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.
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?
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