NU455 EXAM 2025 QUESTIONS AND
ANSWERS
The RN is caring for a patient fours hours post Transsphenoidal hypophysectomy. Which post
operative finding requires immediate intervention?
A. nasal packing positive for glucose
B. Nasal packing positive for blood
C. Urine output of 40-50mL/hr.
D. Patient reports of thirst - ANS A
The RN knows that in the elderly patient diagnosed with hypothyroidism and on levothyroxine
0.25mg/day the following may be true. Select all that apply:
A. The TSH and T4 levels will be decreased.
B. There is a risk of orthostatic BP changes.
C. Tachycardia may develop
D. Assessment for angina is crucial.
E. T4 levels will be increased. - ANS C, D, E
The patient tells the RN his leg pain r/t to a fractured femur is rated a 7/10. He also has diabetic
neuropathy in his feet bilaterally. The nurse knows he has which type of pain? Select all.
A. Acute
B. Neuropathic
C. Nociceptive
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, D. Breakthrough pain - ANS A, B, C
You are a charge nurse. A patient with chronic pain reports to you that the nurses have not
been responding to requests for pain medication. What is your initial reaction?
A. Check the MAR for the last 48 hours to see what has been administered.
B. Ask the nurse educator to provide in-service training about pain management.
C. Perform a complete pain assessment and take a pain history.
D. Have a conference with the nurses responsible for the care of this patient. - ANS A
always assess the patient first
The RN is assessing a patient newly admitted with malignant breast cancer. She was taking her
PRN morphine 15 mg PO regularly every 4 hours at home for pain. She is in excruciating pain
now. Which of the following medication should the RN administer assuming all orders are in
place?
A. Morphine 5 mg IV.
B. Fentanyl 25 mcgm patch.
C. Morphine 30 mg PO
D. Oxycontin 40 mg PO - ANS A
the patient is already able to tolerate morphine
Your patient is a 21-year-old presenting with head trauma d/t an automobile accident in the
neuro ICU. The patient's family asks about organ donation and wants to know how brain death
determination is made. The nurse explains the patient is considered brain dead when:
A. The patient is flaccid and unresponsive
B. CPR is ineffective in restoring heartbeat
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ANSWERS
The RN is caring for a patient fours hours post Transsphenoidal hypophysectomy. Which post
operative finding requires immediate intervention?
A. nasal packing positive for glucose
B. Nasal packing positive for blood
C. Urine output of 40-50mL/hr.
D. Patient reports of thirst - ANS A
The RN knows that in the elderly patient diagnosed with hypothyroidism and on levothyroxine
0.25mg/day the following may be true. Select all that apply:
A. The TSH and T4 levels will be decreased.
B. There is a risk of orthostatic BP changes.
C. Tachycardia may develop
D. Assessment for angina is crucial.
E. T4 levels will be increased. - ANS C, D, E
The patient tells the RN his leg pain r/t to a fractured femur is rated a 7/10. He also has diabetic
neuropathy in his feet bilaterally. The nurse knows he has which type of pain? Select all.
A. Acute
B. Neuropathic
C. Nociceptive
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
, D. Breakthrough pain - ANS A, B, C
You are a charge nurse. A patient with chronic pain reports to you that the nurses have not
been responding to requests for pain medication. What is your initial reaction?
A. Check the MAR for the last 48 hours to see what has been administered.
B. Ask the nurse educator to provide in-service training about pain management.
C. Perform a complete pain assessment and take a pain history.
D. Have a conference with the nurses responsible for the care of this patient. - ANS A
always assess the patient first
The RN is assessing a patient newly admitted with malignant breast cancer. She was taking her
PRN morphine 15 mg PO regularly every 4 hours at home for pain. She is in excruciating pain
now. Which of the following medication should the RN administer assuming all orders are in
place?
A. Morphine 5 mg IV.
B. Fentanyl 25 mcgm patch.
C. Morphine 30 mg PO
D. Oxycontin 40 mg PO - ANS A
the patient is already able to tolerate morphine
Your patient is a 21-year-old presenting with head trauma d/t an automobile accident in the
neuro ICU. The patient's family asks about organ donation and wants to know how brain death
determination is made. The nurse explains the patient is considered brain dead when:
A. The patient is flaccid and unresponsive
B. CPR is ineffective in restoring heartbeat
2 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
