NURS 450 PRACTICE QUESTIONS AND 100% VERIFIED
ANSWERS | GRADED A+ | GUARANTEED PASS!!
A client crying and grimacing denies pain and refuses pain medication, because my
brother is a drug addict and has ruined our lives. What is priority intervention?
- answer-encourage expression of fear & past experience
A client diagnosed with an acute migraine is seen by HCP, which situation is it
most important to have a discussion with HCP before med prescription?
- answer-HCP is considering SQ sumatriptan and client took ergotamine 3 hours
ago
A client is post op and reports pain, which approach is best?
- answer-multimodal strategies
A client who has BSG of 550 refuses insulin but wants pain medication, what is
best action?
- answer-explain significance of BG and insulin then call HCP
A client who has diabetic neuropathy reports electric pain in lower extremity
which is worse at night and it is not responding to NSAIDs, which med will nurse
advocate for first?
- answer-Gabapentin
A client with chronic pain reports to charge nurse that other nurses have not been
responding to request for pain medication, what is charge nurse initial action?
- answer-Have conference with staff nurses to assess their care of this client
A client with HTN has received first dose of lisinopril, what can be delegated to
the UAP ?
- answer--recheck VS every 4-8 hours
-ensure pt call light is in reach
-remind pt to rise slowly from bed and sit before standing
-assist out of bed and to the bathroom
A client's family is saying to tough out pain rather than risking drug addiction to
opioids, the nurse recognizing the sociocultural dimension of pain is current
, priority, what question will the nurse ask?
- answer-What do you believe about pain medication and drug addiction?
A family member says client is still in pain, he needs more medication. What is
nurse's best response?
- answer-please tell him I will be right there to check on him
A nurse caring for a client with history of substance abuse is having pain
medication d/c today, the client begs please do not stop my pain is worse today.
What is best response?
- answer-show me where your pain is and describe how it feels compared with
yesterday
A nurse evaluating a patient with HIV who is receiving TMP-SMX for pneumonia,
which information is most important to communicate to the HCP?
- answer-patient reports a blistering rash
A nurse giving SBAR reports to ICU for transfer, what is best way to keep patient
confidentiality and privacy ?
- answer-client has not informed family he is in hospital and is reluctant to allow
notification
A nurse is working with newly diagnosed HIV pt who uses injection heroin, which
actions are appropriate by the nurse ?
- answer--refer pt to substance abuse treatment program
-plan for pt to participate in needle exchange program
-coordinate pt schedule for direct observed antiretroviral treatment
-provide education about risk of transmitting HIV to others while sharing needles
A patient at clinic is given 50mg diphenhydramine, which information is most
indicative of a need for action by the nurse?
- answer-patient is preparing to drive home
A patient being suctioned, which action will need to be stopped immediately?
- answer-applying suction while inserting into ET tube
A patient has a 6-mm induration 48 hours after TB test, which action will nurse
take next?
- answer-arrange for CXR to check for active TB
ANSWERS | GRADED A+ | GUARANTEED PASS!!
A client crying and grimacing denies pain and refuses pain medication, because my
brother is a drug addict and has ruined our lives. What is priority intervention?
- answer-encourage expression of fear & past experience
A client diagnosed with an acute migraine is seen by HCP, which situation is it
most important to have a discussion with HCP before med prescription?
- answer-HCP is considering SQ sumatriptan and client took ergotamine 3 hours
ago
A client is post op and reports pain, which approach is best?
- answer-multimodal strategies
A client who has BSG of 550 refuses insulin but wants pain medication, what is
best action?
- answer-explain significance of BG and insulin then call HCP
A client who has diabetic neuropathy reports electric pain in lower extremity
which is worse at night and it is not responding to NSAIDs, which med will nurse
advocate for first?
- answer-Gabapentin
A client with chronic pain reports to charge nurse that other nurses have not been
responding to request for pain medication, what is charge nurse initial action?
- answer-Have conference with staff nurses to assess their care of this client
A client with HTN has received first dose of lisinopril, what can be delegated to
the UAP ?
- answer--recheck VS every 4-8 hours
-ensure pt call light is in reach
-remind pt to rise slowly from bed and sit before standing
-assist out of bed and to the bathroom
A client's family is saying to tough out pain rather than risking drug addiction to
opioids, the nurse recognizing the sociocultural dimension of pain is current
, priority, what question will the nurse ask?
- answer-What do you believe about pain medication and drug addiction?
A family member says client is still in pain, he needs more medication. What is
nurse's best response?
- answer-please tell him I will be right there to check on him
A nurse caring for a client with history of substance abuse is having pain
medication d/c today, the client begs please do not stop my pain is worse today.
What is best response?
- answer-show me where your pain is and describe how it feels compared with
yesterday
A nurse evaluating a patient with HIV who is receiving TMP-SMX for pneumonia,
which information is most important to communicate to the HCP?
- answer-patient reports a blistering rash
A nurse giving SBAR reports to ICU for transfer, what is best way to keep patient
confidentiality and privacy ?
- answer-client has not informed family he is in hospital and is reluctant to allow
notification
A nurse is working with newly diagnosed HIV pt who uses injection heroin, which
actions are appropriate by the nurse ?
- answer--refer pt to substance abuse treatment program
-plan for pt to participate in needle exchange program
-coordinate pt schedule for direct observed antiretroviral treatment
-provide education about risk of transmitting HIV to others while sharing needles
A patient at clinic is given 50mg diphenhydramine, which information is most
indicative of a need for action by the nurse?
- answer-patient is preparing to drive home
A patient being suctioned, which action will need to be stopped immediately?
- answer-applying suction while inserting into ET tube
A patient has a 6-mm induration 48 hours after TB test, which action will nurse
take next?
- answer-arrange for CXR to check for active TB
