NSG 100 practice test with 100% Verified Answers
1. A nurse is assisting with transferring a client from bed to wheelchair. Which
of the following actions should the nurse take?
A. place the wheelchair at a 90 degree angle
B. lock the wheels of the bed and wheelchair
C. acquire the help of several people to lift the client
D. elevate the bed toa. position of comfort for the nurse: B.
The nurse should keep the wheels of the bed and wheelchair locked to prevent them
from moving when transferring client
2. A home health nurse is assessing an older adult client who reports falling
a couple of times over the past week. Which of the following findings should
the nurse suspect is contributing to the client's falls?
A. the client takes alprazolam
B. the client has a non-slip bath mat in his shower
C. the client uses a raised toilet seat
D. the client wears fitted slippers: A.
Alprazolam is a CNS depressant that can cause dizziness and orthostatic hypoten-
sion, which can cause the client to lose his balance and fall
3. A nurse has been reassigned from her regular area of work to a unit that is
short staffed. Which of the following actions should the nurse take first?
A. ask what she will be assigned to do
B. determine if she has the skills to complete the assignment
C. identify her options
D. notify the nurse manager about her concerns for client safety: A.
Before accepting the assignment, the nurse should clarify the complexity of the
assignment, such as how many clients she will be assigned to care for, what skills
are needed, and what resources are available to her.
4. A nurse is caring for an older adult client who states, "I am afraid that I may
fall while walking to the bathroom during the night." Which of the following
actions should the nurse take?
A. limit the client's fluid intake in the evening
B. obtain a bedside commode for the client's use
C. leave a nightlight on in the client's room
D. put the side rails up and tell the client to call the nurse before voiding: C.
This is an appropriate action for keeping the client safe. Night vision may be impaired
in older adult clients. If the client awakens in the night, a nightlight may help the client
to recognize the surroundings, decreasing the likelihood of disorientation. It will also
help to decrease the possibility of a fall on the way to the bathroom because the path
will be illuminated and the client will be less likely to trip over objects in the room.
, NSG 100 practice test with 100% Verified Answers
5. A home health nurse is conducting a home safety assessment for an older
adult client. Which of the following findings should the nurse identify as a
safety risk for the client? (Select all that apply)
A. bathtub with rails
B. Electric cords behind the furniture
C. raised toilet seats
D. water heater temperature 130F
E. throw rugs: D & E.
Bathtub with rails is incorrect. Rails and grab bars promote safety at home, especially
in bathrooms, where floors and other surfaces are often slippery.
Electric cords behind the furniture is incorrect. The nurse should make sure all
electrical cords are secure against the walls or baseboards or under or behind
furniture so that the client does not trip over them.
Raised toilet seats is incorrect. Raised toilets seats make it easier for older adults
to sit down on and get up from the toilet.
Water heater temperature 54.4°C (130° F) is correct. The nurse should recommend
setting the water heater's temperature no higher than 49°C (120° F).
Throw rugs is correct. The nurse should recommend removing or securing any rugs
or mats that could move and cause the client to slip, slide, or trip.
6. A nurse is prioritizing client care after receiving change-of-shift report.
Which of the following clients should the nurse plan to see first?
A. A client who is scheduled for an abdominal x-ray and is awaiting transport
B. a client who has a prescription for discharge
C. a client who received oral pain medication 30 mins ago
D. a client who told AP he is SOB: D.
A client who has shortness of breath is unstable; therefore, this is the client the nurse
should plan to see first.
7. A nurse is caring for a client following a total laryngectomy. Which of the
following is a priority observation in the client's care?
A. patency of the IV line
B. level of pain
C. integrity of the dressing
D. need for suctioning: D.
Using the airway, breathing, circulation (ABC) priority-setting framework, confirming
1. A nurse is assisting with transferring a client from bed to wheelchair. Which
of the following actions should the nurse take?
A. place the wheelchair at a 90 degree angle
B. lock the wheels of the bed and wheelchair
C. acquire the help of several people to lift the client
D. elevate the bed toa. position of comfort for the nurse: B.
The nurse should keep the wheels of the bed and wheelchair locked to prevent them
from moving when transferring client
2. A home health nurse is assessing an older adult client who reports falling
a couple of times over the past week. Which of the following findings should
the nurse suspect is contributing to the client's falls?
A. the client takes alprazolam
B. the client has a non-slip bath mat in his shower
C. the client uses a raised toilet seat
D. the client wears fitted slippers: A.
Alprazolam is a CNS depressant that can cause dizziness and orthostatic hypoten-
sion, which can cause the client to lose his balance and fall
3. A nurse has been reassigned from her regular area of work to a unit that is
short staffed. Which of the following actions should the nurse take first?
A. ask what she will be assigned to do
B. determine if she has the skills to complete the assignment
C. identify her options
D. notify the nurse manager about her concerns for client safety: A.
Before accepting the assignment, the nurse should clarify the complexity of the
assignment, such as how many clients she will be assigned to care for, what skills
are needed, and what resources are available to her.
4. A nurse is caring for an older adult client who states, "I am afraid that I may
fall while walking to the bathroom during the night." Which of the following
actions should the nurse take?
A. limit the client's fluid intake in the evening
B. obtain a bedside commode for the client's use
C. leave a nightlight on in the client's room
D. put the side rails up and tell the client to call the nurse before voiding: C.
This is an appropriate action for keeping the client safe. Night vision may be impaired
in older adult clients. If the client awakens in the night, a nightlight may help the client
to recognize the surroundings, decreasing the likelihood of disorientation. It will also
help to decrease the possibility of a fall on the way to the bathroom because the path
will be illuminated and the client will be less likely to trip over objects in the room.
, NSG 100 practice test with 100% Verified Answers
5. A home health nurse is conducting a home safety assessment for an older
adult client. Which of the following findings should the nurse identify as a
safety risk for the client? (Select all that apply)
A. bathtub with rails
B. Electric cords behind the furniture
C. raised toilet seats
D. water heater temperature 130F
E. throw rugs: D & E.
Bathtub with rails is incorrect. Rails and grab bars promote safety at home, especially
in bathrooms, where floors and other surfaces are often slippery.
Electric cords behind the furniture is incorrect. The nurse should make sure all
electrical cords are secure against the walls or baseboards or under or behind
furniture so that the client does not trip over them.
Raised toilet seats is incorrect. Raised toilets seats make it easier for older adults
to sit down on and get up from the toilet.
Water heater temperature 54.4°C (130° F) is correct. The nurse should recommend
setting the water heater's temperature no higher than 49°C (120° F).
Throw rugs is correct. The nurse should recommend removing or securing any rugs
or mats that could move and cause the client to slip, slide, or trip.
6. A nurse is prioritizing client care after receiving change-of-shift report.
Which of the following clients should the nurse plan to see first?
A. A client who is scheduled for an abdominal x-ray and is awaiting transport
B. a client who has a prescription for discharge
C. a client who received oral pain medication 30 mins ago
D. a client who told AP he is SOB: D.
A client who has shortness of breath is unstable; therefore, this is the client the nurse
should plan to see first.
7. A nurse is caring for a client following a total laryngectomy. Which of the
following is a priority observation in the client's care?
A. patency of the IV line
B. level of pain
C. integrity of the dressing
D. need for suctioning: D.
Using the airway, breathing, circulation (ABC) priority-setting framework, confirming
