NUR 221A: Safety ACTUAL EXAM 80 QUESTIONS AND
CORRECT ANSWERS 2025 LATEST UPDATE//ALL YOU NEED
TO PASS NURS 221A EXAM//GRADED A+
The registered nurse is caring for a client in the emergency department. Which conditions of the
client made the nurse stabilize the cervical spine as the primary nursing intervention? Select all that
apply.
1. flail chest
2. head injuries
3. chemical burns
4. renal colic pain
5. blunt abdominal pain - ANSWER-1, 2, 3
A nurse teaches a client about the dangers of using bicarbonate of soda regularly. What effect of
bicarbonate of soda is the nurse trying to prevent?
1. gastric distention
2. metabolic alkalosis
3. chronic constipation
4. cardiac dysrhythmias - ANSWER-2
The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is
the most important assessment the nurse needs to perform before beginning the pump?
1. checking for the last bowel movement
2. checking for residual stomach contents
3. checking to determine time of last medication for nausea
4. checking to make sure the head of the bed is elevated at least 15 degrees - ANSWER-2
The nurse is caring for a client with a respiratory tract infection that started with a common cold but
has progressed to whooping cough. The client also has coughing fits that last for several minutes.
Which organism is responsible for the client's condition?
1. bacillus anthracis
2. bordetella pertussis
3. streptococcus pneumoniae
,4. mycobacterium tuberculosis - ANSWER-2
A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when
taking warfarin?
1. atenolol
2. ferrous sulfate
3. chlorpromazine
4. acetylsalicyclic acid - ANSWER-4
A registered nurse (RN) is giving home care instructions to a client who was treated for injuries due
to a fall. Which statement made by the client indicates a need for correction?
1. "I should walk on scatter rugs at home"
2. "I should drink 3000 mL of water every day"
3. "I should eat fruits and vegetables six times a day"
4. "I should exercise the joints above and below the cast daily" - ANSWER-1
Which statements relate to preterm labor? Select all that apply.
1. a premature baby has good cognitive development
2. the treatment for preterm labor includes bed rest and hydration
3. preterm labor before the 20th week is indicative of a nonviable fetus
4. it is not desirable to stop the delivery in the case of preterm labor
5. preterm labor refers to uterine contractions progressing to delivery before the 27th week of
pregnancy - ANSWER-2, 3
The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly
prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze.
The nurse determines the that appropriate priority action will be to stop the antibiotic infusion and
then do what?
1. notify the physician immediately about the clients condition
2. take the clients blood pressure
3. obtain the client's pulse oximetry
4. assess the client's respiratory staus - ANSWER-4
, Which color should the nurse use to triage a victim of a train derailment who is able to walk
independently to the first aid station?
1. red
2. black
3. green
4. yellow - ANSWER-3
The nurse notes that a 3-year-old child in a crib has a clamped jaw and is having a tonic-clonic
seizure. What is the priority nursing responsibility at this time?
1. applying restraints
2. administering oxygen
3. protecting the child from self-injury
4. inserting a plastic airway in the child's mouth - ANSWER-3
An 11-year-old child with type 1 diabetes who also has a learning disability has difficulty measuring
the required insulin dose. The child frequently draws up 42 units of insulin instead of the prescribed
24 units. What is the most appropriate intervention to ensure dosage safety?
1. having the child write the number on paper before filling the syringe
2. giving the child a tuberculin syringe, which has different units of measure
3. teaching the child to use a magnifying glass to read the numbers on the syringe
4. providing the child with a present syringe that was developed for the visually impaired -
ANSWER-4
A client who was in a motor bike accident has a severe neck injury. Which priority nursing care is
most needed?
1. assessing for crepitus
2. assessing for bleeding
3. maintaining a patent airway
4. performing neurologic assessment - ANSWER-3
CORRECT ANSWERS 2025 LATEST UPDATE//ALL YOU NEED
TO PASS NURS 221A EXAM//GRADED A+
The registered nurse is caring for a client in the emergency department. Which conditions of the
client made the nurse stabilize the cervical spine as the primary nursing intervention? Select all that
apply.
1. flail chest
2. head injuries
3. chemical burns
4. renal colic pain
5. blunt abdominal pain - ANSWER-1, 2, 3
A nurse teaches a client about the dangers of using bicarbonate of soda regularly. What effect of
bicarbonate of soda is the nurse trying to prevent?
1. gastric distention
2. metabolic alkalosis
3. chronic constipation
4. cardiac dysrhythmias - ANSWER-2
The nurse is preparing to administer a nasogastric tube feeding to a client via infusion pump. What is
the most important assessment the nurse needs to perform before beginning the pump?
1. checking for the last bowel movement
2. checking for residual stomach contents
3. checking to determine time of last medication for nausea
4. checking to make sure the head of the bed is elevated at least 15 degrees - ANSWER-2
The nurse is caring for a client with a respiratory tract infection that started with a common cold but
has progressed to whooping cough. The client also has coughing fits that last for several minutes.
Which organism is responsible for the client's condition?
1. bacillus anthracis
2. bordetella pertussis
3. streptococcus pneumoniae
,4. mycobacterium tuberculosis - ANSWER-2
A client is receiving warfarin for a pulmonary embolism. Which drug is often contraindicated when
taking warfarin?
1. atenolol
2. ferrous sulfate
3. chlorpromazine
4. acetylsalicyclic acid - ANSWER-4
A registered nurse (RN) is giving home care instructions to a client who was treated for injuries due
to a fall. Which statement made by the client indicates a need for correction?
1. "I should walk on scatter rugs at home"
2. "I should drink 3000 mL of water every day"
3. "I should eat fruits and vegetables six times a day"
4. "I should exercise the joints above and below the cast daily" - ANSWER-1
Which statements relate to preterm labor? Select all that apply.
1. a premature baby has good cognitive development
2. the treatment for preterm labor includes bed rest and hydration
3. preterm labor before the 20th week is indicative of a nonviable fetus
4. it is not desirable to stop the delivery in the case of preterm labor
5. preterm labor refers to uterine contractions progressing to delivery before the 27th week of
pregnancy - ANSWER-2, 3
The nurse is preparing to administer an intravenous piggyback antibiotic that has been newly
prescribed. Shortly after initiation, the client becomes restless and flushed and begins to wheeze.
The nurse determines the that appropriate priority action will be to stop the antibiotic infusion and
then do what?
1. notify the physician immediately about the clients condition
2. take the clients blood pressure
3. obtain the client's pulse oximetry
4. assess the client's respiratory staus - ANSWER-4
, Which color should the nurse use to triage a victim of a train derailment who is able to walk
independently to the first aid station?
1. red
2. black
3. green
4. yellow - ANSWER-3
The nurse notes that a 3-year-old child in a crib has a clamped jaw and is having a tonic-clonic
seizure. What is the priority nursing responsibility at this time?
1. applying restraints
2. administering oxygen
3. protecting the child from self-injury
4. inserting a plastic airway in the child's mouth - ANSWER-3
An 11-year-old child with type 1 diabetes who also has a learning disability has difficulty measuring
the required insulin dose. The child frequently draws up 42 units of insulin instead of the prescribed
24 units. What is the most appropriate intervention to ensure dosage safety?
1. having the child write the number on paper before filling the syringe
2. giving the child a tuberculin syringe, which has different units of measure
3. teaching the child to use a magnifying glass to read the numbers on the syringe
4. providing the child with a present syringe that was developed for the visually impaired -
ANSWER-4
A client who was in a motor bike accident has a severe neck injury. Which priority nursing care is
most needed?
1. assessing for crepitus
2. assessing for bleeding
3. maintaining a patent airway
4. performing neurologic assessment - ANSWER-3
