NUR 215 PAPER ACTUAL QUESTIONS AND
ANSWERS SURE A+
✔✔The nurse knows that the following should be given highest priority when receiving
patient in the operating room:
A.Assess level of consciousness.
B.Verify patient identification and informed consent.
C.Assess vital signs.
D.Check for jewelry, glasses, and dentures. - ✔✔B.Verify patient identification and
informed consent.
The nurse is responsible for correctly identifying the patient and assuring that the
informed consent is signed prior to the onset of the surgical procedure. The Joint
Commission's 2016 National Patient Safety Goals applicable to surgery include
improving the accuracy of patient identification as a major goal before starting
procedures.
✔✔The nurse knows that the most important reason for controlling postoperative
nausea/vomiting in the PACU is to:
A.Prevent the patient from becoming dehydrated.
B.Prevent potential airway issues.
C.Prevent the surgical dressing from becoming soiled.
D.Prevent the patient from becoming upset. - ✔✔B.Prevent potential airway issues.
The priority nursing intervention for the nurse in PACU is airway management.
Controlling nausea and/or vomiting will prevent aspiration and ensure a patent airway.
✔✔The client has been on a low-protein diet. This will most likely affect which
pharmacokinetic process?
A.Absorption
B.Excretion
C.Distribution
D.Metabolism - ✔✔C.Distribution
A low-protein diet may lead to an inadequate level of plasma proteins, which will affect
availability of "free" drug.
, ✔✔The nurse is having difficulty deciphering the medication prescription written by the
provider. What is the best strategy to clarify the information?
A.Ask the patient what medication the provider prescribed.
B.Call the pharmacist and ask them to read the prescription.
C.Ask the nurse who knows the provider's handwriting to read the prescription.
D.Call the provider and ask them to clarify the prescription. - ✔✔D.Call the provider and
ask them to clarify the prescription.
All other answers increase the risk of a medication error.
✔✔When administering a drug via a parenteral route, the drug would be absorbed
fastest if given per the intramuscular (IM) route
A.True
B.False - ✔✔B.False
Absorption refers to the "movement" of the drug from the site of administration into the
bloodstream. Therefore, the IV, parenteral route leads to "instant" absorption.
✔✔During what stage of the sleep cycle does mental and emotional restoration occur?
A.NREM I
B.NREM II
C.NREM III
D.REM - ✔✔D.REM
During REM (rapid eye movement) sleep, the brain becomes highly active and the brain
waves resemble those of a person who is fully awake. Rapid eye movements occur,
which can often be detected even though the sleeper's eyelids are closed.
✔✔The nurse is caring for a hospitalized client who normally works the night shift at
their job. "I don't know what is wrong with me. I have been napping all day and can't
seem to think clearly." best response is:
A."You are sleep deprived, but that will resolve in a few days."
B."You are experiencing hypersomnia, so it will be important for you to walk in the hall
more often."
C."There has been a disruption in your circadian rhythm. What can I do to help you
sleep better at nig - ✔✔C."There has been a disruption in your circadian rhythm. What
can I do to help you sleep better at night?"
The data suggest that the patient is used to being awake at night and sleeping during
the day. The hospital routine has disrupted this normal pattern.
✔✔For which sleep disorder would the nurse most likely need to include safety
measures in the client's plan of care?
A.Snoring
B.Enuresis
C.Narcolepsy
D. Hypersomnia - ✔✔C.Narcolepsy
ANSWERS SURE A+
✔✔The nurse knows that the following should be given highest priority when receiving
patient in the operating room:
A.Assess level of consciousness.
B.Verify patient identification and informed consent.
C.Assess vital signs.
D.Check for jewelry, glasses, and dentures. - ✔✔B.Verify patient identification and
informed consent.
The nurse is responsible for correctly identifying the patient and assuring that the
informed consent is signed prior to the onset of the surgical procedure. The Joint
Commission's 2016 National Patient Safety Goals applicable to surgery include
improving the accuracy of patient identification as a major goal before starting
procedures.
✔✔The nurse knows that the most important reason for controlling postoperative
nausea/vomiting in the PACU is to:
A.Prevent the patient from becoming dehydrated.
B.Prevent potential airway issues.
C.Prevent the surgical dressing from becoming soiled.
D.Prevent the patient from becoming upset. - ✔✔B.Prevent potential airway issues.
The priority nursing intervention for the nurse in PACU is airway management.
Controlling nausea and/or vomiting will prevent aspiration and ensure a patent airway.
✔✔The client has been on a low-protein diet. This will most likely affect which
pharmacokinetic process?
A.Absorption
B.Excretion
C.Distribution
D.Metabolism - ✔✔C.Distribution
A low-protein diet may lead to an inadequate level of plasma proteins, which will affect
availability of "free" drug.
, ✔✔The nurse is having difficulty deciphering the medication prescription written by the
provider. What is the best strategy to clarify the information?
A.Ask the patient what medication the provider prescribed.
B.Call the pharmacist and ask them to read the prescription.
C.Ask the nurse who knows the provider's handwriting to read the prescription.
D.Call the provider and ask them to clarify the prescription. - ✔✔D.Call the provider and
ask them to clarify the prescription.
All other answers increase the risk of a medication error.
✔✔When administering a drug via a parenteral route, the drug would be absorbed
fastest if given per the intramuscular (IM) route
A.True
B.False - ✔✔B.False
Absorption refers to the "movement" of the drug from the site of administration into the
bloodstream. Therefore, the IV, parenteral route leads to "instant" absorption.
✔✔During what stage of the sleep cycle does mental and emotional restoration occur?
A.NREM I
B.NREM II
C.NREM III
D.REM - ✔✔D.REM
During REM (rapid eye movement) sleep, the brain becomes highly active and the brain
waves resemble those of a person who is fully awake. Rapid eye movements occur,
which can often be detected even though the sleeper's eyelids are closed.
✔✔The nurse is caring for a hospitalized client who normally works the night shift at
their job. "I don't know what is wrong with me. I have been napping all day and can't
seem to think clearly." best response is:
A."You are sleep deprived, but that will resolve in a few days."
B."You are experiencing hypersomnia, so it will be important for you to walk in the hall
more often."
C."There has been a disruption in your circadian rhythm. What can I do to help you
sleep better at nig - ✔✔C."There has been a disruption in your circadian rhythm. What
can I do to help you sleep better at night?"
The data suggest that the patient is used to being awake at night and sleeping during
the day. The hospital routine has disrupted this normal pattern.
✔✔For which sleep disorder would the nurse most likely need to include safety
measures in the client's plan of care?
A.Snoring
B.Enuresis
C.Narcolepsy
D. Hypersomnia - ✔✔C.Narcolepsy
