NS 660 EXAM 1 REVIEW 2025
COMPREHENSIVE QUESTIONS AND 100%
CORRECT ANSWER GRADED A+/
GUARANTEED SUCCESS SURE PASS
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The
nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low
when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse
yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked
and it has dropped even lower. In which phase of the nursing process did the nurse first make an error?
Diagnosis
Evaluation
Implementation
Assessment
Assessment
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked
the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4
hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when
the client reported improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
Intervention
Evaluation
Planning
Assessment
Assessment
,A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses.
Which nursing diagnosis is the highest priority for this patient?
Risk for impaired skin integrity
Risk for infection
Spiritual distress
Reflex urinary incontinence
Reflex urinary incontinence
While completing an admission database, the nurse is interviewing a patient who states "I am allergic to
latex." Which action will the nurse take first?
Immediately place patient in isolation
Ask the patient to describe the type of reaction
Document latex allergy on medication administration record
Process to the termination phase of interview
Ask the patient to describe type of reaction
A nurse is planning care for a client who is postoperative. Which of the following statements about pain
management should the nurse consider when implementing client care? (Select all that apply.)
All clients will express the feeling of pain both verbally and nonverbally.
,Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
Use of analgesics will eventually lead to addiction.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
The nurse is caring for an African American patient with COPD. The nurse knows that the best location
to assess for hypoxia is the:
Lower extremities
Abdomen
Earlobes
Oral mucosa
Oral mucosa
What is the most appropriate way to assess the pain of a patient who is oriented and has recently had
surgery?
Observe cardiac monitor for increased HR
Ask patient describe the effect of pain on ability to cope
, Ask patient to rate level of pain
Assess patients body language
Ask patient to rate level of pain
An assistive personnel reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse
92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the
nurse re-measure?
BP
Temp
Pulse Rate
Respiratory Rate
BP
We have an expert-written solution to this problem!
In which order will the nurse use the nursing process steps during the clinical decision-making process?
1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
COMPREHENSIVE QUESTIONS AND 100%
CORRECT ANSWER GRADED A+/
GUARANTEED SUCCESS SURE PASS
A nurse administers an antihypertensive medication to a patient at the scheduled time of 0900. The
nursing assistive personnel (NAP) then reports to the nurse that the patient's blood pressure was low
when it was taken at 0830. The NAP states they were busy and did not have a chance to tell the nurse
yet. The patient begins to complain of feeling dizzy and light-headed. The blood pressure is rechecked
and it has dropped even lower. In which phase of the nursing process did the nurse first make an error?
Diagnosis
Evaluation
Implementation
Assessment
Assessment
A charge nurse is observing a newly licensed nurse care for a client who reports pain. The nurse checked
the client's MAR and noted the last dose of pain medication was 6 hr ago. The prescription reads every 4
hr PRN for pain. The nurse administered the medication and checked with the client 40 min later, when
the client reported improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
Intervention
Evaluation
Planning
Assessment
Assessment
,A nursing assessment for a patient with a spinal cord injury leads to several pertinent nursing diagnoses.
Which nursing diagnosis is the highest priority for this patient?
Risk for impaired skin integrity
Risk for infection
Spiritual distress
Reflex urinary incontinence
Reflex urinary incontinence
While completing an admission database, the nurse is interviewing a patient who states "I am allergic to
latex." Which action will the nurse take first?
Immediately place patient in isolation
Ask the patient to describe the type of reaction
Document latex allergy on medication administration record
Process to the termination phase of interview
Ask the patient to describe type of reaction
A nurse is planning care for a client who is postoperative. Which of the following statements about pain
management should the nurse consider when implementing client care? (Select all that apply.)
All clients will express the feeling of pain both verbally and nonverbally.
,Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
Use of analgesics will eventually lead to addiction.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic range.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
The nurse is caring for an African American patient with COPD. The nurse knows that the best location
to assess for hypoxia is the:
Lower extremities
Abdomen
Earlobes
Oral mucosa
Oral mucosa
What is the most appropriate way to assess the pain of a patient who is oriented and has recently had
surgery?
Observe cardiac monitor for increased HR
Ask patient describe the effect of pain on ability to cope
, Ask patient to rate level of pain
Assess patients body language
Ask patient to rate level of pain
An assistive personnel reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse
92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the
nurse re-measure?
BP
Temp
Pulse Rate
Respiratory Rate
BP
We have an expert-written solution to this problem!
In which order will the nurse use the nursing process steps during the clinical decision-making process?
1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
