NUR 283 EXAM 1 QUESTION AND ANSWERS GRADED A+
1. Medications should be given through what?: Central line
2. The nurse working on a medical surgical unit is delegating
tasks to un-licensed personnel. Which of the following
delegated task would REQUIRE FOLLOW UP by the charge nurse?: 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
3. The nurse is prioritizing patient care after a change of shift
report. The nurse should first plan to see the patient who:: B. Had an
endoscopic retrograde cholangiopancreatog-raphy 30 minutes ago and is reporting
diflculty swallowing Rationale - Diflculty swallowing - ABC's!
4. The nurse working on the mom/baby unit has become aware
of the follow-ing client situations. Which of the following clients
should the nurse INITIALLY assess?: 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
5. A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST
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, plan to assess the client who has:: 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
6. 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:: 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???
7. The nurse working in the ED has received the following
prescriptions for
a newly admitted client. Which prescriptions should the nurse
implement FIRST?: 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!
8. 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?: A. a 57 year
old with graves disease with a temperature of 100.5
Rationale - Thyroid issue
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14
1. Medications should be given through what?: Central line
2. The nurse working on a medical surgical unit is delegating
tasks to un-licensed personnel. Which of the following
delegated task would REQUIRE FOLLOW UP by the charge nurse?: 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
3. The nurse is prioritizing patient care after a change of shift
report. The nurse should first plan to see the patient who:: B. Had an
endoscopic retrograde cholangiopancreatog-raphy 30 minutes ago and is reporting
diflculty swallowing Rationale - Diflculty swallowing - ABC's!
4. The nurse working on the mom/baby unit has become aware
of the follow-ing client situations. Which of the following clients
should the nurse INITIALLY assess?: 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
5. A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST
1/
14
, plan to assess the client who has:: 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
6. 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:: 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???
7. The nurse working in the ED has received the following
prescriptions for
a newly admitted client. Which prescriptions should the nurse
implement FIRST?: 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!
8. 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?: A. a 57 year
old with graves disease with a temperature of 100.5
Rationale - Thyroid issue
2/
14
