NS 660 Exam 1 Review | NS 660 Exam 1 | COMPLETE
QUESTIONS WITH 100% VERIFIED CORRECT
ANSWERS ||ALREADY GRADED A+ | 2025||BRAND
NEW!!!
A nurse administers an antihypertensive medication to a patient at the scheduled time
of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the
patient's blood pressure was low when it was taken at 0830. The NAP states they were
busy and did not have a chance to tell the nurse yet. The patient begins to complain of
feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped
even lower. In which phase of the nursing process did the nurse first make an error?
Diagnosis
Evaluation
Implementation
Assessment -CORRECT ANSWER Assessment
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
Intervention
Evaluation
Planning
Assessment -CORRECT ANSWER Assessment
,A nursing assessment for a patient with a spinal cord injury leads to several pertinent
nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?
Risk for impaired skin integrity
Risk for infection
Spiritual distress
Reflex urinary incontinence -CORRECT ANSWER Reflex urinary incontinence
While completing an admission database, the nurse is interviewing a patient who states
"I am allergic to latex." Which action will the nurse take first?
Immediately place patient in isolation
Ask the patient to describe the type of reaction
Document latex allergy on medication administration record
Process to the termination phase of interview -CORRECT ANSWER Ask the patient to
describe type of reaction
, A nurse is planning care for a client who is postoperative. Which of the following
statements about pain management should the nurse consider when implementing
client care? (Select all that apply.)
All clients will express the feeling of pain both verbally and nonverbally.
Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic
range.
Use of analgesics will eventually lead to addiction.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized. -CORRECT
ANSWER Patient-controlled analgesia (PCA) offers a constant level of opioids within
therapeutic range.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
The nurse is caring for an African American patient with COPD. The nurse knows that
the best location to assess for hypoxia is the:
Lower extremities
Abdomen
Earlobes
Oral mucosa -CORRECT ANSWER Oral mucosa
QUESTIONS WITH 100% VERIFIED CORRECT
ANSWERS ||ALREADY GRADED A+ | 2025||BRAND
NEW!!!
A nurse administers an antihypertensive medication to a patient at the scheduled time
of 0900. The nursing assistive personnel (NAP) then reports to the nurse that the
patient's blood pressure was low when it was taken at 0830. The NAP states they were
busy and did not have a chance to tell the nurse yet. The patient begins to complain of
feeling dizzy and light-headed. The blood pressure is rechecked and it has dropped
even lower. In which phase of the nursing process did the nurse first make an error?
Diagnosis
Evaluation
Implementation
Assessment -CORRECT ANSWER Assessment
A charge nurse is observing a newly licensed nurse care for a client who reports pain.
The nurse checked the client's MAR and noted the last dose of pain medication was 6
hr ago. The prescription reads every 4 hr PRN for pain. The nurse administered the
medication and checked with the client 40 min later, when the client reported
improvement. The newly licensed nurse left out which of the following steps of the
nursing process?
Intervention
Evaluation
Planning
Assessment -CORRECT ANSWER Assessment
,A nursing assessment for a patient with a spinal cord injury leads to several pertinent
nursing diagnoses. Which nursing diagnosis is the highest priority for this patient?
Risk for impaired skin integrity
Risk for infection
Spiritual distress
Reflex urinary incontinence -CORRECT ANSWER Reflex urinary incontinence
While completing an admission database, the nurse is interviewing a patient who states
"I am allergic to latex." Which action will the nurse take first?
Immediately place patient in isolation
Ask the patient to describe the type of reaction
Document latex allergy on medication administration record
Process to the termination phase of interview -CORRECT ANSWER Ask the patient to
describe type of reaction
, A nurse is planning care for a client who is postoperative. Which of the following
statements about pain management should the nurse consider when implementing
client care? (Select all that apply.)
All clients will express the feeling of pain both verbally and nonverbally.
Patient-controlled analgesia (PCA) offers a constant level of opioids within therapeutic
range.
Use of analgesics will eventually lead to addiction.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized. -CORRECT
ANSWER Patient-controlled analgesia (PCA) offers a constant level of opioids within
therapeutic range.
Pain level and pain tolerance can be assessed using a scale from 0 to 10.
Each client's expression of pain may be different and individualized.
The nurse is caring for an African American patient with COPD. The nurse knows that
the best location to assess for hypoxia is the:
Lower extremities
Abdomen
Earlobes
Oral mucosa -CORRECT ANSWER Oral mucosa
