NR 324 Exam 3
NR 324 Exam 3 Study Guide Questions and
Answers with Verified Solutions 2025
While in the holding area, a patient reveals to the nurse that his father had a high fever
after surgery. What action by the nurse is a priority?
Select one:
a. Reassure the patient that there will be close monitoring during and after surgery.
b. Place a medical alert sticker on the front of the patient's chart.
c. Alert the anesthesia care provider of the family member's reaction to surgery.
d. Administer 650 mg of acetaminophen (Tylenol) per rectum as a preventive measure.
-Correct Answer ✔C. Alert the anesthesia care provider of the family member's reaction
to surgery.
After the home health nurse teaches a patient's family member about how to care for a
sacral pressure ulcer, which finding indicates that additional teaching is needed?
Select one:
a. The family member uses a lift sheet to reposition the patient.
b. The family member uses clean tap water to clean the wound.
c. The family member places contaminated dressings in a plastic grocery bag.
d. The family member dries the wound using a hair dryer set on a low setting. -Correct
Answer ✔D.The family member dries the wound using a hair dryer set on a low setting.
The nurse should plan to use a wet-to-dry dressing for which patient?
Select one:
a. A patient who has a surgical incision with pink, approximated edges
b. A patient who has a wound with purulent drainage and dry brown areas
c. A patient who has a pressure ulcer with pink granulation tissue
d. A patient who has a full-thickness burn filled with dry, black material -Correct Answer
✔b. A patient who has a wound with purulent drainage and dry brown areas
A patient with second-degree burns has been receiving hydromorphone through patient-
controlled analgesia (PCA) for a week. The patient wakes up frequently during the night
complaining of pain. What action by the nurse is most appropriate?
Select one:
a. Consult with the health care provider about using a different treatment protocol to
control the patient's pain.
b. Request that the health care provider order a bolus dose of morphine to be given
when the patient awakens with pain.
c. Teach the patient to push the button every 10 minutes for an hour before going to
sleep, even if the pain is minimal.
d. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the
patient is sleeping. -Correct Answer ✔a. Consult with the health care provider about
using a different treatment protocol to control the patient's pain.
NR 324 Exam 3
, NR 324 Exam 3
A patient who has fibromyalgia tells the nurse, "I feel depressed because I ache too
much to play golf." The patient says the pain is usually at a level 7 (0 to 10 scale).
Which patient goal has the highest priority when the nurse is developing the treatment
plan?
Select one:
a. The patient will exhibit fewer signs of depression.
b. The patient will be able to play 1 to 2 rounds of golf.
c. The patient will say that the aching has decreased.
d. The patient will state that pain is at a level 2 of 10.
Incorrect. -Correct Answer ✔b. The patient will be able to play 1 to 2 rounds of golf.
After receiving change-of-shift report about these postoperative patients, which patient
should the nurse assess first?
Select one:
a. Obese patient who had abdominal surgery 3 days ago and whose wound edges are
separating
b. Patient who has 30 mL of sanguineous drainage in the wound drain 10 hours after
hip replacement surgery
c. Patient who continues to have incisional pain 15 minutes after hydrocodone and
acetaminophen (Vicodin) administration
d. Patient who has bibasilar crackles and a temperature of 100°F (37.8°C) on the first
postoperative day after chest surgery -Correct Answer ✔a. Obese patient who had
abdominal surgery 3 days ago and whose wound edges are separating
A postoperative patient has not voided for 8 hours after return to the clinical unit. Which
action should the nurse take first?
Select one:
a. Perform a bladder scan.
b. Insert a straight catheter as indicated on the PRN order.
c. Encourage increased oral fluid intake.
d. Assist the patient to ambulate to the bathroom. -Correct Answer ✔a. Perform a
bladder scan.
Which patient with pain should the nurse assess first?
Select one:
a. Patient with neuropathic pain who has a dose of hydrocodone (Lortab) scheduled
now
b. Patient with postoperative pain who received morphine sulfate IV 15 minutes ago
c. Patient who received hydromorphone (Dilaudid) 1 hour ago and currently has a
sedation scale of 2
d. Patient who returned from the postanesthesia care unit 2 hours ago and has a
respiratory rate of 10 -Correct Answer ✔d. Patient who returned from the
postanesthesia care unit 2 hours ago and has a respiratory rate of 10
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which
assessment finding will the nurse expect next?
NR 324 Exam 3
NR 324 Exam 3 Study Guide Questions and
Answers with Verified Solutions 2025
While in the holding area, a patient reveals to the nurse that his father had a high fever
after surgery. What action by the nurse is a priority?
Select one:
a. Reassure the patient that there will be close monitoring during and after surgery.
b. Place a medical alert sticker on the front of the patient's chart.
c. Alert the anesthesia care provider of the family member's reaction to surgery.
d. Administer 650 mg of acetaminophen (Tylenol) per rectum as a preventive measure.
-Correct Answer ✔C. Alert the anesthesia care provider of the family member's reaction
to surgery.
After the home health nurse teaches a patient's family member about how to care for a
sacral pressure ulcer, which finding indicates that additional teaching is needed?
Select one:
a. The family member uses a lift sheet to reposition the patient.
b. The family member uses clean tap water to clean the wound.
c. The family member places contaminated dressings in a plastic grocery bag.
d. The family member dries the wound using a hair dryer set on a low setting. -Correct
Answer ✔D.The family member dries the wound using a hair dryer set on a low setting.
The nurse should plan to use a wet-to-dry dressing for which patient?
Select one:
a. A patient who has a surgical incision with pink, approximated edges
b. A patient who has a wound with purulent drainage and dry brown areas
c. A patient who has a pressure ulcer with pink granulation tissue
d. A patient who has a full-thickness burn filled with dry, black material -Correct Answer
✔b. A patient who has a wound with purulent drainage and dry brown areas
A patient with second-degree burns has been receiving hydromorphone through patient-
controlled analgesia (PCA) for a week. The patient wakes up frequently during the night
complaining of pain. What action by the nurse is most appropriate?
Select one:
a. Consult with the health care provider about using a different treatment protocol to
control the patient's pain.
b. Request that the health care provider order a bolus dose of morphine to be given
when the patient awakens with pain.
c. Teach the patient to push the button every 10 minutes for an hour before going to
sleep, even if the pain is minimal.
d. Administer a dose of morphine every 1 to 2 hours from the PCA machine while the
patient is sleeping. -Correct Answer ✔a. Consult with the health care provider about
using a different treatment protocol to control the patient's pain.
NR 324 Exam 3
, NR 324 Exam 3
A patient who has fibromyalgia tells the nurse, "I feel depressed because I ache too
much to play golf." The patient says the pain is usually at a level 7 (0 to 10 scale).
Which patient goal has the highest priority when the nurse is developing the treatment
plan?
Select one:
a. The patient will exhibit fewer signs of depression.
b. The patient will be able to play 1 to 2 rounds of golf.
c. The patient will say that the aching has decreased.
d. The patient will state that pain is at a level 2 of 10.
Incorrect. -Correct Answer ✔b. The patient will be able to play 1 to 2 rounds of golf.
After receiving change-of-shift report about these postoperative patients, which patient
should the nurse assess first?
Select one:
a. Obese patient who had abdominal surgery 3 days ago and whose wound edges are
separating
b. Patient who has 30 mL of sanguineous drainage in the wound drain 10 hours after
hip replacement surgery
c. Patient who continues to have incisional pain 15 minutes after hydrocodone and
acetaminophen (Vicodin) administration
d. Patient who has bibasilar crackles and a temperature of 100°F (37.8°C) on the first
postoperative day after chest surgery -Correct Answer ✔a. Obese patient who had
abdominal surgery 3 days ago and whose wound edges are separating
A postoperative patient has not voided for 8 hours after return to the clinical unit. Which
action should the nurse take first?
Select one:
a. Perform a bladder scan.
b. Insert a straight catheter as indicated on the PRN order.
c. Encourage increased oral fluid intake.
d. Assist the patient to ambulate to the bathroom. -Correct Answer ✔a. Perform a
bladder scan.
Which patient with pain should the nurse assess first?
Select one:
a. Patient with neuropathic pain who has a dose of hydrocodone (Lortab) scheduled
now
b. Patient with postoperative pain who received morphine sulfate IV 15 minutes ago
c. Patient who received hydromorphone (Dilaudid) 1 hour ago and currently has a
sedation scale of 2
d. Patient who returned from the postanesthesia care unit 2 hours ago and has a
respiratory rate of 10 -Correct Answer ✔d. Patient who returned from the
postanesthesia care unit 2 hours ago and has a respiratory rate of 10
A patient with a systemic bacterial infection feels cold and has a shaking chill. Which
assessment finding will the nurse expect next?
NR 324 Exam 3
