NUR283 Transition to Registered Nursing - Practice Scenarios
Which client should the nurse initially assess first? - correct answer A client with diabetes
mellitus (type 1), who is difficult to arouse, and has a blood glucose of 38 mg/dL.
What task should the nurse instruct the UAP to perform first? - correct answer Obtain capillary
blood glucose on a client who had a hypoglycemia episode 30 minutes ago and received
dextrose IV.
Which pediatric client should the nurse plan to see first? - correct answer The infant who has a
diagnosis of pertussis and is receiving oxygen via nasal cannula.
Which client is appropriate to assign to a float nurse from the maternity unit? - correct answer
A client who is being discharged home and needs teaching about dressing changes to a wound.
What action by the newly hired nurse requires intervention by the preceptor? - correct answer
Having a family member who speaks both English and the client's language interpret the
instructions.
What finding is a priority to report after a client's membranes have spontaneously ruptured? -
correct answer New appearance of late decelerations.
Which action indicates correct care by the newly hired nurse? - correct answer Placing a
particular respirator (N95) mask on a client who has active pulmonary tuberculosis (TB) in
preparation for transport.
Which client should the PHCP see first in an outpatient care clinic? - correct answer A 45-year-
old who has pleurisy and is reporting worsening shortness of breath.
What is the blood glucose level of the client with diabetes who requires immediate
assessment? - correct answer 38 mg/dL.
What medication is the client with community-acquired pneumonia scheduled to receive? -
correct answer IV vancomycin.
What is the WBC count of the client with community-acquired pneumonia? - correct answer
18,400/mm3.
What pain level is reported by the client with appendicitis? - correct answer 3 on a scale of 0 to
10.
What is the primary concern for a client with a urinary tract infection receiving cephalexin? -
correct answer Reports of urinary frequency.
What is the appropriate action for the nurse regarding a client who has just had their
membranes rupture? - correct answer Monitor for late decelerations.
,What should the nurse do for a toddler with bilateral arm casts? - correct answer Feed them
their breakfast.
What is a key teaching point for a client with pelvic inflammatory disease? - correct answer
Utilize a facility-approved interpreter for effective communication.
What is the expected action for a nurse administering medication in the deltoid muscle? -
correct answer Use a 23-gauge, 1-inch needle.
What is the significance of a maternal temperature of 99.5 F after membrane rupture? - correct
answer It is not a priority finding to report.
What is the expected frequency of contractions for a laboring client? - correct answer 4
contractions in a 10-minute period.
What is the appropriate timing for a client to empty their ileostomy bag? - correct answer 30
minutes after eating a meal.
What is the nursing priority for a client returning from radiology who has been NPO? - correct
answer Deliver their lunch tray.
What is the role of the nurse when a client is experiencing a sickle cell crisis? - correct answer
Ensure appropriate pain management and discharge planning.
What symptom did the 15-year-old develop after a camping trip? - correct answer A bull's eye
rash.
What condition does the 57-year-old client with heat intolerance and diaphoresis have? -
correct answer Grave's disease.
What condition is associated with lumbar pain in the 37-year-old client? - correct answer
Polycystic kidney disease (PKD).
Which client in the second stage of labor should be prioritized for follow-up? - correct answer
The client whose bloody show is dark red with active pushing.
What SpO2 reading should the nurse notify the primary health care provider for a client with
full-thickness burns? - correct answer A pulse oximeter (SpO2) reading of 91%.
What hematocrit level should prompt the nurse to notify the primary health care provider? -
correct answer A hematocrit (Hct) level of 60%.
What temperature indicates a need to notify the primary health care provider for a burn
patient? - correct answer A temperature of 104.2 F.
What urinary output should raise concern for a client with burns? - correct answer Urinary
output of 100 mL for the past 2 hours.
, Which client should be prioritized for treatment after an explosion? - correct answer The client
who has a large head wound with exposed grey matter and respirations (R) of 6.
What is a key nursing action for a client with severe pre-eclampsia? - correct answer Provide a
quiet, darkened environment.
What precaution should the nurse take when caring for a client with impetigo? - correct answer
Wearing a particulate respirator (N95) mask.
What should a client with pertussis wear during transport? - correct answer A surgical mask.
What type of isolation is appropriate for a client who had a stem cell transplant? - correct
answer Contact isolation.
What precaution should be initiated for a client diagnosed with epiglottis? - correct answer
Airborne precautions.
What symptom should prompt immediate removal of a client from the waiting room? - correct
answer A fever of 101.8 F with headache, vomiting, and sensitivity to light.
What action should be taken regarding bed linen for a client with a sealed radiation implant? -
correct answer Place bed linen in a biohazard receptacle outside the client's room.
What should the nurse do when a fire with smoke is noted in the nurses' station? - correct
answer Move clients close to a window with unit doors closed.
What is an example of primary prevention in health promotion? - correct answer Actions taken
to prevent disease before it occurs.
What is an example of primary prevention in nursing? - correct answer Recommending the use
of helmets when riding bicycles or motorcycles.
What should men begin having annually starting at age 40? - correct answer An annual prostate
examination.
What is an appropriate toy recommendation for a 9-year-old child? - correct answer Board
games and reading books.
Which client should the nurse prioritize for follow-up with a primary health care provider? -
correct answer A 55-year-old with a blood pressure of 164/96 mm Hg who stopped smoking 2
months ago.
At what age is it concerning if an infant is unable to roll over? - correct answer 6 months old.
What is the most therapeutic statement a nurse can make to a worried parent of a child with
leukemia? - correct answer I'll stay here and sit with you awhile.
Which client should the nurse initially assess first? - correct answer A client with diabetes
mellitus (type 1), who is difficult to arouse, and has a blood glucose of 38 mg/dL.
What task should the nurse instruct the UAP to perform first? - correct answer Obtain capillary
blood glucose on a client who had a hypoglycemia episode 30 minutes ago and received
dextrose IV.
Which pediatric client should the nurse plan to see first? - correct answer The infant who has a
diagnosis of pertussis and is receiving oxygen via nasal cannula.
Which client is appropriate to assign to a float nurse from the maternity unit? - correct answer
A client who is being discharged home and needs teaching about dressing changes to a wound.
What action by the newly hired nurse requires intervention by the preceptor? - correct answer
Having a family member who speaks both English and the client's language interpret the
instructions.
What finding is a priority to report after a client's membranes have spontaneously ruptured? -
correct answer New appearance of late decelerations.
Which action indicates correct care by the newly hired nurse? - correct answer Placing a
particular respirator (N95) mask on a client who has active pulmonary tuberculosis (TB) in
preparation for transport.
Which client should the PHCP see first in an outpatient care clinic? - correct answer A 45-year-
old who has pleurisy and is reporting worsening shortness of breath.
What is the blood glucose level of the client with diabetes who requires immediate
assessment? - correct answer 38 mg/dL.
What medication is the client with community-acquired pneumonia scheduled to receive? -
correct answer IV vancomycin.
What is the WBC count of the client with community-acquired pneumonia? - correct answer
18,400/mm3.
What pain level is reported by the client with appendicitis? - correct answer 3 on a scale of 0 to
10.
What is the primary concern for a client with a urinary tract infection receiving cephalexin? -
correct answer Reports of urinary frequency.
What is the appropriate action for the nurse regarding a client who has just had their
membranes rupture? - correct answer Monitor for late decelerations.
,What should the nurse do for a toddler with bilateral arm casts? - correct answer Feed them
their breakfast.
What is a key teaching point for a client with pelvic inflammatory disease? - correct answer
Utilize a facility-approved interpreter for effective communication.
What is the expected action for a nurse administering medication in the deltoid muscle? -
correct answer Use a 23-gauge, 1-inch needle.
What is the significance of a maternal temperature of 99.5 F after membrane rupture? - correct
answer It is not a priority finding to report.
What is the expected frequency of contractions for a laboring client? - correct answer 4
contractions in a 10-minute period.
What is the appropriate timing for a client to empty their ileostomy bag? - correct answer 30
minutes after eating a meal.
What is the nursing priority for a client returning from radiology who has been NPO? - correct
answer Deliver their lunch tray.
What is the role of the nurse when a client is experiencing a sickle cell crisis? - correct answer
Ensure appropriate pain management and discharge planning.
What symptom did the 15-year-old develop after a camping trip? - correct answer A bull's eye
rash.
What condition does the 57-year-old client with heat intolerance and diaphoresis have? -
correct answer Grave's disease.
What condition is associated with lumbar pain in the 37-year-old client? - correct answer
Polycystic kidney disease (PKD).
Which client in the second stage of labor should be prioritized for follow-up? - correct answer
The client whose bloody show is dark red with active pushing.
What SpO2 reading should the nurse notify the primary health care provider for a client with
full-thickness burns? - correct answer A pulse oximeter (SpO2) reading of 91%.
What hematocrit level should prompt the nurse to notify the primary health care provider? -
correct answer A hematocrit (Hct) level of 60%.
What temperature indicates a need to notify the primary health care provider for a burn
patient? - correct answer A temperature of 104.2 F.
What urinary output should raise concern for a client with burns? - correct answer Urinary
output of 100 mL for the past 2 hours.
, Which client should be prioritized for treatment after an explosion? - correct answer The client
who has a large head wound with exposed grey matter and respirations (R) of 6.
What is a key nursing action for a client with severe pre-eclampsia? - correct answer Provide a
quiet, darkened environment.
What precaution should the nurse take when caring for a client with impetigo? - correct answer
Wearing a particulate respirator (N95) mask.
What should a client with pertussis wear during transport? - correct answer A surgical mask.
What type of isolation is appropriate for a client who had a stem cell transplant? - correct
answer Contact isolation.
What precaution should be initiated for a client diagnosed with epiglottis? - correct answer
Airborne precautions.
What symptom should prompt immediate removal of a client from the waiting room? - correct
answer A fever of 101.8 F with headache, vomiting, and sensitivity to light.
What action should be taken regarding bed linen for a client with a sealed radiation implant? -
correct answer Place bed linen in a biohazard receptacle outside the client's room.
What should the nurse do when a fire with smoke is noted in the nurses' station? - correct
answer Move clients close to a window with unit doors closed.
What is an example of primary prevention in health promotion? - correct answer Actions taken
to prevent disease before it occurs.
What is an example of primary prevention in nursing? - correct answer Recommending the use
of helmets when riding bicycles or motorcycles.
What should men begin having annually starting at age 40? - correct answer An annual prostate
examination.
What is an appropriate toy recommendation for a 9-year-old child? - correct answer Board
games and reading books.
Which client should the nurse prioritize for follow-up with a primary health care provider? -
correct answer A 55-year-old with a blood pressure of 164/96 mm Hg who stopped smoking 2
months ago.
At what age is it concerning if an infant is unable to roll over? - correct answer 6 months old.
What is the most therapeutic statement a nurse can make to a worried parent of a child with
leukemia? - correct answer I'll stay here and sit with you awhile.
