NUR2790 Final Exam V2 | NUR 2790
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
1. A nurse is caring for a client in the emergency department who presents with a suspected
myocardial infarction. Which of the following actions should the nurse take first?
A. Administer 325 mg of aspirin
B. Obtain a 12-lead electrocardiogram (ECG)
C. Start a large-bore intravenous line
D. Administer morphine for pain relief
Answer: B
Rationale: Obtaining an ECG is the priority to confirm the diagnosis of a myocardial
infarction. This diagnostic tool allows the provider to determine if the patient is
experiencing a STEMI or NSTEMI. Rapid identification is crucial for timely reperfusion
therapy.
2. Which of the following tasks should the registered nurse (RN) delegate to an unlicensed
assistive personnel (UAP)?
A. Evaluating a client’s response to pain medication
B. Performing post-mortem care on a deceased client
C. Teaching a client how to use an incentive spirometer
,D. Assessing the lung sounds of a client with pneumonia
Answer: B
Rationale: Post-mortem care is a task within the scope of practice for a UAP because it is a
routine procedure. Assessment, teaching, and evaluation are core nursing responsibilities
that cannot be delegated. The RN remains accountable for the overall care and outcomes of
the patient.
3. A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which
finding should the nurse report to the provider immediately?
A. Increased sputum production
B. New onset of confusion and lethargy
C. A respiratory rate of 28 breaths per minute
D. Clubbing of the fingernails
Answer: B
Rationale: New confusion or lethargy in a COPD patient can indicate CO2 narcosis or
severe hypoxia. This represents a significant change in neurological status that requires
immediate intervention. While tachypnea and sputum are common in COPD, acute mental
status changes are medical emergencies.
4. A nurse is preparing to administer blood to a client. Which action is the highest priority for
the nurse to perform?
A. Verify the client’s identity and blood type with another RN
, B. Ensure the blood is administered within 6 hours of leaving the lab
C. Warm the blood to body temperature before infusion
D. Administer the blood through a 22-gauge peripheral line
Answer: A
Rationale: The most critical step in blood administration is verifying the correct unit for
the correct patient. Transfusion reactions caused by incompatibility can be fatal.
Verification must be done by two licensed professionals at the bedside.
5. A client is admitted with septic shock. Which of the following provider orders should the
nurse implement first?
A. Infuse a 30 mL/kg bolus of 0.9% sodium chloride
B. Obtain blood cultures from two different sites
C. Administer intravenous norepinephrine
D. Administer broad-spectrum antibiotics
Answer: A
Rationale: Fluid resuscitation is the first-line treatment for septic shock to address
hypotension and poor tissue perfusion. According to the Surviving Sepsis guidelines,
isotonic fluids should be started immediately. Once the volume is replaced, vasopressors
may be considered if hypotension persists.
Professional Nursing III / PN3 Exam Q&A |
Rasmussen University
1. A nurse is caring for a client in the emergency department who presents with a suspected
myocardial infarction. Which of the following actions should the nurse take first?
A. Administer 325 mg of aspirin
B. Obtain a 12-lead electrocardiogram (ECG)
C. Start a large-bore intravenous line
D. Administer morphine for pain relief
Answer: B
Rationale: Obtaining an ECG is the priority to confirm the diagnosis of a myocardial
infarction. This diagnostic tool allows the provider to determine if the patient is
experiencing a STEMI or NSTEMI. Rapid identification is crucial for timely reperfusion
therapy.
2. Which of the following tasks should the registered nurse (RN) delegate to an unlicensed
assistive personnel (UAP)?
A. Evaluating a client’s response to pain medication
B. Performing post-mortem care on a deceased client
C. Teaching a client how to use an incentive spirometer
,D. Assessing the lung sounds of a client with pneumonia
Answer: B
Rationale: Post-mortem care is a task within the scope of practice for a UAP because it is a
routine procedure. Assessment, teaching, and evaluation are core nursing responsibilities
that cannot be delegated. The RN remains accountable for the overall care and outcomes of
the patient.
3. A nurse is assessing a client with chronic obstructive pulmonary disease (COPD). Which
finding should the nurse report to the provider immediately?
A. Increased sputum production
B. New onset of confusion and lethargy
C. A respiratory rate of 28 breaths per minute
D. Clubbing of the fingernails
Answer: B
Rationale: New confusion or lethargy in a COPD patient can indicate CO2 narcosis or
severe hypoxia. This represents a significant change in neurological status that requires
immediate intervention. While tachypnea and sputum are common in COPD, acute mental
status changes are medical emergencies.
4. A nurse is preparing to administer blood to a client. Which action is the highest priority for
the nurse to perform?
A. Verify the client’s identity and blood type with another RN
, B. Ensure the blood is administered within 6 hours of leaving the lab
C. Warm the blood to body temperature before infusion
D. Administer the blood through a 22-gauge peripheral line
Answer: A
Rationale: The most critical step in blood administration is verifying the correct unit for
the correct patient. Transfusion reactions caused by incompatibility can be fatal.
Verification must be done by two licensed professionals at the bedside.
5. A client is admitted with septic shock. Which of the following provider orders should the
nurse implement first?
A. Infuse a 30 mL/kg bolus of 0.9% sodium chloride
B. Obtain blood cultures from two different sites
C. Administer intravenous norepinephrine
D. Administer broad-spectrum antibiotics
Answer: A
Rationale: Fluid resuscitation is the first-line treatment for septic shock to address
hypotension and poor tissue perfusion. According to the Surviving Sepsis guidelines,
isotonic fluids should be started immediately. Once the volume is replaced, vasopressors
may be considered if hypotension persists.
