Nur 2101 Final Exam Questions With Complete Solutions
A 3 year old child is diagnosed with type 1 diabetes. The
provider starts the patient on injections of insulin at her
endocrinology appointment. How does the nurse best explain the
injection to the child?
1. The nurse speaks only to the parents because a 3 year old
child cannot comprehend what is being said regarding
medication
2. The nurse verbally reviews information with both the patient
and the parents
3. The nurse uses a doll to show the child how the injection
works
4. The nurse demonstrates the injection on the child Correct
Answers 3. The nurse uses a doll to show the child how the
injection works
A family member angrily tells the nurse "No one told me that
my husband was back in his room after surgery. I have been
waiting and worrying for 3 hours!" How should the nurse
reply?"
1. Well the recovery room nurse is supposed to take care of that
before sending the patient back to us. I will bed sure to let her
know about your frustration
2. I am sorry we did not notify you more quickly. It sounds like
you have been really worried about your husband
3. At least your husbands surgery went well. That is something
positive to talk about
4. I would be angry too if no one told me that my husband was
back in his room after surgery Correct Answers 2. I am sorry
,we did not notify you more quickly. It sounds like you have
been really worried about your husband
A nurse accidentally administers the wrong medication to a
patient, which results in a severe allergic reaction and prolongs
the patients hospitalization. The patient could rightfully sue the
nurse for which of the following?
A. Battery
B. Assault
C. Malpractice
D. Abuse Correct Answers C. Malpractice
A nurse completes a respiratory assessment on a patient who had
abdominal surgery 1 day ago. During the assessment the nurse
auscultates crackles in both lower lobes, and the patient coughs,
producing light yellow sputum. The patients body temperature is
37 degrees Celsius (98.6 F), pulse is 110 beats/min, respiratory
rate is 28 breaths/min and blood pressure is 118/82 mm Hg.
Pulse oximetry was 99% and is now 93%. The nurse identifies a
nursing diagnosis of Impaired Gas Exchange. Which of the
following goals is appropriate for this patient?
A. Patients pulse oximetry will be greater than 95%
B. Instruct patient to deep breathe and cough every 2 hours
C. Patients lungs will be clear to auscultation
D. Patient will be able to sleep through the night Correct
Answers D. Patient will be able to sleep through the night
A nurse discovers an electrical fire in a patients room. Which
action should the nurse take first?
1. Turn off the oxygen to the wall unit
2. Evacuate any patients/visitors in immediate danger
,3. Close all doors and windows
4. Use water from the sink in the patient room to extinguish fire
Correct Answers 2. Evacuate any patients/visitors in immediate
danger
A nurse finds a 68 year old woman wandering in the hallway
and exhibiting confused behavior. The patient says that she is
looking for the bathroom. Which interventions are appropriate to
ensure the safety of the patient? (Select all that apply).
1. Ask the physician or health care provider to order a restraint
2. Insert a urinary catheter
3. Provide scheduled toileting rounds every 2 to 3 hours
4. Consult with the health care provider about ordering an anti-
anxiety medication
5. Keep the bed in low position with the side rails down
6. Keep the pathway from the bed to the bathroom clear Correct
Answers 3. Provide scheduled toileting rounds every 2-3 hours
5. Keep the bed in low position with the side rails down
6. Keep the pathway from the bed to the bathroom clear
A nurse has completed an informed consent form with the
patient. The patient then states I have changed my mind and do
not wish to have the procedure done. Which of the following
actions should the nurse take?
A. Remind the patient that a signed informed consent form is a
legally binding document
B. Notify the surgeon that the patient wishes to withdraw
informed consent for the procedure
C. Inform the surgical team to cancel the patient's surgery
, D. Proceed with the preparation of the patient for the surgical
procedure Correct Answers B. Notify the surgeon that the
patient wishes to withdraw informed consent for the procedure
A nurse in a clinic is interviewing a client who will undergo
diagnostic testing. The nurse should ask about a client's potential
allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation Correct Answers C. Assessment
A nurse in a dialysis center is caring for a patient who has a new
diagnosis of end-stage kidney disease. When he arrives for his
first dialysis treatment, he tells the nurse, " I decided to come
today, but i am not sure if i will need to come back again this
week. I am feeling much better since my discharge from the
hospital and i think my kidneys are working again." The nurse
should identify that this patient is demonstrating which of the
following Kubler Ross Stages of Grieving.
A. Bargaining
B. Denial
C. Depression
D. Anger Correct Answers B. Denial
A nurse in a long-term care facility is planning care for several
patients. Which of the following activities should the nurse
delegate to the licensed practical nurse (LPN)?
A. Admission assessment of a new patient
B. Scheduling a diagnostic study for a patient
A 3 year old child is diagnosed with type 1 diabetes. The
provider starts the patient on injections of insulin at her
endocrinology appointment. How does the nurse best explain the
injection to the child?
1. The nurse speaks only to the parents because a 3 year old
child cannot comprehend what is being said regarding
medication
2. The nurse verbally reviews information with both the patient
and the parents
3. The nurse uses a doll to show the child how the injection
works
4. The nurse demonstrates the injection on the child Correct
Answers 3. The nurse uses a doll to show the child how the
injection works
A family member angrily tells the nurse "No one told me that
my husband was back in his room after surgery. I have been
waiting and worrying for 3 hours!" How should the nurse
reply?"
1. Well the recovery room nurse is supposed to take care of that
before sending the patient back to us. I will bed sure to let her
know about your frustration
2. I am sorry we did not notify you more quickly. It sounds like
you have been really worried about your husband
3. At least your husbands surgery went well. That is something
positive to talk about
4. I would be angry too if no one told me that my husband was
back in his room after surgery Correct Answers 2. I am sorry
,we did not notify you more quickly. It sounds like you have
been really worried about your husband
A nurse accidentally administers the wrong medication to a
patient, which results in a severe allergic reaction and prolongs
the patients hospitalization. The patient could rightfully sue the
nurse for which of the following?
A. Battery
B. Assault
C. Malpractice
D. Abuse Correct Answers C. Malpractice
A nurse completes a respiratory assessment on a patient who had
abdominal surgery 1 day ago. During the assessment the nurse
auscultates crackles in both lower lobes, and the patient coughs,
producing light yellow sputum. The patients body temperature is
37 degrees Celsius (98.6 F), pulse is 110 beats/min, respiratory
rate is 28 breaths/min and blood pressure is 118/82 mm Hg.
Pulse oximetry was 99% and is now 93%. The nurse identifies a
nursing diagnosis of Impaired Gas Exchange. Which of the
following goals is appropriate for this patient?
A. Patients pulse oximetry will be greater than 95%
B. Instruct patient to deep breathe and cough every 2 hours
C. Patients lungs will be clear to auscultation
D. Patient will be able to sleep through the night Correct
Answers D. Patient will be able to sleep through the night
A nurse discovers an electrical fire in a patients room. Which
action should the nurse take first?
1. Turn off the oxygen to the wall unit
2. Evacuate any patients/visitors in immediate danger
,3. Close all doors and windows
4. Use water from the sink in the patient room to extinguish fire
Correct Answers 2. Evacuate any patients/visitors in immediate
danger
A nurse finds a 68 year old woman wandering in the hallway
and exhibiting confused behavior. The patient says that she is
looking for the bathroom. Which interventions are appropriate to
ensure the safety of the patient? (Select all that apply).
1. Ask the physician or health care provider to order a restraint
2. Insert a urinary catheter
3. Provide scheduled toileting rounds every 2 to 3 hours
4. Consult with the health care provider about ordering an anti-
anxiety medication
5. Keep the bed in low position with the side rails down
6. Keep the pathway from the bed to the bathroom clear Correct
Answers 3. Provide scheduled toileting rounds every 2-3 hours
5. Keep the bed in low position with the side rails down
6. Keep the pathway from the bed to the bathroom clear
A nurse has completed an informed consent form with the
patient. The patient then states I have changed my mind and do
not wish to have the procedure done. Which of the following
actions should the nurse take?
A. Remind the patient that a signed informed consent form is a
legally binding document
B. Notify the surgeon that the patient wishes to withdraw
informed consent for the procedure
C. Inform the surgical team to cancel the patient's surgery
, D. Proceed with the preparation of the patient for the surgical
procedure Correct Answers B. Notify the surgeon that the
patient wishes to withdraw informed consent for the procedure
A nurse in a clinic is interviewing a client who will undergo
diagnostic testing. The nurse should ask about a client's potential
allergies during which phase of the nursing process?
A. Planning
B. Evaluation
C. Assessment
D. Implementation Correct Answers C. Assessment
A nurse in a dialysis center is caring for a patient who has a new
diagnosis of end-stage kidney disease. When he arrives for his
first dialysis treatment, he tells the nurse, " I decided to come
today, but i am not sure if i will need to come back again this
week. I am feeling much better since my discharge from the
hospital and i think my kidneys are working again." The nurse
should identify that this patient is demonstrating which of the
following Kubler Ross Stages of Grieving.
A. Bargaining
B. Denial
C. Depression
D. Anger Correct Answers B. Denial
A nurse in a long-term care facility is planning care for several
patients. Which of the following activities should the nurse
delegate to the licensed practical nurse (LPN)?
A. Admission assessment of a new patient
B. Scheduling a diagnostic study for a patient
