NUR 101 Exam 2
A nurse needs to enter into the computer
the time the client took medication. How-
ever, the time is written in the military for-
mat, and the computer accepts only the
traditional format. How should the nurse
enter the time in the computer if the client D. 03:30 p.m.
took medication at 1530 hours?
A. 03:00 p.m.
B. 05:30 a.m.
C. 03:30 a.m.
D. 03:30 p.m.
A client newly diagnosed with type 2 dia-
betes is admitted to the metabolic unit for
treatment initiation and education. Which
information should the nurse reinforce to
this client as a goal for treatment?
A. maintenance of blood glucose levels
D. exercise and a weight-reduction diet
between 180 and 200 mg/dL
B. smoking reduction but not complete
cessation
C. an eye examination every 2 years,
until age 50
D. exercise and a weight-reduction diet
The unlicensed assistive personnel tells
the nurse that it is unreasonable to ex-
pect a response to all call lights within 10
minutes. Which statement by the nurse
best illustrates appropriate assertive be-
havior by a supervisor?
A. "I will have to report to the supervisor D. "Let's discuss how we can meet our
if you can't do it." clients' needs."
B. "All clients have a right to compassion-
ate and timely care."
C. "I will take care of any client needs that
you can't provide."
D. "Let's discuss how we can meet our
clients' needs."
, NUR 101 Exam 2
A client undergoing a brain computed
tomography (CT) scan because of con-
tinual migraine headaches is placed in
the CT scanner and suddenly reports
having palpitations, shortness of breath
and shaking. What is the client most like- C. Panic attack
ly experiencing?
A. Allergic reaction
B. Myocardial infarction (MI)
C. Panic attack
D. Hypoglycemic episode
The nurse obtains laboratory results on
assigned clients during morning report.
Which results needs to be immediately
reported to the health care provider?
D. potassium level 6.2 mg/dL
A. hemoglobin 13.6 mg/dL
B. creatinine level 0.6 mg/dL
C. glucose level 98 mg/dL
D. potassium level 6.2 mg/dL
A licensed practical nurse (LPN) who
usually works on a medical-surgical unit
is told to report to the cardiac care unit
(CCU) for the day because the CCU
is short-staffed. The nurse has never
worked in a CCU. Which action by the
nurse would be most appropriate?
A. Call the hospital risk manager to re- B. Identify the tasks that the nurse feels
port the request as a violation. he or she can safely perform on arriving
B. Identify the tasks that the nurse feels at the CCU.
he or she can safely perform on arriving
at the CCU.
C. Speak to the nursing supervisor about
the request for the nurse to go to the
CCU.
D. Refuse to go to the CCU due to lack
of experience.
A client is admitted with acute chest pain.
When obtaining the health history, which
, NUR 101 Exam 2
question would be most helpful for the
nurse to ask?
A. "Do you need anything now?"
B. "Why do you think you had a heart
C. "How would you rate your pain on a
attack?"
scale of one to ten, with ten being the
C. "How would you rate your pain on a
worst pain imaginable?"
scale of one to ten, with ten being the
worst pain imaginable?"
D. "Has anyone in your family been sick
lately?"
A nurse on a labor and birth unit goes
to the cafeteria for lunch with colleagues.
One colleague begins talking about a
newer staff member and says, "I heard
that she does not have any labor and
birth nursing experience." Which is the
nurse's most appropriate action?
A. Discuss the colleague's behavior in
A. Discuss the colleague's behavior in
private.
private.
B. Confront the colleague immediately to
prevent causing additional harm.
C. Ignore the comment because it is not
considered harmful.
D. Ask how the colleague knows this in-
formation.
The licensed practical nurse (LPN) pre-
pares a client's regularly scheduled pre-
scribed medications. The client refuses
to take them. Which action should the
LPN take?
A. Explain to the client about the need for C. Document in the client's medication
the medications because the health care administration record that the medica-
provider prescribed them. tions were refused
B. Tell the client that refusing to take the
medications will worsen the current con-
dition.
C. Document in the client's medication
administration record that the medica-
, NUR 101 Exam 2
tions were refused.
D. Explain to the client's family that the
client refused to take the medications.
A client is having trouble sleeping. Which
nursing intervention should the nurse
suggest to the client?
A. "Take a warm bath in the early morn-
ing, just after rising."
B. "Maintain the same schedule for wak-
B. "Maintain the same schedule for wak-
ing and sleeping."
ing and sleeping."
C. "Exercise after dinner each night to
bring on fatigue."
D. "Take frequent naps, especially in the
afternoon."
A nurse in a physician's office has not-
ed on several occasions that one of the
physicians frequently obtains controlled
drug prescription forms for prescription
writing. The physician reports that their
spouse has chronic back pain and re-
quires pain medication. One day the
nurse enters the physician's office and
sees the physician take a pill out of a bot-
tle, and mentions the physician suffers
from migraines and it really helps when A. unprofessional, incompetent, unethi-
the physician takes the spouse's pain cal, or illegal physician practice
medication. What type of nurse-physi-
cian ethical situation is illustrated in this
scenario?
A. unprofessional, incompetent, unethi-
cal, or illegal physician practice
B. disagreements about the proposed
medical regimen
C. conflicts regarding the scope of the
nurse's role
D. claims of loyalty
A nurse is caring for a 7-year-old
child with Down syndrome. What action
A nurse needs to enter into the computer
the time the client took medication. How-
ever, the time is written in the military for-
mat, and the computer accepts only the
traditional format. How should the nurse
enter the time in the computer if the client D. 03:30 p.m.
took medication at 1530 hours?
A. 03:00 p.m.
B. 05:30 a.m.
C. 03:30 a.m.
D. 03:30 p.m.
A client newly diagnosed with type 2 dia-
betes is admitted to the metabolic unit for
treatment initiation and education. Which
information should the nurse reinforce to
this client as a goal for treatment?
A. maintenance of blood glucose levels
D. exercise and a weight-reduction diet
between 180 and 200 mg/dL
B. smoking reduction but not complete
cessation
C. an eye examination every 2 years,
until age 50
D. exercise and a weight-reduction diet
The unlicensed assistive personnel tells
the nurse that it is unreasonable to ex-
pect a response to all call lights within 10
minutes. Which statement by the nurse
best illustrates appropriate assertive be-
havior by a supervisor?
A. "I will have to report to the supervisor D. "Let's discuss how we can meet our
if you can't do it." clients' needs."
B. "All clients have a right to compassion-
ate and timely care."
C. "I will take care of any client needs that
you can't provide."
D. "Let's discuss how we can meet our
clients' needs."
, NUR 101 Exam 2
A client undergoing a brain computed
tomography (CT) scan because of con-
tinual migraine headaches is placed in
the CT scanner and suddenly reports
having palpitations, shortness of breath
and shaking. What is the client most like- C. Panic attack
ly experiencing?
A. Allergic reaction
B. Myocardial infarction (MI)
C. Panic attack
D. Hypoglycemic episode
The nurse obtains laboratory results on
assigned clients during morning report.
Which results needs to be immediately
reported to the health care provider?
D. potassium level 6.2 mg/dL
A. hemoglobin 13.6 mg/dL
B. creatinine level 0.6 mg/dL
C. glucose level 98 mg/dL
D. potassium level 6.2 mg/dL
A licensed practical nurse (LPN) who
usually works on a medical-surgical unit
is told to report to the cardiac care unit
(CCU) for the day because the CCU
is short-staffed. The nurse has never
worked in a CCU. Which action by the
nurse would be most appropriate?
A. Call the hospital risk manager to re- B. Identify the tasks that the nurse feels
port the request as a violation. he or she can safely perform on arriving
B. Identify the tasks that the nurse feels at the CCU.
he or she can safely perform on arriving
at the CCU.
C. Speak to the nursing supervisor about
the request for the nurse to go to the
CCU.
D. Refuse to go to the CCU due to lack
of experience.
A client is admitted with acute chest pain.
When obtaining the health history, which
, NUR 101 Exam 2
question would be most helpful for the
nurse to ask?
A. "Do you need anything now?"
B. "Why do you think you had a heart
C. "How would you rate your pain on a
attack?"
scale of one to ten, with ten being the
C. "How would you rate your pain on a
worst pain imaginable?"
scale of one to ten, with ten being the
worst pain imaginable?"
D. "Has anyone in your family been sick
lately?"
A nurse on a labor and birth unit goes
to the cafeteria for lunch with colleagues.
One colleague begins talking about a
newer staff member and says, "I heard
that she does not have any labor and
birth nursing experience." Which is the
nurse's most appropriate action?
A. Discuss the colleague's behavior in
A. Discuss the colleague's behavior in
private.
private.
B. Confront the colleague immediately to
prevent causing additional harm.
C. Ignore the comment because it is not
considered harmful.
D. Ask how the colleague knows this in-
formation.
The licensed practical nurse (LPN) pre-
pares a client's regularly scheduled pre-
scribed medications. The client refuses
to take them. Which action should the
LPN take?
A. Explain to the client about the need for C. Document in the client's medication
the medications because the health care administration record that the medica-
provider prescribed them. tions were refused
B. Tell the client that refusing to take the
medications will worsen the current con-
dition.
C. Document in the client's medication
administration record that the medica-
, NUR 101 Exam 2
tions were refused.
D. Explain to the client's family that the
client refused to take the medications.
A client is having trouble sleeping. Which
nursing intervention should the nurse
suggest to the client?
A. "Take a warm bath in the early morn-
ing, just after rising."
B. "Maintain the same schedule for wak-
B. "Maintain the same schedule for wak-
ing and sleeping."
ing and sleeping."
C. "Exercise after dinner each night to
bring on fatigue."
D. "Take frequent naps, especially in the
afternoon."
A nurse in a physician's office has not-
ed on several occasions that one of the
physicians frequently obtains controlled
drug prescription forms for prescription
writing. The physician reports that their
spouse has chronic back pain and re-
quires pain medication. One day the
nurse enters the physician's office and
sees the physician take a pill out of a bot-
tle, and mentions the physician suffers
from migraines and it really helps when A. unprofessional, incompetent, unethi-
the physician takes the spouse's pain cal, or illegal physician practice
medication. What type of nurse-physi-
cian ethical situation is illustrated in this
scenario?
A. unprofessional, incompetent, unethi-
cal, or illegal physician practice
B. disagreements about the proposed
medical regimen
C. conflicts regarding the scope of the
nurse's role
D. claims of loyalty
A nurse is caring for a 7-year-old
child with Down syndrome. What action
