Download Practice Assessment NUR 112 / NUR 112 (NEWEST 2025/2026) Actual Test Questions with Detail and more Exams Nursing in PDF only on Docsity!
Practice Assessment NUR 112 /
NUR 112 (NEWEST 2025/2026)
Actual Test Questions with
Detailed Verified Answers
(Already Graded A+)
Terms in this set (100) _____________Quiz____________? "Please explain what you mean by the word 'nervous'." -
Answer ✓✓
A nurse asks a client how he is feeling. The client states, "I'm feeling a bit nervous today." Which of the following responses should the nurse make? _____________Quiz____________? Cranberry juice -
Answer ✓✓
A nurse is caring for a client who is postoperative following abdominal surgery. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the lunch tray? _____________Quiz____________? A. The client faces the direction of movement when sliding an object across the floor (sliding an object across the floor rather than lifting it prevents strain on the lower back muscles and facing the direction prevents from twisting his back) -
Answer ✓✓
A nurse is assessing a client at a follow-up clinic for acute low back pain. A goal for this client is to use proper body mechanics at all times. Which of the following findings indicates that the client is meeting this goal?
a. The client faces the direction of movement when sliding an object across the floor b. When pushing an object the client moves his front foot backward c. When moving an object to one side, the client pushes his weight on his heels d. The client stands with his feet close together when lifting an object _____________Quiz____________? c. Contact the provider to question the dosage (when a nurse believes there is an error in a prescription, the nurse must question the provider) -
Answer ✓✓
- When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one medication is three times the usual dose of this medication. Which of the following actions should this nurse take? a. Contact the pharmacy and confirm that the dosage is safe to administer b. Ask another nurse to verify that the dosage is appropriate for the client c. Contact the provider to question the dosage d. Inform the charge nurse and administer the dose of the medication the provider prescribed _____________Quiz____________? a. Occupational therapist (an occupational therapist assists clients who have physical challenges to use adaptive devices and strategies to help with self-care activities such as feeding) -
Answer ✓✓
- A nurse is caring for a client who has rheumatoid arthritis and is experiencing difficulty feeding herself using adaptive devices. The nurse should initiate a referral with which of the following members of the interprofessional health care team? a. Occupational therapist b. Social worker c. Registered dietician d. Speech pathologist _____________Quiz____________?
c. Surgeon d. Surgical suite nurse _____________Quiz____________? a. Complete a neurological check (appropriate nursing intervention when a client displays sudden confusion) -
Answer ✓✓
- A nurse on a medical unit is caring for a client who suddenly becomes confused and drowsy. Additional data includes pulse 100/min, RR 24/min, BP 124/76 mm Hg, and temp 36.8C (98.2 F). which of the following actions should the nurse perform? a. Complete a neurological check b. Administer the prescribed PRN antihypertensive medication c. Increase the fluid intake d. Hold the client's evening dose of digoxin _____________Quiz____________? a. Documentation is a communication tool for the interprofessional health care team -
Answer ✓✓
- A nurse is orienting a newly licensed nurse about documentation of a client's information in the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation? a. Documentation is a communication tool for the interprofessional health care team b. Documentation provides information to the client about financial charges for care provided c. Documentation provides information for a client audit d. Documentation allows providers to monitor the nurse's activities _____________Quiz____________? c. Washes and rinses her hands for 10 seconds -
Answer ✓✓
- A nurse is orienting a new assistive personal (AP) to the unit. For which of the following actions should the nurse intervene?
a. Wears a gown when entering the room of a client who requires contact precautions b. Dons gloves to empty a urinary drainage device c. Washes and rinses her hands for 10 seconds d. Wears a respirator mask when entering the room of a client who requires airborne precautions _____________Quiz____________? c. Industry vs inferiority (a school age child (6-12) is in this stage of development) -
Answer ✓✓
- A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson's developmental stages should the nurse consider in the planning? a. Autonomy vs shame and doubt b. Initiative vs guilt c. Industry vs inferiority d. Identity vs role confusion _____________Quiz____________? b. Assigning tasks to an AP (delegation is considered indirect care) -
Answer ✓✓
- A nurse is implementing direct nursing care for a group of clients in an acute care facility. Which of the following actions by the nurse is considered an indirect nursing care activity? a. Determining the client's length of stay b. Assigning tasks to an AP c. Providing anticipatory guidance to a client in crisis d. Establishing the client's secondary medical diagnoses _____________Quiz____________? b. Notify the surgeon that the client wishes to withdraw informed consent for the procedure (the client has the right to withdraw consent therefore the surgeon should be the one notified of the request) -
Answer ✓✓
_____________Quiz____________? d. I have a set of my brothers' crutches in the basement I can also use (the client should not use crutches that belong to someone else; the crutches must fit body dimensions) -
Answer ✓✓
- A nurse is assisting a client who has received crutches in an urgent care center following a foot injury. Which of the following statements should the nurse identify as an indication that the client needs further teaching? a. I will keep spare crutch tips handy b. I will bear the weight of my body on my hands c. I will inspect my crutches everyday for signs of wear d. I have a set of my brothers' crutches in the basement I can also use _____________Quiz____________? a. This service began with the client's admission to the hospital -
Answer ✓✓
- A nurse is caring for an older adult client who has a fractured hip and will require rehab care. The cleint's family asks the nurse for info about this type of care. Which of the following explanations should the nurse provide? a. This service began with the client's admission to the hospital b. This service focuses on teaching the primary caregiver to meet the client's needs c. The emphasis is on the client's complete recovery from the illness or injury d. Services are centered in long-term care facilities _____________Quiz____________? a. Point out inconsistences in the client's behavior (a nurse using confrontation helps the client become aware of inconsistencies in his feelings, attitudes, beliefs, and behaviors. It also helps the client deal with issues that are important to him) -
Answer ✓✓
- A. nurse is caring for a client who is not cooperating with his care and demonstrates defiant behavior. The nurse chooses to confront the client. Which of the following approaches should the nurse use when using confrontation? a. Point out inconsistences in the client's behavior
b. Change the subject when the client behaves defiantly c. Use an aggressive tone of voice d. Wait to discuss the behavior in the presence of others _____________Quiz____________? a. They are more direct when discussing issues (men focus on issues and discuss them more directly and readily than women do) -
Answer ✓✓
- A nurse is engaging in relationship counseling with a male client. Which of the following is a characteristic of men that the nurse should consider when beginning the nurse-client relationship? a. They are more direct when discussing issues b. They are likely to wait for others to initiate conversation c. They tend to use more verbal communication d. They disclose more personal information _____________Quiz____________? a. 208 (a client who has TB requires airborne precautions; that means a private room with negative air pressure flow) -
Answer ✓✓
- A charge nurse is planning a room assignment for a client who has a productive cough, a questionable x-ray, and a positive Mantoux test. Room 208 is a private, negative pressure airflow room; room 212 is a semi private, positive airflow pressure room; 214 is a negative pressure room, a semi private room; and room 216 is a private positive-pressure airflow room. To which of the following rooms should the nurse assign the client? a. 208 b. 212 c. 214 d. 216 _____________Quiz____________? a. Education
c. I'll wear low heeled shoes from now on d. I'll carry heavy objects close to my body _____________Quiz____________? d. Places clean linen that touched the floor in the soiled linen bag -
Answer ✓✓
- A nurse in a long-term care facility is observing an AP changing the linen for a client who has fecal incontinence. Which of the following actions indicates that the AP understands the principles of infection control? a. Shakes the soiled linen to remove any toilet paper remnants b. Places the soiled linen in the floor before bagging it c. Holds the soiled linen against her body while carrying it to the linen bag d. Places clean linen that touched the floor in the soiled linen bag _____________Quiz____________? d. Decreased calcium excretion (prolonged immobility leads to the breakdown of bone tissue; result is decreased calcium excretion) -
Answer ✓✓
- A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect? a. Increased insulin production b. Decreased RBC production c. Decreased sodium excretion d. Decreased calcium excretion _____________Quiz____________? c. Provide the client with a diet high in protein (inadequate intake of protein, iron, vitamins, and calories increase the risk for skin breakdown) -
Answer ✓✓
- A nurse is caring for an older client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin? a. Reposition the client every 3 hr b. Massage any bony prominences to promote circulation c. Provide the client with a diet high in protein d. Apply cornstarch to keep the skin dry _____________Quiz____________? b. Wash the area of the puncture thoroughly with soap and water (the greatest risk to this client is injury from any bloodborne pathogens on the needle therefore the first action the nurse should take is to provide immediate first aid) -
Answer ✓✓
- A nurse accidentally sticks her hand with a syringe needle after administering an IM injection to a client. Which of the following actions should the nurse take first? a. Report the incident to the charge nurse b. Wash the area of the puncture thoroughly with soap and water c. Complete an incident report d. Go to employee health services _____________Quiz____________? b. Reporting laboratory findings to a member of the client's family (the only people allowed to receive info are those that the client has given permission and those that are working with the client and their case) -
Answer ✓✓
- A nurse is giving a presentation about client confidentiality to a group of newly licensed nurses. Which of the following actions is an example of a violation of confidentiality? a. Discussing a client's surgical procedure with the nurse manager b. Reporting laboratory findings to a member of the client's family c. Notifying the provider of physical exam findings d. Identifying the client by name when making a referral for home health services
- A nurse is caring for a client who is postoperative following an appendectomy. The surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse offer the client? Select all that apply. a. Broth b. Grape juice c. Nonfat milk d. Custard e. Lemon gelatin _____________Quiz____________? d. Use soap and water to wash the catheter after each use -
Answer ✓✓
- A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has a benign prostatic hyperplasia. Which of the following instructions should the nurse include? a. Perform catheterization when you recognize the urge to void b. Hold the penis at a 30 to 45 degree angle when inserting the catheter c. Inflate the balloon when the urine flow stops d. Use soap and water to wash the catheter after each use _____________Quiz____________? c. Consensus evolves in this stage (consensus occurs and cooperation develops during the norming stage) -
Answer ✓✓
- A nurse is discussing the norming stage of the group development process with a student nurse. Which of the following statements by the student indicates understanding of the discussion? a. This stage involves constructive efforts on the part of the group members b. This stage is when testing occurs to identify boundaries of interpersonal behaviors c. Consensus evolves in this stage d. Resistance is evident as subgroups form in this stage
_____________Quiz____________? c. Discard the tablet and obtain another dose of medication -
Answer ✓✓
- A nurse is preparing a client's evening dose of risperidone when the tablet falls on the countertop. Which of the following actions should the nurse take? a. Use the tablet's packaging to pick it up from the counter b. Wash the tablet off with alcohol and place it in a clean medicine cup c. Discard the tablet and obtain another dose of medication d. Place the tablet directly into a medication cup _____________Quiz____________? d. Reflection -
Answer ✓✓
- A nurse is caring for a client who is discussing his post-traumatic stress disorder and states: "Everyone thinks you should be able to put it out of your mind. It happened so long ago - just get over it!" the nurse responds: "It must be very frustrating to encounter this kind of attitude." The nurse is using which of the following therapeutic communication techniques? a. Clarifying b. Focusing c. Paraphrasing d. Reflection _____________Quiz____________? c. Leave a nightlight on in the client's room (night vision may be impaired in older clients; a nightlight may help client recognize their surroundings and decrease the likelihood of disorientation) -
Answer ✓✓
- A nurse is caring for an older client who states, "I am afraid that I may fall while walking to the bathroom during the night." Which of the following actions should the nurse take? a. Limit the client's fluid intake in the evening b. Obtain a bedside commode for the client's use c. Leave a nightlight on in the client's room
a. Bathtub with rails b. Electric cords behind the furnitrure c. Raised toilet seats d. Water heater temp 54.4 C (130 F) e. Throw rugs _____________Quiz____________? d. I will take my medications at the first sign of an attack -
Answer ✓✓
- A nurse is instructing a client who has a new diagnosis of Raynaud's disease about preventing the onset of manifestations. Which of the following client statements should indicate to the nurse the need for additional teaching? a. I will wear gloves when removing food from the freezer b. I will try to anticipate and avoid stressful situations when possible c. I will complete the smoking cessation program I started d. I will take my medications at the first sign of an attack _____________Quiz____________? d. To identify delayed gastric emptying (the nurse should measure the amount of unabsorbed formula from the previous feeding to identify delayed gastric emptying; if it is delayed the nurse should avoid overfeeding the client and causing gastric distention) -
Answer ✓✓
- A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? a. To confirm the placement of the NG tube b. To remove gastric acid that might cause dyspepsia c. To determine the client's electrolyte balance d. To identify delayed gastric emptying _____________Quiz____________?
a. Auscultate breath should at least ever 2 hr (priority action the nurse should contribute to the plan of care when using the ABC approach to client care in auscultating breath sounds to determine the client's need for suctioning; with inactivity, secretions can pool in the airways, diminishing breath sounds and causing crackles and dyspnea) -
Answer ✓✓
- A nurse is caring for a client who is immobile. Which of the following actions is the priority for the nurse to include in the client's plan of care? a. Auscultate breath should at least ever 2 hr b. Perform range of motion (ROM) exercises at least 2-3 times daily c. Make sure the client has an intake of 2,000-3,000 mL of fluid/day d. Apply antiembolic stockings _____________Quiz____________? d. I will place a bath seat in my shower to use when I bathe -
Answer ✓✓
- A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions? a. I will keep my walker at the end of my bed b. I will keep the fluorescent ceiling light on in my room at night c. I will place an area rug at the entry of my bathroom d. I will place a bath seat in my shower to use when I bathe _____________Quiz____________? b. It's unfortunate that I have to be in the hospital for this treatment (TENS units are portable; they can be used at home) -
Answer ✓✓
- A nurse is talking with a client who is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse identify as an indication the client needs further teaching? a. I wish I didn't have to attach the electrodes to my skin b. It's unfortunate that I have to be in the hospital for this treatment
Answer ✓✓
- A nurse is assessing a client who is experiencing prostatic hypertrophy. Which of the following findings associated with urinary retention should the nurse expect? Select all that apply. a. Report of feeling pressure b. Tenderness over the symphysis pubis c. Distended bladder d. Voided 30 mL frequently e. Dysuria _____________Quiz____________? c. Request a tray without pork -
Answer ✓✓
- A nurse is developing a plan of care for a client who practices Islam. Which of the following actions should the nurse include in the plan? a. Serve food that have a hot/cold balance b. Serve milk products separately from meals c. Request a tray without pork d. Remove tea and coffee from meal trays _____________Quiz____________? b. Provide an adaptive feeding device for the client -
Answer ✓✓
- A nurse is caring for a client who has limited hand movement. Which of the following actions should the nurse take to assist the client with feeding? a. Place the client in a lateral position b. Provide an adaptive feeding device for the client c. Initiate a liquid diet for the client d. Arrange the food groups clockwise on the client's place _____________Quiz____________?
b. I'll use the cleansing wipes from the front to back -
Answer ✓✓
- A nurse instructs a female client about collecting a midstream urine sample. Which of the following client statements indicates an understanding of the procedure? a. I'll urinate a little then stop b. I'll use the cleansing wipes from the front to back c. I'll clean the inside of the container with a wipe d. I'll use each cleansing wipe twice _____________Quiz____________? d. I decline this opportunity at this time (assertive because it contains an "I" statement and it is clear and firm) -
Answer ✓✓
- A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make? a. It's just not the right time for me to do this b. Everyone knows there are others who can chair this committee better than me c. Can you tell me why you chose me? d. I decline this opportunity at this time _____________Quiz____________? b. Reach around the pack and open the top flap away from the body -
Answer ✓✓
- A nurse is preparing a sterile field. Which of the following actions should the nurse perform when opening the sterile pack? a. Place the pack on a sterile work surface b. Reach around the pack and open the top flap away from the body c. Open the right flap with the left hand d. Move to the opposite side of the pack and open the fourth flap
