NSG 336 Exam 2 practice questions With Complete
Solutions
A client expresses pain due to shortness of breath. What is the
nurse's best action to alleviate the client's discomfort?
-Assist client into a side-lying position.
-Encourage an upright, forward-leaning position.
-Apply heating pad to anterior chest.
-Administer narcotics intravenously. Correct Answers -
Encourage an upright, forward-leaning position.
A client with a respiratory rate of 26 breaths/minute and an
oxygen saturation of 92% on room air complains of pain as a
10/10 following a motor vehicle crash. What is the nurse's
priority of care for this client?
-Client verbalizes a tolerable level of pain.
-Client remains free from further injury.
-Client demonstrates improved respiratory status.
-Client uses incentive spirometer hourly as instructed. Correct
Answers -Client demonstrates improved respiratory status.
Adrian, a nurse, reflects on her client's admission information,
including physical assessment and related family concerns. She
considers all information to reach conclusions. Which step of the
nursing process does this represent?
-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation Correct Answers -Diagnosis
, After delivering the medication, Cynthia begins the
documentation process and realizes that a medication error has
been made. What actions should be taken? Select all that apply.
1.Tell the client about the mistake.
2.Pretend the error did not happen.
3.Assess the client for changes in assessment or vital signs.
4.Induce vomiting.
5.Complete an incident report per the agency policy. Correct
Answers 3,5
As Cynthia compares the medication with the MAR, she
recognizes that one of the medications is ordered for hs, an
abbreviation from the Institute for Safe Medication Practices list
of error-prone abbreviations. What should be the nurse's next
action? Select all that apply.
1.Do not give the medication.
2.Confirm the original order for accuracy.
3.Consult the charge nurse for direction.
4.Contact the healthcare provider for clarification.
5.Call the pharmacist. Correct Answers 2
As Cynthia offers the medications to her, Mrs. Steinhart pulls
one out and says, "I can't swallow a pill that large." What should
the nurse do next? Select all that apply.
1.Decide not to give the medication.
2.Cut the pill in half if scored and have her take both halves.
3.Crush the pill and mix it with applesauce.
4.Dissolve the pill in water and have her drink the mixture.
5.Have her chew the pill and then swallow. Correct Answers 2
Solutions
A client expresses pain due to shortness of breath. What is the
nurse's best action to alleviate the client's discomfort?
-Assist client into a side-lying position.
-Encourage an upright, forward-leaning position.
-Apply heating pad to anterior chest.
-Administer narcotics intravenously. Correct Answers -
Encourage an upright, forward-leaning position.
A client with a respiratory rate of 26 breaths/minute and an
oxygen saturation of 92% on room air complains of pain as a
10/10 following a motor vehicle crash. What is the nurse's
priority of care for this client?
-Client verbalizes a tolerable level of pain.
-Client remains free from further injury.
-Client demonstrates improved respiratory status.
-Client uses incentive spirometer hourly as instructed. Correct
Answers -Client demonstrates improved respiratory status.
Adrian, a nurse, reflects on her client's admission information,
including physical assessment and related family concerns. She
considers all information to reach conclusions. Which step of the
nursing process does this represent?
-Assessment
-Diagnosis
-Planning
-Implementation
-Evaluation Correct Answers -Diagnosis
, After delivering the medication, Cynthia begins the
documentation process and realizes that a medication error has
been made. What actions should be taken? Select all that apply.
1.Tell the client about the mistake.
2.Pretend the error did not happen.
3.Assess the client for changes in assessment or vital signs.
4.Induce vomiting.
5.Complete an incident report per the agency policy. Correct
Answers 3,5
As Cynthia compares the medication with the MAR, she
recognizes that one of the medications is ordered for hs, an
abbreviation from the Institute for Safe Medication Practices list
of error-prone abbreviations. What should be the nurse's next
action? Select all that apply.
1.Do not give the medication.
2.Confirm the original order for accuracy.
3.Consult the charge nurse for direction.
4.Contact the healthcare provider for clarification.
5.Call the pharmacist. Correct Answers 2
As Cynthia offers the medications to her, Mrs. Steinhart pulls
one out and says, "I can't swallow a pill that large." What should
the nurse do next? Select all that apply.
1.Decide not to give the medication.
2.Cut the pill in half if scored and have her take both halves.
3.Crush the pill and mix it with applesauce.
4.Dissolve the pill in water and have her drink the mixture.
5.Have her chew the pill and then swallow. Correct Answers 2
