©BRAINBARTER 2024/2025
Exam 1 N112 Questions With Verified
Answers
A nurse receives a shift report and is preparing to care for clients assigned on a medicalsurgical
unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living
B) The client who needs help ambulating to the bathroom
C) The client with a pain rating of 3/10
D) The client experiencing shortness of breath - answer✔D
2) A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the
room, the nurse ensures the client has an overbed table to lean on when awake if needed to ease
breathing. Which technique did the nurse use to make this decision? A) Delegating a task
B) Priority setting
C) Conflict resolution
D) Critical thinking - answer✔D
3) A postoperative client prescribed pain medication every 4 to 6 hours is requesting medication
every 6 hours. At 4 hours the client's pain level is 8 on a rating scale of 1 to 10. The nurse
decides to give the pain medication now. What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) Responding to a change in the client's condition - answer✔D
4) The nurse is assigned two clients. One client needs postoperative teaching in preparation for
discharge, and the other client with pneumonia has a PaCO2 of 85. Why does the nurse decide to
see the client with pneumonia first?
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A) The nurse can delegate postoperative teaching to unlicensed assistive personnel (UAP).
B) The client with pneumonia needs more care than the client needing postoperative teaching.
C) The client with pneumonia may be experiencing respiratory distress.
D) The room of the client with pneumonia is closer than that of the client needing postoperative
teaching - answer✔C
5) The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client
states, "I think I ate tainted food last night." What should the nurse do after the client states that
the food was tainted?
A) Ask the client open-ended questions to further assess the situation.
B) Tell the client the healthcare provider does not need to assess the client.
C) Call an ambulance before assessing the client any further.
D) Advise the client to take an antacid. - answer✔A
6) A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. Which is
the priority nursing action?
A) Notify the healthcare provider.
B) Complete a thorough cardiopulmonary assessment.
C) Administer 10 L of oxygen per face mask.
D) Reposition the client to help with breathing. - answer✔B
7) The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery
bypass surgery. The client has lost 10 pounds, is continuing to experience pain, and is not eating.
What should be the nurse's next action?
A) Examine the current interventions for pain relief.
B) Refer the client to social services.
C) Contact Meals on Wheels so that the client will eat.
D) Revise the goals in the current plan of care. - answer✔A
8) The nurse is caring for an older adult client with decreased energy who needs to get up to
prevent the development of pressure ulcers. The client is unable to ambulate and wants to be
alone. What should the nurse do?
A) Notify the healthcare provider of the client's noncompliance.
, ©BRAINBARTER 2024/2025
B) Leave the client alone until ready to get out of bed.
C) Gain knowledge about the client from family to gain compliance. D) Proceed to get help to
get the client out of bed. - answer✔C
9) The nurse is caring for an older school-age client who is sleeping when the menu choices for
dinner are brought to the room. Which intervention should the nurse use to meet the dietary
needs of this client?
A) Wake the child to choose a meal for dinner.
B) Order chicken nuggets because most children like this meal.
C) Ask the dietary worker to come back later.
D) Ask the parents to bring dinner from home for the client. - answer✔C
10) A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse
does not know the answer to this question. What should the student respond to the client? A) "I
do not know, but I will find out." B) "You'll have to ask the doctor that question." C) "Why do
you need to know that?" D) "I do not know." - answer✔A
11) A novice nurse is planning care for an older adult client with a wound infection and systemic
blood infection. The nurse completes the plan of care and decides to complete which action to
enhance the skill of critical thinking?
A) Discuss the plan with the physician.
B) Request that the client review the plan.
C) Request a review of the plan with the nurse's preceptor.
D) Place the plan on the client's chart. - answer✔C
12) The nurse is taking the time to reflect on a care situation in which a client sustained a cardiac
arrest and died. On which areas should the nurse focus when performing this reflection? Select
all that apply.
A) Things that could have been done differently
B) Gut reactions to the situation
C) Things that were done well
D) Resources that were used at the time
E) Resources that were needed but not available - answer✔A, C, D, E
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13) A client begins to vomit blood. The nurse immediately measures the blood pressure and
prepares to insert a nasogastric tube while directing others to notify the healthcare provider and
prepare to perform iced saline lavage. Which features of the Tanner Clinical Judgment Model
did this nurse demonstrate? Select all that apply.
A) Presencing
B) Noticing
C) Reflecting
D) Interpreting
E) Responding - answer✔B, D, E
14) The nurse who uses clinical decision making to start CPR on a client is concerned about
what other nursing concept?
A) Cognition
B) Perfusion
C) Thermoregulation
D) Acid-base balance - answer✔B
1) During a health history, a client becomes upset because the nurse is asking many questions.
Which response by the nurse is the most appropriate in this situation?
A) "I use the answers to determine your current health needs."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." - answer✔A
2) The nurse is conducting a class for a group of expectant mothers regarding basic infant care
techniques. What goal will allow the nurse to best evaluate the mothers' learning?
A) The mothers will be able to set goals for the next class session.
B) The mothers will be able to pass a written test on how to bathe a newborn infant.
C) The mothers will be able to review the major points of the class. D) The mothers will be able
to provide a return demonstration of a bath on a newborn doll. - answer✔D
3) A goal of care for a client with congestive heart failure (CHF) is for serum sodium levels to be
within normal limits. Which information documented in the medical record would indicate that
the client is not meeting this goal?
Exam 1 N112 Questions With Verified
Answers
A nurse receives a shift report and is preparing to care for clients assigned on a medicalsurgical
unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living
B) The client who needs help ambulating to the bathroom
C) The client with a pain rating of 3/10
D) The client experiencing shortness of breath - answer✔D
2) A client with congestive heart failure (CHF) is having difficulty breathing. Before leaving the
room, the nurse ensures the client has an overbed table to lean on when awake if needed to ease
breathing. Which technique did the nurse use to make this decision? A) Delegating a task
B) Priority setting
C) Conflict resolution
D) Critical thinking - answer✔D
3) A postoperative client prescribed pain medication every 4 to 6 hours is requesting medication
every 6 hours. At 4 hours the client's pain level is 8 on a rating scale of 1 to 10. The nurse
decides to give the pain medication now. What does this nurse's action exemplify?
A) Meeting a client goal
B) Time management skills
C) Prioritizing the client's care
D) Responding to a change in the client's condition - answer✔D
4) The nurse is assigned two clients. One client needs postoperative teaching in preparation for
discharge, and the other client with pneumonia has a PaCO2 of 85. Why does the nurse decide to
see the client with pneumonia first?
, ©BRAINBARTER 2024/2025
A) The nurse can delegate postoperative teaching to unlicensed assistive personnel (UAP).
B) The client with pneumonia needs more care than the client needing postoperative teaching.
C) The client with pneumonia may be experiencing respiratory distress.
D) The room of the client with pneumonia is closer than that of the client needing postoperative
teaching - answer✔C
5) The urgent care clinic nurse is treating a client who is experiencing abdominal pain. The client
states, "I think I ate tainted food last night." What should the nurse do after the client states that
the food was tainted?
A) Ask the client open-ended questions to further assess the situation.
B) Tell the client the healthcare provider does not need to assess the client.
C) Call an ambulance before assessing the client any further.
D) Advise the client to take an antacid. - answer✔A
6) A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. Which is
the priority nursing action?
A) Notify the healthcare provider.
B) Complete a thorough cardiopulmonary assessment.
C) Administer 10 L of oxygen per face mask.
D) Reposition the client to help with breathing. - answer✔B
7) The home health nurse is visiting a client who is 2 weeks postoperative from a coronary artery
bypass surgery. The client has lost 10 pounds, is continuing to experience pain, and is not eating.
What should be the nurse's next action?
A) Examine the current interventions for pain relief.
B) Refer the client to social services.
C) Contact Meals on Wheels so that the client will eat.
D) Revise the goals in the current plan of care. - answer✔A
8) The nurse is caring for an older adult client with decreased energy who needs to get up to
prevent the development of pressure ulcers. The client is unable to ambulate and wants to be
alone. What should the nurse do?
A) Notify the healthcare provider of the client's noncompliance.
, ©BRAINBARTER 2024/2025
B) Leave the client alone until ready to get out of bed.
C) Gain knowledge about the client from family to gain compliance. D) Proceed to get help to
get the client out of bed. - answer✔C
9) The nurse is caring for an older school-age client who is sleeping when the menu choices for
dinner are brought to the room. Which intervention should the nurse use to meet the dietary
needs of this client?
A) Wake the child to choose a meal for dinner.
B) Order chicken nuggets because most children like this meal.
C) Ask the dietary worker to come back later.
D) Ask the parents to bring dinner from home for the client. - answer✔C
10) A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse
does not know the answer to this question. What should the student respond to the client? A) "I
do not know, but I will find out." B) "You'll have to ask the doctor that question." C) "Why do
you need to know that?" D) "I do not know." - answer✔A
11) A novice nurse is planning care for an older adult client with a wound infection and systemic
blood infection. The nurse completes the plan of care and decides to complete which action to
enhance the skill of critical thinking?
A) Discuss the plan with the physician.
B) Request that the client review the plan.
C) Request a review of the plan with the nurse's preceptor.
D) Place the plan on the client's chart. - answer✔C
12) The nurse is taking the time to reflect on a care situation in which a client sustained a cardiac
arrest and died. On which areas should the nurse focus when performing this reflection? Select
all that apply.
A) Things that could have been done differently
B) Gut reactions to the situation
C) Things that were done well
D) Resources that were used at the time
E) Resources that were needed but not available - answer✔A, C, D, E
, ©BRAINBARTER 2024/2025
13) A client begins to vomit blood. The nurse immediately measures the blood pressure and
prepares to insert a nasogastric tube while directing others to notify the healthcare provider and
prepare to perform iced saline lavage. Which features of the Tanner Clinical Judgment Model
did this nurse demonstrate? Select all that apply.
A) Presencing
B) Noticing
C) Reflecting
D) Interpreting
E) Responding - answer✔B, D, E
14) The nurse who uses clinical decision making to start CPR on a client is concerned about
what other nursing concept?
A) Cognition
B) Perfusion
C) Thermoregulation
D) Acid-base balance - answer✔B
1) During a health history, a client becomes upset because the nurse is asking many questions.
Which response by the nurse is the most appropriate in this situation?
A) "I use the answers to determine your current health needs."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." - answer✔A
2) The nurse is conducting a class for a group of expectant mothers regarding basic infant care
techniques. What goal will allow the nurse to best evaluate the mothers' learning?
A) The mothers will be able to set goals for the next class session.
B) The mothers will be able to pass a written test on how to bathe a newborn infant.
C) The mothers will be able to review the major points of the class. D) The mothers will be able
to provide a return demonstration of a bath on a newborn doll. - answer✔D
3) A goal of care for a client with congestive heart failure (CHF) is for serum sodium levels to be
within normal limits. Which information documented in the medical record would indicate that
the client is not meeting this goal?
