RNSG 1430 Final Review Concepts of Clinical Nursing Verified Exam Guide Updated 2025
A+ Guaranteed
The nurse is assessing a patients functional ability. Which patient best demonstrates the
definition of functional ability?
a. Considers self as a healthy individual; uses cane for stability
b. College educated; travels frequently; can balance a checkbook
c. Works out daily, reads well, cooks, and cleans house on the weekends
d. Healthy individual, volunteers at church, works part time, takes care of family and
house D
Functional ability refers to the individuals ability to perform the normal dail\ activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual, church volunteer, part time worker, and the patient who takes care of the family
and house fully meets the criteria for functional ability. << correct answer >>65 year old woman has
fallen while sweeping her driveway, sustaining a tissue injury. She describes her condition as an aching,
throbbing back. Which type of pain are the complaints most indicative of.
a. Neuropathic
b. Nociceptive
c. Chronic
d. Mixed pain B << correct answer >>A 70 year old who is interested in non drug, mind- body
therapies, self management and alternative strategies to deal with joint pain from rheumatoid arthritis.
Which options should you suggest for her plan of care considering her wishes
a. Using a stationary bicycle and free weights and attending a spinning class
b. Using mind-body therapies like music
c. Drinking chamomile tea and applying ice /or heat
d. Receiving acupuncture and attending church services B << correct answer >>Post op surgical patients
should be given alternating doses of acetaminophen and which med throughout the post op course,
unless contraindicated
a. Antihistamine
,b. Local anesthetic
c. Opioids
d. NSAID's D << correct answer >>Which of the following is a priority for a nurse to include in a
teaching plan for a patient who desires self- management and alternative strategies?
a. Body alignment and superficial heat and cooling
b. PCA pump
c. Neurostimulation
d. Peripheral nerve blocks A << correct answer >>Following the initiation of pain management
plan, pain should be reassessed and documented on a regular basis as a way to evaluate the
effectiveness of treatments. Pain should be reassessed at which minimum interval (select all that apply)
a. With each new report of pain
b. Before and after administration of narcotic analgesics
c. Every 10 min.
d. Every shift A,B << correct answer >>The nurse is preparing to administer celecoxib to a patient.
What medication taken by the patient should the nurse monitor for increasing the risk of adverse
effects?
a. Aspirin
b. Scopolamine
c. Theophylline
d. Acetaminophen A << correct answer >>After administering acetaminophen with oxycodone
(Percocet) for pain, which intervention would be of highest priority for the nurse to complete before
leaving the patient's room?
a. Ensure that the side rails are raised.
b. Leave the overbed light on at low setting.
c. Offer to turn on the television to provide distraction.
d. Ensure that documentation of intake and output is accurate. A << correct answer >>Which
assessment is of highest priority for the nurse to complete before administration of morphine?
a. Pain rating
b. Blood pressure
c. Respiratory rate
,d. Level of consciousness C << correct answer >>A patient has been prescribed a nonsteroidal anti
inflammatory medication (NSAID). Which effect should the nurse instruct the patient to immediately
report?
a. Blurred vision
b. Nasal stuffiness
c. Urinary retention
d. Black or tarry stools D << correct answer >>Which nursing intervention is most appropriate when
preparing to administer an opioid analgesic agent to a patient in pain?
a. Give the medication on an empty stomach.
b. Count the number of doses on hand before administration.
c. Give the medication with a glass of juice or other cold beverage.
d. Assess the patient for allergies to aspirin before administration. B << correct answer >>A patient
is receiving morphine sulfate via patient-controlled analgesia (PCA). What nursing action is most
effective to reduce the risk of adverse effects?
a. Instruct the patient not to push the button too frequently.
b. Teach the caregiver not to push the button for the patient.
c. Ask the patient to do deep breathing exercises every hour.
d. Administer medications to prevent the occurrence of diarrhea. B << correct answer >>A patient
with osteoarthritis has been taking ibuprofen 400 mg every 8 hours. The patient states that the drug
does not seem to work as well as it used to in controlling the pain. The most appropriate response to the
patient is based on what knowledge?
a. Another NSAID may be indicated because of individual variations in response to drug therapy.
b. It may take several months for NSAIDs to reach therapeutic levels in the blood and thus be effective.
c. If NSAIDs are not effective in controlling symptoms, systemic corticosteroids are the next line of
therapy.
d. The patient is probably not compliant with the drug therapy, and therefore the nurse must initially
assess the patient's knowledge base and initiate appropriate teaching. A << correct answer >>When
assessing a patient receiving morphine sulfate 2 mg every 10 minutes via PCA pump, the nurse should
take action as soon as the patient's respiratory rate drops down to or below which parameter?
a. 16 breaths/min
b. 14 breaths/min
c. 12 breaths/min
, d. 10 breaths/min C << correct answer >>Which clinical manifestation should the nurse attribute to
adverse effects of morphine sulfate administered via PCA?
a. Diarrhea
b. Urinary incontinence
c. Nausea and vomiting
d. Increased blood pressure C << correct answer >>. A patient asks the nurse why a dose of
hydromorphone (Dilaudid) by IV push is given before starting the medication via PCA. Which response is
most appropriate?
a. "PCA will never be effective unless a loading dose is given first."
b. "The IV push dose will enhance the effects of the PCA for the next 8 hours."
c. "The IV push dose will provide for immediate pain relief, which can be maintained by using the PCA."
d. "PCA takes at least 2 hours to begin working, so the IV push dose will provide pain relief in the
interim." C << correct answer >>The nurse should teach a patient to avoid which medication while
taking ibuprofen?
a. Aspirin
b. Furosemide
c. Nitroglycerin
d. Morphine sulfate A: aspirin and Ibuprofen are both nsaid and taking both increases risk for
negative side effects such as GI bleeding. << correct answer >>A patient admitted with metastatic lung
cancer is ordered to receive morphine sulfate for pain. Which side effect of this medication should the
nurse try to prevent with oral intake and medication?
a. Diarrhea
b. Agitation
c. Constipation
d. Urinary incontinence C: Opioids cause constipations but is managed with medication and nutrition <<
correct answer >>The patient is receiving fentanyl patch for control of chronic cancer pain. What should
the nurse observe for in the patient as a potential life-threatening adverse effect of this medication?
a. Hypertension
b. Pupillary dilation
c. Urinary incontinence
d. Decreased respiratory rate D: Opioids can cause decreased respirations and is treated with Narcan
(Naloxone) << correct answer >>The patient is a documented abuser of opioids and just had surgery.
A+ Guaranteed
The nurse is assessing a patients functional ability. Which patient best demonstrates the
definition of functional ability?
a. Considers self as a healthy individual; uses cane for stability
b. College educated; travels frequently; can balance a checkbook
c. Works out daily, reads well, cooks, and cleans house on the weekends
d. Healthy individual, volunteers at church, works part time, takes care of family and
house D
Functional ability refers to the individuals ability to perform the normal dail\ activities
required to meet basic needs; fulfill usual roles in the family, workplace, and community;
and maintain health and well-being. The other options are good; however, healthy
individual, church volunteer, part time worker, and the patient who takes care of the family
and house fully meets the criteria for functional ability. << correct answer >>65 year old woman has
fallen while sweeping her driveway, sustaining a tissue injury. She describes her condition as an aching,
throbbing back. Which type of pain are the complaints most indicative of.
a. Neuropathic
b. Nociceptive
c. Chronic
d. Mixed pain B << correct answer >>A 70 year old who is interested in non drug, mind- body
therapies, self management and alternative strategies to deal with joint pain from rheumatoid arthritis.
Which options should you suggest for her plan of care considering her wishes
a. Using a stationary bicycle and free weights and attending a spinning class
b. Using mind-body therapies like music
c. Drinking chamomile tea and applying ice /or heat
d. Receiving acupuncture and attending church services B << correct answer >>Post op surgical patients
should be given alternating doses of acetaminophen and which med throughout the post op course,
unless contraindicated
a. Antihistamine
,b. Local anesthetic
c. Opioids
d. NSAID's D << correct answer >>Which of the following is a priority for a nurse to include in a
teaching plan for a patient who desires self- management and alternative strategies?
a. Body alignment and superficial heat and cooling
b. PCA pump
c. Neurostimulation
d. Peripheral nerve blocks A << correct answer >>Following the initiation of pain management
plan, pain should be reassessed and documented on a regular basis as a way to evaluate the
effectiveness of treatments. Pain should be reassessed at which minimum interval (select all that apply)
a. With each new report of pain
b. Before and after administration of narcotic analgesics
c. Every 10 min.
d. Every shift A,B << correct answer >>The nurse is preparing to administer celecoxib to a patient.
What medication taken by the patient should the nurse monitor for increasing the risk of adverse
effects?
a. Aspirin
b. Scopolamine
c. Theophylline
d. Acetaminophen A << correct answer >>After administering acetaminophen with oxycodone
(Percocet) for pain, which intervention would be of highest priority for the nurse to complete before
leaving the patient's room?
a. Ensure that the side rails are raised.
b. Leave the overbed light on at low setting.
c. Offer to turn on the television to provide distraction.
d. Ensure that documentation of intake and output is accurate. A << correct answer >>Which
assessment is of highest priority for the nurse to complete before administration of morphine?
a. Pain rating
b. Blood pressure
c. Respiratory rate
,d. Level of consciousness C << correct answer >>A patient has been prescribed a nonsteroidal anti
inflammatory medication (NSAID). Which effect should the nurse instruct the patient to immediately
report?
a. Blurred vision
b. Nasal stuffiness
c. Urinary retention
d. Black or tarry stools D << correct answer >>Which nursing intervention is most appropriate when
preparing to administer an opioid analgesic agent to a patient in pain?
a. Give the medication on an empty stomach.
b. Count the number of doses on hand before administration.
c. Give the medication with a glass of juice or other cold beverage.
d. Assess the patient for allergies to aspirin before administration. B << correct answer >>A patient
is receiving morphine sulfate via patient-controlled analgesia (PCA). What nursing action is most
effective to reduce the risk of adverse effects?
a. Instruct the patient not to push the button too frequently.
b. Teach the caregiver not to push the button for the patient.
c. Ask the patient to do deep breathing exercises every hour.
d. Administer medications to prevent the occurrence of diarrhea. B << correct answer >>A patient
with osteoarthritis has been taking ibuprofen 400 mg every 8 hours. The patient states that the drug
does not seem to work as well as it used to in controlling the pain. The most appropriate response to the
patient is based on what knowledge?
a. Another NSAID may be indicated because of individual variations in response to drug therapy.
b. It may take several months for NSAIDs to reach therapeutic levels in the blood and thus be effective.
c. If NSAIDs are not effective in controlling symptoms, systemic corticosteroids are the next line of
therapy.
d. The patient is probably not compliant with the drug therapy, and therefore the nurse must initially
assess the patient's knowledge base and initiate appropriate teaching. A << correct answer >>When
assessing a patient receiving morphine sulfate 2 mg every 10 minutes via PCA pump, the nurse should
take action as soon as the patient's respiratory rate drops down to or below which parameter?
a. 16 breaths/min
b. 14 breaths/min
c. 12 breaths/min
, d. 10 breaths/min C << correct answer >>Which clinical manifestation should the nurse attribute to
adverse effects of morphine sulfate administered via PCA?
a. Diarrhea
b. Urinary incontinence
c. Nausea and vomiting
d. Increased blood pressure C << correct answer >>. A patient asks the nurse why a dose of
hydromorphone (Dilaudid) by IV push is given before starting the medication via PCA. Which response is
most appropriate?
a. "PCA will never be effective unless a loading dose is given first."
b. "The IV push dose will enhance the effects of the PCA for the next 8 hours."
c. "The IV push dose will provide for immediate pain relief, which can be maintained by using the PCA."
d. "PCA takes at least 2 hours to begin working, so the IV push dose will provide pain relief in the
interim." C << correct answer >>The nurse should teach a patient to avoid which medication while
taking ibuprofen?
a. Aspirin
b. Furosemide
c. Nitroglycerin
d. Morphine sulfate A: aspirin and Ibuprofen are both nsaid and taking both increases risk for
negative side effects such as GI bleeding. << correct answer >>A patient admitted with metastatic lung
cancer is ordered to receive morphine sulfate for pain. Which side effect of this medication should the
nurse try to prevent with oral intake and medication?
a. Diarrhea
b. Agitation
c. Constipation
d. Urinary incontinence C: Opioids cause constipations but is managed with medication and nutrition <<
correct answer >>The patient is receiving fentanyl patch for control of chronic cancer pain. What should
the nurse observe for in the patient as a potential life-threatening adverse effect of this medication?
a. Hypertension
b. Pupillary dilation
c. Urinary incontinence
d. Decreased respiratory rate D: Opioids can cause decreased respirations and is treated with Narcan
(Naloxone) << correct answer >>The patient is a documented abuser of opioids and just had surgery.
