NUR 101 Final Exam NCLEX Questions with Simplified Solution, Exams of Nursing

NUR 101 Final Exam NCLEX Questions with Simplified Solution

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2025/2026

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NUR 101 Final Exam NCLEX Questions
with Simplified Solution
1.
Which nursing action protects the patient as a susceptible host in the chain of infection?
A. Wearing personal protective equipment
B. Administering
childhood
immunizations
C.
Recapping a used needle before discarding
D.
Disposing of soiled gloves in a waste container: B. Administering childhood immuniza-
tions
2.
Which primary defense protects the body from infection?
A.
Tears in the eyes
B. Alkalinity of gastric secretions
C. Bile in the gastrointestinal system
D. Moist environment of the epidermis:
A. Tears in the eyes
3.
Which nursing action protects the patient from infection at the portal of entry?
A. Positioning an indwelling urine collection bag below the level of the pa-
tient's pelvis
B.
Enclosing a urinary specimen in a biohazardous transport bag
C.
Wearing clean gloves when handling a patient's excretions
D. Handwashing after removal of soiled protective gloves: A. Positioning an indwelling
urine collection bag below the level of the
patient's pelvis
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NUR 101 Final Exam NCLEX Questions

with Simplified Solution

1. Which nursing action protects the patient as a susceptible host in the chain of infection?

A. Wearing personal protective equipment

B. Administering childhood immunizations

C. Recapping a used needle before discarding

D. Disposing of soiled gloves in a waste container: B. Administering childhood immuniza-tions

2. Which primary defense protects the body from infection?

A. Tears in the eyes

B. Alkalinity of gastric secretions

C. Bile in the gastrointestinal system

D. Moist environment of the epidermis: A. Tears in the eyes

3. Which nursing action protects the patient from infection at the portal of entry?

A. Positioning an indwelling urine collection bag below the level of the pa-tient's pelvis

B. Enclosing a urinary specimen in a biohazardous transport bag

C. Wearing clean gloves when handling a patient's excretions

D. Handwashing after removal of soiled protective gloves: A. Positioning an indwelling urine collection bag below the level of the

patient's pelvis

2 /

4. The nurse is caring for a group of hospitalized clients. What should the nurse do first to prevent client

infections?

A. Provide small bedside bags to dispose of used tissues

B. Encourage staff to avoid coughing near clients

C. Administer antibiotics as ordered

D. Identify clients at risk: D. Identify clients at risk

5. A patient's stool specimen is positive for Clostridium difficile. Which isolation precautions should the nurse

institute for this patient?

A. Droplet

B. Contact

C. Reverse

D. Airborne: B. Contact

6. The nurse is caring for a confused patient. What should the nurse do to prevent this patient from falling?

A. Encourage the patient to use the corridor handrails

B. Place the patient in a room near the nurses' station

C. Reinforce how to use the call bell

D. Maintain 1:1 supervision: D. Maintain 1:1 supervision

7. The risk management coordinator is preparing a program on the factors that contribute to falls in a

hospital setting. Which factor that most often contributes to falls should be included in the program?

4 /

C. Stimulate venous return

D. Minimize skin tears: C. Stimulate venous return

11. The activity that best reflects the role of the nurse as a counselor is when the nurse helps the patient:

A. Understand and use resources in the health care system

B. Integrate emotions and reality into a total experience

C. Negotiate the health care delivery system

D. Learn how to change a dressing: B. Integrate emotions and reality into a total experience

12. Which statement pertaining to Benner's practice model for clinical compe-tence is true?

A. Progression through the stages is constant with most nurses reaching the proficient stage.

B.Progression through the stages involves continual development of thinking and technical skills.

C.The nurse must have experience in many areas before being considered an expert.

D. The nurse's progress through the stages is determined by years of experi-ence and skills.: B. Progression through the

stages involves continual development of thinking and technical skills.

13. Which of the following nursing activities represent direct care? Select all that apply.

A. Bathing a patient

B. Administering a medication

C. Documenting an assessment

D. Making assignments for the shift

5 /

E. Changing a dressing: A,B,E

14. The nurse obtains the blood pressure of several adults. What blood pres-sure result causes the most

concern?

A. 102/70mmHg

B. 140/90mmHg

C. 125/85mmHg

D. 118/75mmHg: B. 140/90mmHg

15. Which assessment requires the nurse to assess the patient further?

A. 18 year-old woman with a pulse rate of 140bpm after riding 2 miles on an

exercise bike

B. 50 year-old man with a BP of 112/60mmHg on awakening in the morning

C. 65 year-old man with a respiratory rate of 10rpm

D. 40 year-old woman with a pulse of 88bpm: C. 65 year-old man with a respiratory rate of 10rpm

16. The nurse must take a patient's rectal temperature. What should the nurse do?

A. Take the temperature for 5 minutes

B. Wear gloves throughout the procedure

C. Place the patient in the right lateral position

D. Insert the thermometer 2 inches into the rectum: B. Wear gloves throughout the procedure

7 /

B. Duration

C. Location

D. Constancy: C. Location

21. A patient is experiencing lack of sleep because of pain. Which is the most appropriate goal for this

patient? "The patient will:

A. Be provided with a back massage every evening before bedtime."

B. Report feeling rested after awakening in the morning."

C. Request less pain medication during the night."

D.Experience four hours of uninterrupted sleep.": B. Report feeling rested after awakening in the morning.

22. Which interviewing skill is used when the nurse says, "you mentioned before that you are

having a problem with your colostomy"?

A. Focusing

B. Clarifying

C. Paraphrasing

D. Acknowledging: A. Focusing

23. What is being communicated when the nurse leans forward during a pa-tient interview?

A. Privacy

B. Interest

C. Anxiety

8 /

D. Aggression: B. Interest

24. The main goal of therapeutic communication mainly should depend on the:

A. Environment in which communication takes place

B. Role of the nurse in the particular clinical setting

C. Skill level of the nurse in the situation

D. Patient's verbalized concerns: D. Patient's verbalized concerns

25. What is the nurse doing when using the interviewing technique of active listening?

A. Identifying the patient's concerns and exploring them with why questions

B. Determining the content and feeling of the patient's message

C. Employing silence to encourage the patient to talk

D. Using nonverbal skills to display interest: B. Determining the content and feeling of the patient's message

26. Which are the most important nursing actions when speaking with an older adult whose hearing is

impaired? Select all that apply.

A. Limit background noise

B. Exaggerate lip movements

C. Raise the pitch of your voice

D. Stand directly in front of the patient when speaking

E. Raise the volume of your voice while speaking directly toward the patient's good ear: A, D

10 / giving during an examination. The nurse should respond by telling the client:

A. Exactly with whom the information will be shared.

B. That it is required that she give the requested information

C. A confidential piece of information about herself

D. Her family members will be informed of pertinent information: A. Exactly with whom the information will be shared.

31. Which of the following principles of conducting a physical assessment is the

most important?

A. Examine sensitive areas first.

B. Reduce environmental noises.

C. Provide privacy.

D. Use terminology the client can understand.: C. Provide privacy

32. A nurse is performing a skin assessment on a client. Which of the following are normal or expected

findings? Select all that apply.

A. Capillary refill less than 3 seconds

B. +3 pitting edema in feet bilaterally

C. Shiny, thin skin without hair on shins

D.Numerous light brown macules < 3 mm in size located on the forehead and nose

E. Tenting over clavicle when palpating skin turgor: A,D

33. Assessment of an older adult client demonstrates tenting of the skin of the forearm. Which best

11 / explains this finding?

A. Parchment-like skin

B. Significant flaking and dryness

C. Skin tags

D. Loss of adipose tissue and elasticity: D. Loss of adipose tissue and elasticity