NUR 105 Completed Exam Questions and Answers, Exams of Nursing

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NUR 105

COMPLETED EXAM

QNS & ANS

2 VERSIONS

1. The RN encourages the postoperative patient to use the incentive spirometer. He states “I don’t like this thing. What good does it do anyway?” What is the appropriate RN response? “Incentive spirometry promotes thinning of secretions to clear the airway.”
2. Which information would the RN include when planning an education session for parents who have a toddler with difficulty sleeping? Develop and follow consistent bedtime routines
3. Ten minutes after starting a transfusion of packed red cells the patient reports back pain. The RN notes an oral temperature of 101.3° F and a heart rate of 114 beats per minute. What is the RN’s priority response? Discontinue the transfusion
4. The RN encourages the postoperative client to use the incentive spirometer. He states “I don’t like this thing. What good does it do anyway?” What is the appropriate RN response? “It is used to reduce the risk of atelectasis and pneumonia.”
5. The RN is caring for an acutely ill patient with chronic pulmonary disease and notes labored respiration. How would the RN position the patient to promote ventilation of the lung? Leaning forward with arms resting on over bed table.

12. A client uses a peak flow meter at home. Which statement indicates an understanding of the purpose of the procedure? The airways to my lungs must be really wide open today; I set a new personal high this morning.
13. Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of Impaired gas exchange? The patient’s pulse oximetry readings will be 95% or greater
14. The RN is collaborating with a student nurse in the care of a patient with ongoing insomnia. The provider has just prescribed ramelteon. Which statement indicates to the RN the student nurse understands information about this drug? The medication helps regulate circadian rhythm, to promote regular sleep
15. Which assessment data supports the nursing diagnosis Ineffective airway clearance Shallow, irregular, hyperventilation pattern
16. The parent of a 4 - year-old girl is concerned because the child awakens and screams about 20 minutes after going to sleep. Which response would be appropriate for the RN to make This is a common occurrence in children of this age; make sure you comfort her.

17. The RN is performing an assessment on a 5 - year-old child. Which is an abnormal finding? Retractions of upper chest muscles
18. The RN assesses retractions of upper chest muscles on a 5 - year-old child. What other data should the nurse assess for? Enlarged tonsils
19. Which of the following delivery methods provides the most precise amount of oxygen? Simple face mask
20. Which of the following delivery methods provides the most precise amount of oxygen? Venturi mask
21. The RN is caring for a patient with long term pulmonary disease who is receiving oxygen 2 liters per minute via nasal cannula continuously at home. Which of the following statements indicates the patient needs additional teaching? “If I get short of breath, I can turn the oxygen up to 4 liters per minute until I feel better.
22. The RN is caring for a client with chronic pulmonary disease who is receiving oxygen 2 liters per minute via nasal cannula continuously at home. Which of the following statements indicates the client needs additional teaching? “Usually when I get short of

28. Following surgery, a client voids small, frequent amounts of urine. Which evaluation statement would indicate progress toward resolution of this problem Client verbalizes hesitancy and urgency is decreased
29. The parents of an 11 - month-old are worried their infant is constipated because there may be two days without a bowel movement. Which is an appropriate RN response related to this concern? As long as the stool is soft your baby is not constipated.”
30. The parents of an 11 - month-old are worried their infant is constipated because there may be two days without a bowel movement. Which is an appropriate RN response related to this concern “As long as the stool is soft your baby is not constipated.”
31. The RN is discussing prevention of constipation with a patient. Which statement would indicate the need for further teaching? “I will take a stool softener if I do not have a bowel movement each day.”
32. The RN is discussing prevention of constipation with a client. Which client statement would indicate the need for further teaching I’ll take a stool softener if I do not have a bowel movement each day.

33. Which instruction would the RN provide when teaching a patient about changing an ostomy appliance? After removing the used appliance, cleanse the stoma with mild soap and water.
34. Which instruction would the RN provide when teaching a client about changing an ostomy appliance? After removing the used appliance, cleanse the stoma with mild soap and water.
35. During the instillation of a large-volume enema, the patient says, “I have cramps and have to let the fluid out.” Which is the appropriate action for the RN to take? Put the patient on a bed pan
36. During the instillation of a large-volume enema, the client says, “I have cramps and have to let the fluid out.” Which is the appropriate action for the RN to take? Decrease the height of the solution bag.
37. A patient has not had a bowel movement for three (3) days and requests a laxative. The RN notes a PRN order for bisocodyl (Dulcolax) in the patient’s medical record. Which of the following demonstrates safe nursing judgment Administer the laxative to the patient

44. The RN is providing care for a patient who has a wound and requires a high protein diet. Which statement indicates the patient understands the function of proteins? Proteins enable tissue growth and repair.”
45. A patient on continuous enteral tube feedings reports nausea. Which intervention is collaborative and would require the RN to contact the provider Slow the rate of the feeding
46. Which question would the RN ask when assessing a client’s usual urination pattern “Do you get up to urinate during the night?”
47. During a home visit the family caretaker informs the RN the patient reports nausea and bloating following intermittent tube feedings. The RN collects additional data to determine if which of the following has occurred? The feeding may have been administered too rapidly.
48. The RN is providing care for a client who has a wound and requires a high protein diet. Which statement indicates the client understands the function of proteins? “Proteins enable tissue growth and repair.”

49. The RN is conducting a nutritional assessment on a newly admitted patient. What can be delegated to the Licensed Practical Nurse/Licensed Vocational Nurse Collect nutritional history
50. A client on continuous enteral tube feedings reports nausea. Which intervention is collaborative and would require the RN to contact the provider? Slow the rate of the feeding

1. The RN is caring for a client who is receiving a blood transfusion and reports hives and itching. What are the RN’s priority actions? Contact the healthcare provider.
2. The RN receives an order for diphenhydramine 25mg every 6 hours as needed for cough. The pharmacy label reads 12.5mg/mL. How many mL should the RN administer per dose? 10mL
3. The RN receives an order for diphenhydramine 25mg every 6 hours as needed for cough. The pharmacy label reads 12.5mg/5mL. How many mL should the RN administer per dose 10 mL
4. The RN is providing discharge instructions to the parents of a 2-year-old with pneumonia. Which statement by the parent indicates the need for further education “I will discourage deep breathing and coughing.”
5. The RN is providing discharge instructions to the parents of a 2-year-old with pneumonia. Which statement by the parent indicates the need for further education? “I will discourage deep breathing and coughing.”

6. Which assessments would lead the RN to suspect obstructive sleep apnea in a client who is scheduled for a sleep study? Snoring disturbing to bed partner. Daytime fatigue
7. The RN receives an order to infuse one unit containing 250ml of packed red blood cells over 3 hours. What rate should the Intravenous Control Device be set 83 mL/hour
8. The RN is developing a plan of care with a client who is receiving total parenteral nutrition (TPN). Which outcome should receive priority in the plan? The client will remain afebrile throughout therapy
9. The RN is developing a plan of care with a client who is receiving total parenteral nutrition (TPN). Which outcome should receive priority in the plan? The patient will remain afebrile throughout therapy
10. Which disorder is classified as a parasomnia Night terror
11. Which of these instructions should an RN not include in a plan for teaching a group of senior citizens about nutritional needs Use chewing gum between meals

17. The RN is providing teaching to a client with a skin disorder. Which statement by the client indicates understanding of the foods that would help their condition? “I will add enriched breads, peanuts and tuna to my diet.”
18. The RN delegated the task of collecting a routine urinalysis for a client who has an indwelling catheter to the unlicensed assistive personnel (UAP). Which statement by the UAP indicates the need for further instruction? “I will collect the specimen from the drainage bag to maintain integrity of the system.
19. A client who is actively dying and says to the RN “Please stop bringing meal trays to me.” Which would be the best response for the RN to make “I will need to inform your next of kin of your request.”
20. A client who is actively dying says to the RN “Please stop bringing meal trays to me.” Which would be the best response for the RN to make “I will need to inform your next of kin of your request.
21. Which statement by the orienting RN indicates the need for further instruction? “I will ask another RN to insert the nasogastric tube.”

22. The RN is providing teaching to a client with a skin disorder. Which statement by the client indicates understanding of the foods that would help their condition? “I will add enriched breads, peanuts and tuna to my diet.”
23. A client who is actively dying and says to the RN “Please stop bringing meal trays to me.” Which would be the best response for the RN to make? “I will need to inform your next of kin of your request.”
24. The RN tells her primary care provider that she cannot sleep. Which medication would most likely be prescribed to help promote sleep? Buspirone
25. Which priority action should the RN perform when a chest tube accidently disconnects from a chest drainage system? Assess vital signs and pulse oximetry