NUR242 QUESTIONS WITH CORRECT ANSWERS 2025

NUR242 QUESTIONS WITH CORRECT
ANSWERS 2025
WhatAisAtheAMETAcallAcriteriaAforAchildren?A-ACORRECTAANSWERA--RespArateA5AorAbelowA

-HeartArateA50AorAbelowA

-BloodApressureA55AorAbelowA

-UnresponsiveA

-AirwayAthreatened

-ApneaA

-Seizure

-Bleeding

-YouAareAworriedAaboutAtheApatient



WhatAareAnormalAvitalAsignsAforAchildren?A-ACORRECTAANSWERA-Resps:A15-30

02:A93%AandAabove

Temp:A35.5-37.5

HeartARate:A80-130



WhatAshouldAyouAdoAifAyouApatientsAADDSAscoreAbetweenA1-3?A-ACORRECTAANSWERA--
InformAshiftAcoordinatorA

-IncreaseAobsAtoA4AhourlyA

-Manage,Afever,ApainAdistress

-ReviewA02Aneeds



WhatAshouldAyouAdoAifAyouApatientsAADDSAscoreAbetweenA4-5?A-ACORRECTAANSWERA--RequestAreviewA

-RMOAinA30Amins

-ObsAincreaseAtoAhourly

-PatientAmustAhaveAescortAifAtheyAhaveAtoAleaveAtheAward

,WhatAshouldAyouAdoAifAyouApatientsAADDSAscoreAbetweenA6-7?A-ACORRECTAANSWERA--
RegistrarAmustAreviewAinA30AminsA

-ShiftAcoordinatorAmustAreview

-HalfAhourlyAobservationsA

-EscortArequired



WhatAshouldAyouAdoAifAyouApatientsAADDSAscoreAofA8A-ACORRECTAANSWERA--METAcall

-ContinuousAmonitoring



ItAisArecommendedAthatApatientsAfastAforA6AhoursAfromAfoodAandA2AhoursAfromAclearAfluids.AListA5Apossible
AsideAeffectsAofAprolongedAfasting?A-ACORRECTAANSWERA-

confusion,Airritability,Adehydration,Aheadaches,Ahypoglycaemia,AelectrolyteAimbalance,AnauseaAandAvomiti
ng



VenousAthromboembolismA(VTE)AisAaAmajorAriskAfactorAforApatientsAundergoingAsurgicalAprocedures.AExpl
ainAwhyA-ACORRECTAANSWERA-
DVTAisAcommonAafterAanAoperationAbecauseApatientsAwillAusuallyAstayAinAbedAforAlongAperiodsAofAtimeAwhi
leAtheyArecover.AWhenAtheyAstopAmoving,AbloodAflowsAmoreAslowlyAinAtheAdeepAveins,AwhichAcanAleadAtoA
aAclot.



ListA6AcontraindicationsAtoAtheAapplicationAofAanti-embolicAstockings.A-ACORRECTAANSWERA--
SuspectedAorAprovenAperipheralAarterialAdisease,AincludingAhistoryAofAperipheralAarterialAbypassAgrafting

-SevereAperipheralAneuropathyAorAotherAcauseAofAsensoryAimpairment

-AllergyAtoAstockingAmaterial

-MassiveAlegAedemaAorApulmonaryAedemaAfromAcongestiveAcardiacAfailure

-LocalAskinAorAsoft-
tissueAcondition,AincludingArecentAskinAgraft,AfragileA"tissueApaper"Askin,Agangrene,AoozingAdermatitisAandA
severeAcellulitis

-ExtremeAdeformityAofAtheAleg,AorAunusualAlegAshapeAorAsizeApreventingAcorrectAfit



WhenAshouldAjewelleryAbeAremovedApriorAtoAaAprocedureAandAwhatAareAtheAnursingAactionsAtoAtake?A-
ACORRECTAANSWERA-JewelleryAmustAbeAremovedAifAitAisAlikelyAtoAcause:A

, AAriskAofAalternateAsiteAburnsAwhenAusingAelectrosurgery
A



DifficultyAwithAintubationAorAaApossibilityAofAinhalation.AOralAtissueApiercingAcanAcauseAtraumaAtoAtongueA
andAdifficultAairwayAmanagementAdueAtoAbleedingAandAtongueAoedemaA3A[LevelAIV]

InterferenceAtoAtheAoperativeAsiteAe.g.AremoveAjewelleryAfromAoperativeAlimb

AApressureAinjuryAwhenApositioningAtheApatient

AAriskAofAjewelleryAgettingAcaughtAinAsurgicalAdrapes,AbeingApulledAfromAskinAorAmislaidAObstructionAwhen
AinsertingAaAurinaryAcatheter




PriorAtoAanyAprocedureAtheANurseAmustAperformAaAurinalysisAonAallApatientsAwhoAhaveAnotAhadAoneAcompl
etedAwithinA24AhoursAofAadmission.AWhy?A-ACORRECTAANSWERA-
UrinalysisAmayAexcludeAunderlyingAcausesAorAbladderAdysfunction



WhenAdoesAurinaryAretentionAoccur?A-ACORRECTAANSWERA-
whenApatientsAareAunableAtoAvoidAatAbladderAvolumesAexceedingA400A-A600mLAasAtheAbladderAthreshold



ListA10ApointsAthatAshouldAbeAcoveredAduringApost-procedureAhandoverA-ACORRECTAANSWERA-
•ANameAofAtheApatient

•AProcedureAperformedA(includingAanyAadverseAevents)

•ARelevantAmedical,AsurgicalAandApsychosocialAhistoryA(pastAandApresent)Aincluding

allergies

•AVitalAsignAstatus

•ANauseaAandAvomitingA(PONVAisAaddressedAandAanti-
emeticsAareAprescribed)A•AAllAmedicationsAadministeredA(includingAanaestheticAagent,Ae.g.Ageneral/local

anaesthesia)

•APainAmanagementAplanAinAplace,AanalgesiaAlastAadministeredAandAeffect

•AWoundAstatus/drains

•AInvasiveAaccessAdevicesA(suchAasAvenousAaccess,AindwellingAcatheters)

•AFluids,AmedicationsAinfusing

•AUrineAoutput

•APost-procedureAinstructions/parameters

•ARequirementAforAtransmissionAbasedAprecautionsAasAapplicableA(e.g.AmicroAalertAand