NUR 283 Comp Exam 1 Questions and Answers
Correct
Incorrect
1 of 50
Term
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?
Give this one a try later!
D- Continue to monitor
Rationale – this is an expected finding -?? (look up in Saunders how to do math for
urine output for child)
B. placing the client who has suspected Hemophilus influenza on droplet
precautions
Rationale – influenza = droplet
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. 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
Don't know?
2 of 50
Term
The nurse is assessing a client who has developed Addisonian crisis.
Which of the following findings is consistent with this diagnosis?
Give this one a try later!
A - a blood glucose of less than
A blood pressure of 180/110
60
A heart rate of 110 bpm A potassium level of 5.5 mEq/L
Don't know?
3 of 50
Term
,A nurse is caring for a client who has a sealed radiation implant.
Which of the following precautions should the nurse implement
Give this one a try later!
C. Keep dedicated equipment in the B. Limit time to provide care to 2
clients' room until implant is removed hours per shift
D. Wear the lead shield while A. Assign the same nurse to care for
providing client care the client
Don't know?
4 of 50
Term
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?
Give this one a try later!
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
, C. the client who has multiple compound fractures and is reporting chest pain
Rationale – patient is reporting chest pain
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
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
Don't know?
5 of 50
Term
The nurse is caring for a patient who has paranoid schizophrenia and
a history of auditory hallucinations. The client is yelling and pacing in
the dayroom “I will do it”. What of the following actions will the nurse
take?
Give this one a try later!
B. Provide the client with diverting
C. send the client to their room
activity
A. obtaining increased
supervision for the client
Rationale - you cannot divert
someone who has auditory
hallucinations
Correct
Incorrect
1 of 50
Term
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?
Give this one a try later!
D- Continue to monitor
Rationale – this is an expected finding -?? (look up in Saunders how to do math for
urine output for child)
B. placing the client who has suspected Hemophilus influenza on droplet
precautions
Rationale – influenza = droplet
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. 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
Don't know?
2 of 50
Term
The nurse is assessing a client who has developed Addisonian crisis.
Which of the following findings is consistent with this diagnosis?
Give this one a try later!
A - a blood glucose of less than
A blood pressure of 180/110
60
A heart rate of 110 bpm A potassium level of 5.5 mEq/L
Don't know?
3 of 50
Term
,A nurse is caring for a client who has a sealed radiation implant.
Which of the following precautions should the nurse implement
Give this one a try later!
C. Keep dedicated equipment in the B. Limit time to provide care to 2
clients' room until implant is removed hours per shift
D. Wear the lead shield while A. Assign the same nurse to care for
providing client care the client
Don't know?
4 of 50
Term
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?
Give this one a try later!
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
, C. the client who has multiple compound fractures and is reporting chest pain
Rationale – patient is reporting chest pain
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
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
Don't know?
5 of 50
Term
The nurse is caring for a patient who has paranoid schizophrenia and
a history of auditory hallucinations. The client is yelling and pacing in
the dayroom “I will do it”. What of the following actions will the nurse
take?
Give this one a try later!
B. Provide the client with diverting
C. send the client to their room
activity
A. obtaining increased
supervision for the client
Rationale - you cannot divert
someone who has auditory
hallucinations
