Exam (elaborations)
NURS 100 fundamental final questions and answers graded A+ 2024/2025
- Course
- NURS 100
- Institution
- West Coast University
NURS 100 fundamental final questions and answers graded A+ 2024/2025
[Show more]
Content preview
NURS 100 fundamental final1. - ANS-
2. 5 clinical manifestations at the end of life and 3 nursing interventions - ANS-Cheyne
stokes (death rattle)
3. Tacky> brady, hypotension, diminshed reflexes, mottling skin, decreased urine output,
incontinence, muscle loss, anxiety and life review....
4. Symptom management (pain control), keep clean, elevate HOB, and collaborative care
5. 5 Stages of grief - ANS-DABDA
6. Denial, anger, bargaining, depression and acceptance
7. A client who reports shortness of breath requests her nurse's help in changing positions.
After repositioning the client, which of the following actions should the nurse take next? -
ANS-Observe the rate, depth, and character of the client's respirations.
8. a home health nurse is planning to provide health promotion activities for a group of
clients in the community. Which of the following activities is an example of the nurse
promoting primary prevention? - ANS-Educating clients about the recommended
immunization schedule for adults.
9. A nurse administered morphine to a patient. When she came back to assess the patient,
the patient's respiratory rate was 6. What medication should the nurse adminster? -
ANS-Furosemide
10. A nurse is caring for a client who has bilateral casts on her hands. Which of the following
actions should the nurse take when assisting the client with feeding? - ANS-Sit at the
bedside while feeding the client.
11. A nurse is caring for a client who, while sitting in a chair, starts to experience a seizure.
Which of the following actions should the nurse take? - ANS-lower the client to the floor
and place a pad under the client's head.
12. A nurse is caring for a patient post op abdominal surgery and the client tells the nurse he
felt a pop early and his incision split open. What should the nurse do first? - ANS-apply a
moist sterile gauze to the site
13. A nurse is caring for a patient who has just been diagnosed with terminal cancer. He
states, "I don't care what the doctors say I am not going to die". What stage of grief is the
patient experiencing? - ANS-Denial
14. A nurse is caring for a patient who is on a PCA pump. Which education should the nurse
provide to the patient? (Select all that apply). - ANS-Only you are allowed to push the
pump for more medication.
15. The pump will provide a constant plasma level.
16. You will still be administered medication even if you do not push the button.
17. A nurse is consulting with the dietitian about a patient with a pressure ulcer. What should
the patient's diet be high in? - ANS-Protein
18. A nurse is educating a patient who recently started taking aspirin. Which of the following
education is correct? - ANS-Monitor for tinnitus
, 19. A nurse is going to administer a tuberculin test intradermally. What angle should the
nurse insert the needle? - ANS-15 degrees
20. A nurse is measuring a patient's temperature. The nurse witnessed the client drink ice
water. What should the nurse's action be next? - ANS-Come back in 20-30 minutes to
check the temperture
21. A nurse is planning care for a client who has a single-lumen nasogastric (NG) tube for
gastric decompression. Which of the following actions should the nurse include in the
plan of care?(select all that apply.) - ANS-Provide oral hygiene frequently
22. measure the drainage from the NG tube every shift
23. Secure the NG tube to the client's gown
24. A nurse is planning to perform passive range-of-motion exercises for a client. Which of
the following actions should the nurse take? - ANS-repeat each joint motion five times
during each session.
25. a nurse is preparing to administer a cleansing enema to a client. Which of the following
actions should the nurse plan to take? - ANS-Position the client on his left side
26. A nurse is preparing to administer Motrin 500mg PO every 8 hours. The amount avilable
is 250mg tablets. How many tablets should the nurse adminster with each dose? (round
your answer to the nearest whole number). - ANS-2 tablets
27. A nurse is providing an in-service on fire safety. Which on the following is in the correct
order? - ANS-Rescue, alarm, contain, extinguish (RACE)
28. A nurse is providing discharge teaching to a client who is recovering from lung cancer.
The provider instructed the client that he could resume lower-intensity activities of daily
living. Which of the following activities should the nurse recommend to the client? -
ANS-washing dishes
29. A nurse is taking care of a patient who is being admitted for possible dehydration. His lab
values read BUN 25 and creatine 1.9. Which lab value would be order to confirm
dehydration? - ANS-Urine specific gravity
30. A nurse is taking care of a patient who is experiencing a breathing pattern characterized
by alternating periods of apnea and hyperventilation. The nurse should document this
as? - ANS-Cheyene-Stokes respirations
31. A nurse is taking care of a patient who is receiving palliative care. Which statement
made to the nurse by the client would indicate an understanding of the treatment? -
ANS-I am hopeful this will help with my discomfort
32. A nurse is teaching a client how to self-administer insulin. Which of the following actions
should the nurse take to evaluate the clients understanding of the process within the
psychomotor domain of learning? - ANS-Have the client demonstrates the procedure
33. A nurse notices a patient having a seizure. Which of the following should the nurse do?
(Select all that apply). - ANS-Turn the patient to the side.Remove objects from around
the patient.Place pillow under patient's head
34. A patient has been sent home with a terminal diagnosis, but denies hospice care. What
should the nurse do first? - ANS-Assess the patient's understanding of hospice care
35. A patient has been sent home with a terminal diagnosis, but denies hospice care. What
should the nurse do first? - ANS-Assess the patient's understanding of hospice care.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AllLegitExams. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now