NUR 101 Final Exam 2025

NUR 101 Final Exam 2025 Which nursing action protects the patient as a susceptible host in the chain of infection? A. Wearing personal protective equipment B. Administering childhood immunizations C. Recapping a used needle before discarding D. Disposing of soiled gloves in a waste container - Correct Answer-B. Administering childhood immunizations Which primary defense protects the body from infection? A. Tears in the eyes B. Alkalinity of gastric secretions C. Bile in the gastrointestinal system D. Moist environment of the epidermis - Correct Answer-A. Tears in the eyes Which nursing action protects the patient from infection at the portal of entry? A. Positioning an indwelling urine collection bag below the level of the patient's pelvis B. Enclosing a urinary specimen in a biohazardous transport bag C. Wearing clean gloves when handling a patient's excretions D. Handwashing after removal of soiled protective gloves - Correct Answer-A. Positioning an indwelling urine collection bag below the level of the patient's pelvis The nurse is caring for a group of hospitalized clients. What should the nurse do first to prevent client infections? A. Provide small bedside bags to dispose of used tissues B. Encourage staff to avoid coughing near clients C. Administer antibiotics as ordered D. Identify clients at risk - Correct Answer-D. Identify clients at risk A patient's stool specimen is positive for Clostridium difficile. Which isolation precautions should the nurse institute for this patient? A. Droplet B. Contact C. Reverse D. Airborne - Correct Answer-B. Contact The nurse is caring for a confused patient. What should the nurse do to prevent this patient from falling? A. Encourage the patient to use the corridor handrails B. Place the patient in a room near the nurses' station C. Reinforce how to use the call bell D. Maintain 1:1 supervision - Correct Answer-D. Maintain 1:1 supervision NUR 101 NUR 101 The risk management coordinator is preparing a program on the factors that contribute to falls in a hospital setting. Which factor that most often contributes to falls should be included in the program? A. Wet floors B. Frequent seizures C. Advanced age of patients D. Misuse of equipment by nurses - Correct Answer-C. Advanced age of patients The nurse identifies the presence of a fire in the utility room. Place the nurse's actions in order of priority using the RACE model. A. Pull the fire alarm B. Close unit doors and windows C. Shut the door to the utility room D. Provide emotional support to agitate patients - Correct Answer-A-C-B-D A nurse must make an unoccupied bed. Which nursing action is most important? A. Position the call bell in reach B. Place a pull sheet on top of the draw sheet C. Ensure that the bottom sheet is free of wrinkles D. Complete one side of the bed before completing the other side - Correct Answer-C. Ensure that the bottom sheet free of wrinkles When giving a patient a bed bath, the nurse washes the patient's extremities from distal to proximal. The nurse does this to: A. Decrease the chance of infection B. Facilitate the removal of dry skin C. Stimulate venous return D. Minimize skin tears - Correct Answer-C. Stimulate venous return The activity that best reflects the role of the nurse as a counselor is when the nurse helps the patient: A. Understand and use resources in the health care system B. Integrate emotions and reality into a total experience C. Negotiate the health care delivery system D. Learn how to change a dressing - Correct Answer-B. Integrate emotions and reality into a total experience Which statement pertaining to Benner's practice model for clinical competence is true? A. Progression through the stages is constant with most nurses reaching the proficient stage. B. Progression through the stages involves continual development of thinking and technical skills. C. The nurse must have experience in many areas before being considered an expert. D. The nurse's progress through the stages is determined by years of experience and skills. - Correct Answer-B. Progression through the stages involves continual development of thinking and technical skills. NUR 101 NUR 101 Which of the following nursing activities represent direct care? Select all that apply. A. Bathing a patient B. Administering a medication C. Documenting an assessment D. Making assignments for the shift E. Changing a dressing - Correct Answer-A,B,E The nurse obtains the blood pressure of several adults. What blood pressure result causes the most concern? A. 102/70mmHg B. 140/90mmHg C. 125/85mmHg D. 118/75mmHg - Correct Answer-B. 140/90mmHg Which assessment requires the nurse to assess the patient further? A. 18 year-old woman with a pulse rate of 140bpm after riding 2 miles on an exercise bike B. 50 year-old man with a BP of 112/60mmHg on awakening in the morning C. 65 year-old man with a respiratory rate of 10rpm D. 40 year-old woman with a pulse of 88bpm - Correct Answer-C. 65 year-old man with a respiratory rate of 10rpm The nurse must take a patient's rectal temperature. What should the nurse do? A. Take the temperature for 5 minutes B. Wear gloves throughout the procedure C. Place the patient in the right lateral position D. Insert the thermometer 2 inches into the rectum - Correct Answer-B. Wear gloves throughout the procedure The nurse considers that body heat production is increased by: A. Vasodilation B. Evaporation C. Shivering D. Radiation - Correct Answer-C. Shivering A patient's vital signs are: oral temperature 99◦F, pulse 88 bpm with a regular rhythm, respirations 16 rpm and deep, and blood pressure 180/110 mmHg. Which sign should cause the most concern? A. Pulse B. Respirations C. Temperature D. Blood Pressure - Correct Answer-D. Blood Pressure Which statement by the patient to a nurse indicates a precipitating factor associated with pain? NUR 101 NUR 101 A. "I usually feel a little dizzy and think I'm going to vomit when I have pain." B. "My pain usually comes and goes throughout the night." C. "I usually have pain after I get dressed in the morning." D. "My pain feels like a knife cutting right through me." - Correct Answer-C. "I usually have pain after I get dressed in the morning.: A patient states, "The pain moves from my chest down to my left arm." Which characteristic of pain is associated with this statement? A. Pattern B. Duration C. Location D. Constancy - Correct Answer-C. Location A patient is experiencing lack of sleep because of pain. Which is the most appropriate goal for this patient? "The patient will: A. Be provided with a back massage every evening before bedtime." B. Report feeling rested after awakening in the morning." C. Request less pain medication during the night." D. Experience four hours of uninterrupted sleep." - Correct Answer-B. Report feeling rested after awakening in the morning. Which interviewing skill is used when the nurse says, "you mentioned before that you are having a problem with your colostomy"? A. Focusing B. Clarifying C. Paraphrasing D. Acknowledging - Correct Answer-A. Focusing What is being communicated when the nurse leans forward during a patient interview? A. Privacy B. Interest C. Anxiety D. Aggression - Correct Answer-B. Interest The main goal of therapeutic communication mainly should depend on the: A. Environment in which communication takes place B. Role of the nurse in the particular clinical setting C. Skill level of the nurse in the situation D. Patient's verbalized concerns - Correct Answer-D. Patient's verbalized concerns What is the nurse doing when using the interviewing technique of active listening? A. Identifying the patient's concerns and exploring them with why questions B. Determining the content and feeling of the patient's message C. Employing silence to encourage the patient to talk D. Using nonverbal skills to display interest - Correct Answer-B. Determining the content and feeling of the patient's message NUR 101 NUR 101 Which are the most important nursing actions when speaking with an older adult whose hearing is impaired? Select all that apply. A. Limit background noise B. Exaggerate lip movements C. Raise the pitch of your voice D. Stand directly in front of the patient when speaking E. Raise the volume of your voice while speaking directly toward the patient's good ear - Correct Answer-A, D A patient verbally communicates with the nurse while exhibiting nonverbal behavior. How should the nurse confirm the meaning of the nonverbal behavior? A. Look for similarity in meaning between the patient's verbal and nonverbal behavior B. Ask family members to help interpret the patient's behavior C. Validate inferences by asking the patient direct questions D. Recognize that what a patient says is most important - Correct Answer-A. Look for similarity in meaning between the patient's verbal and nonverbal behavior A patient appears tearful and is quiet and withdrawn. The nurse says, "you seem very sad today." What interviewing approach did the nurse use? A. Examining B. Reflecting C. Clarifying D. Orienting - Correct Answer-B. Reflecting Which of the following is an effective technique to use when interviewing a client? A. Start the interview with nonthreatening topics. B. Use only nondirective questions. C. Have the client complete a printed screening form. D. Ask questions word for word from the history form. - Correct Answer-A. Start the interview with nonthreatening topics. A client verbalizes concern over the confidentiality of the information she is giving during an examination. The nurse should respond by telling the client: A. Exactly with whom the information will be shared. B. That it is required that she give the requested information C. A confidential piece of information about herself D. Her family members will be informed of pertinent information - Correct Answer-A. Exactly with whom the information will be shared. Which of the following principles of conducting a physical assessment is the most important? A. Examine sensitive areas first. B. Reduce environmental noises. C. Provide privacy. D. Use terminology the client can understand. - Correct Answer-C. Provide privacy NUR 101 A nurse is performing a skin assessment on a client. Which of the following are normal or expected findings? Select all that apply. A. Capillary refill less than 3 seconds B. +3 pitting edema in feet bilaterally C. Shiny, thin skin without hair on shins D. Numerous light brown macules 3 mm in size located on the forehead and nose E. Tenting over clavicle when palpating skin turgor - Correct Answer-A,D Assessment of an older adult client demonstrates tenting of the skin of the forearm. Which best explains this finding? A. Parchment-like skin B. Significant flaking and dryness C. Skin tags D. Loss of adipose tissue and elasticity - Correct Answer-D. Loss of adipose tissue and elasticity