N112 Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
A nurse receives a shift report and is preparing to care for clients assigned on a medical
surgical 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 - CORRECT 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 - CORRECT 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 - CORRECT 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?
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 - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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.
,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. - CORRECT 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. - CORRECT 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." - CORRECT
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. - CORRECT 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 - CORRECT ANSWER A, C, D, E
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 - CORRECT 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 - CORRECT 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." - CORRECT 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.
QUESTIONS AND CORRECT ANSWERS
A nurse receives a shift report and is preparing to care for clients assigned on a medical
surgical 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 - CORRECT 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 - CORRECT 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 - CORRECT 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?
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 - CORRECT 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. - CORRECT 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. - CORRECT 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. - CORRECT 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.
,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. - CORRECT 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. - CORRECT 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." - CORRECT
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. - CORRECT 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 - CORRECT ANSWER A, C, D, E
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 - CORRECT 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 - CORRECT 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." - CORRECT 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.
