NURS 4301: Exam III Practice Questions With Complete
Solutions
A 49-yr-old man has been admitted with hypotension and
dehydration after 3 days of nausea and vomiting. Which
prescribed action will the nurse implement first?
A. Insert a nasogastric tube
B. Infuse Lactated Ringers at 250 mL/hr
C. Administer prochlorperazine (compazine) 5 mg, IV every 4
hours.
D. Obtain serum electrolyte panel Correct Answer B
A client is being tapered off opioids and the nurse is watchful
for signs of withdrawal. Which is one of the first signs of
withdrawal?
A. Fever
B. Nausea
C. Diaphoresis
D. Abdominal cramps Correct Answer C
A first day postoperative client on a PCA pump reports that the
pain controls inadequate. What is the first action you should
take?
A. Deliver the bolus dose per standing order
B. Contact the physician to increase the dose
C. Try non-pharmacological comfort measures
D. Assess the pain for location, quality and intensity Correct
Answer D
,A patient diagnosed with BPD superficially cut their wrist while
in the hospital. The health care provider orders a daily dressing
change. The nurse performing this care should
A. Encourage the patient to express anger
B. Provide care in a matter-of- fact way
C. Be kind and sympathetic
D. Offer to listen to the patient's feelings about cutting Correct
Answer B
A patient has developed a paralytic ileus following a recent
abdominal surgery. What is the most important nursing
consideration when caring for this patient?
A. Ensure that the nasogastric tube (Salem Sump) is patent.
B. Maintain the patient on a clear liquid diet.
C. Maintain the patient on strict bed rest.
D. Monitor motor strength in bilateral extremities. Correct
Answer A
A patient is admitted to the emergency room with new onset
abdominal pain. She is alert and oriented and she says the pain is
in her upper right side. Which nursing intervention should be
implemented first?
A. Measure vital signs to detect hypovolemic changes.
B. Administer the prescribed analgesics to promote patient
comfort and relieve anxiety.
C. Perform a thorough assessment of the onset, location,
duration, and character of the pain.
D. Perform a physical assessment of the abdomen for distention,
masses, abnormal pulsations, and bowel sounds. Correct
Answer A
, A patient is experiencing breakthrough pain while receiving
opioids. An order is written for Actiq® transmucosal fentanyl 1
unit (200 mcg). To teach about this medication, the nurse will
instruct the patient to:
A. Place the unit between the check and the lower gum.
B. Occasionally move the unit from the side of the mouth to the
other side.
C. Allow the unit to dissolve slowly in the mouth over 15
minutes.
D. All of the above. Correct Answer D
A patient is prescribed amoxicillin and tetracycline to treat
peptic ulcer disease (PUD). The nurse will instruct the patient
that these medications will do what?
A. Prevent GI infections that cause gastric bleeding.
B. Destroy the bacteria in the stomach that are causing
ulceration.
C. Reduce gastric acid production and alkalize the stomach
fluids.
D. Reduce the secretion of pepsin in the stomach. Correct
Answer B
A patient is prescribed cimetidine [Tagamet] and aluminum
hydroxide [Maalox] for the treatment of PUD. What should the
nurse teach the patient to do?
A. Drink an 8-ounce glass of water when taking these
medications.
B. Take the medications together to enhance their effectiveness.
C. Take the Tagamet 2 hours before the Maalox.
D. Wait at least 1 hour between administration of the two
medications. Correct Answer D
Solutions
A 49-yr-old man has been admitted with hypotension and
dehydration after 3 days of nausea and vomiting. Which
prescribed action will the nurse implement first?
A. Insert a nasogastric tube
B. Infuse Lactated Ringers at 250 mL/hr
C. Administer prochlorperazine (compazine) 5 mg, IV every 4
hours.
D. Obtain serum electrolyte panel Correct Answer B
A client is being tapered off opioids and the nurse is watchful
for signs of withdrawal. Which is one of the first signs of
withdrawal?
A. Fever
B. Nausea
C. Diaphoresis
D. Abdominal cramps Correct Answer C
A first day postoperative client on a PCA pump reports that the
pain controls inadequate. What is the first action you should
take?
A. Deliver the bolus dose per standing order
B. Contact the physician to increase the dose
C. Try non-pharmacological comfort measures
D. Assess the pain for location, quality and intensity Correct
Answer D
,A patient diagnosed with BPD superficially cut their wrist while
in the hospital. The health care provider orders a daily dressing
change. The nurse performing this care should
A. Encourage the patient to express anger
B. Provide care in a matter-of- fact way
C. Be kind and sympathetic
D. Offer to listen to the patient's feelings about cutting Correct
Answer B
A patient has developed a paralytic ileus following a recent
abdominal surgery. What is the most important nursing
consideration when caring for this patient?
A. Ensure that the nasogastric tube (Salem Sump) is patent.
B. Maintain the patient on a clear liquid diet.
C. Maintain the patient on strict bed rest.
D. Monitor motor strength in bilateral extremities. Correct
Answer A
A patient is admitted to the emergency room with new onset
abdominal pain. She is alert and oriented and she says the pain is
in her upper right side. Which nursing intervention should be
implemented first?
A. Measure vital signs to detect hypovolemic changes.
B. Administer the prescribed analgesics to promote patient
comfort and relieve anxiety.
C. Perform a thorough assessment of the onset, location,
duration, and character of the pain.
D. Perform a physical assessment of the abdomen for distention,
masses, abnormal pulsations, and bowel sounds. Correct
Answer A
, A patient is experiencing breakthrough pain while receiving
opioids. An order is written for Actiq® transmucosal fentanyl 1
unit (200 mcg). To teach about this medication, the nurse will
instruct the patient to:
A. Place the unit between the check and the lower gum.
B. Occasionally move the unit from the side of the mouth to the
other side.
C. Allow the unit to dissolve slowly in the mouth over 15
minutes.
D. All of the above. Correct Answer D
A patient is prescribed amoxicillin and tetracycline to treat
peptic ulcer disease (PUD). The nurse will instruct the patient
that these medications will do what?
A. Prevent GI infections that cause gastric bleeding.
B. Destroy the bacteria in the stomach that are causing
ulceration.
C. Reduce gastric acid production and alkalize the stomach
fluids.
D. Reduce the secretion of pepsin in the stomach. Correct
Answer B
A patient is prescribed cimetidine [Tagamet] and aluminum
hydroxide [Maalox] for the treatment of PUD. What should the
nurse teach the patient to do?
A. Drink an 8-ounce glass of water when taking these
medications.
B. Take the medications together to enhance their effectiveness.
C. Take the Tagamet 2 hours before the Maalox.
D. Wait at least 1 hour between administration of the two
medications. Correct Answer D
