NURS 246 FINAL REVIEW UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
1. What is the first action a nurse should take to assess the carotid arteries?
Answer:
Auscultation of the arteries for bruits with the bell of the stethoscope.
Question:
2. What indicates an understanding of droplet precautions for a client with streptococcal pharyngitis?
Answer:
Utilizing an N95 mask and eye protection when entering the room.
Question:
3. What should a nurse do first for a client with fecal incontinence and perianal irritation?
Answer:
Assess the client's perineum.
Question:
4. What is the first action a nurse should take when a client begins to have a tonic-clonic seizure?
Answer:
Lower the client to the floor.
Question:
5. How should a nurse communicate with a client who has hearing impairment?
Answer:
Face the client when speaking.
Question:
6. What is the first action a nurse should take upon discovering a medication error?
Answer:
Assess the client.
Question:
7. What is the first action a nurse should take when noticing smoke coming from a client's room?
Answer:
Close the door to the client's room.
Question:
8. When removing PPE, which piece of equipment should the nurse remove first?
Answer:
Gloves.
Question:
9. What should a nurse do first if a patient has a protrusion of organs from a c-section incision?
, Answer:
Place saline soaked dressing on the wound.
Question:
10. What should a nurse do if a client complains of intestinal cramps during an enema?
Answer:
Lower the height of the enema container.
Question:
11. What is the best response to a client concerned about pain after a cholecystectomy?
Answer:
You will need to turn side to side every 2 hours.
Question:
12. Which position should a client with emphysema avoid during dyspneic episodes?
Answer:
Lying on the back in low fowlers position.
Question:
13. What instructions should a nurse manager not include when reviewing guidelines for preventing
injuries with new employees?
Answer:
(Note: The content does not provide specific instructions to exclude, so this card is left open for further
detail.)
Question:
14. What should a nurse do when repositioning a client?
Answer:
Request assistance, avoid twisting the spine, use smooth movements, and bend at the waist.
Question:
15. What is the first action a nurse should take for a client with a blood pressure of 140/94 and no history
of hypertension?
Answer:
Ask the client if they are having any pain or discomfort.
Question:
16. What should a nurse instruct a client who is at high risk for aspiration?
Answer:
Instruct the client to tuck their chin when swallowing.
Question:
17. What assessment findings indicate complications from diarrhea?
Answer:
Bradycardia, hypotension, poor skin turgor, and cardiac dysrhythmia.
AND CORRECT ANSWERS
Question:
1. What is the first action a nurse should take to assess the carotid arteries?
Answer:
Auscultation of the arteries for bruits with the bell of the stethoscope.
Question:
2. What indicates an understanding of droplet precautions for a client with streptococcal pharyngitis?
Answer:
Utilizing an N95 mask and eye protection when entering the room.
Question:
3. What should a nurse do first for a client with fecal incontinence and perianal irritation?
Answer:
Assess the client's perineum.
Question:
4. What is the first action a nurse should take when a client begins to have a tonic-clonic seizure?
Answer:
Lower the client to the floor.
Question:
5. How should a nurse communicate with a client who has hearing impairment?
Answer:
Face the client when speaking.
Question:
6. What is the first action a nurse should take upon discovering a medication error?
Answer:
Assess the client.
Question:
7. What is the first action a nurse should take when noticing smoke coming from a client's room?
Answer:
Close the door to the client's room.
Question:
8. When removing PPE, which piece of equipment should the nurse remove first?
Answer:
Gloves.
Question:
9. What should a nurse do first if a patient has a protrusion of organs from a c-section incision?
, Answer:
Place saline soaked dressing on the wound.
Question:
10. What should a nurse do if a client complains of intestinal cramps during an enema?
Answer:
Lower the height of the enema container.
Question:
11. What is the best response to a client concerned about pain after a cholecystectomy?
Answer:
You will need to turn side to side every 2 hours.
Question:
12. Which position should a client with emphysema avoid during dyspneic episodes?
Answer:
Lying on the back in low fowlers position.
Question:
13. What instructions should a nurse manager not include when reviewing guidelines for preventing
injuries with new employees?
Answer:
(Note: The content does not provide specific instructions to exclude, so this card is left open for further
detail.)
Question:
14. What should a nurse do when repositioning a client?
Answer:
Request assistance, avoid twisting the spine, use smooth movements, and bend at the waist.
Question:
15. What is the first action a nurse should take for a client with a blood pressure of 140/94 and no history
of hypertension?
Answer:
Ask the client if they are having any pain or discomfort.
Question:
16. What should a nurse instruct a client who is at high risk for aspiration?
Answer:
Instruct the client to tuck their chin when swallowing.
Question:
17. What assessment findings indicate complications from diarrhea?
Answer:
Bradycardia, hypotension, poor skin turgor, and cardiac dysrhythmia.
