Nurm 101 Study Guide

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Sample questions from Nurm 101 Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.The nurse receives handoff on four clients. Which client should the nurse assess first?

   • A.A postoperative client who is newly difficult to awaken and breathing 8/min
   • B.A client requesting assistance to change a clean bed gown
   • C.A client with chronic arthritis reporting usual knee pain of 5/10
   • D.A client awaiting discharge teaching about a low-sodium diet

   Rationale: B is correct because altered consciousness with slow breathing suggests an immediate ventilation threat. A requires pain management but is not the most urgent finding. C is important planned teaching. D is a routine comfort request that can usually be delegated.

2. 2.A client scheduled for surgery says, 'I signed the form, but I do not understand what will be removed.' What should the nurse do?

   • A.Tell the client that signing the form confirms understanding
   • B.Explain the surgical risks and obtain a new signature independently
   • C.Pause preparation as needed and notify the clinician responsible for explaining the procedure
   • D.Ask a family member to explain the surgery

   Rationale: C is correct because unresolved understanding requires clarification by the responsible clinician before proceeding. A substitutes the nurse for the clinician's informed-consent explanation. B incorrectly treats a signature as proof of informed consent. D does not ensure accurate, authorized disclosure.

3. 3.A client is admitted with suspected infectious pulmonary tuberculosis. Which action is appropriate?

   • A.Use contact precautions without respiratory protection
   • B.Place the client in an airborne infection isolation room and use a fit-tested respirator
   • C.Keep the door open to improve air circulation
   • D.Use a medical mask as the nurse's only respiratory protection for routine room entry

   Rationale: A is correct because suspected infectious pulmonary tuberculosis requires airborne precautions. B does not address airborne spread. C undermines isolation-room function. D does not provide the required respirator-level protection for the nurse.

4. 4.An older adult who was oriented yesterday becomes inattentive and confused. Which interpretation is most appropriate?

   • A.The client has definitively developed dementia
   • B.This is an expected age-related change
   • C.The change should be reassessed at the next annual examination
   • D.An acute cause such as hypoxemia, infection, or medication effect should be investigated

   Answer and rationale are in the full material.

5. 5.A client has a potassium level of 6.5 mEq/L. Which nursing action is the priority?

   • A.Promptly assess the client, initiate indicated cardiac monitoring, and escalate the result
   • B.Offer a potassium-rich snack
   • C.Wait until the next routine laboratory draw before reporting it
   • D.Document the result as a normal variation

   Answer and rationale are in the full material.