NUR 111 Test Taking Strategies

Multiple Choice

A nurse is assessing a client’s ability to focus on a mental task. What is the best question for the nurse to ask in relation to this assessment?

• What city were you born in?

• What did you have for lunch today?

• What is the result when you multiply 2x2?

• What day of the week is it?

Multiple Choice

The nurse is reviewing evidence based practice to make changes to reduce infections on the unit, which resource would be best for the nurse to use?

• A peer reviewed journal article published in 2020

• A nursing text book published in 2010.

• A website article posted in 2020.

• A nursing journal from Finland

Multiple Choice

The nurse is reviewing evidence based practice to make changes to reduce infections on the unit, which resource would be best for the nurse to use?

• A peer reviewed journal article published in 2020

• A nursing text book published in 2010.

• A website article posted in 2020.

• A nursing journal from Finland

Multiple Choice

The nurse is admitting a client to the mental health unit. The client is confused and disoriented. What is the nurse's primary goal for this client?

• Help the client feel safe on the unit

• Orient the client to the unit

• Stabilize the client's mental health needs

• Explain the unit rules

Multiple Choice

Which is an expected apical pulse for an adult patient?

• 120

• 98

• 36

• 84

Multiple Choice

The nurse auscultates the lungs of a client and notes continuous high pitched musical sounds. How will the nurse document the lung sounds?

• Crackles

• Wheezing

• Normal Lung Sounds

• Friction rub

Multiple Choice

The nurse obtains the client's blood pressure while standing, the client reports feeling dizzy. What priority nursing intervention should the nurse perform?

• Give all scheduled medications

• Assess the client's heart rate

• Call the healthcare provider

• Assist the client to a sitting position

Multiple Choice

Which of the following findings should the nurse report to the healthcare provider after completing an abdominal assessment on a client?

• An irregular pattern of bowel sounds

• Bruit over the aorta

• Absence of bowel sounds for 60 seconds

• Continuous bowel sounds after a meal

Multiple Choice

The nurse identifies the client’s abdomen is distended. What assessment should the nurse perform next?

• Weigh the client

• Obtain vital signs

• Inspect the characteristics of the next stool

• Measure the girth of the abdomen

Multiple Choice

A client on the medical unit tells the nurse, “My heart hurts.” What is the most appropriate response by the nurse?

• Say, “Please be more specific about how it hurts.”

• Obtain the client’s vital signs

• Say, “Your heart hurts?”

• Alert the Rapid Response Team

Multiple Choice

The nurse has been assigned to a group of clients. based on the information provided, which client should be seen first?

• 48-year-old client with a hemoglobin of 9.5 g/dl who is receiving ferrous sulfate supplements, and is complaining of feeling tired.

• 82-year-old client with emphysema who is receiving 2 liters of oxygen and is concerned about a pulse oximetry reading of 91%.

• 68-year-old client who had total hip replacement surgery 6 hours ago and is complaining of moderate discomfort at the surgical site.

• 32-year-old client with a urinary tract infection who is receiving an intravenous antibiotic and reporting swelling of the tongue.

Multiple Choice

A parent brings a child to the urgent care center stating, “I think she has a bad cold.” The nurse completes the assessment interview. Use the clinical documentation to determine what step in the assessment the nurse should compete next:

VS: Temperature 100.4 temporal, Pulse 94 regular rhythm, Respirations 30

Assessment: The client is sitting in bed in tripod position with facial flushing, supraclavicular and intercostal retractions, non-productive cough, restlessness noted. Abdomen is soft and no guarding observed. Mother states, “She started coughing three days ago, but the cough is getting worse. She doesn’t want to drink and her urine is dark. When her face got so red, I got scared and brought her here.”

• Obtain the apical heart rate

• Palpate the abdomen

• Auscultate the lungs

• Ask the child where it hurts

Multiple Choice

Review the attached documentation. What is the best intervention by the nurse based on the assessment findings?

• Administer anti emetic

• Notify the Healthcare provider

• Obtain finger-stick blood glucose

• Change the IV infusion rate to 200mL/hr

Multiple Select

The nurse is completing an assessment of the 28 year old male client, what findings would the nurse document as abnormal findings? Select all that apply

• Difficulty sleeping at night

• Wheezing in the bases

• Abdominal pain 6/10

• S4 auscultated

• Heart Rate of 120

Multiple Choice

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On admission to the hospital, an elderly client is restless and confused. During the second day on the unit, the nurse is scheduled to administer medications to the client. The client's armband is not present. Which is the best action by the nurse?

• Have the client's roommate identify the client

• Look in the chart at the picture of the client

• Ask the client to state their full name

• Ask another nurse to identify the client

Multiple Choice

Click on the image to indicate where the nurse would assess pedal pulse?