Download NUR 101 SCRIPT 2026 FULL CORRECT ANSWER SET and more Exams Nursing in PDF only on Docsity!
NUR 101 STUDY GUIDE 2026
COMPREHENSIVE ANSWER DIGEST
◉The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound. The nurse documents this as: A. Wheezes B. Rhonchi C. Gurgles D. Vesicular. Answer: A. Wheezes Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or expiration. Rhonchi are usually coarse breath sounds. Gurgles are loud gurgling, bubbling sound. Vesicular breath sounds are low pitch, soft intensity on expiration. ◉Becky is on NPO since midnight as preparation for blood test. Adreno-cortical response is activated. Which of the following is an expected response? A. Low blood pressure B. Warm, dry skin C. Decreased serum sodium levels
D. Decreased urine output. Answer: D. Decreased urine output Adreno-cortical response involves release of aldosterone that leads to retention of sodium and water. This results to decreased urine output. ◉When performing an abdominal examination, the patient should be in a supine position with the head of the bed at what position? A. 30 degrees B. 90 degrees C. 45 degrees D. 0 degree. Answer: D. 0 degree The patient should be positioned with the head of the bed completely flattened to perform an abdominal examination. If the head of the bed is elevated, the abdominal muscles and organs can be bunched up, altering the findings. ◉Which of the following is inappropriate nursing action when administering NGT feeding? A. Place the feeding 20 inches above the point of insertion of NGT B. Introduce the feeding slowly C. Instill 60ml of water into the NGT after feeding
B. Prolonged gasping inspiration followed by a very short, usually inefficient expiration C. Marked rhythmic waxing and waning of respirations from very deep to very shallow breathing and temporary apnea D. Increased rate and depth of respiration. Answer: D. Increased rate and depth of respiration Kussmaul breathing is also called as hyperventilation. Seen in metabolic acidosis and renal failure. Option A refers to Biot's breathing. Option B is apneustic breathing and option C is the Cheyne-stokes breathing. ◉The nurse is aware that Bell's palsy affects which cranial nerve? A. 2nd CN (Optic) B. 3rd CN (Occulomotor) C. 4th CN (Trochlear) D. 7th CN (Facial). Answer: D. 7th CN (Facial) Bells' palsy is the paralysis of the motor component of the 7th cranial nerve, resulting in facial sag, inability to close the eyelid or the mouth, drooling, flat naso-labial fold and loss of taste on the affected side of the face.
◉When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on percussion is most commonly heard over which organ? A. Thigh B. Liver C. Intestine D. Lung. Answer: D. Lung Resonance is loud, low-pitched and long duration that's heard most commonly over an air-filled tissue such as a normal lung. ◉To assess the adequacy of food intake, which of the following assessment parameters is best used? A. Food preferences B. Regularity of meal times C. 3-day diet recall D. Eating style and habits. Answer: C. 3-day diet recall 3 - day diet recall is an example of dietary history. This is used to indicate the adequacy of food intake of the client.
C. Megaloblastic anemia D. Pernicious anemia. Answer: C. Megaloblastic Prolonged Vitamin B9 deficiency will lead to megaloblastic anemia while pernicious anemia results in deficiency in Vitamin B12. Prolonged deficiency of Vitamin C leads to scurvy and Pellagra results in deficiency in Vitamin B3. ◉Pia's serum sodium level is 150 mEq/L. Which of the following food items does the nurse instruct Pia to avoid? A. Broccoli B. Sardines C. Cabbage D. Tomatoes. Answer: D. Sardines The normal serum sodium level is 135 to 145 mEq/L, the client is having hypernatremia. Pia should avoid food high in sodium like processed food. Broccoli, cabbage and tomatoes are good source of Vitamin C.
