NS 660 EXAM 1 (2025-2026) LATEST QUESTIONS
AND ANSWERS GRADED A+
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
AND ANSWERS GRADED A+
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
