BSN366: CONCEPTS OF NURSING IV FINAL
EXAM GUIDE, PRACTICE TEST QUESTIONS &
MULTIPLE VERIFIED ANSWERS WITH
RATIONALES FOR GUARANTEED PASS GRADED
A+
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Question 1:
A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a fractured femur reporting pain of 8/10
B. A patient with new-onset confusion and oxygen saturation of 88%
C. A patient with diabetes requesting a glass of orange juice
D. A patient with a urinary catheter asking to ambulate to the bathroom
Rationale: Correct answer: B. The patient with new-onset confusion and
hypoxia (SpO2 88%) is unstable and may have a life-threatening
condition (pneumonia, PE, sepsis, stroke). ABCs: Airway/Breathing
issues take priority over pain (A), requests (C), and ambulation (D).
Question 2:
A registered nurse (RN) is delegating tasks to a licensed practical nurse
(LPN) and unlicensed assistive personnel (UAP). Which task is
appropriate for the RN to delegate to the LPN?
,
A. Perform the initial admission assessment on a new patient
B. Administer IV push morphine to a patient with postoperative pain
C. Reinforce teaching about insulin administration previously taught by
the RN
D. Develop the nursing care plan for a patient with heart failure
Rationale: Correct answer: C. LPNs can reinforce teaching previously
done by RN. Initial assessment (A), IV push medications (B – varies by
state but generally RN only), and developing care plan (D) are RN
responsibilities.
---
Question 3:
A nurse is preparing to administer a medication to a patient. The patient
asks, "What is this medication for?" What is the nurse's best response?
A. "Don't worry, the doctor prescribed it for you."
B. "I am not allowed to tell you; you need to ask the doctor."
C. "This medication is for your blood pressure. It helps lower it."
D. "You don't need to know that. Just take it."
Rationale: Correct answer: C. Patients have the right to know about their
medications (autonomy, informed consent). The nurse should provide
accurate, understandable information. Options A, B, and D violate
patient rights and ethical principles.
,
---
Question 4:
A nurse identifies a patient who is at high risk for falls. Which
intervention should the nurse implement first?
A. Apply a bed alarm
B. Place the patient in a room near the nurses' station
C. Complete a comprehensive fall risk assessment
D. Place the side rails up
Rationale: Correct answer: C. The first step is to assess the patient (fall
risk assessment tool – Morse, Hendrich II). After identifying specific risk
factors, interventions (A, B, D) can be individualized. Side rails up (D)
may be considered a restraint if all four are up.
---
Question 5:
A nurse is using SBAR to communicate with a provider about a patient.
What does the "B" in SBAR represent?
A. Background
B. Breathing
C. Blood pressure
D. Best practice
,
Rationale: Correct answer: A. SBAR = Situation, Background,
Assessment, Recommendation. Background includes relevant history,
medications, code status, recent vital signs, and lab results.
---
Question 6:
A patient refuses a blood transfusion due to religious beliefs. The nurse
respects the patient's decision. This is an example of which ethical
principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Rationale: Correct answer: C. Autonomy respects the patient's right to
make their own healthcare decisions. Beneficence (A) is acting in
patient's best interest (which would be giving transfusion).
Nonmaleficence (B) is do no harm. Justice (D) is fair distribution of
resources.
---
Question 7:
A nurse makes a medication error and the patient experiences a mild
rash. What is the nurse's priority action?
EXAM GUIDE, PRACTICE TEST QUESTIONS &
MULTIPLE VERIFIED ANSWERS WITH
RATIONALES FOR GUARANTEED PASS GRADED
A+
---
Question 1:
A nurse is caring for four patients. Which patient should the nurse assess
first?
A. A patient with a fractured femur reporting pain of 8/10
B. A patient with new-onset confusion and oxygen saturation of 88%
C. A patient with diabetes requesting a glass of orange juice
D. A patient with a urinary catheter asking to ambulate to the bathroom
Rationale: Correct answer: B. The patient with new-onset confusion and
hypoxia (SpO2 88%) is unstable and may have a life-threatening
condition (pneumonia, PE, sepsis, stroke). ABCs: Airway/Breathing
issues take priority over pain (A), requests (C), and ambulation (D).
Question 2:
A registered nurse (RN) is delegating tasks to a licensed practical nurse
(LPN) and unlicensed assistive personnel (UAP). Which task is
appropriate for the RN to delegate to the LPN?
,
A. Perform the initial admission assessment on a new patient
B. Administer IV push morphine to a patient with postoperative pain
C. Reinforce teaching about insulin administration previously taught by
the RN
D. Develop the nursing care plan for a patient with heart failure
Rationale: Correct answer: C. LPNs can reinforce teaching previously
done by RN. Initial assessment (A), IV push medications (B – varies by
state but generally RN only), and developing care plan (D) are RN
responsibilities.
---
Question 3:
A nurse is preparing to administer a medication to a patient. The patient
asks, "What is this medication for?" What is the nurse's best response?
A. "Don't worry, the doctor prescribed it for you."
B. "I am not allowed to tell you; you need to ask the doctor."
C. "This medication is for your blood pressure. It helps lower it."
D. "You don't need to know that. Just take it."
Rationale: Correct answer: C. Patients have the right to know about their
medications (autonomy, informed consent). The nurse should provide
accurate, understandable information. Options A, B, and D violate
patient rights and ethical principles.
,
---
Question 4:
A nurse identifies a patient who is at high risk for falls. Which
intervention should the nurse implement first?
A. Apply a bed alarm
B. Place the patient in a room near the nurses' station
C. Complete a comprehensive fall risk assessment
D. Place the side rails up
Rationale: Correct answer: C. The first step is to assess the patient (fall
risk assessment tool – Morse, Hendrich II). After identifying specific risk
factors, interventions (A, B, D) can be individualized. Side rails up (D)
may be considered a restraint if all four are up.
---
Question 5:
A nurse is using SBAR to communicate with a provider about a patient.
What does the "B" in SBAR represent?
A. Background
B. Breathing
C. Blood pressure
D. Best practice
,
Rationale: Correct answer: A. SBAR = Situation, Background,
Assessment, Recommendation. Background includes relevant history,
medications, code status, recent vital signs, and lab results.
---
Question 6:
A patient refuses a blood transfusion due to religious beliefs. The nurse
respects the patient's decision. This is an example of which ethical
principle?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Rationale: Correct answer: C. Autonomy respects the patient's right to
make their own healthcare decisions. Beneficence (A) is acting in
patient's best interest (which would be giving transfusion).
Nonmaleficence (B) is do no harm. Justice (D) is fair distribution of
resources.
---
Question 7:
A nurse makes a medication error and the patient experiences a mild
rash. What is the nurse's priority action?
