NURS 100 Fundamentals Proctored Exam

The nurse is caring for a patient who suddenly becomes confused and tries to remove an intravenous (IV) infusion. Which priority action will the nurse take to minimize the patient's risk for injury?

When making rounds the nurse observes a purple wristband on a patient's wrist. What information about the patient does this provide the nurse?

A patient requires restraints after alternatives are not successful. The nurse is reviewing the orders. Which findings indicate to the nurse the order is legal and appropriate for safe care? (Select a

The nurse is creating a plan of care for a patient diagnosed with glaucoma. Which nursing diagnosis will the nurse include in the care plan to address a safety complication of the sensory deficit?

During an assessment, the nurse finds the patient experiences vertigo. Which sensory deficit will the nurse assess further?

The home health nurse is caring for a patient with tactile and visual deficits. The nurse is concerned about injury related to inability to feel harmful stimuli and teaches the patient safety strategi

A patient who recently had a stroke is going to be discharged at the end of the week. The nurse notices that the patient is having difficulty with communication and becomes tearful at times. Which int

The nurse is caring for a patient who is recovering from a traumatic brain injury and frequently becomes disoriented to everything except location. Which nursing intervention will the nurse add to the

A patient has an ankle restraint applied. Upon assessment the nurse finds the toes a light blue color. Which action will the nurse taken next?

The nurse is discussing threats to adult safety with a college group. Which statement by a group member indicates understanding of the topic?

A nurse reviews the history of a newly admitted patient. Which finding will alert the nurse that the patient is at risk for falls?

The nurse is assessing the patient's respirations. Which action by the nurse is most appropriate?

A head and neck physical examination is completed on a 50-year-old female patient. All physical findings are normal except for fine brittle hair. Which laboratory test will the nurse expect to be orde

A school nurse recognizes a belt-buckle shaped ecchymosis on a 7-year-old student. When privately asked about how the injury occurred, the student described falling on the playground. Which action wil

A nurse is conducting Weber's test. Which action will the nurse take?

A febrile pre-school aged child presents to the after-hours clinic. Varicella (chickenpox) is diagnosed on the basis of the illness history and the presence of small, circumcised skin lesions filled w

The nurse has placed a yellow armband on a 70-year-old patient. Which observation by the nurse will indicate the patient has an understanding of this action?

A diabetic patient presents to the clinic for a dressing change. The wound is located on the right foot and has purulent yellow drainage. Which action will the nurse take to prevent the spread of infe

The nurse is caring for an adult in the clinic who has been evacuated and is a victim flooding. The nurse teaches the patient about rest, exercise and eating properly and how to utilize deep breathing

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

The health care provider prescription reads "Metoprolol 50 mg PO daily. Do not give if blood pressure is less than 100 mm Hg systolic. The patient's blood pressure is 92/66. The nurse does not give th

A nurse is caring for a group of patients. Which patient will the nurse see first?

The nurse is caring for an older-adult patient and notes that the temperature is 96.8 F(36 C). How will the nurse interpret this finding?

The patient has a temperature of 105.2 F. The nurse is attempting to lower temperature by providing tepid sponge baths and placing cool compresses in strategic body locations. Which technique is the n

The patient and the nurse are discussing the vector transmitted Rickettsia ricketsii-Rocky Mountain spotted fever. Which patient statement to the nurse indicates understanding regarding the mode of tr