multiple choice questions NRSG 102 Questions With
Complete Solutions
a 57 yo client is prescribed an antihypertensive to control
hypertension. before administering the medication, which of the
following actions should the nurse take first?
a. caution the client to rise slowly when standing
b. instruct the client to take medication with food
c. take apical pulse rate and bp
d. ensure the pt is sitting down safely Correct Answer C
a client is scheduled for surgery in the AM, what is the most
important thing to do pre-op?
a. remove all jewelries or tape wedding ring
b. verify that all lab work is complete
c.have all consent forms signed
d. inform family or next of kin Correct Answer C
a client who had a recent surgery has been vomiting and
becomes dizzy while standing up to go to the bathroom, after
assisting the client back to bed, the nurse notes that the bp is
84/54 and pulse 128. the nurse hangs what?
a. d5 1/2 at 75 ml/h
b. 0.9% NS at 300 ml/hr
c. D5W at 250 ml/h
d. 0.45% NS at 500 ml/h Correct Answer B
,a client who is post gallbladder surgery has a NG tube,
decreased reflexes, pulse of 110 weak and irregular, and BP of
80/50 and is weak, mildly confused, and has a serum of
potassium of 3.0 mEq/L. Based on the assessment data, which of
the following is the priority intervention?
a. withhold lasix which is a diuretic
b. call for help and notify the physician
c. administer the prescribed potassium supplement
d. instruct the client to eat foods that are high in potassium
Correct Answer B - normal K level is 3.5 - 5
the altered LoC, serum of K, the BP being low, increased
pulse !!
The lasix isn't going to get the K back up
Giving the K isn't going to do anything asap
So you pick the emergency option
a client with a dx of DKA is being tx in the ER. which finding
would a nurse expect to note as confirming this dx?
a. decreased urine output
b. increased respirations and an increase in pH
c. comatose state
d. elevated blood glucose level and a low plasma bicarbonate
Correct Answer D
a client with a rr of 8/min has an o2 sat of 82, which nursing
diagnosis is priority?
,a. risk for infection
b. impaired spontaneous ventilation
c. risk for acute confusion
d. decreased cardiac output Correct Answer B
a client with type 1 DM calls the nurse to report recurrent
episodes of hypoglycemia with exercise. which statement by the
client indicates an inadequate understanding of the peak action
of intermediate acting insulin and exercise?
a. the best time for me to exercise is every afternoon
b. the best time for me to exercise is right after i eat
c. the best time for me to exercise is after breakfast
d. the best for me to exercise is after my morning snack Correct
Answer A
a dependent pt is being given a bed bath, the nurse realizes that
she will need another washcloth to complete the bath. to ensure
pt safety the nurse should:
a. use the call bell to ask someone to bring another washcloth
b. raise all the side rails on the patient's bed before leaving the
room
c. explain to pt that she will need to go and get another
washcloth
d. position the patient on her side to face toward the door of her
room Correct Answer B
a family member asks you "why can't you give more medicine?
my spouse is still having a lot of pain." What is your best
response?
, a. the doctor ordered the medicine to be given every 4 hours
b. if the medicine is given too frequently he could suffer ill
effects
c. please tell your spouse that i will be there right away to assess
them
d. let's wait about 30-40 minutes, if there is no relief, i'll call the
doctor Correct Answer C
a hospitalized pt is found to have decreased sodium level with
decreased serum osmolality. which of the following questions
would be important for the nurse to ask during their assessment?
a. how much water are you drinking?
b. how many caffeinated drinks are you consuming?
c. have you been eating sodium rich foods?
d. have you been eating potassium rich foods? Correct Answer
A
a menopausal client is concerned that intercourse with her
spouse has become increasingly painful. what should the nurse
explain about the changes in this client's body after menopause?
a. cervical mucus is thicker
b. estrogen levels increase
c. sexual desire diminishes
d. vaginal lubrication decreases Correct Answer D
A new mother is reluctant to breastfeed because she fears that it
will be painful. What should the nurse do?
Complete Solutions
a 57 yo client is prescribed an antihypertensive to control
hypertension. before administering the medication, which of the
following actions should the nurse take first?
a. caution the client to rise slowly when standing
b. instruct the client to take medication with food
c. take apical pulse rate and bp
d. ensure the pt is sitting down safely Correct Answer C
a client is scheduled for surgery in the AM, what is the most
important thing to do pre-op?
a. remove all jewelries or tape wedding ring
b. verify that all lab work is complete
c.have all consent forms signed
d. inform family or next of kin Correct Answer C
a client who had a recent surgery has been vomiting and
becomes dizzy while standing up to go to the bathroom, after
assisting the client back to bed, the nurse notes that the bp is
84/54 and pulse 128. the nurse hangs what?
a. d5 1/2 at 75 ml/h
b. 0.9% NS at 300 ml/hr
c. D5W at 250 ml/h
d. 0.45% NS at 500 ml/h Correct Answer B
,a client who is post gallbladder surgery has a NG tube,
decreased reflexes, pulse of 110 weak and irregular, and BP of
80/50 and is weak, mildly confused, and has a serum of
potassium of 3.0 mEq/L. Based on the assessment data, which of
the following is the priority intervention?
a. withhold lasix which is a diuretic
b. call for help and notify the physician
c. administer the prescribed potassium supplement
d. instruct the client to eat foods that are high in potassium
Correct Answer B - normal K level is 3.5 - 5
the altered LoC, serum of K, the BP being low, increased
pulse !!
The lasix isn't going to get the K back up
Giving the K isn't going to do anything asap
So you pick the emergency option
a client with a dx of DKA is being tx in the ER. which finding
would a nurse expect to note as confirming this dx?
a. decreased urine output
b. increased respirations and an increase in pH
c. comatose state
d. elevated blood glucose level and a low plasma bicarbonate
Correct Answer D
a client with a rr of 8/min has an o2 sat of 82, which nursing
diagnosis is priority?
,a. risk for infection
b. impaired spontaneous ventilation
c. risk for acute confusion
d. decreased cardiac output Correct Answer B
a client with type 1 DM calls the nurse to report recurrent
episodes of hypoglycemia with exercise. which statement by the
client indicates an inadequate understanding of the peak action
of intermediate acting insulin and exercise?
a. the best time for me to exercise is every afternoon
b. the best time for me to exercise is right after i eat
c. the best time for me to exercise is after breakfast
d. the best for me to exercise is after my morning snack Correct
Answer A
a dependent pt is being given a bed bath, the nurse realizes that
she will need another washcloth to complete the bath. to ensure
pt safety the nurse should:
a. use the call bell to ask someone to bring another washcloth
b. raise all the side rails on the patient's bed before leaving the
room
c. explain to pt that she will need to go and get another
washcloth
d. position the patient on her side to face toward the door of her
room Correct Answer B
a family member asks you "why can't you give more medicine?
my spouse is still having a lot of pain." What is your best
response?
, a. the doctor ordered the medicine to be given every 4 hours
b. if the medicine is given too frequently he could suffer ill
effects
c. please tell your spouse that i will be there right away to assess
them
d. let's wait about 30-40 minutes, if there is no relief, i'll call the
doctor Correct Answer C
a hospitalized pt is found to have decreased sodium level with
decreased serum osmolality. which of the following questions
would be important for the nurse to ask during their assessment?
a. how much water are you drinking?
b. how many caffeinated drinks are you consuming?
c. have you been eating sodium rich foods?
d. have you been eating potassium rich foods? Correct Answer
A
a menopausal client is concerned that intercourse with her
spouse has become increasingly painful. what should the nurse
explain about the changes in this client's body after menopause?
a. cervical mucus is thicker
b. estrogen levels increase
c. sexual desire diminishes
d. vaginal lubrication decreases Correct Answer D
A new mother is reluctant to breastfeed because she fears that it
will be painful. What should the nurse do?
