NURS 100 Fundamentals Proctored Exam

The nurse is caring for a hospitalized patient. Which behavior alerts the nurse to consider the temporary need for restraint?

During the admission assessment, the nurse assesses the patient for fall risk. Which finding will alert the nurse to an increased risk for falls?

An adult patient presents to the emergency department and is treated for hypothermia. What risk factor should the patient be assessed for?

A nurse enters the hospital room of a patient who had a total knee replacement the day before and is sitting in a chair. The nurse is preparing to return the patient to bed. Which of the following pos

The patient has contracted a urinary tract infection (UTI) while in the hospital. Which action will most likely increase the risk of a patient contracting a UTI?

The nurse is caring for a patient who has just delivered a neonate. The nurse is checking the patient for excessive vaginal drainage. Which precaution will the nurse use?

The nurse is caring for a patient diagnosed with leukemia and is preparing to provide fluids through a vascular access (IV) device. Which nursing intervention is a priority in this procedure?

A patient presents with pneumonia. Which priority intervention should be included in the plan of care for this patient?

The nurse is caring for a patient who is susceptible to infection. Which instruction will nurse include in an educational session to decrease the risk of infection?

Which interventions utilized by the nurse will indicate the ability to recognize a localized inflammatory response?

The nurse is providing an educational session for a group of preschool workers. The nurse reminds the group of preschool workers. The nurse reminds the group about the most important thing to do to pr

The nurse is caring for a patient with an incision. Which actions will best indicate an understanding of medical and surgical asepsis for a sterile dressing change?

Which nursing action will most likely increase a patient's risk for developing a health care-associated infection?

The nurse is providing an education session to an adult community group about the effects of smoking on infection. Which information is most important for the nurse to include in the educational sessi

The nurse asks a patient the following series of questions: "Describe for me how much you exercise each day." "How do you tolerate the exercise?" "Is the amount of exercise you get each day the same,

16) A nurse observes a patient walking down the hall with a shuffling gait. When the patient returns to bed, the nurse checks the strength in both of the patient's legs. The nurse applies the informat

In preparing to collect a nursing history for a patient admitted for elective surgery, which of the following data are part of the review of present illness in the nursing health history?

A patient has been hospitalized for the past 48 hours with a fever of unknown origin. His medical record indicates tympanic temperatures of 38.7°C (101.6°F) at 0400, 36.6°C (97.9°F) at

Which of the following patients are at most risk for tachypnea? (Select all that apply.)

The nurse is caring for a patient who has an elevated temperature. Which principle will the nurse consider when planning care for this patient?

The nurse is caring for a patient who has a pulse rate of 48. His blood pressure is within normal limits. Which finding will help the nurse determine the cause of the patient's low heart rate?

The nurse is caring for a patient who has a temperature of 100.4F (38C). The patient's last two temperature readings were 98.6 F (37) and 96.8. Which action will the nurse take?

The patient is being admitted to the emergency department following a motor vehicle accident. The patient's jaw is broken with several broken teeth. The patient is ashen, has cool skin, and is diaphor

The patient is found to be unresponsive and not breathing. Which pulse site will the nurse use?

The patient requires temperatures to be taken every 2 hours. Which task will be the responsibility of an RN?