NURS 100 EXAM 1 MULTIPLE CHOICE QUESTIONS CORRECTLY
ANSWERED AND RATED A.
1. A nurse in a long term care facility is performing C- Evacuate the client
client checks and observes a fire in a client's from the room.
room. Which of the following should be the first
action by the nurse? Client safety is the pri-
ority, therefore evacuat-
A- Activate the fire alarm ing the client from teh
B- Close all the doors and windows room is the first action
C- Evacuate the client from the room the nurse should take.
D- Extinguish the fire
2. A nurse is assisting a client during ambulation C - lower the client to
when the client begins to fall. Which of the follow- the floor
ing actions should the nurse take?
This is an appropri-
A - provide support by holding the client's arm ate action. The nurse
B - Lean the client toward the wall should gently lower the
C- Lower the client to the floor client to the floor.
D- Assume a narrow base of support
3. Which activity would be most appropriate for the C - Assisting the patient
RN to delegate to the unlicensed assistive per- with ADLs
sonnel (UAP)?
UAP can assist with the
A - Assessing the patient for fall risk and compli- performance of ADLS
cations of restraint use
B - Evaluating the patient's ability to performs
ADLs
C - Assisting the patient with ADLs
D- Teaching the patient how to use an assistive
device for walking
4. A nurse is planning care for a client admitted B - Placing the client in
with a positive culture for methicillin-resistant a private room
Staphylococcus aureus (MRSA). Which preven-
tion should be implemented to prevent spreading Contact isolation
the infection to health care workers and other
clients?
A - Wearing a mask within 3 feet of the client
, NURS 100 EXAM 1 MULTIPLE CHOICE QUESTIONS CORRECTLY
ANSWERED AND RATED A.
B - Placing the client in a private room
C - Wearing a N95 respirator mask
D - Ensuring a negative air pressure room
5. A nurse is teaching a new group of assistive B- Handy hygiene is
personnel (AP) about the importance of hand hy- crucial in preventing
giene. Which of the following statements should the spread of germs
the nurse include?
Hand hygiene is one of
A - If you wear gloves, you do not have to wash the most effective ways
your hands to prevent the transmis-
B - Hand hygiene is crucial in preventing the sion of pathogens. Ei-
spread of germs. ther the nurse or the
C- Use an alcohol rub when your hands are visibly client may have mi-
soiled croorganisms on or in
D - If you do not have an infection, your hand won't their body that do not
infect others harm them but may
harm others.
6. The nurse is documenting the client's nursing C - "Inability to speak in
diagnosis as "Altered speech related to recent complete sentences"
neurological disturbance as evidenced by inabil-
ity to speak in complete sentences". Identify the The 3 step nursing
defining characteristics below. diagnosis process is
Problem r/t etiology
A - "Altered speech" aeb defining character-
B - "As evidenced by" istics
C - "Inability to speak in complete sentences"
D - "recent neurological disturbance"
7. An unlicensed personnel (UAP) is obtaining a A - Wait 20-30 minutes
client's oral temperature. The client informs the and return to take the
UAP that he has just had some ice chips. Which of oral temperature
the following is an appropriate action by the UAP?
Healthcare workers
A- Wait 20-30 minutes and return to take the oral need to wait 20-30 min-
temperature utes and then take the
B - provide a sip of warm water, wait 5 minutes oral temperature be-
and take the temperature cause the ice will artifi-
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