NURS 325 FINAL EXAM 2025-2026 FALL-
SPRING QUESTIONS AND ANSWERS
GRADED A+
A patient who is scheduled for surgery in a week tells the nurse doing the
preoperative assessment about an allergy to bananas, kiwifruit, and latex products.
Which action is most important for the nurse to take?
a. Notify the dietician of the food allergies.
b. Alert the surgery center of the latex allergy.
c. Reassure the patient that the allergies are noted on the medical record
d. Ask the patient if antihistamines are used to reduce allergic reactions.
B
When the perioperative nurse is transporting a patient to the operating room for
surgery, the patient states, "I am a Jehovah Witness and am worried about needing
a blood transfusion during surgery." What would be the best response by the nurse
to this patient's statement?
a. "Do you have someone I can contact in an emergency if you need a blood
transfusion?"
,b. "Tell me what you would like done if it is determined that you need a blood
transfusion."
c. "I will make sure that you do not receive a blood transfusion during surgery."
d. "Would you like to sign the consent form just in case you need blood during
surgery?"
B
A 42-year-old patient is recovering from anesthesia in the PACU. On admission to
the PACU, the blood pressure (BP) is 124/70. Thirty minutes later, the blood
pressure is 112/60, pulse is 72, and skin is warm and dry. The most appropriate
action by the nurse at this time is to
a. Increase the rate of the IV fluids.
b. Continue to take vital signs every 15 minutes.
c. Administer oxygen via 100% nonrebreather mask.
d. Notify the anesthesia care provider.
B
A postoperative patient has not voided for 7 hours after return to the postsurgical
unit. Which is the best initial action by the nurse?
a. Notify the surgeon.
b. Obtain a bladder scan.
c. Insert an indwelling foley catheter.
d. Perform a straight catheterization
,B
When caring for a patient during the second postoperative day after abdominal
surgery, the nurse obtains an oral temperature of 100.8° F. Which action should the
nurse take first?
a. Have the patient use the incentive spirometer.
b. Obtain blood and urine cultures.
c. Administer the ordered PRN acetaminophen (Tylenol).
d. Notify the health care provider.
A
A patient who has chronic musculoskeletal pain tells the nurse, "I feel depressed
because I ache too much to play golf." The patient says the pain is usually at a
level 7 (0 to 10 scale). Which patient goal has the highest priority when the nurse is
developing the treatment plan?
A. The patient will exhibit fewer signs of depression.
B. The patient will say that the aching has decreased.
C. The patient will state that pain is at a level 4 out of 10.
D. The patient will be able to play 1 to 2 rounds of golf
D
, A patient with second-degree burns has been receiving hydromorphone
(Dilaudid®) through patient-controlled analgesia (PCA) for a week. The patient
wakes up frequently during the night complaining of pain. What action by the
nurse is most appropriate?
A. Administer a dose of morphine every 1 to 2 hours from the PCA machine while
the patient is sleeping.
B Consult with the health care provider about using a different treatment protocol
to control the patient's pain.
C. Request that the health care provider order a bolus dose of morphine to be given
when the patient awakens with pain.
D. Teach the patient to push the button every 10 minutes for an hour before going
to sleep, even if the pain is minimal.
B
The nurse assesses that a patient receiving epidural morphine has not voided for
over 10 hours. What action should the nurse take initially?
A. Monitor for withdrawal symptoms.
B. Place an indwelling urinary catheter.
C. Ask if the patient feels the need to void.
D. Document this allergic reaction in the patient's chart.
C
The nurse is caring for a 1-day postoperative patient who is receiving morphine
through patient-controlled analgesia (PCA). What action by the nurse is a priority?
SPRING QUESTIONS AND ANSWERS
GRADED A+
A patient who is scheduled for surgery in a week tells the nurse doing the
preoperative assessment about an allergy to bananas, kiwifruit, and latex products.
Which action is most important for the nurse to take?
a. Notify the dietician of the food allergies.
b. Alert the surgery center of the latex allergy.
c. Reassure the patient that the allergies are noted on the medical record
d. Ask the patient if antihistamines are used to reduce allergic reactions.
B
When the perioperative nurse is transporting a patient to the operating room for
surgery, the patient states, "I am a Jehovah Witness and am worried about needing
a blood transfusion during surgery." What would be the best response by the nurse
to this patient's statement?
a. "Do you have someone I can contact in an emergency if you need a blood
transfusion?"
,b. "Tell me what you would like done if it is determined that you need a blood
transfusion."
c. "I will make sure that you do not receive a blood transfusion during surgery."
d. "Would you like to sign the consent form just in case you need blood during
surgery?"
B
A 42-year-old patient is recovering from anesthesia in the PACU. On admission to
the PACU, the blood pressure (BP) is 124/70. Thirty minutes later, the blood
pressure is 112/60, pulse is 72, and skin is warm and dry. The most appropriate
action by the nurse at this time is to
a. Increase the rate of the IV fluids.
b. Continue to take vital signs every 15 minutes.
c. Administer oxygen via 100% nonrebreather mask.
d. Notify the anesthesia care provider.
B
A postoperative patient has not voided for 7 hours after return to the postsurgical
unit. Which is the best initial action by the nurse?
a. Notify the surgeon.
b. Obtain a bladder scan.
c. Insert an indwelling foley catheter.
d. Perform a straight catheterization
,B
When caring for a patient during the second postoperative day after abdominal
surgery, the nurse obtains an oral temperature of 100.8° F. Which action should the
nurse take first?
a. Have the patient use the incentive spirometer.
b. Obtain blood and urine cultures.
c. Administer the ordered PRN acetaminophen (Tylenol).
d. Notify the health care provider.
A
A patient who has chronic musculoskeletal pain tells the nurse, "I feel depressed
because I ache too much to play golf." The patient says the pain is usually at a
level 7 (0 to 10 scale). Which patient goal has the highest priority when the nurse is
developing the treatment plan?
A. The patient will exhibit fewer signs of depression.
B. The patient will say that the aching has decreased.
C. The patient will state that pain is at a level 4 out of 10.
D. The patient will be able to play 1 to 2 rounds of golf
D
, A patient with second-degree burns has been receiving hydromorphone
(Dilaudid®) through patient-controlled analgesia (PCA) for a week. The patient
wakes up frequently during the night complaining of pain. What action by the
nurse is most appropriate?
A. Administer a dose of morphine every 1 to 2 hours from the PCA machine while
the patient is sleeping.
B Consult with the health care provider about using a different treatment protocol
to control the patient's pain.
C. Request that the health care provider order a bolus dose of morphine to be given
when the patient awakens with pain.
D. Teach the patient to push the button every 10 minutes for an hour before going
to sleep, even if the pain is minimal.
B
The nurse assesses that a patient receiving epidural morphine has not voided for
over 10 hours. What action should the nurse take initially?
A. Monitor for withdrawal symptoms.
B. Place an indwelling urinary catheter.
C. Ask if the patient feels the need to void.
D. Document this allergic reaction in the patient's chart.
C
The nurse is caring for a 1-day postoperative patient who is receiving morphine
through patient-controlled analgesia (PCA). What action by the nurse is a priority?
