANSWER-Determining the client's level of understanding
about the procedure
A nurse is preparing to insert an indwelling urinary catheter for a female patient. which of the
following instructions should the nurse give the client as the catheter is inserted - ANSWER-bear
down
A nurse is planning to perform nasotracheal suction for a client who has COPD and an artificial
airway. Which of the following actions should the nurse take? - ANSWER-preoxygenate client with
100% O2 for up to 3 mins
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which
of the following nursing approaches is appropriate when establishing a therapeutic relationship with
this client? - ANSWER-Adopt a neutral attitude when providing care
A nurse should teach which of the following clients requiring crutches about how to use a threepoint
gait? - ANSWER-A client who has a right femur fracture with no weight bearing on the affected leg
a nurse is assisting with the admission of a client who is about to have elective surgery. the client tells
the nurse she feels anxious. which of the following responses should the nurse make - ANSWER-
tell me more about your concerns
A nurse is providing postmortem care for an adult client. Which of the following actions should the
nurse take? (select all that apply)
a. Place client flat lying on bed
b. Determine whether client will have autopsy
c. Cover body with clean sheet and place arms outside of it
d. If client had significant trauma, discourage viewing by family/friends
e. Give client's personal belongings to family - ANSWER-b. Determine whether client will have
autopsy
c. Cover body with clean sheet and place arms outside of it
e. Give client's personal belongings to family
, a nurse is caring for a client and identifies an infiltration at the iv catheter site. identify the order the
nurse should perform the following actions - ANSWER--stop the infusion
-remove the IV catheter
-apply a sterile dressing
-elevate the extremity
-apply warm or cold compresses
a nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and
a new prescription for timolol eye and pilocarpine eye drops which of the following instructions
should the nurse provide? - ANSWER-administer the medications 5 mins apart
A registered nurse (RN) and an experience licensed practical nurse (LPN) are caring for a group of
clients. Which of the following tasks should the nurse delegate to the LPN? (SELECT ALL THAT APPLY)
- ANSWER-- Obtain vital signs from a client who is 6 hours post-operative
- Administer a tap-water enema to a client who is preoperative. This task is appropriate for an LPN.
- Catheterize a client who has not voided in 8 hours.
A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the
following actions should the nurse take? (Select all that apply.)
- Brace all side rails on the clients bed.
- Obtain a prescription to restrain the clients PRN.
- Check on the client hourly
- Instruct the client in the use of the call light
- Apply an ambulation alarm to the clients leg - ANSWER-- Check on the client hourly
- Instruct the client in the use of the call light
- Apply an ambulation alarm to the clients leg
a nurse is assessing a client who has a pressure ulcer. the nurse should recognize which of the
following findings is a manifestation of a stage 3 pressure ulcer - ANSWER-necrotic subcutaneous
tissue
A nurse in an urgent care center is caring for a client who fell and injured her ankle. the ankle appears
swollen and ecchymotic. while the client waits for the technician to take x-rays, which of the
following are appropriate nursing interventions? - ANSWER--apply ice to the ankle
ANSWERS 2025 LATEST UPDATE//ALL YOU NEED TO PASS
NURS 120 EXAM//GRADED A+
a nurse is delegating client care assignment for the shift. which of the following tasks should the
nurse delegate to an AP?
-perform wound irrigation for a client
-evaluate pain relief for a client following the administration of pain meds
-measure and record intake and output for a client
-teach a client about low-Na foods - ANSWER-measure and record intake and output for a client
a nurse is providing discharge teaching about clean intermittent self-catheterization a client who has
benign prostatic hyperplasia. which of the following instructions should the nurse include -
ANSWER-use soap and water to wash the catheter after each us
a nurse on the postpartum unit is caring for a group of clients with an AP. which of the following tasks
should the nurse plan to delegate to the AP?
a. Observe an area of redness on the breast of a client who is 1 day postpartum. b .
Change the perineal pad of a client who just transferred from labor and delivery.
c. Provide a sitz bath to a client who has a fourth degree laceration and is 2 days postpartum.
d. Monitor vital signs during admission of a client who has a gestational hypertension -
ANSWERprovide a sitz bath to a client who has a fourth-degree laceration and is 2 days
postpartum
a nurse is caring for a client who falls in his room. after the nurse assesses the client. notifies the
client's provider, and completes an incident report, which of the following actions should the nurse
take?
a. make a copy of the incident report for the provider
b.submit the incident report to the risk manager
c.place the incident report in the client's chart
d.document in the chart that incidence report has been filed - ANSWER-submit the incident report
to the risk manager
,a nurse is caring for a client who is scheduled for surgery. the nurse's role in regard to informed
consent is which of the following? - ANSWER-Determining the client's level of understanding
about the procedure
A nurse is preparing to insert an indwelling urinary catheter for a female patient. which of the
following instructions should the nurse give the client as the catheter is inserted - ANSWER-bear
down
A nurse is planning to perform nasotracheal suction for a client who has COPD and an artificial
airway. Which of the following actions should the nurse take? - ANSWER-preoxygenate client with
100% O2 for up to 3 mins
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which
of the following nursing approaches is appropriate when establishing a therapeutic relationship with
this client? - ANSWER-Adopt a neutral attitude when providing care
A nurse should teach which of the following clients requiring crutches about how to use a threepoint
gait? - ANSWER-A client who has a right femur fracture with no weight bearing on the affected leg
a nurse is assisting with the admission of a client who is about to have elective surgery. the client tells
the nurse she feels anxious. which of the following responses should the nurse make - ANSWER-
tell me more about your concerns
A nurse is providing postmortem care for an adult client. Which of the following actions should the
nurse take? (select all that apply)
a. Place client flat lying on bed
b. Determine whether client will have autopsy
c. Cover body with clean sheet and place arms outside of it
d. If client had significant trauma, discourage viewing by family/friends
e. Give client's personal belongings to family - ANSWER-b. Determine whether client will have
autopsy
c. Cover body with clean sheet and place arms outside of it
e. Give client's personal belongings to family
, a nurse is caring for a client and identifies an infiltration at the iv catheter site. identify the order the
nurse should perform the following actions - ANSWER--stop the infusion
-remove the IV catheter
-apply a sterile dressing
-elevate the extremity
-apply warm or cold compresses
a nurse at an ophthalmology clinic is providing teaching to a client who has open angle glaucoma and
a new prescription for timolol eye and pilocarpine eye drops which of the following instructions
should the nurse provide? - ANSWER-administer the medications 5 mins apart
A registered nurse (RN) and an experience licensed practical nurse (LPN) are caring for a group of
clients. Which of the following tasks should the nurse delegate to the LPN? (SELECT ALL THAT APPLY)
- ANSWER-- Obtain vital signs from a client who is 6 hours post-operative
- Administer a tap-water enema to a client who is preoperative. This task is appropriate for an LPN.
- Catheterize a client who has not voided in 8 hours.
A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the
following actions should the nurse take? (Select all that apply.)
- Brace all side rails on the clients bed.
- Obtain a prescription to restrain the clients PRN.
- Check on the client hourly
- Instruct the client in the use of the call light
- Apply an ambulation alarm to the clients leg - ANSWER-- Check on the client hourly
- Instruct the client in the use of the call light
- Apply an ambulation alarm to the clients leg
a nurse is assessing a client who has a pressure ulcer. the nurse should recognize which of the
following findings is a manifestation of a stage 3 pressure ulcer - ANSWER-necrotic subcutaneous
tissue
A nurse in an urgent care center is caring for a client who fell and injured her ankle. the ankle appears
swollen and ecchymotic. while the client waits for the technician to take x-rays, which of the
following are appropriate nursing interventions? - ANSWER--apply ice to the ankle
