NUR 102 Exam 4 Questions With Correct
Answers
A nurse is reviewing information about the Health Insurance Portability
| | | | | | | | | |
and Accountability Act (HIPAA) with a newly licensed nurse. Which of
| | | | | | | | | | |
the following statement by the newly licensed nurse indicates a need for
| | | | | | | | | | |
further teaching?
| |
A. "Information about a client can be disclosed to family members at
| | | | | | | | | | | |
any time" |
B. "HIPAA established regulations of individually identifiable health
| | | | | | | |
information in verbal, electronic, or written form."
| | | | | |
C. "A client's address would be an example of personally identifiable
| | | | | | | | | | |
information."
D. "HIPAA is a federal law, not a state law." - CORRECT ANSWER✔✔-A.
| | | | | | | | | | | |
|"Information about a client can be disclosed to family members at any
| | | | | | | | | | | |
time"
A nurse is preparing to perform an abdominal assessment on a child.
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Identify the sequence the nurse should follow.
| | | | | | |
A. Inspection
|
B. Superficial palpation
| |
C. Deep palpation
| |
,D. Auscultation - CORRECT ANSWER✔✔-A. Inspection
| | | | |
D. Auscultation
|
B. Superficial palpation
| |
C. Deep palpation
| |
A nurse in an emergency department is caring for an infant who has a 2-
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day history of vomiting and an elevated temperature. Which of the
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following should the nurse recognize as the most reliable indicator of
| | | | | | | | | | |
fluid loss? |
A. Body weight
| |
B. Skin integrity
| |
C. Blood pressure
| |
D. Respiratory rate - CORRECT ANSWER✔✔-A. Body weight
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A school nurse is assessing a child for pediculosis capitis. Which of the
| | | | | | | | | | | | |
following manifestations should the nurse recognize as an indication of
| | | | | | | | | |
this condition?
|
A. Firmly attached white particles on the hair
| | | | | | |
B. Itching and scratching of the head
| | | | | |
C. Patchy areas of hair loss
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D. Thick yellow crusted lesion on a red base - CORRECT ANSWER✔✔-A.
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Firmly attached white particles on the hair
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, A nurse is admitting a client who has experienced a weight loss of 11kg
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(25lb) in the past 3 months. The client weighs 40kg (88lb) and believes
| | | | | | | | | | | | |
she is fat. Which of the following aspects of care should the nurse
| | | | | | | | | | | | |
consider the first priority for this client?
| | | | | |
A. Identify the client's nutritional status.
| | | | |
B. Request a mental health consult.
| | | | |
C. Plan a therapeutic diet for the client.
| | | | | | | |
D. Provide a structured environment for the client. - CORRECT
| | | | | | | | | |
ANSWER✔✔-A. Identify the client's nutritional status. | | | | |
A home health nurse is assessing an older adult client in the home who
| | | | | | | | | | | | | |
has decreased vision due to a history of glaucoma. Which of the
| | | | | | | | | | | |
following findings should the nurse identify as a safety risk?
| | | | | | | | |
A. Electrical cords are placed along the walls.
| | | | | | | |
B. Scatter rugs are present in the kitchen.
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C. Handrails are present in the bathroom.
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D. Uses a microwave for cooking. - CORRECT ANSWER✔✔-B. Scatter
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rugs are present in the kitchen.
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A nurse is assessing for cyanosis in a client who has dark skin. Which of
| | | | | | | | | | | | | | |
the following sites should the nurse examine to identify cyanosis in this
| | | | | | | | | | | |
client?
A. Pinnae of ears
| | |
B. Dorsal surface of hand
| | | |
Answers
A nurse is reviewing information about the Health Insurance Portability
| | | | | | | | | |
and Accountability Act (HIPAA) with a newly licensed nurse. Which of
| | | | | | | | | | |
the following statement by the newly licensed nurse indicates a need for
| | | | | | | | | | |
further teaching?
| |
A. "Information about a client can be disclosed to family members at
| | | | | | | | | | | |
any time" |
B. "HIPAA established regulations of individually identifiable health
| | | | | | | |
information in verbal, electronic, or written form."
| | | | | |
C. "A client's address would be an example of personally identifiable
| | | | | | | | | | |
information."
D. "HIPAA is a federal law, not a state law." - CORRECT ANSWER✔✔-A.
| | | | | | | | | | | |
|"Information about a client can be disclosed to family members at any
| | | | | | | | | | | |
time"
A nurse is preparing to perform an abdominal assessment on a child.
| | | | | | | | | | | |
Identify the sequence the nurse should follow.
| | | | | | |
A. Inspection
|
B. Superficial palpation
| |
C. Deep palpation
| |
,D. Auscultation - CORRECT ANSWER✔✔-A. Inspection
| | | | |
D. Auscultation
|
B. Superficial palpation
| |
C. Deep palpation
| |
A nurse in an emergency department is caring for an infant who has a 2-
| | | | | | | | | | | | | |
day history of vomiting and an elevated temperature. Which of the
| | | | | | | | | | |
following should the nurse recognize as the most reliable indicator of
| | | | | | | | | | |
fluid loss? |
A. Body weight
| |
B. Skin integrity
| |
C. Blood pressure
| |
D. Respiratory rate - CORRECT ANSWER✔✔-A. Body weight
| | | | | | |
A school nurse is assessing a child for pediculosis capitis. Which of the
| | | | | | | | | | | | |
following manifestations should the nurse recognize as an indication of
| | | | | | | | | |
this condition?
|
A. Firmly attached white particles on the hair
| | | | | | |
B. Itching and scratching of the head
| | | | | |
C. Patchy areas of hair loss
| | | | |
D. Thick yellow crusted lesion on a red base - CORRECT ANSWER✔✔-A.
| | | | | | | | | | | |
Firmly attached white particles on the hair
| | | | | |
, A nurse is admitting a client who has experienced a weight loss of 11kg
| | | | | | | | | | | | | |
(25lb) in the past 3 months. The client weighs 40kg (88lb) and believes
| | | | | | | | | | | | |
she is fat. Which of the following aspects of care should the nurse
| | | | | | | | | | | | |
consider the first priority for this client?
| | | | | |
A. Identify the client's nutritional status.
| | | | |
B. Request a mental health consult.
| | | | |
C. Plan a therapeutic diet for the client.
| | | | | | | |
D. Provide a structured environment for the client. - CORRECT
| | | | | | | | | |
ANSWER✔✔-A. Identify the client's nutritional status. | | | | |
A home health nurse is assessing an older adult client in the home who
| | | | | | | | | | | | | |
has decreased vision due to a history of glaucoma. Which of the
| | | | | | | | | | | |
following findings should the nurse identify as a safety risk?
| | | | | | | | |
A. Electrical cords are placed along the walls.
| | | | | | | |
B. Scatter rugs are present in the kitchen.
| | | | | | |
C. Handrails are present in the bathroom.
| | | | | |
D. Uses a microwave for cooking. - CORRECT ANSWER✔✔-B. Scatter
| | | | | | | | | |
rugs are present in the kitchen.
| | | | |
A nurse is assessing for cyanosis in a client who has dark skin. Which of
| | | | | | | | | | | | | | |
the following sites should the nurse examine to identify cyanosis in this
| | | | | | | | | | | |
client?
A. Pinnae of ears
| | |
B. Dorsal surface of hand
| | | |
