NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
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The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions
(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) - correct answer 1. A. The
normal potassium level is 3.5 - 5.0 mEq/L. Giving Kayexalate in this situation may cause the
client to lose potassium, causing hypokalemia, therefore the drug is not indicated; the
therapeutic level for Dilantin is 10 - 20 mcg/ml, a level of 8 is sub therapeutic thereby increasing
the risk of seizure activity. Acetaminophen can be safely prescribed to clients with ASA
sensitivity. Azithromycin (Zithromax) can be safely prescribed for clients with sensitivity to
Penicillin.
The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client - correct answer 2. A. Informed
consent, explanation and decision making must occur before sedation is given; therapeutic
interventions for retinal detachment include bedrest with the area of detachment in a
dependent position to promote healing; the cast should be handled with the palms of the
hands while wet to prevent denting; a broad base of support is used during transfers to prevent
muscle injury.
The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who
is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
,NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon (pyridostigmine) and
employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing
non threatening voices. - correct answer 3. B. An adolescent with uncontrolled Diabetes
Mellitus would require the greatest number of disciplines (multidisciplinary) to manage their
care i.e. Medicine, Nursing, Social Work, Nutritionist; the other choices do not require as many
providers of care to meet their needs.
The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to the
client who
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for respiratory
failure - correct answer 4. C. The management of a client following abdominal surgery is
standard. The postpartum nurse routinely cares for mothers following caesarean section;
therefore it is appropriate to assign this client; The other choices are not appropriate to assign
to this nurse.
The nurse in a well baby clinic has assessed several children today. It would
be a priority for the nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski reflex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating - correct answer 5. D. A child
experiencing normal growth and development should be ambulating independently by 12
months; the Babinski reflex disappears after 2 years of age; an infant typically holds their own
bottle by 6 months; stranger anxiety usually develops at approximately 7 months
The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It
would be most appropriate to obtain consent for organ donation from the
,NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
(a) client's primary care provider
(b) client's nurse manager
(c) closest living family member
(d) hospital's ethics committee - correct answer 6. C. Consent for organ donation is given by a
client's next of kin in the absence of an Advance Directive
The nurse has received report on four clients. The nurse should first
assess the client who has:
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 90%
(b) Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
(c) been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis
therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - correct answer
7. C. The client admitted with Guillain-Barre' Syndrome should be assessed first because of the
possibility of rapid progression of this illness and neuromuscular respiratory failure; clients with
COPD are likely to have pulse oximetry readings of 90% related to chronic hypoxia; this client
along with the other two choices are important, but not the priority.
It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change - correct answer B. The Certified Nursing Assistant may
be assigned to a client that requires one- to-one observation for safety; the other choices
require skilled nursing intervention by a LPN (Licensed Practical Nurse) or RN (Registered
Nurse).
The nurse should intervene if a staff member is observed:
(a) discussing a client's diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist - correct answer 9. A. To maintain
confidentiality the nurse should not discuss the client's diagnosis with family members; it is
advisable that two nurses review the prescription for blood transfusion to identify the client,
, NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
blood type, Rh factor, expiration date and the blood numbers; interrupting staff members
discussing a client in a public place should be done to maintain client confidentiality;
collaborating with the nutritionist is an appropriate nursing intervention. Safe Effective Care
Environment; Management of Care
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse
would be correct to include which of the following examples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in the day room to
watch television is false imprisonment
(b) Telling a client that you will put in a feeding tube if the client does not eat is an example of
battery
(c) Telling a client with bipolar disorder who is suicidal that they have a right to refuse to take
their medications is an example of malpractice
(d) Placing hands on a client who says "do not touch me" is an example of assault - correct
answer A. Putting a client in a geriatric chair with the lap tray in front of them restricts
movement which constitutes false imprisonment; choice B is an example of assault not battery;
C is an example of negligence not malpractice and D is an example of battery not assault. Safe
Effective Care Environment; Management of Care
The nurse from the pediatric unit has been temporarily assigned to the
Emergency Department. It would be most appropriate to assign that nurse
to the client who
(a) reports epigastric pain that "feels like indigestion"
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant - correct answer 11. C.
Vomiting and diarrhea can be managed on a non-emergent basis; clients reporting "indigestion"
may be experiencing a cardiac event; clinical manifestations suggestive of abdominal aortic
aneurysm include abdominal mass and abdominal throbbing; the client who is 6 weeks
pregnant experiencing abdominal pain must be evaluated to rule out ectopic pregnancy which
could be life threatening. Safe Effective Care environment; Management of Care
Four clients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the clients:
(a) reports blood tinged sputum following a bronchoscopy
100% Accurate!!
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client with
(a) a potassium level of 4.5mEq/L has Kayexalate (sodium polystyrene)
prescribed
(b) a Dilantin (phenytoin) level of 8 mcg/ml is placed on seizure precautions
(c) sensitivity to Aspirin (acetylsalicylic acid) is prescribed Tylenol (acetaminophen)
(d) sensitivity to Penicillin is prescribed Zithromax (azithromycin) - correct answer 1. A. The
normal potassium level is 3.5 - 5.0 mEq/L. Giving Kayexalate in this situation may cause the
client to lose potassium, causing hypokalemia, therefore the drug is not indicated; the
therapeutic level for Dilantin is 10 - 20 mcg/ml, a level of 8 is sub therapeutic thereby increasing
the risk of seizure activity. Acetaminophen can be safely prescribed to clients with ASA
sensitivity. Azithromycin (Zithromax) can be safely prescribed for clients with sensitivity to
Penicillin.
The nurse should intervene if the nurse notes a staff member
(a) obtaining a clients consent prior to their operative procedure after receiving
Ativan (lorazepam)
(b) placing a client on the affected side following surgical repair of a retinal
detachment
(c) handling a wet cast with the palms of the hands
(d) using a broad base of support while transferring a client - correct answer 2. A. Informed
consent, explanation and decision making must occur before sedation is given; therapeutic
interventions for retinal detachment include bedrest with the area of detachment in a
dependent position to promote healing; the cast should be handled with the palms of the
hands while wet to prevent denting; a broad base of support is used during transfers to prevent
muscle injury.
The community health nurse is caring for the following clients. It would be a
priority for the nurse to initiate a multidisciplinary conference for the client who
is
(a) 12 years old with Autism who is starting a new school and recently had a
URI (upper respiratory tract infection)
(b) 16 years old, has type 1 Diabetes Mellitus, is unemployed and had a recent
,NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
Hemoglobin A1c of 13%
(c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon (pyridostigmine) and
employed as a mail carrier
(d) 70 years old, has schizophrenia, lives alone and reports hearing
non threatening voices. - correct answer 3. B. An adolescent with uncontrolled Diabetes
Mellitus would require the greatest number of disciplines (multidisciplinary) to manage their
care i.e. Medicine, Nursing, Social Work, Nutritionist; the other choices do not require as many
providers of care to meet their needs.
The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to the
client who
(a) has returned from right total hip replacement surgery four hours ago
(b) is being observed for increased intracranial pressure
(c) had surgery two hours ago to remove the appendix
(d) is two weeks post partum being maintained on a mechanical ventilator for respiratory
failure - correct answer 4. C. The management of a client following abdominal surgery is
standard. The postpartum nurse routinely cares for mothers following caesarean section;
therefore it is appropriate to assign this client; The other choices are not appropriate to assign
to this nurse.
The nurse in a well baby clinic has assessed several children today. It would
be a priority for the nurse to suggest follow up for the child who is
(a) 2 months old with a positive babinski reflex
(b) 5 months old and does not hold their own bottle
(c) 10 months old who cries around strangers
(d) 18 months old who needs support while ambulating - correct answer 5. D. A child
experiencing normal growth and development should be ambulating independently by 12
months; the Babinski reflex disappears after 2 years of age; an infant typically holds their own
bottle by 6 months; stranger anxiety usually develops at approximately 7 months
The nurse is caring for a mechanically ventilated client who was declared brain
dead. An Advance Directive is not documented on the medical record. It
would be most appropriate to obtain consent for organ donation from the
,NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
(a) client's primary care provider
(b) client's nurse manager
(c) closest living family member
(d) hospital's ethics committee - correct answer 6. C. Consent for organ donation is given by a
client's next of kin in the absence of an Advance Directive
The nurse has received report on four clients. The nurse should first
assess the client who has:
(a) Chronic Obstructive Pulmonary Disease (COPD) with a pulse oximetry reading of 90%
(b) Parkinson's Disease and is demanding to leave the hospital against medical advice (AMA)
(c) been admitted with suspected Guillian Barre Syndrome and has begun plasmapheresis
therapy
(d) Congestive Heart Failure (CHF) whose pitting edema has increased to 2(+) - correct answer
7. C. The client admitted with Guillain-Barre' Syndrome should be assessed first because of the
possibility of rapid progression of this illness and neuromuscular respiratory failure; clients with
COPD are likely to have pulse oximetry readings of 90% related to chronic hypoxia; this client
along with the other two choices are important, but not the priority.
It would be appropriate to assign which of these tasks to the CNA?
(a) Feeding a client who is experiencing dysphagia
(b) One-on-one client observation for safety
(c) Removal of an indwelling catheter
(d) Performing a simple dressing change - correct answer B. The Certified Nursing Assistant may
be assigned to a client that requires one- to-one observation for safety; the other choices
require skilled nursing intervention by a LPN (Licensed Practical Nurse) or RN (Registered
Nurse).
The nurse should intervene if a staff member is observed:
(a) discussing a client's diagnosis with visiting family members
(b) collaborating with another nurse to review a prescription for blood transfusion
(c) interrupting other staff members discussing a client in the cafeteria
(d) reviewing a clients lab values with the nutritionist - correct answer 9. A. To maintain
confidentiality the nurse should not discuss the client's diagnosis with family members; it is
advisable that two nurses review the prescription for blood transfusion to identify the client,
, NUR280 2025 Update |Actual Exam Set Questions And Verified Answers (Correct solutions) | Get It
100% Accurate!!
blood type, Rh factor, expiration date and the blood numbers; interrupting staff members
discussing a client in a public place should be done to maintain client confidentiality;
collaborating with the nutritionist is an appropriate nursing intervention. Safe Effective Care
Environment; Management of Care
The nurse is preparing a staff presentation on legal and ethical issues in nursing. The nurse
would be correct to include which of the following examples?
(a) Putting a client in a geriatric chair with the lap tray in front of the client in the day room to
watch television is false imprisonment
(b) Telling a client that you will put in a feeding tube if the client does not eat is an example of
battery
(c) Telling a client with bipolar disorder who is suicidal that they have a right to refuse to take
their medications is an example of malpractice
(d) Placing hands on a client who says "do not touch me" is an example of assault - correct
answer A. Putting a client in a geriatric chair with the lap tray in front of them restricts
movement which constitutes false imprisonment; choice B is an example of assault not battery;
C is an example of negligence not malpractice and D is an example of battery not assault. Safe
Effective Care Environment; Management of Care
The nurse from the pediatric unit has been temporarily assigned to the
Emergency Department. It would be most appropriate to assign that nurse
to the client who
(a) reports epigastric pain that "feels like indigestion"
(b) has back pain and a pulsating abdominal mass
(c) is HIV+ reporting vomiting and diarrhea
(d) presents with lower abdominal pain and is six weeks pregnant - correct answer 11. C.
Vomiting and diarrhea can be managed on a non-emergent basis; clients reporting "indigestion"
may be experiencing a cardiac event; clinical manifestations suggestive of abdominal aortic
aneurysm include abdominal mass and abdominal throbbing; the client who is 6 weeks
pregnant experiencing abdominal pain must be evaluated to rule out ectopic pregnancy which
could be life threatening. Safe Effective Care environment; Management of Care
Four clients recently returned to the unit following invasive diagnostic testing.
The nurse should immediately intervene if one of the clients:
(a) reports blood tinged sputum following a bronchoscopy
