1|Page
NS 660 EXAM 1 NEWEST 2025 ACTUAL EXAM| NS 660
EXAM 1 REVIEW| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VBERIFIED
ANSWERS) ALREADY GRADED A+|| NEW!!
During a routine physical examination of a 70-year-old patient, a
blowing sound is auscultated over the carotid artery. The nurse notifies
the medical provider of the unexpected physical finding known as:
Clubbing
Bruit
Murmur
Phlebitis - Correct Answer - Bruit
A nurse is caring for a patient with left sided hemiparesis who has
developed bronchitis and has a heart rate of 105, blood pressure of
156/90, and a respiration rate of 30. Which nursing diagnosis is the
priority for this patient?
Impaired gas exchange
Risk for infection
Activity intolerance
Risk for skin breakdown - Correct Answer - Impaired gas exchange
The patient requires temperatures to be taken every two hours. Which of
the following cannot be delegated to nursing assistive personnel?
Selecting appropriate route and device
pg. 1
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Assessing changes in body temperature
Obtaining temperature measurement at ordered frequency
Being aware of usual values for the patient - Correct Answer - Assessing
changes in body temperature
When the nurse cleanses the client's leg during a bed bath, it will allow
for:
Promotion of social interaction
Increased circulation
Decreased restless leg syndrome
Assessment of pain - Correct Answer - Increased circulation
A student has been assigned to provide morning care to a patient. The
plan of care includes information that the patient requires partial care.
What will the student do?
Provide supplies and assist with hard-to-reach areas.
Provide supplies and orient the client to the bathroom.
Provide total physical hygiene, including perineal care.
Provide total physical hygiene, excluding hair care. - Correct Answer -
Provide supplies and assist with hard-to-reach areas.
The nurse needs to collect a stool specimen for culture from a patient.
The patient passed stool into the toilet instead of using the collection
container. What is the next step for the nurse?
Administer a laxative to the patient to collect new sample.
pg. 2
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Inform the patient that the order for the culture will now be cancelled.
Collect stool and send to laboratory for culture per regular protocol.
Reinstruct the patient on the procedure to collect a stool specimen. -
Correct Answer - Reinstruct the patient on the procedure to collect a
stool specimen.
A nurse is caring for a female patient with diarrhea. What information
does the nurse teach the patient about perineal care and self-care?
Wear gloves while performing perineal self-care.
Clean the perineal area from the front to back.
Insert any suppository medication prior to cleaning the perineal area.
Bathe the perineal area with a mild soap and very hot water. - Correct
Answer - Clean the perineal area from front to back.
A nurse is taking care of an older adult patient who demonstrates good
mobility but is unable to stand for long periods of time secondary to
muscle weakness. What action will the nurse use to facilitate the
patient's self-care and safety?
Assist the patient in taking a stand-up shower
Give the patient a towel or bag bath
Give the patient a bed bath
Obtain a shower chair so the patient can take a sit-down shower -
Correct Answer - Obtain a shower chair so the patient can take a sit-
down shower.
pg. 3
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An older adult patient has constant dribbling of urine. The associated
discomfort, odor, and embarrassment may support which nursing
diagnosis?
Social isolation
Impaired memory
Defensive coping
Impaired adjustment - Correct Answer - Social isolation
The nurse is caring for a patient with shortness of breath who is
receiving oxygen at 4 L/minute. Which assessment finding will
demonstrate that oxygen therapy is effective?
Oxygen saturation 97%
Heart rate 110 beat/minute
Respirations 26 breaths/minute
Clubbing of fingers - Correct Answer - Oxygen saturation 97%
The nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD) who expresses concerns about the ability to breathe
easier. The nurse will suggest which position to help alleviate the
patient's dyspnea?
Side-lying with head slightly elevated
Supine with one pillow
High Fowler's position
Lying with head slightly lowered - Correct Answer - High Fowler's
position
pg. 4
NS 660 EXAM 1 NEWEST 2025 ACTUAL EXAM| NS 660
EXAM 1 REVIEW| COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VBERIFIED
ANSWERS) ALREADY GRADED A+|| NEW!!
During a routine physical examination of a 70-year-old patient, a
blowing sound is auscultated over the carotid artery. The nurse notifies
the medical provider of the unexpected physical finding known as:
Clubbing
Bruit
Murmur
Phlebitis - Correct Answer - Bruit
A nurse is caring for a patient with left sided hemiparesis who has
developed bronchitis and has a heart rate of 105, blood pressure of
156/90, and a respiration rate of 30. Which nursing diagnosis is the
priority for this patient?
Impaired gas exchange
Risk for infection
Activity intolerance
Risk for skin breakdown - Correct Answer - Impaired gas exchange
The patient requires temperatures to be taken every two hours. Which of
the following cannot be delegated to nursing assistive personnel?
Selecting appropriate route and device
pg. 1
,2|Page
Assessing changes in body temperature
Obtaining temperature measurement at ordered frequency
Being aware of usual values for the patient - Correct Answer - Assessing
changes in body temperature
When the nurse cleanses the client's leg during a bed bath, it will allow
for:
Promotion of social interaction
Increased circulation
Decreased restless leg syndrome
Assessment of pain - Correct Answer - Increased circulation
A student has been assigned to provide morning care to a patient. The
plan of care includes information that the patient requires partial care.
What will the student do?
Provide supplies and assist with hard-to-reach areas.
Provide supplies and orient the client to the bathroom.
Provide total physical hygiene, including perineal care.
Provide total physical hygiene, excluding hair care. - Correct Answer -
Provide supplies and assist with hard-to-reach areas.
The nurse needs to collect a stool specimen for culture from a patient.
The patient passed stool into the toilet instead of using the collection
container. What is the next step for the nurse?
Administer a laxative to the patient to collect new sample.
pg. 2
,3|Page
Inform the patient that the order for the culture will now be cancelled.
Collect stool and send to laboratory for culture per regular protocol.
Reinstruct the patient on the procedure to collect a stool specimen. -
Correct Answer - Reinstruct the patient on the procedure to collect a
stool specimen.
A nurse is caring for a female patient with diarrhea. What information
does the nurse teach the patient about perineal care and self-care?
Wear gloves while performing perineal self-care.
Clean the perineal area from the front to back.
Insert any suppository medication prior to cleaning the perineal area.
Bathe the perineal area with a mild soap and very hot water. - Correct
Answer - Clean the perineal area from front to back.
A nurse is taking care of an older adult patient who demonstrates good
mobility but is unable to stand for long periods of time secondary to
muscle weakness. What action will the nurse use to facilitate the
patient's self-care and safety?
Assist the patient in taking a stand-up shower
Give the patient a towel or bag bath
Give the patient a bed bath
Obtain a shower chair so the patient can take a sit-down shower -
Correct Answer - Obtain a shower chair so the patient can take a sit-
down shower.
pg. 3
, 4|Page
An older adult patient has constant dribbling of urine. The associated
discomfort, odor, and embarrassment may support which nursing
diagnosis?
Social isolation
Impaired memory
Defensive coping
Impaired adjustment - Correct Answer - Social isolation
The nurse is caring for a patient with shortness of breath who is
receiving oxygen at 4 L/minute. Which assessment finding will
demonstrate that oxygen therapy is effective?
Oxygen saturation 97%
Heart rate 110 beat/minute
Respirations 26 breaths/minute
Clubbing of fingers - Correct Answer - Oxygen saturation 97%
The nurse is caring for a patient with chronic obstructive pulmonary
disease (COPD) who expresses concerns about the ability to breathe
easier. The nurse will suggest which position to help alleviate the
patient's dyspnea?
Side-lying with head slightly elevated
Supine with one pillow
High Fowler's position
Lying with head slightly lowered - Correct Answer - High Fowler's
position
pg. 4
