NSG 3850 All Exams Questions and Correct
Answers (Verified Answers) Plus Rationale
2027 Q&A| Instant Download Pdf
1. A nurse is assessing a client who reports sudden shortness of
breath and chest discomfort. Which assessment finding requires
the most immediate intervention?
A. Respiratory rate of 22/min
B. Oxygen saturation of 96%
C. New-onset confusion and cyanosis
D. Mild anxiety
Answer: C. New-onset confusion and cyanosis
Rationale: New-onset confusion and cyanosis indicate significant
hypoxemia and impaired oxygenation. The nurse should immediately
assess and support airway and breathing while initiating appropriate
emergency interventions. Mild tachypnea and anxiety can accompany
,respiratory distress but are less immediately concerning than evidence
of severe oxygen deprivation.
2. Which action by the nurse best demonstrates the principle of
patient-centered care?
A. Making decisions for the client to save time
B. Using the same care plan for every client with the same diagnosis
C. Incorporating the client's preferences and values into the plan of
care
D. Asking family members to make all treatment decisions
Answer: C. Incorporating the client's preferences and values into the
plan of care
Rationale: Patient-centered care recognizes the client as an active
participant in healthcare decisions. The nurse should consider individual
preferences, cultural values, goals, concerns, and choices when
developing and implementing care.
3. A nurse is preparing to administer a medication. Which action is
most appropriate before administration?
A. Compare the medication with the prescription and verify the client's
identity
B. Ask another client to confirm the medication
,C. Administer the medication before reviewing allergies
D. Document administration before giving the medication
Answer: A. Compare the medication with the prescription and verify
the client's identity
Rationale: Safe medication administration requires verification of the
medication order, client identity, allergies, dose, route, timing, and
other relevant safety parameters. Documentation should occur after
administration, not before.
4. A client has a potassium level of 2.8 mEq/L. Which assessment
finding should the nurse anticipate?
A. Muscle weakness
B. Hyperactive reflexes caused by hyperkalemia
C. Severe hypertension
D. Increased bowel motility
Answer: A. Muscle weakness
Rationale: Hypokalemia can cause muscle weakness, fatigue,
dysrhythmias, and decreased gastrointestinal motility. A potassium
level of 2.8 mEq/L is significantly below the usual reference range and
requires appropriate monitoring and treatment.
, 5. Which nursing action is appropriate when caring for a client at risk
for falls?
A. Keep the bed in the highest position
B. Place frequently used items within the client's reach
C. Encourage the client to walk without assistance
D. Keep the room completely dark at night
Answer: B. Place frequently used items within the client's reach
Rationale: Keeping personal belongings, the call light, and commonly
used items within reach reduces unnecessary attempts to get out of
bed. Fall prevention also includes appropriate footwear, adequate
lighting, bed safety, and individualized assistance with mobility.
6. A nurse is caring for a client with diabetes mellitus. Which finding
is most consistent with hypoglycemia?
A. Warm, dry skin
B. Fruity breath
C. Diaphoresis and tremors
D. Deep, rapid respirations
Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia commonly produces autonomic symptoms
such as sweating, tremors, palpitations, hunger, and anxiety. Fruity
Answers (Verified Answers) Plus Rationale
2027 Q&A| Instant Download Pdf
1. A nurse is assessing a client who reports sudden shortness of
breath and chest discomfort. Which assessment finding requires
the most immediate intervention?
A. Respiratory rate of 22/min
B. Oxygen saturation of 96%
C. New-onset confusion and cyanosis
D. Mild anxiety
Answer: C. New-onset confusion and cyanosis
Rationale: New-onset confusion and cyanosis indicate significant
hypoxemia and impaired oxygenation. The nurse should immediately
assess and support airway and breathing while initiating appropriate
emergency interventions. Mild tachypnea and anxiety can accompany
,respiratory distress but are less immediately concerning than evidence
of severe oxygen deprivation.
2. Which action by the nurse best demonstrates the principle of
patient-centered care?
A. Making decisions for the client to save time
B. Using the same care plan for every client with the same diagnosis
C. Incorporating the client's preferences and values into the plan of
care
D. Asking family members to make all treatment decisions
Answer: C. Incorporating the client's preferences and values into the
plan of care
Rationale: Patient-centered care recognizes the client as an active
participant in healthcare decisions. The nurse should consider individual
preferences, cultural values, goals, concerns, and choices when
developing and implementing care.
3. A nurse is preparing to administer a medication. Which action is
most appropriate before administration?
A. Compare the medication with the prescription and verify the client's
identity
B. Ask another client to confirm the medication
,C. Administer the medication before reviewing allergies
D. Document administration before giving the medication
Answer: A. Compare the medication with the prescription and verify
the client's identity
Rationale: Safe medication administration requires verification of the
medication order, client identity, allergies, dose, route, timing, and
other relevant safety parameters. Documentation should occur after
administration, not before.
4. A client has a potassium level of 2.8 mEq/L. Which assessment
finding should the nurse anticipate?
A. Muscle weakness
B. Hyperactive reflexes caused by hyperkalemia
C. Severe hypertension
D. Increased bowel motility
Answer: A. Muscle weakness
Rationale: Hypokalemia can cause muscle weakness, fatigue,
dysrhythmias, and decreased gastrointestinal motility. A potassium
level of 2.8 mEq/L is significantly below the usual reference range and
requires appropriate monitoring and treatment.
, 5. Which nursing action is appropriate when caring for a client at risk
for falls?
A. Keep the bed in the highest position
B. Place frequently used items within the client's reach
C. Encourage the client to walk without assistance
D. Keep the room completely dark at night
Answer: B. Place frequently used items within the client's reach
Rationale: Keeping personal belongings, the call light, and commonly
used items within reach reduces unnecessary attempts to get out of
bed. Fall prevention also includes appropriate footwear, adequate
lighting, bed safety, and individualized assistance with mobility.
6. A nurse is caring for a client with diabetes mellitus. Which finding
is most consistent with hypoglycemia?
A. Warm, dry skin
B. Fruity breath
C. Diaphoresis and tremors
D. Deep, rapid respirations
Answer: C. Diaphoresis and tremors
Rationale: Hypoglycemia commonly produces autonomic symptoms
such as sweating, tremors, palpitations, hunger, and anxiety. Fruity
