NUR 215 Final Exam 2025 Questions
and Answers 100% Pass
A staff nurse is precepting a new graduate nurse and the new graduate is assigned to
care for a client with chronic pain. Which statement, if made by the new graduate nurse,
indicates the need for further teaching regarding pain management?
1. "I will be sure to ask my client what his pain level is on a scale of 0 to 10."
2."I know that I should follow up after giving medication to make sure it is effective."
3."I will be sure to cue in to any indicators that the client may be exaggerating their
pain."
4."I know that pain in the older client might manifest as sleep disturbances or
depression." - ✔✔3."I will be sure to cue in to any indicators that the client may be
exaggerating their pain."
The nurse is explaining the appropriate methods for measuring an accurate
temperature to an assistive personnel (AP). Which method, if noted by the UAP as
being an appropriate method, indicates the need for further teaching?
1.Taking a rectal temperature for a client who has undergone nasal surgery
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,2.Taking an oral temperature for a client with a cough and nasal congestion
3.Taking an axillary temperature for a client who has just consumed hot coffee
4.Taking a temperature on the neck behind the ear using an electronic device for a client
who is diaphoretic - ✔✔2.Taking an oral temperature for a client with a cough and nasal
congestion
The nurse is caring for a postoperative client who is receiving demand-dose
hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. The
nurse enters the client's room and finds the client drowsy and records the following
vital signs: temperature 97.2° F (36.2° C) orally, pulse 52 beats per minute, blood
pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2 of 93% on 3
liters of oxygen via nasal cannula. Which action should the nurse take next?
1.Document the findings.
2.Attempt to arouse the client.
3.Contact the primary health care provider (PHCP) immediately.
4.Check the medication administration history on the PCA pump. - ✔✔2.Attempt to
arouse the client.
The nurse is preparing to insert a nasogastric tube into a client. The nurse should place
the client in which position for insertion?
1.Right side
2.Low-Fowler's
3.High-Fowler's
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, 4.Supine with the head flat - ✔✔3.High-Fowler's
The nurse is preparing to discontinue a client's nasogastric tube. The client is positioned
properly, and the tube has been flushed with 15 mL of air to clear secretions. Before
removing the tube, the nurse should make which statement to the client?
1."Take a deep breath when I tell you, and hold it while I remove the tube."
2."Take a deep breath when I tell you, and bear down while I remove the tube."
3."Take a deep breath when I tell you, and slowly exhale while I remove the tube."
4."Take a deep breath when I tell you, and breathe normally while I remove the tube." -
✔✔1."Take a deep breath when I tell you, and hold it while I remove the tube."
The nurse has reviewed with the preoperative client the procedure for the
administration of an enema. Which statement by the client would indicate the need for
further instruction?
1."The enema will be given while I am sitting on the toilet."
2."I should try and hold the fluid as long as possible after it is run in."
3."I know that there will be some cramping after the enema solution is run in."
4."I should tell the nurse if cramping occurs when the fluid is running in." - ✔✔1."The
enema will be given while I am sitting on the toilet."
An oxygen delivery system is prescribed for a client with chronic obstructive
pulmonary disease to deliver a precise oxygen concentration. Which oxygen delivery
system would the nurse prepare for the client?
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and Answers 100% Pass
A staff nurse is precepting a new graduate nurse and the new graduate is assigned to
care for a client with chronic pain. Which statement, if made by the new graduate nurse,
indicates the need for further teaching regarding pain management?
1. "I will be sure to ask my client what his pain level is on a scale of 0 to 10."
2."I know that I should follow up after giving medication to make sure it is effective."
3."I will be sure to cue in to any indicators that the client may be exaggerating their
pain."
4."I know that pain in the older client might manifest as sleep disturbances or
depression." - ✔✔3."I will be sure to cue in to any indicators that the client may be
exaggerating their pain."
The nurse is explaining the appropriate methods for measuring an accurate
temperature to an assistive personnel (AP). Which method, if noted by the UAP as
being an appropriate method, indicates the need for further teaching?
1.Taking a rectal temperature for a client who has undergone nasal surgery
COPYRIGHT © 2025 BY GRACE AMELIA, ALL RIGHTS RESERVED 1
,2.Taking an oral temperature for a client with a cough and nasal congestion
3.Taking an axillary temperature for a client who has just consumed hot coffee
4.Taking a temperature on the neck behind the ear using an electronic device for a client
who is diaphoretic - ✔✔2.Taking an oral temperature for a client with a cough and nasal
congestion
The nurse is caring for a postoperative client who is receiving demand-dose
hydromorphone via a patient-controlled analgesia (PCA) pump for pain control. The
nurse enters the client's room and finds the client drowsy and records the following
vital signs: temperature 97.2° F (36.2° C) orally, pulse 52 beats per minute, blood
pressure 101/58 mm Hg, respiratory rate 11 breaths per minute, and SpO2 of 93% on 3
liters of oxygen via nasal cannula. Which action should the nurse take next?
1.Document the findings.
2.Attempt to arouse the client.
3.Contact the primary health care provider (PHCP) immediately.
4.Check the medication administration history on the PCA pump. - ✔✔2.Attempt to
arouse the client.
The nurse is preparing to insert a nasogastric tube into a client. The nurse should place
the client in which position for insertion?
1.Right side
2.Low-Fowler's
3.High-Fowler's
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, 4.Supine with the head flat - ✔✔3.High-Fowler's
The nurse is preparing to discontinue a client's nasogastric tube. The client is positioned
properly, and the tube has been flushed with 15 mL of air to clear secretions. Before
removing the tube, the nurse should make which statement to the client?
1."Take a deep breath when I tell you, and hold it while I remove the tube."
2."Take a deep breath when I tell you, and bear down while I remove the tube."
3."Take a deep breath when I tell you, and slowly exhale while I remove the tube."
4."Take a deep breath when I tell you, and breathe normally while I remove the tube." -
✔✔1."Take a deep breath when I tell you, and hold it while I remove the tube."
The nurse has reviewed with the preoperative client the procedure for the
administration of an enema. Which statement by the client would indicate the need for
further instruction?
1."The enema will be given while I am sitting on the toilet."
2."I should try and hold the fluid as long as possible after it is run in."
3."I know that there will be some cramping after the enema solution is run in."
4."I should tell the nurse if cramping occurs when the fluid is running in." - ✔✔1."The
enema will be given while I am sitting on the toilet."
An oxygen delivery system is prescribed for a client with chronic obstructive
pulmonary disease to deliver a precise oxygen concentration. Which oxygen delivery
system would the nurse prepare for the client?
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