NUR 216 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
A nurse is caring for a client in the emergency department who has
an oral body temperature of 38.3 C (101 F), pules rate 114/min, and
respiratory rate 22/min. The client is restless with warm skin.
Which of the following interventions should the nurse take? Select
all that apply
1. Obtain culture specimens before initiating antimicrobials
2. Restrict the client's oral fluid intake
3. Encourage the client to rest and limit activity
4. Allow the client to shiver in dispel excess heat
5. Assist the client with oral hygiene frequently
1, 3, 5
A nurse is instructing an assistive personnel (AP) about caring for a
client who has a low platelet count. Which of the following
instructions is the priority for measuring vital signs for this client?
"Do not measure the client's temperature rectally."
A nurse is instructing a group of assistive personnel in measuring a
client's respiratory rate. Which of the following guidelines should
the nurse include? Select all that apply.
1. Place the client in semi-Fowler's position
2. Have the client rest an arm across the abdomen
3. Observe one full respiratory cycle before counting the rate
4. Count the rate for 30 sec if it is irregular
5. Count and report any sighs the client demonstrates
END OF
PAGE
1
, NUR 216 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
1, 2, 3
A nurse is measuring the blood pressure of a client who has a
fractured femur. The blood pressure reading is 140/94 mm Hg, and
the client denies any history of hypertension. Which of the following
actions should the nurse take first?
Ask the client if they are having pain
A nurse is performing an admission assessment on a client. The
nurse determines the client's radial pulse rate is 68/min and the
simultaneous apical pulse rate is 84/min. What is the client's pulse
deficit?
16/min
A nurse is caring for a client who states, "I have to check with my
partner and see if they think I am ready to go home." The nurse
replies, "How do you feel about going home today?" Which
clarifying technique is the nurse using to enhance communication
with the client?
Reflecting
Which of the following actions should the nurse take when
demonstrating an empathic presence to a client? Select all that
apply
1. Use an open posture
END OF
PAGE
2
QUESTIONS AND
ANSWERS 2026 - 2027
A nurse is caring for a client in the emergency department who has
an oral body temperature of 38.3 C (101 F), pules rate 114/min, and
respiratory rate 22/min. The client is restless with warm skin.
Which of the following interventions should the nurse take? Select
all that apply
1. Obtain culture specimens before initiating antimicrobials
2. Restrict the client's oral fluid intake
3. Encourage the client to rest and limit activity
4. Allow the client to shiver in dispel excess heat
5. Assist the client with oral hygiene frequently
1, 3, 5
A nurse is instructing an assistive personnel (AP) about caring for a
client who has a low platelet count. Which of the following
instructions is the priority for measuring vital signs for this client?
"Do not measure the client's temperature rectally."
A nurse is instructing a group of assistive personnel in measuring a
client's respiratory rate. Which of the following guidelines should
the nurse include? Select all that apply.
1. Place the client in semi-Fowler's position
2. Have the client rest an arm across the abdomen
3. Observe one full respiratory cycle before counting the rate
4. Count the rate for 30 sec if it is irregular
5. Count and report any sighs the client demonstrates
END OF
PAGE
1
, NUR 216 EXAM 1 LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
1, 2, 3
A nurse is measuring the blood pressure of a client who has a
fractured femur. The blood pressure reading is 140/94 mm Hg, and
the client denies any history of hypertension. Which of the following
actions should the nurse take first?
Ask the client if they are having pain
A nurse is performing an admission assessment on a client. The
nurse determines the client's radial pulse rate is 68/min and the
simultaneous apical pulse rate is 84/min. What is the client's pulse
deficit?
16/min
A nurse is caring for a client who states, "I have to check with my
partner and see if they think I am ready to go home." The nurse
replies, "How do you feel about going home today?" Which
clarifying technique is the nurse using to enhance communication
with the client?
Reflecting
Which of the following actions should the nurse take when
demonstrating an empathic presence to a client? Select all that
apply
1. Use an open posture
END OF
PAGE
2
