NRS 204 ticket to class questions
(ALL)
Which of the following vital signs remain relatively stable from infancy to adulthood?
Select all that apply.
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
E. Heart rate - answerA. Temperature
D. Oxygen saturation
Which of the following is a properly formatted SMART goal?
A. The patient will take their medications as ordered.
B. Following pain meds, the patient will sleep tonight at their normal time of 10 pm.
C. Within two hours, the patient's pain will have decreased.
D. The patient's heart rate will return to baseline.
E. The patient will feel better by bedtime tonight. - answerB. Following pain meds, the
patient will sleep tonight at their normal time of 10 pm.
A patient has just run into the clinic because they are late for their appointment. The
nurse checks their blood pressure and finds it to be 135/90. Which of the following is the
most appropriate response?
A. Call the provider immediately and report a high blood pressure
B. Record the blood pressure in the chart and hand the patient a brochure about
hypertension
C. Record a blood pressure of 120/80 to correct for the patient's recent activity.
D. Have the patient breathe into a paper bag.E. Wait 10 minutes and retake the blood
pressure. - answerA. Acute Pain related to injury to the chest as evidenced by patient
states pain 8/10 with inhalation and acceptable level of pain is 2/10
You are taking care of a patient in a hospital who has recently developed a cough. It is a
busy evening and the physician has not written isolation orders yet. What equipment
should you consider wearing when going in to examine the patient? Select all that
apply.
A. Waterproof gown
B. N-95 mask
C. Sterile gloves
, D. Safety glasses
E. Clean gloves - answerA. Waterproof gown
B. N-95 mask
D. Safety glasses
E. Clean gloves
A nurse asks a colleague to double-check a medication they are about to give. The
colleague discovers that the nurse has inadvertently prepared a dose that is twice what
the patient should receive. How should the nurse respond to this incident? Select all
that apply.
A. Restart the medication administration process with the correct dose of medication.
B. Argue with their colleague about who is right.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error. - answerA.
Restart the medication administration process with the correct dose of medication.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error.
A nurse perceives their own practices to be an integral part of system-wide safety
initiatives. Which of the following outcomes is a result of this attitude?
A. The nurse can deflect responsibility for any errors that they make because of a bad
system.
B. The nurse doesn't need to report any errors or near-misses that occur.
C. Patient outcomes improve incrementally across the system.
D. Nurses in every setting practice exactly the same way. - answerC. Patient outcomes
improve incrementally across the system.
A nurse needs to teach a cancer patient about their upcoming chemotherapy, but waits
until their family has left the room, turns off the TV, and pulls a chair up to the bedside.
Which of the following attributes of communication is the nurse paying attention to in
this scenario?
A. Just culture
B. Humor
C. Message
D. Context - answerD. Context
A nurse is teaching an adult how to use a metered-dose inhaler to deliver an inhaled
medication to their lungs. Which of the following describes a typical adult learning trait?
A. The vast majority of adults have a high level of literacy.
B. Culture is not a factor in patient education.
C. Adults are competent in the use of computers to help them with drug management.
(ALL)
Which of the following vital signs remain relatively stable from infancy to adulthood?
Select all that apply.
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
E. Heart rate - answerA. Temperature
D. Oxygen saturation
Which of the following is a properly formatted SMART goal?
A. The patient will take their medications as ordered.
B. Following pain meds, the patient will sleep tonight at their normal time of 10 pm.
C. Within two hours, the patient's pain will have decreased.
D. The patient's heart rate will return to baseline.
E. The patient will feel better by bedtime tonight. - answerB. Following pain meds, the
patient will sleep tonight at their normal time of 10 pm.
A patient has just run into the clinic because they are late for their appointment. The
nurse checks their blood pressure and finds it to be 135/90. Which of the following is the
most appropriate response?
A. Call the provider immediately and report a high blood pressure
B. Record the blood pressure in the chart and hand the patient a brochure about
hypertension
C. Record a blood pressure of 120/80 to correct for the patient's recent activity.
D. Have the patient breathe into a paper bag.E. Wait 10 minutes and retake the blood
pressure. - answerA. Acute Pain related to injury to the chest as evidenced by patient
states pain 8/10 with inhalation and acceptable level of pain is 2/10
You are taking care of a patient in a hospital who has recently developed a cough. It is a
busy evening and the physician has not written isolation orders yet. What equipment
should you consider wearing when going in to examine the patient? Select all that
apply.
A. Waterproof gown
B. N-95 mask
C. Sterile gloves
, D. Safety glasses
E. Clean gloves - answerA. Waterproof gown
B. N-95 mask
D. Safety glasses
E. Clean gloves
A nurse asks a colleague to double-check a medication they are about to give. The
colleague discovers that the nurse has inadvertently prepared a dose that is twice what
the patient should receive. How should the nurse respond to this incident? Select all
that apply.
A. Restart the medication administration process with the correct dose of medication.
B. Argue with their colleague about who is right.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error. - answerA.
Restart the medication administration process with the correct dose of medication.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error.
A nurse perceives their own practices to be an integral part of system-wide safety
initiatives. Which of the following outcomes is a result of this attitude?
A. The nurse can deflect responsibility for any errors that they make because of a bad
system.
B. The nurse doesn't need to report any errors or near-misses that occur.
C. Patient outcomes improve incrementally across the system.
D. Nurses in every setting practice exactly the same way. - answerC. Patient outcomes
improve incrementally across the system.
A nurse needs to teach a cancer patient about their upcoming chemotherapy, but waits
until their family has left the room, turns off the TV, and pulls a chair up to the bedside.
Which of the following attributes of communication is the nurse paying attention to in
this scenario?
A. Just culture
B. Humor
C. Message
D. Context - answerD. Context
A nurse is teaching an adult how to use a metered-dose inhaler to deliver an inhaled
medication to their lungs. Which of the following describes a typical adult learning trait?
A. The vast majority of adults have a high level of literacy.
B. Culture is not a factor in patient education.
C. Adults are competent in the use of computers to help them with drug management.
