NU518 EXAM / NU 518 EXAM 2 COMPLETE 450 REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |ALREADY GRADED A+
1. A nurse is completing an admission assessment for an adult client who
reports severe abdominal discomfort, while the nurse observes guarding
and obtains an elevated heart rate and blood pressure. Which finding
should the nurse classify as subjective data when documenting the
assessment?
A. Heart rate of 112 beats/min
B. The client reports severe abdominal pain
C. Abdominal guarding noted during palpation
D. Blood pressure of 168/94 mm Hg
Answer: B
2. A nurse is caring for four clients during a busy clinical shift. Which client
should the nurse assess first based on airway, breathing, circulation, and
immediate safety priorities?
A. A client with chronic arthritis reporting pain rated 7/10
B. A postoperative client requesting assistance to the bathroom
C. A client with diabetes whose premeal glucose is 178 mg/dL
D. A client who suddenly develops stridor and difficulty breathing after
receiving an antibiotic
Answer: D
3. A nurse receives a verbal medication order from a healthcare provider
during an emergency. Which action is most appropriate to reduce the risk of
a communication-related medication error?
A. Write the order down, read it back to the provider, and clarify any
ambiguity
B. Ask another nurse to interpret the provider's intended dose
C. Administer the medication and document the order afterward
D. Accept the order without repeating it because the provider is responsible
pg. 1
, for prescribing
Answer: A
4. A hospitalized client who is confused repeatedly attempts to get out of bed
despite having a high fall risk. Which intervention should the nurse
implement first to promote safety while using the least restrictive
approach?
A. Apply wrist restraints immediately
B. Request a sedative prescription
C. Place the client in a room near the nurses' station and increase
observation
D. Raise all four side rails and leave the client alone
Answer: C
5. A nurse is preparing to administer medications and notices that two
patients have similar names and are located in adjacent rooms. Which
action best demonstrates safe medication administration?
A. Ask the roommate to identify the correct patient
B. Compare the medication administration record with two patient
identifiers before administration
C. Identify the patient by room number and medication list
D. Ask the patient whether the medication looks familiar
Answer: B
6. A client receiving an opioid analgesic after surgery becomes difficult to
arouse and has a respiratory rate of 7 breaths/min. Which nursing action
has the highest priority?
A. Encourage the client to cough and deep breathe
B. Reassess the pain score in 30 minutes
C. Place the client flat and allow the client to sleep
D. Support ventilation, stimulate the client, and prepare to administer
naloxone as prescribed
Answer: D
pg. 2
, 7. A nurse is caring for a client with suspected Clostridioides difficile infection
who has frequent watery stools. Which infection-control intervention is
most appropriate?
A. Use contact precautions and wash hands with soap and water after care
B. Use only an alcohol-based hand sanitizer after removing gloves
C. Place the client in protective isolation
D. Wear an N95 respirator for all interactions
Answer: A
8. A client with heart failure suddenly develops severe dyspnea, bilateral
crackles, pink frothy sputum, and an oxygen saturation of 82%. Which
intervention should the nurse prioritize?
A. Encourage oral fluids
B. Place the client in a supine position
C. Position the client upright and provide oxygen while obtaining urgent
assistance
D. Ambulate the client to improve circulation
Answer: C
9. A client with diabetes mellitus becomes sweaty, shaky, confused, and
unable to concentrate shortly before lunch. The bedside glucose level is 52
mg/dL, and the client is awake and able to swallow. Which intervention is
appropriate?
A. Administer rapid-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate and recheck
glucose
C. Give a high-protein meal without carbohydrates
D. Restrict oral intake until the provider arrives
Answer: B
10. A nurse is caring for a client with severe sepsis who has hypotension despite
receiving intravenous fluids. Which finding would require the nurse to
recognize that the client may need vasopressor support?
A. Blood pressure remains critically low after adequate fluid resuscitation
pg. 3
, B. Temperature decreases from 39.2°C to 38.0°C
C. Urine output increases after fluid administration
D. Heart rate decreases from 118 to 96 beats/min
Answer: A
11. A client with chronic obstructive pulmonary disease is receiving oxygen
therapy. Which nursing observation requires the most immediate attention?
A. The client reports mild dryness of the nasal passages
B. The client has a respiratory rate of 20 breaths/min
C. The client requests assistance with repositioning
D. The client becomes increasingly somnolent with worsening respiratory
effort
Answer: D
12. A nurse is teaching a client prescribed warfarin for atrial fibrillation. Which
statement by the client demonstrates correct understanding of an
important safety principle?
A. “I should double my dose if I miss one.”
B. “I can take aspirin freely for headaches.”
C. “I should report unusual bleeding or black, tarry stools.”
D. “I do not need laboratory monitoring once my dose is established.”
Answer: C
13. A client receiving unfractionated heparin develops a significant platelet
decrease several days after therapy begins. Which complication should the
nurse suspect?
A. Disseminated intravascular coagulation
B. Heparin-induced thrombocytopenia
C. Vitamin K deficiency
D. Iron-deficiency anemia
Answer: B
14. A client with acute kidney injury has a potassium level of 6.7 mEq/L and
reports generalized weakness. Which finding would make the situation
particularly urgent?
pg. 4
CORRECT DETAILED ANSWERS (VERIFIED SOLUTIONS) LATEST UPDATED
VERSION |ALREADY GRADED A+
1. A nurse is completing an admission assessment for an adult client who
reports severe abdominal discomfort, while the nurse observes guarding
and obtains an elevated heart rate and blood pressure. Which finding
should the nurse classify as subjective data when documenting the
assessment?
A. Heart rate of 112 beats/min
B. The client reports severe abdominal pain
C. Abdominal guarding noted during palpation
D. Blood pressure of 168/94 mm Hg
Answer: B
2. A nurse is caring for four clients during a busy clinical shift. Which client
should the nurse assess first based on airway, breathing, circulation, and
immediate safety priorities?
A. A client with chronic arthritis reporting pain rated 7/10
B. A postoperative client requesting assistance to the bathroom
C. A client with diabetes whose premeal glucose is 178 mg/dL
D. A client who suddenly develops stridor and difficulty breathing after
receiving an antibiotic
Answer: D
3. A nurse receives a verbal medication order from a healthcare provider
during an emergency. Which action is most appropriate to reduce the risk of
a communication-related medication error?
A. Write the order down, read it back to the provider, and clarify any
ambiguity
B. Ask another nurse to interpret the provider's intended dose
C. Administer the medication and document the order afterward
D. Accept the order without repeating it because the provider is responsible
pg. 1
, for prescribing
Answer: A
4. A hospitalized client who is confused repeatedly attempts to get out of bed
despite having a high fall risk. Which intervention should the nurse
implement first to promote safety while using the least restrictive
approach?
A. Apply wrist restraints immediately
B. Request a sedative prescription
C. Place the client in a room near the nurses' station and increase
observation
D. Raise all four side rails and leave the client alone
Answer: C
5. A nurse is preparing to administer medications and notices that two
patients have similar names and are located in adjacent rooms. Which
action best demonstrates safe medication administration?
A. Ask the roommate to identify the correct patient
B. Compare the medication administration record with two patient
identifiers before administration
C. Identify the patient by room number and medication list
D. Ask the patient whether the medication looks familiar
Answer: B
6. A client receiving an opioid analgesic after surgery becomes difficult to
arouse and has a respiratory rate of 7 breaths/min. Which nursing action
has the highest priority?
A. Encourage the client to cough and deep breathe
B. Reassess the pain score in 30 minutes
C. Place the client flat and allow the client to sleep
D. Support ventilation, stimulate the client, and prepare to administer
naloxone as prescribed
Answer: D
pg. 2
, 7. A nurse is caring for a client with suspected Clostridioides difficile infection
who has frequent watery stools. Which infection-control intervention is
most appropriate?
A. Use contact precautions and wash hands with soap and water after care
B. Use only an alcohol-based hand sanitizer after removing gloves
C. Place the client in protective isolation
D. Wear an N95 respirator for all interactions
Answer: A
8. A client with heart failure suddenly develops severe dyspnea, bilateral
crackles, pink frothy sputum, and an oxygen saturation of 82%. Which
intervention should the nurse prioritize?
A. Encourage oral fluids
B. Place the client in a supine position
C. Position the client upright and provide oxygen while obtaining urgent
assistance
D. Ambulate the client to improve circulation
Answer: C
9. A client with diabetes mellitus becomes sweaty, shaky, confused, and
unable to concentrate shortly before lunch. The bedside glucose level is 52
mg/dL, and the client is awake and able to swallow. Which intervention is
appropriate?
A. Administer rapid-acting insulin
B. Give approximately 15 g of rapid-acting carbohydrate and recheck
glucose
C. Give a high-protein meal without carbohydrates
D. Restrict oral intake until the provider arrives
Answer: B
10. A nurse is caring for a client with severe sepsis who has hypotension despite
receiving intravenous fluids. Which finding would require the nurse to
recognize that the client may need vasopressor support?
A. Blood pressure remains critically low after adequate fluid resuscitation
pg. 3
, B. Temperature decreases from 39.2°C to 38.0°C
C. Urine output increases after fluid administration
D. Heart rate decreases from 118 to 96 beats/min
Answer: A
11. A client with chronic obstructive pulmonary disease is receiving oxygen
therapy. Which nursing observation requires the most immediate attention?
A. The client reports mild dryness of the nasal passages
B. The client has a respiratory rate of 20 breaths/min
C. The client requests assistance with repositioning
D. The client becomes increasingly somnolent with worsening respiratory
effort
Answer: D
12. A nurse is teaching a client prescribed warfarin for atrial fibrillation. Which
statement by the client demonstrates correct understanding of an
important safety principle?
A. “I should double my dose if I miss one.”
B. “I can take aspirin freely for headaches.”
C. “I should report unusual bleeding or black, tarry stools.”
D. “I do not need laboratory monitoring once my dose is established.”
Answer: C
13. A client receiving unfractionated heparin develops a significant platelet
decrease several days after therapy begins. Which complication should the
nurse suspect?
A. Disseminated intravascular coagulation
B. Heparin-induced thrombocytopenia
C. Vitamin K deficiency
D. Iron-deficiency anemia
Answer: B
14. A client with acute kidney injury has a potassium level of 6.7 mEq/L and
reports generalized weakness. Which finding would make the situation
particularly urgent?
pg. 4
