NUR 514 TOPIC 5 ASSIGNMENT CLC
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED QUESTIONS
◉ to prepare a client for a bronchoscopy, the nurse must Answer:
erform basic assessment skills, such as assessing vital signs, lung
sounds, ability to swallow, and gag reflex; maintain nothing-by-
mouth status; prepare a checklist before the procedure; and monitor
for respiratory difficulty after the procedure. Because these are skills
a graduate nurse possesses, this is an appropriate assignment.
◉ Initiating a heparin infusion Answer: collecting baseline serum
specimens (eg, partial thromboplastin time [aPTT], International
Normalized Ratio [INR], prothrombin time, platelets, hemoglobin,
hematocrit), calculating weight-based dosages, (eg, bolus dose,
infusion rate in units/hr), and calculating intravenous infusion
pump hourly rate. Serum aPTT and INR levels are monitored every 6
hours or according to protocol.
◉ heparin infusion not for a new grad nurse ? Answer: Frequent
changes in rate or dose based on these levels may be necessary to
maintain a therapeutic level of heparin. For these reasons, this is not
an appropriate assignment for a new graduate nurse.
, ◉ A client with newly diagnosed cancer who is refusing radical
surgery that will result in the loss of speech and inability to
communicate normally is demonstrating fear and anxiety. Answer:
client needs preoperative teaching about the surgical procedure,
what to expect immediately after surgery, methods for speech
restoration, and general preoperative teaching
◉ Emotional support, education, and advanced therapeutic
communication skills are necessary to help allay fear and anxiety
Answer: For these reasons, this is not an appropriate assignment for
a new graduate nurse.
◉ The elderly client with new-onset confusion is at risk for Answer:
developing hospital-induced delirium related to advanced age,
surgery, hypoxia, fluid and electrolyte disturbances, immobility, pain,
and/or drugs.
◉ for a new onset confusion pt, Answer: nurse must perform
neurological assessments to determine the cause and intervene
appropriately
- not an appropriate assignment for a new graduate nurse.
◉ assigning clients to the appropriate staff member, the RN must
consider Answer: individual client needs and the skills of the staff
member
COMPREHENSIVE TEST 2026 STUDY GUIDE
SOLVED QUESTIONS
◉ to prepare a client for a bronchoscopy, the nurse must Answer:
erform basic assessment skills, such as assessing vital signs, lung
sounds, ability to swallow, and gag reflex; maintain nothing-by-
mouth status; prepare a checklist before the procedure; and monitor
for respiratory difficulty after the procedure. Because these are skills
a graduate nurse possesses, this is an appropriate assignment.
◉ Initiating a heparin infusion Answer: collecting baseline serum
specimens (eg, partial thromboplastin time [aPTT], International
Normalized Ratio [INR], prothrombin time, platelets, hemoglobin,
hematocrit), calculating weight-based dosages, (eg, bolus dose,
infusion rate in units/hr), and calculating intravenous infusion
pump hourly rate. Serum aPTT and INR levels are monitored every 6
hours or according to protocol.
◉ heparin infusion not for a new grad nurse ? Answer: Frequent
changes in rate or dose based on these levels may be necessary to
maintain a therapeutic level of heparin. For these reasons, this is not
an appropriate assignment for a new graduate nurse.
, ◉ A client with newly diagnosed cancer who is refusing radical
surgery that will result in the loss of speech and inability to
communicate normally is demonstrating fear and anxiety. Answer:
client needs preoperative teaching about the surgical procedure,
what to expect immediately after surgery, methods for speech
restoration, and general preoperative teaching
◉ Emotional support, education, and advanced therapeutic
communication skills are necessary to help allay fear and anxiety
Answer: For these reasons, this is not an appropriate assignment for
a new graduate nurse.
◉ The elderly client with new-onset confusion is at risk for Answer:
developing hospital-induced delirium related to advanced age,
surgery, hypoxia, fluid and electrolyte disturbances, immobility, pain,
and/or drugs.
◉ for a new onset confusion pt, Answer: nurse must perform
neurological assessments to determine the cause and intervene
appropriately
- not an appropriate assignment for a new graduate nurse.
◉ assigning clients to the appropriate staff member, the RN must
consider Answer: individual client needs and the skills of the staff
member
