Unitek Term 1 Final Exam Questions AND Correct Answers
1. A nurse is calculating the total fluid intake for a client during a 4-hr
period. The client consumed 1 cup of coffee, 4 oz of orange juice, 3 oz
of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz
of water. The nurse should record how many mL of intake on the
client's record? (Round the answer to the nearest whole number.) -
✔✔To measure intake the measures (ounces) should be converted to
milliliter(mL). 1 fluid ounce = 30 mL: 1 cup coffee = 180 mL 4 ounces
orange juice =120 mL 6 ounces water = 180 mL 5 ounces broth = 150
mL 1 cup gelatin = 8ounces = 240 mL 1 cup tea = 180 mL Total intake =
1,050 mL10
1. A nurse is caring for a client in a long-term care facility who is
receiving enteral feedings via an NG tube. Which of the following
actions should the nurse take prior to administering the tube feeding?
- ✔✔Test the PH of the gastric aspirate
1. A nurse is caring for a client who has hypertension and recently
developed drooping facial features. When contacting the provider,
which of the following statements should the nurse include as part of
the background component of the SBAR communication tool? -
✔✔the client has a history of hypertension
1. A nurse is caring for a client who is scheduled to have a
colonoscopy. The client states, "I am so nervous about what the
doctor might find during the test." The nurse asks the client, "Are you
feeling anxious about the results of your colonoscopy?" The nurse's
,response is an example of which of the following communication
techniques? - ✔✔Clarification
1. A nurse is caring for an older adult client who has a fractured hip.
The client says, "I guess I've lived long enough and my time is up."
Which of the following responses should the nurse make? - ✔✔"You
feel as though your life is ending ?"
1. A nurse is collecting data from a client who has a respiratory
disorder and displays manifestations of hypoxia. Which of the
following findings should the nurse expect? - ✔✔cyanosis
1. A nurse is contributing to the plan of care of a client who is in a
long-term care facility. To improve the client's nutritional status,
which of the following nursing interventions should the nurse
recommend adding to the plan? - ✔✔Offer familiar food and
incorporate cultural needs in planning the meal
1. A nurse is obtaining a urine specimen for culture and sensitivity via
a straight catheterization. Which of the following actions should the
nurse take? - ✔✔Use a sterile specimen container
1. A nurse is preparing to administer aspirin 650 mg PO. Available is
aspirin 325 mg tablets. How many tablets should the nurse
administer? (Round to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - ✔✔2
, 1. A nurse is reinforcing discharge teaching to a client about nutrition
therapy for wound healing following major surgery. Which of the
following vitamins should the nurse include in the teaching as
promoting wound healing? (Select all that apply.) - ✔✔Vitamin A and
Vitamin C
1. A nurse is reinforcing preoperative teaching with a client of Chinese
heritage who speaks limited English. Which of the following methods
of communication by the nurse demonstrates cultural competence? -
✔✔Not maintaining direct eye contact
1. A nurse is reinforcing teaching with the spouse of a client on how to
take a blood pressure. Which of the following actions by the spouse
indicates a need for further instruction? - ✔✔center BP cuff of
brachial artery, check instruments gauge is at 0, wrap cuff around arm
(do not place cuff above heart level)
1. As a nurse prepares an older adult client for bed on the first night of
her hospital stay, the client says, "I am afraid that I may fall getting to
the bathroom during the night. I tend to get a bit disoriented in new
surroundings." Which of the following actions should the nurse take?
- ✔✔Leave a night light on in the clients room
1. The nurse is collecting data from a new client, who reports his
weight is 225 pounds. The weight needs to be converted to metric to
1. A nurse is calculating the total fluid intake for a client during a 4-hr
period. The client consumed 1 cup of coffee, 4 oz of orange juice, 3 oz
of water, 1 cup of flavored gelatin, 1 cup of tea, 5 oz of broth, and 3 oz
of water. The nurse should record how many mL of intake on the
client's record? (Round the answer to the nearest whole number.) -
✔✔To measure intake the measures (ounces) should be converted to
milliliter(mL). 1 fluid ounce = 30 mL: 1 cup coffee = 180 mL 4 ounces
orange juice =120 mL 6 ounces water = 180 mL 5 ounces broth = 150
mL 1 cup gelatin = 8ounces = 240 mL 1 cup tea = 180 mL Total intake =
1,050 mL10
1. A nurse is caring for a client in a long-term care facility who is
receiving enteral feedings via an NG tube. Which of the following
actions should the nurse take prior to administering the tube feeding?
- ✔✔Test the PH of the gastric aspirate
1. A nurse is caring for a client who has hypertension and recently
developed drooping facial features. When contacting the provider,
which of the following statements should the nurse include as part of
the background component of the SBAR communication tool? -
✔✔the client has a history of hypertension
1. A nurse is caring for a client who is scheduled to have a
colonoscopy. The client states, "I am so nervous about what the
doctor might find during the test." The nurse asks the client, "Are you
feeling anxious about the results of your colonoscopy?" The nurse's
,response is an example of which of the following communication
techniques? - ✔✔Clarification
1. A nurse is caring for an older adult client who has a fractured hip.
The client says, "I guess I've lived long enough and my time is up."
Which of the following responses should the nurse make? - ✔✔"You
feel as though your life is ending ?"
1. A nurse is collecting data from a client who has a respiratory
disorder and displays manifestations of hypoxia. Which of the
following findings should the nurse expect? - ✔✔cyanosis
1. A nurse is contributing to the plan of care of a client who is in a
long-term care facility. To improve the client's nutritional status,
which of the following nursing interventions should the nurse
recommend adding to the plan? - ✔✔Offer familiar food and
incorporate cultural needs in planning the meal
1. A nurse is obtaining a urine specimen for culture and sensitivity via
a straight catheterization. Which of the following actions should the
nurse take? - ✔✔Use a sterile specimen container
1. A nurse is preparing to administer aspirin 650 mg PO. Available is
aspirin 325 mg tablets. How many tablets should the nurse
administer? (Round to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero.) - ✔✔2
, 1. A nurse is reinforcing discharge teaching to a client about nutrition
therapy for wound healing following major surgery. Which of the
following vitamins should the nurse include in the teaching as
promoting wound healing? (Select all that apply.) - ✔✔Vitamin A and
Vitamin C
1. A nurse is reinforcing preoperative teaching with a client of Chinese
heritage who speaks limited English. Which of the following methods
of communication by the nurse demonstrates cultural competence? -
✔✔Not maintaining direct eye contact
1. A nurse is reinforcing teaching with the spouse of a client on how to
take a blood pressure. Which of the following actions by the spouse
indicates a need for further instruction? - ✔✔center BP cuff of
brachial artery, check instruments gauge is at 0, wrap cuff around arm
(do not place cuff above heart level)
1. As a nurse prepares an older adult client for bed on the first night of
her hospital stay, the client says, "I am afraid that I may fall getting to
the bathroom during the night. I tend to get a bit disoriented in new
surroundings." Which of the following actions should the nurse take?
- ✔✔Leave a night light on in the clients room
1. The nurse is collecting data from a new client, who reports his
weight is 225 pounds. The weight needs to be converted to metric to
