NUR 100 Exam # 1 Questions With Complete Solutions
A client comes to the clinic with complaints of not breathing
well. When auscultating his upper right lung lobe the nurse
hears high-pitched musical sounds. The nurse would document
the adventitious breath sounds as?
A. Rhonchi
B. Wheezes
C. Crackles
D. Pleural friction rub Correct Answers B - Wheezes
Wheezes are high pitched musical sounds created by narrowing
of airways.
A client has been admitted with severe abdominal pain that has
lasted for the past 4 hours. Place in order the correct sequence
how the nurse would conduct an abdominal assessment. Use the
pull down tabs to sequence.
1. Inspect
2. Auscultate
3. Percuss
4. Palpate Correct Answers
A nurse in a long term care facility is performing client checks
and observes a fire in a client's room. Which of the following
should be the first action by the nurse?
A- Activate the fire alarm
B- Close all the doors and windows
,C- Evacuate the client from the room
D- Extinguish the fire Correct Answers C- Evacuate the client
from the room.
Client safety is the priority, therefore evacuating the client from
teh room is the first action the nurse should take.
A nurse is admitting a client who has pulmonary tuberculosis
and a productive cough. Besides standard precautions, which
type of precautions should the nurse add to the client's plan of
care?
A - Contact
B - Droplet
C -Protective
D -Airborne Correct Answers D -Airborne
Tuberculosis is a respiratory infection that spreads through the
air, so clients who have it require airborne isolation. The client
needs a private room with negative airflow and at least six to 12
air exchanges/hourly.
A nurse is assessing the client's pulses. Identify the area where
the left brachial pulse would be palpated. Correct Answers
A nurse is assisting a client during ambulation when the client
begins to fall. Which of the following actions should the nurse
take?
A - provide support by holding the client's arm
B - Lean the client toward the wall
, C- Lower the client to the floor
D- Assume a narrow base of support Correct Answers C -
lower the client to the floor
This is an appropriate action. The nurse should gently lower the
client to the floor.
A nurse is caring for a client who is requesting pain medication.
Which of the following actions should the nurse perform first?
A-Reposition the client.
B-Administer the medication.
C-Determine the location of the pain.
D-Review the effects of the pain medication. Correct Answers
C-Determine the location of the pain.
Using the nursing process, assessment of the location of the pain
is priority action by the nurse.
A nurse is caring for a client who is suspected of having
measles. The nurse should assure the client is placed on which
transmission based precaution?
A-Droplet
B - Airborne
C- Contact
D -Protective Correct Answers B - Airborne
A nurse is changing the client's arm dressing and accidentally
drops the dressing on the bed. The client has a large incision in
his arm. The nurse should?
A client comes to the clinic with complaints of not breathing
well. When auscultating his upper right lung lobe the nurse
hears high-pitched musical sounds. The nurse would document
the adventitious breath sounds as?
A. Rhonchi
B. Wheezes
C. Crackles
D. Pleural friction rub Correct Answers B - Wheezes
Wheezes are high pitched musical sounds created by narrowing
of airways.
A client has been admitted with severe abdominal pain that has
lasted for the past 4 hours. Place in order the correct sequence
how the nurse would conduct an abdominal assessment. Use the
pull down tabs to sequence.
1. Inspect
2. Auscultate
3. Percuss
4. Palpate Correct Answers
A nurse in a long term care facility is performing client checks
and observes a fire in a client's room. Which of the following
should be the first action by the nurse?
A- Activate the fire alarm
B- Close all the doors and windows
,C- Evacuate the client from the room
D- Extinguish the fire Correct Answers C- Evacuate the client
from the room.
Client safety is the priority, therefore evacuating the client from
teh room is the first action the nurse should take.
A nurse is admitting a client who has pulmonary tuberculosis
and a productive cough. Besides standard precautions, which
type of precautions should the nurse add to the client's plan of
care?
A - Contact
B - Droplet
C -Protective
D -Airborne Correct Answers D -Airborne
Tuberculosis is a respiratory infection that spreads through the
air, so clients who have it require airborne isolation. The client
needs a private room with negative airflow and at least six to 12
air exchanges/hourly.
A nurse is assessing the client's pulses. Identify the area where
the left brachial pulse would be palpated. Correct Answers
A nurse is assisting a client during ambulation when the client
begins to fall. Which of the following actions should the nurse
take?
A - provide support by holding the client's arm
B - Lean the client toward the wall
, C- Lower the client to the floor
D- Assume a narrow base of support Correct Answers C -
lower the client to the floor
This is an appropriate action. The nurse should gently lower the
client to the floor.
A nurse is caring for a client who is requesting pain medication.
Which of the following actions should the nurse perform first?
A-Reposition the client.
B-Administer the medication.
C-Determine the location of the pain.
D-Review the effects of the pain medication. Correct Answers
C-Determine the location of the pain.
Using the nursing process, assessment of the location of the pain
is priority action by the nurse.
A nurse is caring for a client who is suspected of having
measles. The nurse should assure the client is placed on which
transmission based precaution?
A-Droplet
B - Airborne
C- Contact
D -Protective Correct Answers B - Airborne
A nurse is changing the client's arm dressing and accidentally
drops the dressing on the bed. The client has a large incision in
his arm. The nurse should?
