Question 2
AO3320-600 Exam 1. Which activity represents the art of nursing?
- Administering medications on time to a group of patients
- Teaching a patient how to administer insulin
- Listening to a new widow grieve her husband’s death
- Teaching a patient about a new medication
Question 3
The nurse is caring for a client who is recovering from a stroke. The nurse’s goal is to help the client regain as much independence as possible. This is an example of which of the following?
- Tertiary prevention
- Secondary prevention
- Primary prevention
- Health promotion
Question 4
The nurse is preparing to administer a medication to a client. The nurse checks the medication label against the medication administration record (MAR) three times. This is an example of which of the following?
- Ensuring client safety
- Promoting client autonomy
- Maintaining client confidentiality
- Providing client-centered care
Question 5
A nurse is assessing a client’s lung sounds and hears crackles in the lower lobes. What is the nurse’s next priority action?
- Document the findings.
- Notify the healthcare provider.
- Assess the client’s oxygen saturation.
- Administer a bronchodilator.
Question 6
Which of the following is a primary source of data?
- The client’s medical record
- The client’s family member
- The client themselves
- The client’s lab results
Question 7
The nurse is caring for a client who is on bed rest. What is the priority nursing intervention to prevent skin breakdown?
- Apply lotion to the skin.
- Reposition the client every 2 hours.
- Keep the skin clean and dry.
- Use a pressure-relieving mattress. AO3320-600 Exam 1
Question 8
A nurse is performing a physical assessment on an adult client. Which of the following findings would be considered abnormal?
- Heart rate of 72 beats per minute
- Blood pressure of 150/94 mmHg
- Respiratory rate of 16 breaths per minute
- Oral temperature of 98.6°F
Question 9
The nurse is teaching a client about a low-sodium diet. Which of the following food choices indicates that the client understands the teaching?
- Canned soup
- Fresh vegetables
- Processed meats
- Pickled vegetables
Question 12
When assessing a client’s pulse, the nurse notes that the rhythm is irregular. What is the nurse’s next action?
- Auscultate the apical pulse for one full minute.
- Document the finding as normal.
- Re-assess the radial pulse in 15 minutes.
- Notify the healthcare provider immediately.
Question 13
Which of the following is an example of objective data?
- Client reports feeling nauseated.
- Client states they have a headache.
- Client’s skin is cool and clammy.
- Client says they feel anxious.
Question 14
The nurse is preparing to perform a sterile dressing change. Which action would break the sterile field?
- Touching the edge of the sterile drape with sterile gloves.
- Opening the sterile package away from the body.
- Keeping the sterile field within eyesight.
- Pouring sterile saline into a sterile container without splashing.
Question 15
What is the primary purpose of a nursing diagnosis?
- To identify medical diseases.
- To describe client responses to health conditions.
- To prescribe medical treatments.
- To determine the client’s prognosis.
Question 16
A nurse is assessing a client for pain. Which is the most reliable indicator of pain?
- Vital sign changes
- The client’s self-report
- Non-verbal behaviors
- The nurse’s professional judgment
Question 17
Which of the following is a component of a SMART goal in a nursing care plan? AO3320-600 Exam 1
- General
- Measurable
- Ambiguous
- Eternal
Question 18
The nurse is caring for a client who is postoperative. The nurse notes that the client’s surgical incision is red and swollen with purulent drainage. This is an example of which stage of the nursing process?
- Planning
- Implementation
- Assessment
- Evaluation
Question 19
The nurse is assessing a client’s bowel sounds. How long should the nurse listen before documenting that bowel sounds are absent?
- 1 minute
- 2 minutes
- 5 minutes
- 10 minutes
Question 20
A client is diagnosed with fluid volume deficit. Which of the following clinical manifestations would the nurse expect to find?
- Distended neck veins
- Decreased skin turgor
- Crackles in the lungs
- Weight gain
Question 21
The nurse is teaching a client about how to use an incentive spirometer. What is the primary purpose of this device?
- To increase heart rate.
- To decrease blood pressure.
- To prevent atelectasis.
- To promote weight loss.
Question 22
Which of the following is an example of an open-ended question?
- “Are you in pain?”
- “Do you have any allergies?”
- “Can you describe how you are feeling today?”
- “Did you take your medication this morning?” AO3320-600 Exam 1
Question 23
The nurse is caring for a client who has a prescription for a clear liquid diet. Which of the following items can the nurse provide?
- Milkshake
- Orange juice with pulp
- Apple juice
- Vanilla pudding
Question 24
A nurse is preparing to transfer a client from the bed to a chair. What is the priority nursing action to ensure safety?
- Place the chair as far from the bed as possible.
- Lock the wheels on both the bed and the chair.
- Have the client stand up quickly to avoid dizziness.
- Perform the transfer alone to maintain client privacy.
Question 25
Which ethical principle refers to the duty to do good?
- Autonomy
- Justice
- Beneficence
- Nonmaleficence
Question 26
The nurse is assessing a client’s cranial nerve function. Which nerve is being tested when the nurse asks the client to shrug their shoulders against resistance?
- Cranial nerve V (Trigeminal)
- Cranial nerve VII (Facial)
- Cranial nerve XI (Accessory)
- Cranial nerve XII (Hypoglossal)
Question 27
A client is admitted with suspected dehydration. Which laboratory result would support this diagnosis?
- Decreased serum sodium
- Increased urine specific gravity
- Decreased hematocrit
- Increased blood urea nitrogen (BUN)
Question 28
The nurse is caring for a client with a history of seizures. What is the priority nursing action during a seizure?
- Restrain the client’s limbs.
- Place a tongue blade in the client’s mouth.
- Protect the client’s head from injury. AO3320-600 Exam 1
- Administer oral fluids immediately.
Question 29
A client is diagnosed with hyperkalemia. Which of the following is the priority assessment?
- Cardiac rhythm
- Muscle strength
- Bowel sounds
- Deep tendon reflexes
Question 30
The nurse is teaching a client about wound healing. Which nutrient is essential for tissue repair?
- Carbohydrates
- Protein
- Fats
- Vitamin D
Question 31
What is the first step in the nursing process?
- Planning
- Implementation
- Assessment
- Diagnosis
Question 32
A nurse is assessing a client who has a history of smoking. The client reports a persistent cough. This is an example of which of the following? AO3320-600 Exam 1
- Objective data
- Subjective data
- Diagnostic data
- Evaluative data
Question 33
The nurse is preparing to administer an intramuscular injection. What is the correct angle for the needle insertion? AO3320-600 Exam 1.
- 15 degrees
- 45 degrees
- 90 degrees
- 180 degrees
Question 34
Which of the following is a sign of localized inflammation?
- Fever
- Redness
- Fatigue
- Tachycardia
Question 35
The nurse is assessing a client’s level of consciousness. The client is awake but drowsy and responds to verbal commands. How should the nurse document this finding?
- Alert
- Lethargic
- Obtunded
- Comatose
Question 36
The nurse is assessing an older adult client who has signs and symptoms of dehydration. Which of the following is the priority interview question for this client?
- “How much do you spend on food each month?”
- “Do you take any vitamins or herbal supplements?”
- “Do you have a history of hypoglycemia?”
- “Are you currently taking any diuretic medications?”
Question 37
The nurse is assessing an older adult client and observes that the client’s body weight has decreased over the past several years. What is the most likely explanation for this?
- An increase in the client’s lean body mass.
- Spinal kyphosis and thinning of the vertebral discs.
- Loss of muscle tissue contributes to the decrease in weight.
- The client is likely suffering from a cognitive disorder.
Question 38
The nurse is assessing an adult client who has a $20$-pound weight loss over the past $6$ weeks. The client reports anorexia. The nurse observes that the client has mild edema to the lower extremities, brittle nails, and thin, dry hair. The nurse should prioritize assessment for what?
- Vitamin C deficiency
- Thiamine deficiency
- Protein deficiency
- Niacin deficiency
Question 39
While assessing the abdomen of an adult client, the nurse observes a localized, pulsating mass in the upper abdomen. What is the nurse’s priority action?
- Listen with the bell of the stethoscope for vascular sounds.
- Perform deep palpation to determine the size of the mass.
- Percuss the mass for dullness.
- Ask the client to perform a Valsalva maneuver.
Question 40
The nurse is assessing the abdomen of an adult client who is complaining of abdominal pain. What is the nurse’s priority action during palpation?
- Have the client take deep, slow breaths.
- Assist the client in flexing their knees.
- Request that the client lift their head off the pillow.
- Tell the client to hold their breath.
Question 41
A nurse is caring for a client with colon cancer. What is the primary physiological function of the organ where the client’s cancer is located? AO3320-600 Exam 1
- Secreting digestive enzymes
- Secreting bile
- Absorbing large amounts of water
- Absorbing vitamins and minerals
Question 42
While assessing the abdomen of an adult client, the nurse observes that the client has involuntary reflex guarding and complains of sharp pain when the nurse palpates the abdomen. The nurse should prioritize assessment for what?
- Peritonitis
- Hernia
- Aneurysm
- Malignancy
Question 43
The nurse is preparing to assess the abdomen of a client who has a distended bladder. Where should the nurse begin palpation for the bladder?
- At the umbilicus.
- At the symphysis pubis.
- In the left lower quadrant.
- In the right lower quadrant.
Question 44
The nurse is assessing an obese adult client who has chronic diaphoresis. Which of the following areas is the priority for the nurse to assess for skin breakdown? AO3320-600 Exam 1.
- Heels
- Toes
- Groin
- Elbows
Question 45
The nurse is performing a physical assessment on an adult client and is testing for referred rebound tenderness. Where should the nurse press deeply to perform this test?
- Right lower quadrant
- Right upper quadrant
- Left lower quadrant
- Left upper quadrant AO3320-600 Exam 1
Question 46
The nurse is interviewing a client who has a history of peptic ulcer disease. Which of the following is the priority interview question for this client?
- “What do you do for a living?”
- “Do you eat spicy foods on a regular basis?”
- “Do you take painkillers like aspirin on a regular basis?”
- “How much stress do you have in your life?”
Question 47
While assessing an adult client who has a history of alcohol abuse, the nurse observes a distended abdomen and small, red, visible arterioles on the surface of the skin. What is the nurse’s priority action?
- Check the client’s serum sodium and bicarbonate levels.
- Assess the client’s nutritional status.
- Assess the client for other signs and symptoms of liver disease.
- Ask the client when they last consumed alcohol.
Question 48
The nurse is working in an urgent care clinic and is triaging four clients. Which of the following clients should the nurse assess first? AO3320-600 Exam 1
- A 6-year-old child with a low-grade fever and a rash on the trunk.
- A 45-year-old man with chest pain and diaphoresis for 1 hour.
- A 22-year-old woman with a 3-inch shallow laceration on her arm.
- A 30-year-old woman who is $8$ weeks pregnant and has questions about her diet.
Question 49
A client tells the nurse, “I have been having these headaches and blurred vision. It just comes and goes.” To determine the pattern of the pain, what is the priority question for the nurse to ask?
- “What makes your pain better?”
- “When did the pain begin?”
- “What other symptoms do you have when you have the pain?”
- “How long have these episodes been occurring?”
Question 50
A student nurse is performing a physical assessment on an adult client and is unsure of the findings. What is the priority action for the student nurse?
- Document the findings as “unable to determine.”
- Ask the client if they have noticed any changes in the area.
- Seek clarification from a more experienced nurse.
- Re-assess the area in 1 hour.
Question 51
The nurse is performing a physical assessment on an adult client and is assessing the lungs. What is an expected finding when assessing the lobes of the lungs?
- The left lung has three lobes, while the right lung has two lobes.
- The right lung has three lobes, while the left lung has two lobes.
- Both the right and left lungs have two lobes.
- Both the right and left lungs have three lobes.
