Nurs 100 Exam #1 Practice Questions With Complete
Solutions
_____________ pressure is peak blood pressure against arterial
walls. Correct Answer Systolic
A child has an inflamed epiglottis from a viral infection, causing
stridor and partially blocking the flow of air. Which type of
breathing problem is present? Correct Answer Altered airway
A client is diagnosed with an intestinal infection after traveling
to a developing country. The nurse should encourage the intake
of which food to optimize the gut's normal flora, creating a
healthier environment? Correct Answer yogurt
A nurse has asked the unlicensed assistant personnel (UAP) to
take vital signs on six clients. Which traditional measurements
do vital signs include? Correct Answer Temperature, pulse,
respirations, and blood pressure
A nurse is caring for a client who is at high risk for falling. The
client is weak and confused. What are actions the nurse can take
when caring for this client? Select all that apply. Correct
Answer 1) Repeat fall risk assessment every 8 hours.
2)Place call light within reach.
3) Identify medications that increase falling risk.
A nurse is caring for a client with a fever. Which is a well-
designed goal for this client? Correct Answer
,A nurse is caring for several clients. Which nursing action
reflects the assessment step of the nursing process? Correct
Answer Examining a client for injury after a fall in the
bathroom
A nurse is teaching a client who is started on digoxin before
discharge. Which statements by the client indicate correct
understanding of the teaching? Select all that apply. Correct
Answer 1) I will take my pulse before every pulse & contact
my HCP for pulse less than 50
2) I will notify my HCP if I have blurred, yellow vision
3) My blood levels will have to be checked every month
A nurse is teaching a group of clients about different
cardiovascular medications. Which cardiac medications are
considered vasodilators? Select all that apply.
ACE inhibitors
Diuretics
Beta-adrenergic blockers
Angiotensin II receptor blockers
Nitrates
Statins Correct Answer ACE inhibitors
,Angiotensin II receptor blockers
Nitrates
A nurse is teaching wellness to a church group. How many daily
8-ounce servings of water should be encouraged for normal
bowel health? Correct Answer 6 to 8 servings
A nurse makes a home-care visit for a client who had total hip
replacement surgery 1 week ago. During which of the five steps
in the nursing process does the nurse determine whether
outcomes of care are achieved? Correct Answer Evaluation
A nurse teaches a client to use visualization to cope with chronic
pain. Which step of the nursing process is associated with this
nursing intervention? Correct Answer Implementation
A nurse who is able to identify and achieve objectives is
demonstrating which aspect of Benner's model? Correct
Answer Expert
A nursing unit is receiving report for five clients being newly
admitted. Which client is at the highest risk for injury and best
to place close to the nurse's station?
A 9-year-old child who is tearful
A 16-year-old adolescent who is depressed
A 62-year-old patient who is anxious
An 87-year-old patient who is confused Correct Answer 87-
year-old patient who is confused
, A pebble dropped into a pond causes ripples on the surface of
the water. Which part of the nursing diagnosis is directly related
to this concept? Correct Answer etiology
According to the Centers for Disease Control (CDC), how often
should the nurse change the intravenous (IV) tubing for a
continuous infusion? Correct Answer Every 96 hours
Adrian, a nurse, reflects on her client's admission information,
including physical assessment and related family concerns. She
considers all information to reach conclusions.
Drag and drop the step of the nursing process this represents.
Correct Answer Diagnosis
After a hip fracture, Joseph has become more sedentary. He
notices an area on his right calf that is painful, warm to the
touch, red, and swollen, and he shows it to the visiting nurse.
What action should the nurse take? Correct Answer
Encourage Joseph to go to emergency department
After a year as a medical-surgical nurse in an acute care facility,
Bryan tells his mom that he's more passionate about preventive
care than he is about health restoration. To which care location
should Kathy direct him? Correct Answer Community health
An instructor asks the student nurse about common reasons for
urinary incontinence. How should the student respond? Select
all that apply. Correct Answer 1) Sneezing and laughing
Solutions
_____________ pressure is peak blood pressure against arterial
walls. Correct Answer Systolic
A child has an inflamed epiglottis from a viral infection, causing
stridor and partially blocking the flow of air. Which type of
breathing problem is present? Correct Answer Altered airway
A client is diagnosed with an intestinal infection after traveling
to a developing country. The nurse should encourage the intake
of which food to optimize the gut's normal flora, creating a
healthier environment? Correct Answer yogurt
A nurse has asked the unlicensed assistant personnel (UAP) to
take vital signs on six clients. Which traditional measurements
do vital signs include? Correct Answer Temperature, pulse,
respirations, and blood pressure
A nurse is caring for a client who is at high risk for falling. The
client is weak and confused. What are actions the nurse can take
when caring for this client? Select all that apply. Correct
Answer 1) Repeat fall risk assessment every 8 hours.
2)Place call light within reach.
3) Identify medications that increase falling risk.
A nurse is caring for a client with a fever. Which is a well-
designed goal for this client? Correct Answer
,A nurse is caring for several clients. Which nursing action
reflects the assessment step of the nursing process? Correct
Answer Examining a client for injury after a fall in the
bathroom
A nurse is teaching a client who is started on digoxin before
discharge. Which statements by the client indicate correct
understanding of the teaching? Select all that apply. Correct
Answer 1) I will take my pulse before every pulse & contact
my HCP for pulse less than 50
2) I will notify my HCP if I have blurred, yellow vision
3) My blood levels will have to be checked every month
A nurse is teaching a group of clients about different
cardiovascular medications. Which cardiac medications are
considered vasodilators? Select all that apply.
ACE inhibitors
Diuretics
Beta-adrenergic blockers
Angiotensin II receptor blockers
Nitrates
Statins Correct Answer ACE inhibitors
,Angiotensin II receptor blockers
Nitrates
A nurse is teaching wellness to a church group. How many daily
8-ounce servings of water should be encouraged for normal
bowel health? Correct Answer 6 to 8 servings
A nurse makes a home-care visit for a client who had total hip
replacement surgery 1 week ago. During which of the five steps
in the nursing process does the nurse determine whether
outcomes of care are achieved? Correct Answer Evaluation
A nurse teaches a client to use visualization to cope with chronic
pain. Which step of the nursing process is associated with this
nursing intervention? Correct Answer Implementation
A nurse who is able to identify and achieve objectives is
demonstrating which aspect of Benner's model? Correct
Answer Expert
A nursing unit is receiving report for five clients being newly
admitted. Which client is at the highest risk for injury and best
to place close to the nurse's station?
A 9-year-old child who is tearful
A 16-year-old adolescent who is depressed
A 62-year-old patient who is anxious
An 87-year-old patient who is confused Correct Answer 87-
year-old patient who is confused
, A pebble dropped into a pond causes ripples on the surface of
the water. Which part of the nursing diagnosis is directly related
to this concept? Correct Answer etiology
According to the Centers for Disease Control (CDC), how often
should the nurse change the intravenous (IV) tubing for a
continuous infusion? Correct Answer Every 96 hours
Adrian, a nurse, reflects on her client's admission information,
including physical assessment and related family concerns. She
considers all information to reach conclusions.
Drag and drop the step of the nursing process this represents.
Correct Answer Diagnosis
After a hip fracture, Joseph has become more sedentary. He
notices an area on his right calf that is painful, warm to the
touch, red, and swollen, and he shows it to the visiting nurse.
What action should the nurse take? Correct Answer
Encourage Joseph to go to emergency department
After a year as a medical-surgical nurse in an acute care facility,
Bryan tells his mom that he's more passionate about preventive
care than he is about health restoration. To which care location
should Kathy direct him? Correct Answer Community health
An instructor asks the student nurse about common reasons for
urinary incontinence. How should the student respond? Select
all that apply. Correct Answer 1) Sneezing and laughing
