NURS 100 fundamental Final Exam With
Verified Solutions @ 2024
A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to assess the clients learning within the psychomotor domain
about the procedure? - Answer Have the client demonstrates the procedure
A nurse will administer a cleansing enema to a client. Which of the following actions
should the nurse plan to perform? - Answer Position the client on his left side
A client who is experiencing dyspnea requests that the nurse reposition her. Having
repositioned the client, the nurse's next action would be to: Answer Monitor the rate,
depth, and character of the client's respirations.
The nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding? - Answer
Sit at the bedside while feeding the client.
The nurse is providing care for a client who starts having a seizure while sitting in a chair.
The nurse should do which of the following? -Answer place the client on the floor and
pad the client's head.
The home health nurse prepares a plan for health promotion activities for a group of
clients in the community. Which activity is an example of the nurse providing primary
prevention? Select all that apply. ANSWER Teaching clients about the recommended
immunization schedule for adults.
An assistive personnel (AP) is assisting a nurse with the care of a female client who has
an indwelling urinary catheter. Which of the following actions by the AP indicates a need
for further teaching? - Answer The AP hangs the collection bag at the level of the bladder.
, times frames for STAT, rountine, and now orders - Answer 5 mins for stat
30 before/after for rountine
90 minutes for now orders
A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
living. Which of the following activities should the nurse recommend to the client?
-Answer washing dishes
A nurse is going to provide passive range-of-motion exercises to a client. Which of the
following does the nurse do? Repeat each joint motion five times in each session.
A nurse is developing a plan of care for a client who has a single-lumen nasogastric (NG)
tube for gastric decompression. Which of the following interventions should the nurse
include in the plan of care? (Select all that apply.) Answer Provide oral hygiene frequently
measure the drainage from the NG tube every shift
Secure the NG tube to the client's gown
Example of situational crisis and who is at highest risk Answer sudden unexpected loss
resulting from an external event, and a patient with psychiatric disorder.
patient teaching for aspirin and acetaminophen is Answer bleeding, tinnitus, and do not
take if 19 yr. old or younger with a viral infection-(aspirin) Avoid concurrent use of
alcohol, more than 3gm/day, and routine blood pressure-(acetaminophen)
Name and describe 4 landmarks for IM injections Answer Deltoid
vastus lateralis
ventrogluteal
dorsogluteal
assessing orthostatic hypotension - Answer Strategy: BP & HR in supine then change to
Verified Solutions @ 2024
A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to assess the clients learning within the psychomotor domain
about the procedure? - Answer Have the client demonstrates the procedure
A nurse will administer a cleansing enema to a client. Which of the following actions
should the nurse plan to perform? - Answer Position the client on his left side
A client who is experiencing dyspnea requests that the nurse reposition her. Having
repositioned the client, the nurse's next action would be to: Answer Monitor the rate,
depth, and character of the client's respirations.
The nurse is caring for a client who has bilateral casts on her hands. Which of the
following actions should the nurse take when assisting the client with feeding? - Answer
Sit at the bedside while feeding the client.
The nurse is providing care for a client who starts having a seizure while sitting in a chair.
The nurse should do which of the following? -Answer place the client on the floor and
pad the client's head.
The home health nurse prepares a plan for health promotion activities for a group of
clients in the community. Which activity is an example of the nurse providing primary
prevention? Select all that apply. ANSWER Teaching clients about the recommended
immunization schedule for adults.
An assistive personnel (AP) is assisting a nurse with the care of a female client who has
an indwelling urinary catheter. Which of the following actions by the AP indicates a need
for further teaching? - Answer The AP hangs the collection bag at the level of the bladder.
, times frames for STAT, rountine, and now orders - Answer 5 mins for stat
30 before/after for rountine
90 minutes for now orders
A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
living. Which of the following activities should the nurse recommend to the client?
-Answer washing dishes
A nurse is going to provide passive range-of-motion exercises to a client. Which of the
following does the nurse do? Repeat each joint motion five times in each session.
A nurse is developing a plan of care for a client who has a single-lumen nasogastric (NG)
tube for gastric decompression. Which of the following interventions should the nurse
include in the plan of care? (Select all that apply.) Answer Provide oral hygiene frequently
measure the drainage from the NG tube every shift
Secure the NG tube to the client's gown
Example of situational crisis and who is at highest risk Answer sudden unexpected loss
resulting from an external event, and a patient with psychiatric disorder.
patient teaching for aspirin and acetaminophen is Answer bleeding, tinnitus, and do not
take if 19 yr. old or younger with a viral infection-(aspirin) Avoid concurrent use of
alcohol, more than 3gm/day, and routine blood pressure-(acetaminophen)
Name and describe 4 landmarks for IM injections Answer Deltoid
vastus lateralis
ventrogluteal
dorsogluteal
assessing orthostatic hypotension - Answer Strategy: BP & HR in supine then change to
