NUR 104 Practice Test Assessment
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The daughter of an older woman who became depressed following the death of her husband asks,
"My mother was always well adjusted until my father died. Will she tend to be sick from now
on?"Which response is best for the nurse to provide? - CORRECT ANSWER - "It's highly
likely that she will recover and return to her pre-illness state."
The home health, nurse visits and elderly, female client who had a stroke three months ago, and
is now able to ambulate with assistance of a quad cane. Which assessment finding has the
greatest implications for the clients care? - CORRECT ANSWER - The nurse notes that
there are numerous scatter rugs throughout the house.
What intervention should the nurse include in the plan of care for the client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? - CORRECT
ANSWER - Check, capillary refill of tools on lower extremity with Unna's paste boot
What client statement indicates to the nurse that the client requires assistance with bathing? -
CORRECT ANSWER - "I don't understand why I'm so weak and tired."
A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass down
her legacy of knowledge and skills to the younger generation. According to Erikson, she is
involved in what developmental stage? - CORRECT ANSWER - Generativity.
Which statement best describes, durable, power of attorney for healthcare? - CORRECT
ANSWER - The client sign the document that designates another person to make legally
binding healthcare decisions if the client is unable to do so
Which statement is an example of a correctly written nursing diagnosis statement? - CORRECT
ANSWER - Ineffective coping related to response to positive biopsy test results
, A client who has been on bed rest for several days now has a prescription to progress activity as
tolerated. When the nurse assist the client out of bed for the first time, the client becomes dizzy.
What action should the nurse implement? - CORRECT ANSWER - Advise the client to sit
on the side of the bed for a few minutes before standing again
A client is admitted with a stage four pressure ulcer that has a black, hardened surface with a
light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse to
use first? - CORRECT ANSWER - Wet to moist dressing
The charge nurse observes an unlicensed assistive personnel (UAP), bending at the ways to live a
20 pound box of medical supplies of the treatment room floor. What instruction should the
charge nurse provide the UAP? - CORRECT ANSWER - Bend at the knees when lifting
heavy objects
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain? - CORRECT ANSWER - Sensory pattern, area,
intensity, and nature of the pain.
A male client arrives at the outpatient surgery center for a scheduled needle aspiration of the
knee. He tells the nurse that he has already given verbal consent for the procedure to the
healthcare provider. What action should the nurse implement? - CORRECT ANSWER -
Witness the client's signature on the consent form.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take? -
CORRECT ANSWER - Ask the client about numbness or tingling in the hands.
The nurse is preparing a male client who has an indwelling catheter and an IV infusion to
ambulate from the bed to the chair for the first time following abdominal surgery. What action
should the nurse implement prior to assist in the client to the chair? (Select all that apply.) -
CORRECT ANSWER - Pre-medicate the client with an analgesic
Inform the client of the plan for moving to the chair
Ask the client to push the IV pole to the chair
UPDATED ACTUAL Exam Questions and
CORRECT Answers
The daughter of an older woman who became depressed following the death of her husband asks,
"My mother was always well adjusted until my father died. Will she tend to be sick from now
on?"Which response is best for the nurse to provide? - CORRECT ANSWER - "It's highly
likely that she will recover and return to her pre-illness state."
The home health, nurse visits and elderly, female client who had a stroke three months ago, and
is now able to ambulate with assistance of a quad cane. Which assessment finding has the
greatest implications for the clients care? - CORRECT ANSWER - The nurse notes that
there are numerous scatter rugs throughout the house.
What intervention should the nurse include in the plan of care for the client who is being treated
with an Unna's paste boot for leg ulcers due to chronic venous insufficiency? - CORRECT
ANSWER - Check, capillary refill of tools on lower extremity with Unna's paste boot
What client statement indicates to the nurse that the client requires assistance with bathing? -
CORRECT ANSWER - "I don't understand why I'm so weak and tired."
A middle-aged woman who enjoys being a teacher and mentor, feels that she should pass down
her legacy of knowledge and skills to the younger generation. According to Erikson, she is
involved in what developmental stage? - CORRECT ANSWER - Generativity.
Which statement best describes, durable, power of attorney for healthcare? - CORRECT
ANSWER - The client sign the document that designates another person to make legally
binding healthcare decisions if the client is unable to do so
Which statement is an example of a correctly written nursing diagnosis statement? - CORRECT
ANSWER - Ineffective coping related to response to positive biopsy test results
, A client who has been on bed rest for several days now has a prescription to progress activity as
tolerated. When the nurse assist the client out of bed for the first time, the client becomes dizzy.
What action should the nurse implement? - CORRECT ANSWER - Advise the client to sit
on the side of the bed for a few minutes before standing again
A client is admitted with a stage four pressure ulcer that has a black, hardened surface with a
light pink warm bed with the malodorous green drainage. Which dressing is best for the nurse to
use first? - CORRECT ANSWER - Wet to moist dressing
The charge nurse observes an unlicensed assistive personnel (UAP), bending at the ways to live a
20 pound box of medical supplies of the treatment room floor. What instruction should the
charge nurse provide the UAP? - CORRECT ANSWER - Bend at the knees when lifting
heavy objects
A female client who has breast cancer with metastasis to the liver and spine is admitted with
constant, severe pain despite around-the-clock use of oxycodone (Percodan) and amitriptyline
(Elavil) for pain control at home. During the admission assessment, which information is most
important for the nurse to obtain? - CORRECT ANSWER - Sensory pattern, area,
intensity, and nature of the pain.
A male client arrives at the outpatient surgery center for a scheduled needle aspiration of the
knee. He tells the nurse that he has already given verbal consent for the procedure to the
healthcare provider. What action should the nurse implement? - CORRECT ANSWER -
Witness the client's signature on the consent form.
A client is demonstrating a positive Chvostek's sign. What action should the nurse take? -
CORRECT ANSWER - Ask the client about numbness or tingling in the hands.
The nurse is preparing a male client who has an indwelling catheter and an IV infusion to
ambulate from the bed to the chair for the first time following abdominal surgery. What action
should the nurse implement prior to assist in the client to the chair? (Select all that apply.) -
CORRECT ANSWER - Pre-medicate the client with an analgesic
Inform the client of the plan for moving to the chair
Ask the client to push the IV pole to the chair
