NURS 252 Exam #1 | Questions with 100% Verified Answers | Latest Update
Question: You are caring for a client who has an infected leg wound and just received wound culture
results that were positive for methicillin-resistant Staphylococcus aureus (MRSA). Which 2 precaution
should you anticipate a prescription for and why?
Answer:
"Clients in the expectant category should receive comfort measures only." Tier
Question: A nurse is assessing a child at the scene of a school bus crash. The child has several bruises
and a superficial 5 cm (2in) laceration that has stopped bleeding on their left arm. The nurse should
assign the child to which of the following triage categories?
Answer:
NonUrgent
Question: A nurse is planning a tabletop disaster drill at an acute care facility. The nurse should include
which of the following clients as an example of the urgent triage category?
Answer:
A client wo has a large wound to their right thigh and pedal pulses 3+
Question: An occupational health nurse is assisting with mass casualty triage following an explosion at a
local factory. The nurse should recommend transporting which f the following clients to the emergency
department first?
Answer:
A client whose leg is partially amputated
Question: Following a natural disaster, a nurse at an emergency department is prioritizing care of
incoming clients, The nurse finds a client who is assigned to the urgent care category. Which of the
following actions should the nurse plan to take?
Answer:
Tell the client they will receive treatment in about an hour
Question: a nurse is preparing to apply a condom catheter to a client who has a penis. which of the
following actions should the nurse take next after performing hand hygiene and applying lean gloves?
Answer:
check the condition of the penile shaft
Question: a nurse in a PACU is caring for a client who is postop following an ABD hysterectomy. which
of the following actions should the nurse take first?
Answer:
, place the client in a side-lying position
Question: a nurse is assessing a client who has cancer and is receiving morphine foe pain management.
which of the following findings should the nurse identify as the priority?
Answer:
respiratory rate of 10/min
Question: a nurse is assessing four clients. which of the following clients should the nurse assess first?
Answer:
a client who has a chest tube and asymmetrical chest movement
Question: a nurse enters a client's room and sees the client lying on the floor next to the bed. which of the
following actions should the nurse take first?
Answer:
obtain the client's vital signs
Question: a nurse is assessing a client's pain. which of the following questions should the nurse ask the
client to assess the quality of the pain?
Answer:
"what does your pain feel like?"
Question: a nurse if preparing to administer hydrocodone to a client who reports throbbing pain
following a back injury. the nurse should document the client is experiencing which of the following
types of pain?
Answer:
somatic
Question: a nurse is caring for a client who has a fractured humerus and received and opioid medication
intravenously 1 hr ago for pain. which of the following questions should the nurse ask to determine the
intensity of the client's pain at this time?
Answer:
"on a scale of 0 to 10, how do you rate your pain?"
Question: a nurse is caring for a client who has left hip Fx and is prescribed a morphine IV bolus PRN
for the pain. the nurse should monitor the client for which of the following adverse effects?
Answer:
sedation
Question: You are caring for a client who has an infected leg wound and just received wound culture
results that were positive for methicillin-resistant Staphylococcus aureus (MRSA). Which 2 precaution
should you anticipate a prescription for and why?
Answer:
"Clients in the expectant category should receive comfort measures only." Tier
Question: A nurse is assessing a child at the scene of a school bus crash. The child has several bruises
and a superficial 5 cm (2in) laceration that has stopped bleeding on their left arm. The nurse should
assign the child to which of the following triage categories?
Answer:
NonUrgent
Question: A nurse is planning a tabletop disaster drill at an acute care facility. The nurse should include
which of the following clients as an example of the urgent triage category?
Answer:
A client wo has a large wound to their right thigh and pedal pulses 3+
Question: An occupational health nurse is assisting with mass casualty triage following an explosion at a
local factory. The nurse should recommend transporting which f the following clients to the emergency
department first?
Answer:
A client whose leg is partially amputated
Question: Following a natural disaster, a nurse at an emergency department is prioritizing care of
incoming clients, The nurse finds a client who is assigned to the urgent care category. Which of the
following actions should the nurse plan to take?
Answer:
Tell the client they will receive treatment in about an hour
Question: a nurse is preparing to apply a condom catheter to a client who has a penis. which of the
following actions should the nurse take next after performing hand hygiene and applying lean gloves?
Answer:
check the condition of the penile shaft
Question: a nurse in a PACU is caring for a client who is postop following an ABD hysterectomy. which
of the following actions should the nurse take first?
Answer:
, place the client in a side-lying position
Question: a nurse is assessing a client who has cancer and is receiving morphine foe pain management.
which of the following findings should the nurse identify as the priority?
Answer:
respiratory rate of 10/min
Question: a nurse is assessing four clients. which of the following clients should the nurse assess first?
Answer:
a client who has a chest tube and asymmetrical chest movement
Question: a nurse enters a client's room and sees the client lying on the floor next to the bed. which of the
following actions should the nurse take first?
Answer:
obtain the client's vital signs
Question: a nurse is assessing a client's pain. which of the following questions should the nurse ask the
client to assess the quality of the pain?
Answer:
"what does your pain feel like?"
Question: a nurse if preparing to administer hydrocodone to a client who reports throbbing pain
following a back injury. the nurse should document the client is experiencing which of the following
types of pain?
Answer:
somatic
Question: a nurse is caring for a client who has a fractured humerus and received and opioid medication
intravenously 1 hr ago for pain. which of the following questions should the nurse ask to determine the
intensity of the client's pain at this time?
Answer:
"on a scale of 0 to 10, how do you rate your pain?"
Question: a nurse is caring for a client who has left hip Fx and is prescribed a morphine IV bolus PRN
for the pain. the nurse should monitor the client for which of the following adverse effects?
Answer:
sedation
