NUR 101 Exam 2 Questions With Complete Solutions
A nurse discovers that a neighbor is a client on the unit in which
the nurse works although the nurse is not assigned to care for
that client. The nurse accesses the patients medical record to
find out what their diagnosis is. Which action may clients take if
they are aware of this type of incident?
A. Report the incident as a HIPPA violation.
B. Sue the nurse for libel.
C. Sue the nurse for negligence.
D. Report the nurse for defamation.
A. Report the incident as a HIPPA violation.
A staff nurse comes to work and accepts the assignment of
clients. After a verbal altercation with the nurse manager about
the assignment, the nurse states "I quit!" and leaves the facility.
Which action may the nurse manager take?
A. Call to ask the nurse to come back.
B. Report the nurse for abandonment of care.
C. Have the police arrest the nurse.
D. Let the nurse cool off and come back when ready.
B. Report the nurse for abandonment of care.
A parent brings a toddler into the clinic with a strong odor of
cigarette smoke on the toddlers clothing. Which information
should the nurse discuss with the parent?
A. Second hand smoke may cause numerous health related
problems
,B. If the parent continues to smoke around the child, the parent
will be reported for child abuse.
C. Continuing to smoke around the child can create childhood
nicotine addiction.
D. Seeing a parent smoke will lead to the child smoking.
A. Second hand smoke may cause numerous health related
problems
A parent states that since the birth of a sibling the older child is
wetting the bed. How should the nurse respond to the parent?
A. "This is referred to as regression and is a common defense
mechanism."
B. "The child is in denial and cannot accept that another child is
part of the family."
C. "The child is repressing feelings of anger."
D. "The child is punishing the parent by soiling."
A. "This is referred to as regression and is a common defense
mechanism."
The client has been in the hospital for treatment of pneumonia
with periods of high fever. The nurse has cared for the client for
two days. The client was afebrile for 24 hours the day before
and now has a fever of 101 degrees F. What type of fever does
the nurse recognize the client is experiencing?
A. Remittent
B. Constant
C. Crisis
D. Relapsing
D. Relapsing
,The nurse obtains a heart rate from a client at a rate of 112.
What term should the nurse use when documenting this
heartrate?
A. Tachycardia
B. Bradycardia
C. Irregular
D. Palpitation
A. Tachycardia
The nurse is preparing to obtain an oral temperature from a
client. In what situation should the nurse delay taking the
temperature for at least 15 minutes? Select all that apply
A. The client is chewing gum.
B. The client just drank a cup of coffee
C. The client just had a chest x-ray
D. The client has just finished smoking a cigarette
E. The client is chewing tobacco
A. The client is chewing gum.
B. The client just drank a cup of coffee
D. The client has just finished smoking a cigarette
E. The client is chewing tobacco
The nurse observes that a clients respirations are slow and
shallow, then gradually becoming faster and deeper, and then
stop, with the cycle then repeating itself. How should the nurse
document this type of respirations?
A. Cheyne-Stokes respiration
B. Eupneic respirations
, C. Orthopnea
D. dyspnea
A. Cheyne-Stokes respiration
The nurse is caring for a client who is having difficulty with
mobility. Which action taken by the nurse can assist the client
with regaining mobility?
A. Promote self-care activities.
B. Perform tasks for the client.
C. Reassure the client that they will not fall if they get up.
D. Perform passive range of motion exercises every hour.
D. Perform passive range of motion exercises every hour.
The nurse is preparing to transfer a client with obesity from the
bed to the chair. Which action by the nurse is best to avoid
injury to the nurse and the client?
A. Use a team approach for lifting the client.
B. Lift the client using a swivel and pivot motion.
C. Leave the client in the bed because the client is too large to
get up.
D. Utilize a mechanical lift for the transfer.
D. Utilize a mechanical lift for the transfer.
The nurse observes that a bed-confined client's feet are
beginning to remain in a plantar flexed position. Which nursing
action is appropriate to correct this position?
A. Place a pillow under the knees.
B. Stand the client on the floor with assistance.
A nurse discovers that a neighbor is a client on the unit in which
the nurse works although the nurse is not assigned to care for
that client. The nurse accesses the patients medical record to
find out what their diagnosis is. Which action may clients take if
they are aware of this type of incident?
A. Report the incident as a HIPPA violation.
B. Sue the nurse for libel.
C. Sue the nurse for negligence.
D. Report the nurse for defamation.
A. Report the incident as a HIPPA violation.
A staff nurse comes to work and accepts the assignment of
clients. After a verbal altercation with the nurse manager about
the assignment, the nurse states "I quit!" and leaves the facility.
Which action may the nurse manager take?
A. Call to ask the nurse to come back.
B. Report the nurse for abandonment of care.
C. Have the police arrest the nurse.
D. Let the nurse cool off and come back when ready.
B. Report the nurse for abandonment of care.
A parent brings a toddler into the clinic with a strong odor of
cigarette smoke on the toddlers clothing. Which information
should the nurse discuss with the parent?
A. Second hand smoke may cause numerous health related
problems
,B. If the parent continues to smoke around the child, the parent
will be reported for child abuse.
C. Continuing to smoke around the child can create childhood
nicotine addiction.
D. Seeing a parent smoke will lead to the child smoking.
A. Second hand smoke may cause numerous health related
problems
A parent states that since the birth of a sibling the older child is
wetting the bed. How should the nurse respond to the parent?
A. "This is referred to as regression and is a common defense
mechanism."
B. "The child is in denial and cannot accept that another child is
part of the family."
C. "The child is repressing feelings of anger."
D. "The child is punishing the parent by soiling."
A. "This is referred to as regression and is a common defense
mechanism."
The client has been in the hospital for treatment of pneumonia
with periods of high fever. The nurse has cared for the client for
two days. The client was afebrile for 24 hours the day before
and now has a fever of 101 degrees F. What type of fever does
the nurse recognize the client is experiencing?
A. Remittent
B. Constant
C. Crisis
D. Relapsing
D. Relapsing
,The nurse obtains a heart rate from a client at a rate of 112.
What term should the nurse use when documenting this
heartrate?
A. Tachycardia
B. Bradycardia
C. Irregular
D. Palpitation
A. Tachycardia
The nurse is preparing to obtain an oral temperature from a
client. In what situation should the nurse delay taking the
temperature for at least 15 minutes? Select all that apply
A. The client is chewing gum.
B. The client just drank a cup of coffee
C. The client just had a chest x-ray
D. The client has just finished smoking a cigarette
E. The client is chewing tobacco
A. The client is chewing gum.
B. The client just drank a cup of coffee
D. The client has just finished smoking a cigarette
E. The client is chewing tobacco
The nurse observes that a clients respirations are slow and
shallow, then gradually becoming faster and deeper, and then
stop, with the cycle then repeating itself. How should the nurse
document this type of respirations?
A. Cheyne-Stokes respiration
B. Eupneic respirations
, C. Orthopnea
D. dyspnea
A. Cheyne-Stokes respiration
The nurse is caring for a client who is having difficulty with
mobility. Which action taken by the nurse can assist the client
with regaining mobility?
A. Promote self-care activities.
B. Perform tasks for the client.
C. Reassure the client that they will not fall if they get up.
D. Perform passive range of motion exercises every hour.
D. Perform passive range of motion exercises every hour.
The nurse is preparing to transfer a client with obesity from the
bed to the chair. Which action by the nurse is best to avoid
injury to the nurse and the client?
A. Use a team approach for lifting the client.
B. Lift the client using a swivel and pivot motion.
C. Leave the client in the bed because the client is too large to
get up.
D. Utilize a mechanical lift for the transfer.
D. Utilize a mechanical lift for the transfer.
The nurse observes that a bed-confined client's feet are
beginning to remain in a plantar flexed position. Which nursing
action is appropriate to correct this position?
A. Place a pillow under the knees.
B. Stand the client on the floor with assistance.
