NURS 320 Gerontological Nursing EXAM 2025
Questions and Answers Graded A+
A patient reports he hasn't had a bowel movement or passed gas since surgery. On
assessment, you note the abdomen is distended and no bowel sounds are noted in
the four quadrants. You notify the MD. What non-invasive nursing interventions
can you perform without a MD order?
A. Insert a nasogastric attached to intermittent suction
B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor intake & output
D. Encourage at least 3000 ml of fluids per day
C
What is a potential postoperative concern regarding a patient who has already
resumed a solid diet?*
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite
B
,A nurse is developing a care plan for a patient who is at risk for developing
pneumonia after surgery. Which of the following is not an appropriate nursing
intervention?*
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
B. Encourage patient to use the incentive spirometer device 10 times every 1-2
hours while awake
C. Encourage early ambulation and patient to eat meals in beside chair
D. Repositioning every 3-4 hours
D
A client is 3 hours postoperative following a right upper lobectomy. The collection
chamber of the closed pleural drainage system contains 400 ml of bloody drainage.
The client's vital signs are blood pressure 100/50 mmHg, heart rate of 100 beats
per minute, and respiratory rate 26 breaths per minute. There is intermittent
bubbling in the water seal chamber. One hour following the initial assessment, the
nurse notes that the bubbling in the water seal chamber is now constant and the
client appears dyspneic. The nurse should first check:
a) lung sounds
b) vital signs
c) the chest tube connections
d) the amount of drainage
C
,A client with mania will be placed in seclusion after overturning two tables and
throwing a chair against the wall. Before placing the client in seclusion, the nurse
would first:
a) inspect the client for injuries resulting from the incident and initiate appropriate
treatment
b) document the behavior leading to seclusion
c) document the time and the client is placed in seclusion
d) make sure that there is a written order by the physician allowing for the
seclusion
A
A nurse in a postanesthesia care unit (PACU) receives a client transferred from the
operating room. The PACU nurse assesses the client for which of the following
first?
a) active bowel sounds
b) adequate urine output
c) orientation to the surroundings
d) a patent airway
D
, A nurse manager is planning the client assignments for the day. Which of the
following clients would the nurse assign to the nursing assistant?
a) a 2-day postoperative client who had a below-the-knee amputation
b) a client on a 24-hour urine collection who is on strict bedrest
c) a cleint scheduled to be discharged after coronary artery bypass surgery
d) a client scheduled for a cardiac catheterization
B
A registered nurse (RN) must determine how best to assign coworkers (another RN
and one licensed practical nurse LPN) to provide care to a group of clients. Which
of the following is the appropriate assignment?
a) the RN is assigned to care for an unemployed 26-year old woman, newly
diagnosed with acquired immunodeficiency syndrome (AIDS), who has four
school-age children
b) the LPN is assigned to care for a 41-year old male, postresection of an acoustic
neuroma 2 days ago, transferred from the intensive care unit (ICU) this morning
c) the LPN is assigned to provide discharge teaching about medications and
maintenance of nephrostomy tube to a 35-year old man
d) the RN is assigned to care for a 65-year old woman hospitalized because of
chest pain, being discharged today to home with no medication
A
Questions and Answers Graded A+
A patient reports he hasn't had a bowel movement or passed gas since surgery. On
assessment, you note the abdomen is distended and no bowel sounds are noted in
the four quadrants. You notify the MD. What non-invasive nursing interventions
can you perform without a MD order?
A. Insert a nasogastric attached to intermittent suction
B. Administer IV fluids
C. Encourage ambulation, maintain NPO status, and monitor intake & output
D. Encourage at least 3000 ml of fluids per day
C
What is a potential postoperative concern regarding a patient who has already
resumed a solid diet?*
A. Failure to pass stool within 12 hours of eating solid foods
B. Failure to pass stool within 48 hours of eating solid foods
C. Passage of excessive flatus
D. Patient reports a decreased appetite
B
,A nurse is developing a care plan for a patient who is at risk for developing
pneumonia after surgery. Which of the following is not an appropriate nursing
intervention?*
A. Encourage patient intake of 3000 ml/day of fluids if not contraindicated
B. Encourage patient to use the incentive spirometer device 10 times every 1-2
hours while awake
C. Encourage early ambulation and patient to eat meals in beside chair
D. Repositioning every 3-4 hours
D
A client is 3 hours postoperative following a right upper lobectomy. The collection
chamber of the closed pleural drainage system contains 400 ml of bloody drainage.
The client's vital signs are blood pressure 100/50 mmHg, heart rate of 100 beats
per minute, and respiratory rate 26 breaths per minute. There is intermittent
bubbling in the water seal chamber. One hour following the initial assessment, the
nurse notes that the bubbling in the water seal chamber is now constant and the
client appears dyspneic. The nurse should first check:
a) lung sounds
b) vital signs
c) the chest tube connections
d) the amount of drainage
C
,A client with mania will be placed in seclusion after overturning two tables and
throwing a chair against the wall. Before placing the client in seclusion, the nurse
would first:
a) inspect the client for injuries resulting from the incident and initiate appropriate
treatment
b) document the behavior leading to seclusion
c) document the time and the client is placed in seclusion
d) make sure that there is a written order by the physician allowing for the
seclusion
A
A nurse in a postanesthesia care unit (PACU) receives a client transferred from the
operating room. The PACU nurse assesses the client for which of the following
first?
a) active bowel sounds
b) adequate urine output
c) orientation to the surroundings
d) a patent airway
D
, A nurse manager is planning the client assignments for the day. Which of the
following clients would the nurse assign to the nursing assistant?
a) a 2-day postoperative client who had a below-the-knee amputation
b) a client on a 24-hour urine collection who is on strict bedrest
c) a cleint scheduled to be discharged after coronary artery bypass surgery
d) a client scheduled for a cardiac catheterization
B
A registered nurse (RN) must determine how best to assign coworkers (another RN
and one licensed practical nurse LPN) to provide care to a group of clients. Which
of the following is the appropriate assignment?
a) the RN is assigned to care for an unemployed 26-year old woman, newly
diagnosed with acquired immunodeficiency syndrome (AIDS), who has four
school-age children
b) the LPN is assigned to care for a 41-year old male, postresection of an acoustic
neuroma 2 days ago, transferred from the intensive care unit (ICU) this morning
c) the LPN is assigned to provide discharge teaching about medications and
maintenance of nephrostomy tube to a 35-year old man
d) the RN is assigned to care for a 65-year old woman hospitalized because of
chest pain, being discharged today to home with no medication
A
