NUR 280 ACTUAL TEST PAPER PREMIUM
SOLVED QUESTIONS FULL SOLUTION
ALREADY PASSED
◉ A nurse working in a hospice facility is talking to a client's son who
is distressed because his mother cries frequently and says she wants to
die. Which of the following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down
soon."
B. "Let's discuss some strategies you can use when this happens
again."
C. "Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to
die?". Answer: B. "Let's discuss some strategies you can use when
this happens again."
*The content of this question emphasizes the concept of client-
centered care through the use of therapeutic communication.
This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision-making. This response by the
nurse creates a safe and secure environment, fosters trust and respect,
and is appropriate.
,◉ A nurse is caring for a client who has a urinary tract infection and is
prescribed ciprofloxacin (Cipro). The client exhibits urticaria and
angioedema following administration of the medication. Which of the
following is the first action the nurse should take?
A. Administer epinephrine (Adrenaline).
B. Elevate the lower extremities.
C. Determine respiratory status.
D. Apply oxygen via non-rebreather mask.. Answer: C. Determine
respiratory status.
*The content of this question emphasizes the concept of priority
setting by determining priority nursing action for a client experiencing
an allergic reaction. Priority setting is the use of nursing judgment
when making decisions about the rank order in which to take nursing
actions. Various priority setting frameworks, such as Maslow's
Hierarchy of Needs, nursing process, ABC, and safety and risk
reduction, can be useful in determining the priority of needed actions.
This item can be answered using both nursing process and the ABC
priority setting framework. The client is experiencing angioedema,
indicating the possibility of an anaphylactic reaction, which is life-
threatening; therefore, the nurse should first determine the client's
respiratory status.
◉ A nurse is caring for a child who is 24 hr postoperative following a
supratentorial craniotomy. The nurse should maintain the child in
which of the following positions?
, A. Prone with head of the bed flat
B. Dorsal recumbent with head of the bed elevated to 15°
C. Supine with head of the bed elevated to 30°
D. Side-lying with head of the bed elevated to 45°.. Answer: C.
Supine with head of the bed elevated to 30°
*The content of this question emphasizes the concept of safety
through selection of the appropriate position for a child who is
postoperative following a supratentorial craniotomy.
Following a supratentorial craniotomy, the client should be
maintained in a position that facilitates drainage of cerebrospinal fluid
and prevents hemorrhage by reducing blood flow to the brain.
Positioning the client supine with the head of the bed elevated to 30°
is appropriate.
◉ A nurse has assigned four tasks to an assistive personnel (AP).
Which of the following should the nurse instruct the AP to perform
first?
A. Take an ABG specimen to the laboratory.
B. Transport a client to the radiology department for an x-ray.
Obtain a clean catch urine sample from a newly admitted client.
Pass fresh water to clients.. Answer: A. Take an ABG specimen to the
laboratory.
SOLVED QUESTIONS FULL SOLUTION
ALREADY PASSED
◉ A nurse working in a hospice facility is talking to a client's son who
is distressed because his mother cries frequently and says she wants to
die. Which of the following responses by the nurse is appropriate?
A. "I know this must be difficult, but your mother will calm down
soon."
B. "Let's discuss some strategies you can use when this happens
again."
C. "Individuals near death are ready to let go toward the end."
D. "Have you determined why she is crying and saying she is ready to
die?". Answer: B. "Let's discuss some strategies you can use when
this happens again."
*The content of this question emphasizes the concept of client-
centered care through the use of therapeutic communication.
This response by the nurse offers to provide information, which can
reduce anxiety and enhance decision-making. This response by the
nurse creates a safe and secure environment, fosters trust and respect,
and is appropriate.
,◉ A nurse is caring for a client who has a urinary tract infection and is
prescribed ciprofloxacin (Cipro). The client exhibits urticaria and
angioedema following administration of the medication. Which of the
following is the first action the nurse should take?
A. Administer epinephrine (Adrenaline).
B. Elevate the lower extremities.
C. Determine respiratory status.
D. Apply oxygen via non-rebreather mask.. Answer: C. Determine
respiratory status.
*The content of this question emphasizes the concept of priority
setting by determining priority nursing action for a client experiencing
an allergic reaction. Priority setting is the use of nursing judgment
when making decisions about the rank order in which to take nursing
actions. Various priority setting frameworks, such as Maslow's
Hierarchy of Needs, nursing process, ABC, and safety and risk
reduction, can be useful in determining the priority of needed actions.
This item can be answered using both nursing process and the ABC
priority setting framework. The client is experiencing angioedema,
indicating the possibility of an anaphylactic reaction, which is life-
threatening; therefore, the nurse should first determine the client's
respiratory status.
◉ A nurse is caring for a child who is 24 hr postoperative following a
supratentorial craniotomy. The nurse should maintain the child in
which of the following positions?
, A. Prone with head of the bed flat
B. Dorsal recumbent with head of the bed elevated to 15°
C. Supine with head of the bed elevated to 30°
D. Side-lying with head of the bed elevated to 45°.. Answer: C.
Supine with head of the bed elevated to 30°
*The content of this question emphasizes the concept of safety
through selection of the appropriate position for a child who is
postoperative following a supratentorial craniotomy.
Following a supratentorial craniotomy, the client should be
maintained in a position that facilitates drainage of cerebrospinal fluid
and prevents hemorrhage by reducing blood flow to the brain.
Positioning the client supine with the head of the bed elevated to 30°
is appropriate.
◉ A nurse has assigned four tasks to an assistive personnel (AP).
Which of the following should the nurse instruct the AP to perform
first?
A. Take an ABG specimen to the laboratory.
B. Transport a client to the radiology department for an x-ray.
Obtain a clean catch urine sample from a newly admitted client.
Pass fresh water to clients.. Answer: A. Take an ABG specimen to the
laboratory.
