2320 Exam 1 Questions with
Accurate Answers
¡A nurse just finished getting report on their patients and is organizing their day.
Which patient should the nurse assess first?
A.The patient who has been NPO all night and really wants something to eat
B.The patient who just returned to the floor from the PACU and their abdominal
dressing is now saturated
C.The patient with a femur fracture who is in pain and needs pain medications
D.The patient who is requesting to go to the bathroom and is unsteady on their
feet correct answer B the patient who just returned to the floor from the PACU
and their abdominal dressing is now saturated
¡Which nursing diagnosis can the nurse determine is an intermediate priority
A.Risk for impaired mobility
B.Risk for acute pain
C.Self care deficit
D.Risk for impaired perfusion correct answer risk for impaired mobility
•A newly hired nurse manager is speaking with her Chief Nursing Officer
regarding her methods. The CNO recognizes that she may need additional training
based on which statement?
A."The goals I have set for staff will contribute to the goals of the organization."
B."I don't need to discuss negative patient feedback with staff, this will only lead
to additional burnout and employee dissatisfaction."
C."I am meeting with other managers each week to discuss issues that affect
those working on this unit."
,D."I have scheduled time for me to shadow my staff so I can understand their
workflow and learn of any issues or stressors they are facing." correct answer "I
don't need to discuss negative patient feedback with staff, this will only lead to
additional burnout and employee dissatisfaction."
■A nurse is delegating feeding assistance to the PCT. Which patient is appropriate
for the PCT to feed?
A.A 45 yr. old female admitted for diabetic foot ulcer
B.A 78 yr. old male admitted for UTI with a history of CVA that resulted in left
sided weakness and difficulty with ADL's who has been evaluated by speech
therapy
C.A 34 yr. old male admitted for ETOH withdrawal who was just transferred from
ICU and extubated only 5hrs ago and has no diet order
D.A 28 yr. old who just returned from endoscopy after their EGD that required
banding of 3 esophageal varices correct answer B:
■An RN is delegating tasks to an LPN on a med/surg unit. Which task is the most
appropriate for the RN to delegate to the LPN?
A.Administration of IV potassium for electrolyte replacement
B.Admission assessment of a newly admitted patient from the OR
C.Reinforcement of wound care education
D.Calling the attending physician to report a low blood pressure on a patient
correct answer C
A member of a nursing committee frequently disregards the rules of the group
and feels that the rules do not apply to the member personally. The president of
the committee recognizes this person as what type of member?
Motormouth
, Critical conservative
Mouse
Self-server correct answer Self-server
A nurse assigned to care for five patients, is concerned about the ability to care
for this many patients. Which action would the nurse take first?
Report this situation to the charge nurse.
Care for the easiest patients first to allow more time for sicker patients.
Prioritize the needs of the patients and determine the sickest patient.
Delegate one of the patients to someone else. correct answer Prioritize the needs
of the patients and determine the sickest patient.
A nurse has been assigned the following patients. Which patient is a priority to
assess first?
A patient with abdominal pain
A patient complaining of ear pain
A patient with pneumonia and O2 saturation of 88%
A patient who has been NPO all morning and wants to eat correct answer A
patient with pneumonia and O2 saturation of 88%
A nurse has finished getting shift report. Which patient should the nurse see first?
Postoperative patient requesting pain medication
Patient just transferred from the emergency department
Patient who needs to get out of bed and ambulate
Pneumonia patient getting respiratory treatment correct answer Patient just
transferred from the emergency department
Accurate Answers
¡A nurse just finished getting report on their patients and is organizing their day.
Which patient should the nurse assess first?
A.The patient who has been NPO all night and really wants something to eat
B.The patient who just returned to the floor from the PACU and their abdominal
dressing is now saturated
C.The patient with a femur fracture who is in pain and needs pain medications
D.The patient who is requesting to go to the bathroom and is unsteady on their
feet correct answer B the patient who just returned to the floor from the PACU
and their abdominal dressing is now saturated
¡Which nursing diagnosis can the nurse determine is an intermediate priority
A.Risk for impaired mobility
B.Risk for acute pain
C.Self care deficit
D.Risk for impaired perfusion correct answer risk for impaired mobility
•A newly hired nurse manager is speaking with her Chief Nursing Officer
regarding her methods. The CNO recognizes that she may need additional training
based on which statement?
A."The goals I have set for staff will contribute to the goals of the organization."
B."I don't need to discuss negative patient feedback with staff, this will only lead
to additional burnout and employee dissatisfaction."
C."I am meeting with other managers each week to discuss issues that affect
those working on this unit."
,D."I have scheduled time for me to shadow my staff so I can understand their
workflow and learn of any issues or stressors they are facing." correct answer "I
don't need to discuss negative patient feedback with staff, this will only lead to
additional burnout and employee dissatisfaction."
■A nurse is delegating feeding assistance to the PCT. Which patient is appropriate
for the PCT to feed?
A.A 45 yr. old female admitted for diabetic foot ulcer
B.A 78 yr. old male admitted for UTI with a history of CVA that resulted in left
sided weakness and difficulty with ADL's who has been evaluated by speech
therapy
C.A 34 yr. old male admitted for ETOH withdrawal who was just transferred from
ICU and extubated only 5hrs ago and has no diet order
D.A 28 yr. old who just returned from endoscopy after their EGD that required
banding of 3 esophageal varices correct answer B:
■An RN is delegating tasks to an LPN on a med/surg unit. Which task is the most
appropriate for the RN to delegate to the LPN?
A.Administration of IV potassium for electrolyte replacement
B.Admission assessment of a newly admitted patient from the OR
C.Reinforcement of wound care education
D.Calling the attending physician to report a low blood pressure on a patient
correct answer C
A member of a nursing committee frequently disregards the rules of the group
and feels that the rules do not apply to the member personally. The president of
the committee recognizes this person as what type of member?
Motormouth
, Critical conservative
Mouse
Self-server correct answer Self-server
A nurse assigned to care for five patients, is concerned about the ability to care
for this many patients. Which action would the nurse take first?
Report this situation to the charge nurse.
Care for the easiest patients first to allow more time for sicker patients.
Prioritize the needs of the patients and determine the sickest patient.
Delegate one of the patients to someone else. correct answer Prioritize the needs
of the patients and determine the sickest patient.
A nurse has been assigned the following patients. Which patient is a priority to
assess first?
A patient with abdominal pain
A patient complaining of ear pain
A patient with pneumonia and O2 saturation of 88%
A patient who has been NPO all morning and wants to eat correct answer A
patient with pneumonia and O2 saturation of 88%
A nurse has finished getting shift report. Which patient should the nurse see first?
Postoperative patient requesting pain medication
Patient just transferred from the emergency department
Patient who needs to get out of bed and ambulate
Pneumonia patient getting respiratory treatment correct answer Patient just
transferred from the emergency department
