NUR283 Comprehensive Exam 1 | High-Yield
Questions, Answers & Study Guide |100%
Guarantee Pass | Most Highly Tested Questions
with Correct Answers and Well Rationalized|
Latest Exam and Newest Update
The nurse working on a pediatric unit is caring for the following
children who have been admitted in the past 12 hours. It would be a
priority goal for the nurse to initiate an interdisciplinary
conference for the child who:
CORRECT ANSWER:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been
hospitalized 4 times in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual
guidance, everyone should be conferenced for this patient. This
question is asking – WHO / WHICH child is requiring the MOST help
and resources???
Medications should be given through what?
CORRECT ANSWER:
Central line
The nurse working on a medical surgical unit is delegating tasks to
unlicensed personnel. Which of the following delegated task would
REQUIRE FOLLOW UP by the charge nurse?
CORRECT ANSWER:
,A. Assisting a client who had a paracentesis 2 hours ago to get out of
bed for the first time.
Rationale – anytime a client is doing something for the first time the
RN needs to do it
The nurse is prioritizing patient care after a change of shift report.
The nurse should first plan to see the patient who:
CORRECT ANSWER:
B. Had an endoscopic retrograde cholangiopancreatography 30
minutes ago and is reporting difficulty swallowing Rationale –
Difficulty swallowing – ABC’s!
Sequence for “doffing” (removing) personal protective equipment
(PPE)
CORRECT ANSWER:
Gloves
Goggles
Gown
Mask
The nurse working on the mom/baby unit has become aware of the
following client situations. Which of the following clients should the
nurse INITIALLY assess?
CORRECT ANSWER:
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW
BPM
A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST plan
to assess the client who has:
CORRECT ANSWER:
,D. Acute pancreatitis and is reporting the development of pain on
deep inspiration
Rationale – “acute” if not caught early, will possible burst and patient
will become septic
The nurse working in the ED has received the following prescriptions
for a newly admitted client. Which prescriptions should the nurse
implement FIRST?
CORRECT ANSWER:
D. Initiate IV sodium and potassium for a client admitted with
diarrhea and dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab
value and should be addressed first!
A nurse is working in a community health clinic is assessing clients
who are waiting to be seen. Which client should the nurse have the
primary health care provider see FIRST?
CORRECT ANSWER:
A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients. Which client should the
nurse INITIALLY plan to assess?
CORRECT ANSWER:
A. 2 year old toddler who is walking in the hallway and has a HR of
160 BPM
Rationale – Abnormal HR – all the other choices were normal for the
child
A nurse is caring for a male client who has a deep partial thickness
and a full thickness burn to 45 % of the lower body. It would be a
, PRIORITY for the nurse to notify the primary health care physician if
the client has:
CORRECT ANSWER:
D. A urinary output of 45 ml over the past two hours
Rationale – Normal urinary output per hour is 30 ml.hr. This question
really has nothing to do with “burn” and more know your normal
values.
The nurse is assessing clients at the scene of a mass casualty
disaster and is prioritizing care based on the disaster triage tag
system. Which of the following clients should be transported to the
health care facility FIRST?
CORRECT ANSWER:
C. the client who has multiple compound fractures and is reporting
chest pain Rationale – patient is reporting chest pain
The charge nurse in the ED is reviewing the care provided for
recently admitted clients. which of the following reflects
implementation of an accepted standard of care?
CORRECT ANSWER:
B. placing the client who has suspected Hemophilus influenza on
droplet precautions
Rationale – influenza = droplet
A charge nurse is planning to admit several clients in the medical
unit. It would be necessary for the nurse to admit which client to a
PRIVATE room?
CORRECT ANSWER:
B. Has a fever of unknown origin
A nurse is caring for a client who has a sealed radiation implant.
Which of the following precautions should the nurse implement
Questions, Answers & Study Guide |100%
Guarantee Pass | Most Highly Tested Questions
with Correct Answers and Well Rationalized|
Latest Exam and Newest Update
The nurse working on a pediatric unit is caring for the following
children who have been admitted in the past 12 hours. It would be a
priority goal for the nurse to initiate an interdisciplinary
conference for the child who:
CORRECT ANSWER:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been
hospitalized 4 times in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual
guidance, everyone should be conferenced for this patient. This
question is asking – WHO / WHICH child is requiring the MOST help
and resources???
Medications should be given through what?
CORRECT ANSWER:
Central line
The nurse working on a medical surgical unit is delegating tasks to
unlicensed personnel. Which of the following delegated task would
REQUIRE FOLLOW UP by the charge nurse?
CORRECT ANSWER:
,A. Assisting a client who had a paracentesis 2 hours ago to get out of
bed for the first time.
Rationale – anytime a client is doing something for the first time the
RN needs to do it
The nurse is prioritizing patient care after a change of shift report.
The nurse should first plan to see the patient who:
CORRECT ANSWER:
B. Had an endoscopic retrograde cholangiopancreatography 30
minutes ago and is reporting difficulty swallowing Rationale –
Difficulty swallowing – ABC’s!
Sequence for “doffing” (removing) personal protective equipment
(PPE)
CORRECT ANSWER:
Gloves
Goggles
Gown
Mask
The nurse working on the mom/baby unit has become aware of the
following client situations. Which of the following clients should the
nurse INITIALLY assess?
CORRECT ANSWER:
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW
BPM
A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST plan
to assess the client who has:
CORRECT ANSWER:
,D. Acute pancreatitis and is reporting the development of pain on
deep inspiration
Rationale – “acute” if not caught early, will possible burst and patient
will become septic
The nurse working in the ED has received the following prescriptions
for a newly admitted client. Which prescriptions should the nurse
implement FIRST?
CORRECT ANSWER:
D. Initiate IV sodium and potassium for a client admitted with
diarrhea and dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab
value and should be addressed first!
A nurse is working in a community health clinic is assessing clients
who are waiting to be seen. Which client should the nurse have the
primary health care provider see FIRST?
CORRECT ANSWER:
A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients. Which client should the
nurse INITIALLY plan to assess?
CORRECT ANSWER:
A. 2 year old toddler who is walking in the hallway and has a HR of
160 BPM
Rationale – Abnormal HR – all the other choices were normal for the
child
A nurse is caring for a male client who has a deep partial thickness
and a full thickness burn to 45 % of the lower body. It would be a
, PRIORITY for the nurse to notify the primary health care physician if
the client has:
CORRECT ANSWER:
D. A urinary output of 45 ml over the past two hours
Rationale – Normal urinary output per hour is 30 ml.hr. This question
really has nothing to do with “burn” and more know your normal
values.
The nurse is assessing clients at the scene of a mass casualty
disaster and is prioritizing care based on the disaster triage tag
system. Which of the following clients should be transported to the
health care facility FIRST?
CORRECT ANSWER:
C. the client who has multiple compound fractures and is reporting
chest pain Rationale – patient is reporting chest pain
The charge nurse in the ED is reviewing the care provided for
recently admitted clients. which of the following reflects
implementation of an accepted standard of care?
CORRECT ANSWER:
B. placing the client who has suspected Hemophilus influenza on
droplet precautions
Rationale – influenza = droplet
A charge nurse is planning to admit several clients in the medical
unit. It would be necessary for the nurse to admit which client to a
PRIVATE room?
CORRECT ANSWER:
B. Has a fever of unknown origin
A nurse is caring for a client who has a sealed radiation implant.
Which of the following precautions should the nurse implement
