NURS 101 FINAL EXAM 2023-2024 TEST BANK 200+
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) HIGH DISTINCTION
To increase stability during client transfer, the nurse increases the base of support
by performing which of the following?
A. Leaning slightly backward.
B. Spacing the feet farther apart.
C. Tensing the abdominal muscles.
D. Bending the knees. – ANSWER- B
Five minutes after the client’s first postoperative exercise, the client’s vital signs
have not yet returned to baseline. An appropriate nursing diagnosis might be:
A. Activity Intolerance.
B. Risk for Activity Intolerance.
C. Impaired Physical
D. Mobility.
Risk for Disuse Syndrome. – ANSWER- A
Because the client weighs 250 pounds, the nurse should provide the unlicensed
assistive personnel (UAP) with instructions that reflect an awareness of workplace
injury. Which of the following is most appropriate?
A. “Using proper body mechanics will prevent you from injuring yourself.”
B. “You are physically fit and at lesser risk for injury when transferring the client.”
C. “Use the mechanical lift and another person to transfer the client from the bed to
the chair.”
D. “Use the back belt to avoid hurting your back.” – ANSWER- C
The client is ambulating for the first time after surgery. The client tells the nurse, “I
feel faint.” The best action by the nurse includes which of the following?
A. Find another nurse for help.
B. Return the client to her room as quickly as possible.
C. Tell the client to take rapid, shallow breaths.
D. Assist the client to a nearby chair. – ANSWER- D
Define Alopecia. – ANSWER- Hair loss
The nurse is conducting the diagnosing phases (nursing diagnosis) for a client with
a seizure disorder. Which of the following elements exists between data analysis
and formulating the diagnostic statement?
A. Assess the client’s needs.
B. Delineate the client’s problems and strengths.
C. Determine which interventions are most likely to succeed.
D. Estimate the cost of several different approaches. – ANSWER- B
In the diagnostic statement “Excess fluid volume related to decreased venous
return as manifested by lower extremity edema (swelling),” the etiology of the
problem is which of the following?
A. Excess fluid volume.
B. Decreased venous return.
C. Edema.
D. Unknown. – ANSWER- B
Which of the following nursing diagnoses contains the proper components?
A. Risk for caregiver role strain related to unpredictable illness course.
B. Risk for falls related to tendency to collapse when having difficulty breathing.
C. Decreased communication related to stroke.
D. Sleep deprivation secondary to fatigue and a noisy environment. – ANSWER- A
One of the primary advantages of using a three-part diagnostic statement such as
the problem-etiology-signs/symptoms (PES) format includes which of the
following?
A. Decreases the cost of health care.
B. Improves communication between nurse and client.
C. Helps the nurse focus on health and wellness elements.
D. Standardizes organization of client data. – ANSWER- D
Define pyorrhea – ANSWER- Expulsion of pus, teeth loose.
Define hirsutism – ANSWER- Growth of excessive body hair.
What is the difference between quantitative and qualitative research? – ANSWERQuantitative: systematic collection, statistical analysis and interpretation of data.
Qualitative: systematic collection and thematic analysis of narrative data (words
rather than numbers)
A client’s family tells the nurse that their culture does not permit a dead person to
be left alone before burial. Hospital policy states that after 6:00 PM when
mortuaries are closed, bodies are to be stored in the hospital morgue refrigerator
until the next day. How would the nurse best manage this situation?
A. Gently explain the policy to the family and then implement it.
B. Inquire of the nursing supervisor how an exception to the policy could be made.
C. Call the client’s primary care provider for advice.
D. Move the deceased to an empty room and assign an aide to stay with the body. –
ANSWER- B
The shift changed while the nursing staff was waiting for the adult children of a
deceased client to arrive. The oncoming nurse has never met the family. Which of
the following greetings is most appropriate?
A. “I’m very sorry for your loss.”
B. “I’ll take you in to view the body.”
C. “I didn’t know your father but I am sure he was a wonderful person.”
D. “How long will you want to stay with your father?” – ANSWER- A
An 82-year-old man has been told by his primary care provider that it is no longer
safe for him to drive a car. Which statement by the client would indicate beginning
positive adaptation to this loss?
A. “I told the doctor I would stop driving, but I am not going to yet.”
B. “I always knew this day would come, but I hoped it wouldn’t be now.”
C. “What does he know? I’m a better driver than he will ever be.”
D. “Well, at least I have friends and family who can take me places.” – ANSWERD
When asked to sign the permission form for surgical removal of a large but
noncancerous lesion on her face, the client begins to cry. Which of the following is
the most appropriate response?