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NUR 101
NUR 101/ NUR101 FINAL EXAM H EALTH ASSESSMENT |
QUESTIONS & ANSWERS| GRADE A| (V ERIFIED SOLUTIONS)
(NEW 2025/ 2026 U PDATE)
A nurse calls a physician regarding a change in a client's condition. The
physician gives orders over the telephone for arterial blood gases
(ABGs) to be drawn stat. which is the most important safety
consideration when obtaining the order?
1. Writing the order down & reading it back to the physician.
2. Calling the respiratory therapist stat to draw the ABGs
3. Giving the order stat to the health unit coordinator to place in the
computer
4. Writing down the order for the ABGs immediately - Correct answer # 1
- The Joint Commission National Patient Safety Goals requires
telephone orders to be written down & read back. This action will
validate the accuracy of the order received.
Although the order is state, calling the respiratory therapist or giving the
order to the health unit coordinator is not the most important safety
consideration. Writing down the order without reading it back does not
met the Joint Commission safety goal requirements.
A client is admitted to a surgical unit. The client has multiple rings, a
watch, and $65 in cash. What is the safest action for a nurse to take
regarding the valuables?
1. Allowing the client to keep the items so they will be safeguarded by
the client
2. Collecting the items and placing them in the client's room closet
3. Giving the money to the client's spouse and allowing the client to keep
the jewelry
4. Collecting the items according to hospital policy for safekeeping -
Correct answer # 4 - hospital policy will determine if the items were
handled appropriately in the case of loss
NUR 101
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NUR 101
1, 2 & 3 - inCorrect - Although the hospital policy may allow the items to
stay with the client, to be in the room, or to be sent home with the
spouse the safest action is to follow hospital policy
A client has an advance health care directive on file at a hospital that
identifies a friend as the legal healthcare agent. A nurse is to obtain
informed consent for the client to have an exploratory laparotomy.
Because of sedation, the client is unable to sign the form or give verbal
consent. Who should provide consent for this client?
1. The client's spouse
2. The client's oldest adult child
3. Since the client is unable to give consent, the surgery cannot be
performed.
4. The clients'durable power of attorney for healthcare. - Correct answer
# 4 - since the client has a durable power of attorney for health care that
person is designated to make healthcare decisions when the client is
unable to do so.
1 & 2 - inCorrect - The client's spouse & oldest adult child would not be
able to give consent.
3 - inCorrect - Even though the client is unable to provide consent, the
surgery may be performed by following the legal process for obtaining
consent.
The nurse walks into a room of a client who has a "do not resuscitate"
order and finds the client without a pulse, respirations, or BP. What is the
most appropriate action?
1. Stay in the room and notify the nursing team for assistance.
2. Push the emergency alarm to call a code.
3. Dial the hospital phone number for a code.
4. Pull the curtain and leave the room. - Correct answer - 1 - the nurse
should call to the desk to ask for assistance. The nurse needs to notify
the doctor of the client's death and the family must then be notified.
2 & 3 - inCorrect - A code should not be called
4 - inCorrect - Nursing personnel should begin postmortem care so
thtathe family does not walk in unannounced to find their loved one
deceased and looking disarrayed.
NUR 101
, 3
NUR 101
A client informs a nurse that a physician is recommending a kidney
biopsy. The client fears the result will be cancer and would not want
treatment. The client feels it would be better just "not to know." which
action should be taken by the nurse to determine if the client
understands his/her client rights?
1. Explain to the client that the physician is doing what is best for the
client.
2. Inform the client of his/her right to make decisions based on personal
values & beliefs
3. Encourage the client to talk with family & let the family decide
4. Talk with the physician about the client's fear of having the biopsy -
Correct answer # 2 - clients have the right to make decisions based on
personal values & beliefs.
1& 3 - inCorrect - Physicians cannot make treatment decisions without
the consent of the client, nor may the family.
4 - inCorrect - It is important to notify the physician about the client's fear
of the biopsy, however, it does not address the client's understanding of
client's rights.
Two clients are in a semi-private room on a medical unit. A physician is
about to inform client A of a cancer diagnosis. Which statement by the
nurse is best when attempting to maintain client confidentiality?
1. To Client B: this would be a good time to go for a walk the Dr needs to
tell your roommate something confidential
2. To the physician "for privacy, could you please wait to tell client A
about his cancer? His roommate will be going home in a few hours."
3. To client B: "the Dr needs to talk to your roommate. Could you please
turn on your TV & not listen to what they say?"
4. To client B: "I would like to take you in a wheelchair or have you walk
down to the lobby for 10 -1 5 minutes. It's good for your lungs to do
some deep breathing with activity. Do you feel like getting up for a little
while?" - Correct answer # 4 - offering client B to get out of bed for his
benefit completely eliminates the need to share any information about
client A
1 & 3 - inCorrect - sharing with client B that client A will be receiving
confidential information is not appropriate, nor is expecting client B to
turn on his tvand not listen to the conversation
NUR 101
, 4
NUR 101
2 - inCorrect - Asking the physician to return later may not be realistic for
the physician's schedule & the client may have another roommate by
that time
A nurse is caring for a client diagnosed with cystic fibrosis who is
refusing to take a recommended nebulizer treatment. The client's refusal
of treatment is classified as which of the following?
1. A moral obligation
2. A legal obligation
3. An ethical right
4. A basic human right - Correct answer # 3 - rights are generally defined
as something owed to an individual. Ethical rights are based on an
ethical principle and are often privileges allotted to individuals.
1 - inCorrect - a moral obligation would be taking the treatment based on
an ethical principle
2 - inCorrect - a legal obligation would be one required by law.
4 - inCorrect - basic human rights are based on the fundamental belief in
the dignity and freedom of human rights.
A hospitalized client diagnosed with end stage cancer has suddenly
decided to discontinue treatment. The client requests no additional
treatment, such as antibiotics, tube feedings, & mechanical ventilation.
When acting as the client's advocate, which action should a nurse take?
1. Respect the client's wishes & indicate those wishes on the plan of
care
2. Encourage the client to share the decision with the family & the
client's physician
3. Clarify other treatments that the client wishes to withhold.
4. Wait until additional treatment is required & then decide what to do
based on the client's condition - Correct answer # 2 - in advocating for
the client the nurse should encourage the client to share the decision
with family & the physician. To advocate for someone means to speak
for that person when the person is unable to speak for their self. The
client is still able to make his or her own decisions, which will be better
supported when the client shares with the family & physician.
1 - inCorrect - although the wishes should be indicated on the plan of
care this nurse action does not demonstrate advocating for the client
3 - inCorrect - A physician order is required to limit treatment
NUR 101
NUR 101
NUR 101/ NUR101 FINAL EXAM H EALTH ASSESSMENT |
QUESTIONS & ANSWERS| GRADE A| (V ERIFIED SOLUTIONS)
(NEW 2025/ 2026 U PDATE)
A nurse calls a physician regarding a change in a client's condition. The
physician gives orders over the telephone for arterial blood gases
(ABGs) to be drawn stat. which is the most important safety
consideration when obtaining the order?
1. Writing the order down & reading it back to the physician.
2. Calling the respiratory therapist stat to draw the ABGs
3. Giving the order stat to the health unit coordinator to place in the
computer
4. Writing down the order for the ABGs immediately - Correct answer # 1
- The Joint Commission National Patient Safety Goals requires
telephone orders to be written down & read back. This action will
validate the accuracy of the order received.
Although the order is state, calling the respiratory therapist or giving the
order to the health unit coordinator is not the most important safety
consideration. Writing down the order without reading it back does not
met the Joint Commission safety goal requirements.
A client is admitted to a surgical unit. The client has multiple rings, a
watch, and $65 in cash. What is the safest action for a nurse to take
regarding the valuables?
1. Allowing the client to keep the items so they will be safeguarded by
the client
2. Collecting the items and placing them in the client's room closet
3. Giving the money to the client's spouse and allowing the client to keep
the jewelry
4. Collecting the items according to hospital policy for safekeeping -
Correct answer # 4 - hospital policy will determine if the items were
handled appropriately in the case of loss
NUR 101
, 2
NUR 101
1, 2 & 3 - inCorrect - Although the hospital policy may allow the items to
stay with the client, to be in the room, or to be sent home with the
spouse the safest action is to follow hospital policy
A client has an advance health care directive on file at a hospital that
identifies a friend as the legal healthcare agent. A nurse is to obtain
informed consent for the client to have an exploratory laparotomy.
Because of sedation, the client is unable to sign the form or give verbal
consent. Who should provide consent for this client?
1. The client's spouse
2. The client's oldest adult child
3. Since the client is unable to give consent, the surgery cannot be
performed.
4. The clients'durable power of attorney for healthcare. - Correct answer
# 4 - since the client has a durable power of attorney for health care that
person is designated to make healthcare decisions when the client is
unable to do so.
1 & 2 - inCorrect - The client's spouse & oldest adult child would not be
able to give consent.
3 - inCorrect - Even though the client is unable to provide consent, the
surgery may be performed by following the legal process for obtaining
consent.
The nurse walks into a room of a client who has a "do not resuscitate"
order and finds the client without a pulse, respirations, or BP. What is the
most appropriate action?
1. Stay in the room and notify the nursing team for assistance.
2. Push the emergency alarm to call a code.
3. Dial the hospital phone number for a code.
4. Pull the curtain and leave the room. - Correct answer - 1 - the nurse
should call to the desk to ask for assistance. The nurse needs to notify
the doctor of the client's death and the family must then be notified.
2 & 3 - inCorrect - A code should not be called
4 - inCorrect - Nursing personnel should begin postmortem care so
thtathe family does not walk in unannounced to find their loved one
deceased and looking disarrayed.
NUR 101
, 3
NUR 101
A client informs a nurse that a physician is recommending a kidney
biopsy. The client fears the result will be cancer and would not want
treatment. The client feels it would be better just "not to know." which
action should be taken by the nurse to determine if the client
understands his/her client rights?
1. Explain to the client that the physician is doing what is best for the
client.
2. Inform the client of his/her right to make decisions based on personal
values & beliefs
3. Encourage the client to talk with family & let the family decide
4. Talk with the physician about the client's fear of having the biopsy -
Correct answer # 2 - clients have the right to make decisions based on
personal values & beliefs.
1& 3 - inCorrect - Physicians cannot make treatment decisions without
the consent of the client, nor may the family.
4 - inCorrect - It is important to notify the physician about the client's fear
of the biopsy, however, it does not address the client's understanding of
client's rights.
Two clients are in a semi-private room on a medical unit. A physician is
about to inform client A of a cancer diagnosis. Which statement by the
nurse is best when attempting to maintain client confidentiality?
1. To Client B: this would be a good time to go for a walk the Dr needs to
tell your roommate something confidential
2. To the physician "for privacy, could you please wait to tell client A
about his cancer? His roommate will be going home in a few hours."
3. To client B: "the Dr needs to talk to your roommate. Could you please
turn on your TV & not listen to what they say?"
4. To client B: "I would like to take you in a wheelchair or have you walk
down to the lobby for 10 -1 5 minutes. It's good for your lungs to do
some deep breathing with activity. Do you feel like getting up for a little
while?" - Correct answer # 4 - offering client B to get out of bed for his
benefit completely eliminates the need to share any information about
client A
1 & 3 - inCorrect - sharing with client B that client A will be receiving
confidential information is not appropriate, nor is expecting client B to
turn on his tvand not listen to the conversation
NUR 101
, 4
NUR 101
2 - inCorrect - Asking the physician to return later may not be realistic for
the physician's schedule & the client may have another roommate by
that time
A nurse is caring for a client diagnosed with cystic fibrosis who is
refusing to take a recommended nebulizer treatment. The client's refusal
of treatment is classified as which of the following?
1. A moral obligation
2. A legal obligation
3. An ethical right
4. A basic human right - Correct answer # 3 - rights are generally defined
as something owed to an individual. Ethical rights are based on an
ethical principle and are often privileges allotted to individuals.
1 - inCorrect - a moral obligation would be taking the treatment based on
an ethical principle
2 - inCorrect - a legal obligation would be one required by law.
4 - inCorrect - basic human rights are based on the fundamental belief in
the dignity and freedom of human rights.
A hospitalized client diagnosed with end stage cancer has suddenly
decided to discontinue treatment. The client requests no additional
treatment, such as antibiotics, tube feedings, & mechanical ventilation.
When acting as the client's advocate, which action should a nurse take?
1. Respect the client's wishes & indicate those wishes on the plan of
care
2. Encourage the client to share the decision with the family & the
client's physician
3. Clarify other treatments that the client wishes to withhold.
4. Wait until additional treatment is required & then decide what to do
based on the client's condition - Correct answer # 2 - in advocating for
the client the nurse should encourage the client to share the decision
with family & the physician. To advocate for someone means to speak
for that person when the person is unable to speak for their self. The
client is still able to make his or her own decisions, which will be better
supported when the client shares with the family & physician.
1 - inCorrect - although the wishes should be indicated on the plan of
care this nurse action does not demonstrate advocating for the client
3 - inCorrect - A physician order is required to limit treatment
NUR 101
