NURS 299 FINAL EXAM 3 Latest Update
Comprehensive Questions with Verified
Answers Graded Perfect Score A+
Antoine is experiencing acute pain from abdominal cramps. An intramuscular (IM) injection of pain
medication is ordered. Barbara should administer the pain medication using a 10-mL syringe since a
large amount of medication needs to be administered.
A. True
B. False - Answer -Answer: B
Rationale: Small syringes (tuberculin or 1 mL) are used in pediatric patients since IM doses do not usually
exceed 1 mL in small children.
*A child is taking albuterol through a pressurized metered-dose inhaler (pMDI) that contains a total of 64
puffs. The dose is 2 puffs every 6 hours. How many days will the pMDI last? ___________ days.* -
Answer -*Answer: 8 days*
Rationale: The patient is taking 2 puffs every 6 hours which is 8 puffs a day. The inhaler has 64 puffs in it.
To determine how many days the inhaler will last, divide the number of puffs by the number of doses per
day that the patient takes; 64 puffs/8 puffs per day = 8 days
*A couple who is caring for their aging parents are concerned about factors that put them at risk for falls.
Which factors are most likely to contribute to an increase in falls in the elderly? (select all that apply)*
1) inadequate lighting
2) throw rugs
3) multiple medications
4) doorway thresholds
5) cords covered by carpets
6) staircases with handrails - Answer -*Answer: 1, 2, 3, 4, 5*
Rationale: Falls most often occur while transferring from beds, chairs, and toilets; getting into or out of
bathtubs; tripping over items such as cords covered by rugs or carpets, carpet edges, or doorway
thresholds; slipping on wet surfaces; and descending stairs. Multiple medications also contribute to fall
risk.
,*A family member is providing care to a loved one who has an infected leg wound. What would you
instruct the family member to do after providing care and handling contaminated equipment or organic
material?*
1. Wear gloves before eating or handling food.
2. Place any soiled materials into a bag and double bag it.
3. Have the family member check with the health care provider about need for immunization.
4. Perform hand hygiene after care and/or handling contaminated equipment or material. -
Answer -4. Perform hand hygiene after care and/or handling contaminated equipment or material.
*A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient with hypertension. The
pharmacy sent vials marked 1.25 mg enalapril/mL. How many mL does the nurse administer?
______ mL* - Answer -*Answer: 1.6 mL *
*A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents
made the decision that he would move home and they would help him in the final stages of his disease.
The family participates in his care, but lately the nurse has increased the amount of time she spends with
the family. Whenever she enters the room or approaches the patient to give care, she touches his
shoulder and tells him that she is present. This is an example of what type of touch?*
1. Caring touch
2. Protective touch
3. Task-oriented touch
4. Interpersonal touch - Answer -1
*A Muslim woman enters the clinic to have a woman's health examination for the first time. Which
nursing behavior applies Swanson's caring process of "knowing the patient?"*
1. Sharing feelings about the importance of having regular woman's health examinations
2. Gaining an understanding of what a woman's health examination means to the patient
3. Recognizing that the patient is modest; and obtaining gender-congruent caregiver
4. Explaining the risk factors for cervical cancer - Answer -2
*A new nurse complains to her preceptor that she has no time for therapeutic communication with her
patients. Which of the following is the best strategy to help the nurse find more time for this
communication?*
1. Include communication while performing tasks such as changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
,4. Remind the nurse to complete all her tasks and then set up remaining time for communication. -
Answer -1
*A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this
problem?*
1. Challenge the nurses in a public forum to embarrass them and change their behavior
2. Talk with the department secretary and ask if this has been a problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in handling this issue
4. Say nothing and hope things get better - Answer -3
*A nurse accidently gives a patient the medications that were ordered for the patient's roommate. What
is the nurse's first priority?*
A. Complete an occurrence report.
B. Notify the health care provider.
C. Inform the charge nurse of the error.
D. Assess the patient for adverse effects. - Answer -*Answer: D*
Rationale: Whenever a medication error occurs, the first action of the nurse is to assess the patient.
*A nurse admits a 72-year-old patient with a medical history of hypertension, heart failure, renal failure,
and depression to a general medical patient care unit. The nurse reviews the patient's medication orders
and notes that the patient has three health care providers who have ordered a total of 13 medications.
What is the most appropriate action for the nurse to take next?*
A. Give the medications after identifying the patient using two patient identifiers
B. Provide medication education to the patient to help with adherence to the medical plan
C. Review the list of medications with the health care providers to ensure that the patient needs all 13
medications
D. Set up a medication schedule for the patient that is least disruptive to the expected treatment
schedule in the hospital - Answer -*Answer: C*
Rationale: This patient most likely is experiencing polypharmacy. To minimize risks associated with
polypharmacy, frequent communication among health care providers is essential to make sure that the
patients' medication regimen is as simple as possible.
*A nurse caring for a patient on a general surgical unit notes the following medication order in the
patient's medical record:
3 March 2016 1415 Administer 25 mg hydrochlorothiazide PO BID D.Anderson, MD
What should the nurse do next?* - Answer -*Answer: The nurse should administer the medication
after reviewing the order.*
, Rationale: This order contains all the requirements for a medication order, including the patient's name,
date and time the order is written, medication name, dose, route, frequency of administration, and
provider's signature.
*A nurse demonstrated caring by helping family members to: (Select all that apply.)*
1. Become active participants in care.
2. Remove themselves from personal care.
3. Make health care decisions for the patient.
4. Have uninterrupted time for family and patient to be together.
5. Have opportunities for the family to discuss their concerns. - Answer -1,4,5
*A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the
procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells
the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The
nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch?*
1. Caring touch
2. Protective touch
3. Task-oriented touch
4. Interpersonal touch - Answer -3
*A nurse has been gathering physical assessment data on a patient and is now listening to the patient's
concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment
decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship?*
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - Answer -1
*A nurse hears a colleague tell a nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the student that from a caring
perspective:*
1. She does not touch the patients either.
2. Touch is a type of verbal communication.
3. Touch is only used when a patient is in pain.
4. Touch forms a connection between nurse and patient - Answer -4
Comprehensive Questions with Verified
Answers Graded Perfect Score A+
Antoine is experiencing acute pain from abdominal cramps. An intramuscular (IM) injection of pain
medication is ordered. Barbara should administer the pain medication using a 10-mL syringe since a
large amount of medication needs to be administered.
A. True
B. False - Answer -Answer: B
Rationale: Small syringes (tuberculin or 1 mL) are used in pediatric patients since IM doses do not usually
exceed 1 mL in small children.
*A child is taking albuterol through a pressurized metered-dose inhaler (pMDI) that contains a total of 64
puffs. The dose is 2 puffs every 6 hours. How many days will the pMDI last? ___________ days.* -
Answer -*Answer: 8 days*
Rationale: The patient is taking 2 puffs every 6 hours which is 8 puffs a day. The inhaler has 64 puffs in it.
To determine how many days the inhaler will last, divide the number of puffs by the number of doses per
day that the patient takes; 64 puffs/8 puffs per day = 8 days
*A couple who is caring for their aging parents are concerned about factors that put them at risk for falls.
Which factors are most likely to contribute to an increase in falls in the elderly? (select all that apply)*
1) inadequate lighting
2) throw rugs
3) multiple medications
4) doorway thresholds
5) cords covered by carpets
6) staircases with handrails - Answer -*Answer: 1, 2, 3, 4, 5*
Rationale: Falls most often occur while transferring from beds, chairs, and toilets; getting into or out of
bathtubs; tripping over items such as cords covered by rugs or carpets, carpet edges, or doorway
thresholds; slipping on wet surfaces; and descending stairs. Multiple medications also contribute to fall
risk.
,*A family member is providing care to a loved one who has an infected leg wound. What would you
instruct the family member to do after providing care and handling contaminated equipment or organic
material?*
1. Wear gloves before eating or handling food.
2. Place any soiled materials into a bag and double bag it.
3. Have the family member check with the health care provider about need for immunization.
4. Perform hand hygiene after care and/or handling contaminated equipment or material. -
Answer -4. Perform hand hygiene after care and/or handling contaminated equipment or material.
*A health care provider ordered enalapril (Vasotec) 2 mg IV push for a patient with hypertension. The
pharmacy sent vials marked 1.25 mg enalapril/mL. How many mL does the nurse administer?
______ mL* - Answer -*Answer: 1.6 mL *
*A hospice nurse sits at the bedside of a male patient in the final stages of cancer. He and his parents
made the decision that he would move home and they would help him in the final stages of his disease.
The family participates in his care, but lately the nurse has increased the amount of time she spends with
the family. Whenever she enters the room or approaches the patient to give care, she touches his
shoulder and tells him that she is present. This is an example of what type of touch?*
1. Caring touch
2. Protective touch
3. Task-oriented touch
4. Interpersonal touch - Answer -1
*A Muslim woman enters the clinic to have a woman's health examination for the first time. Which
nursing behavior applies Swanson's caring process of "knowing the patient?"*
1. Sharing feelings about the importance of having regular woman's health examinations
2. Gaining an understanding of what a woman's health examination means to the patient
3. Recognizing that the patient is modest; and obtaining gender-congruent caregiver
4. Explaining the risk factors for cervical cancer - Answer -2
*A new nurse complains to her preceptor that she has no time for therapeutic communication with her
patients. Which of the following is the best strategy to help the nurse find more time for this
communication?*
1. Include communication while performing tasks such as changing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
,4. Remind the nurse to complete all her tasks and then set up remaining time for communication. -
Answer -1
*A new nurse is experiencing lateral violence at work. Which steps could the nurse take to address this
problem?*
1. Challenge the nurses in a public forum to embarrass them and change their behavior
2. Talk with the department secretary and ask if this has been a problem for other nurses
3. Talk with the preceptor or manager and ask for assistance in handling this issue
4. Say nothing and hope things get better - Answer -3
*A nurse accidently gives a patient the medications that were ordered for the patient's roommate. What
is the nurse's first priority?*
A. Complete an occurrence report.
B. Notify the health care provider.
C. Inform the charge nurse of the error.
D. Assess the patient for adverse effects. - Answer -*Answer: D*
Rationale: Whenever a medication error occurs, the first action of the nurse is to assess the patient.
*A nurse admits a 72-year-old patient with a medical history of hypertension, heart failure, renal failure,
and depression to a general medical patient care unit. The nurse reviews the patient's medication orders
and notes that the patient has three health care providers who have ordered a total of 13 medications.
What is the most appropriate action for the nurse to take next?*
A. Give the medications after identifying the patient using two patient identifiers
B. Provide medication education to the patient to help with adherence to the medical plan
C. Review the list of medications with the health care providers to ensure that the patient needs all 13
medications
D. Set up a medication schedule for the patient that is least disruptive to the expected treatment
schedule in the hospital - Answer -*Answer: C*
Rationale: This patient most likely is experiencing polypharmacy. To minimize risks associated with
polypharmacy, frequent communication among health care providers is essential to make sure that the
patients' medication regimen is as simple as possible.
*A nurse caring for a patient on a general surgical unit notes the following medication order in the
patient's medical record:
3 March 2016 1415 Administer 25 mg hydrochlorothiazide PO BID D.Anderson, MD
What should the nurse do next?* - Answer -*Answer: The nurse should administer the medication
after reviewing the order.*
, Rationale: This order contains all the requirements for a medication order, including the patient's name,
date and time the order is written, medication name, dose, route, frequency of administration, and
provider's signature.
*A nurse demonstrated caring by helping family members to: (Select all that apply.)*
1. Become active participants in care.
2. Remove themselves from personal care.
3. Make health care decisions for the patient.
4. Have uninterrupted time for family and patient to be together.
5. Have opportunities for the family to discuss their concerns. - Answer -1,4,5
*A nurse enters a patient's room, arranges the supplies for a Foley catheter insertion, and explains the
procedure to the patient. She tells the patient what to expect; just before inserting the catheter, she tells
the patient to relax and that, once the catheter is in place, she will not feel the bladder pressure. The
nurse then proceeds to skillfully insert the Foley catheter. This is an example of what type of touch?*
1. Caring touch
2. Protective touch
3. Task-oriented touch
4. Interpersonal touch - Answer -3
*A nurse has been gathering physical assessment data on a patient and is now listening to the patient's
concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment
decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship?*
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase - Answer -1
*A nurse hears a colleague tell a nursing student that she never touches a patient unless she is
performing a procedure or doing an assessment. The nurse tells the student that from a caring
perspective:*
1. She does not touch the patients either.
2. Touch is a type of verbal communication.
3. Touch is only used when a patient is in pain.
4. Touch forms a connection between nurse and patient - Answer -4
