1
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NS 660 Exam 1 Review Questions and
Answers (100% Correct Answers) Already
Graded A+
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
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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?
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Diagnosis
Evaluation
Implementation
Assessment [ANS:] 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
, 2
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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
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Planning
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Assessment [ANS:] 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
, 3
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Reflex urinary incontinence [ANS:] 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
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Ask the patient to describe the type of reaction
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Document latex allergy on medication administration record
Process to the termination phase of interview [ANS:] 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.
, 4
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Patient-controlled analgesia (PCA) offers a constant level of
opioids within therapeutic range.
Use of analgesics will eventually lead to addiction.
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Pain level and pain tolerance can be assessed using a scale from
0 to 10.
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Each client's expression of pain may be different and
individualized. [ANS:] 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:
For Expert help and assignment solutions, +254707240657
NS 660 Exam 1 Review Questions and
Answers (100% Correct Answers) Already
Graded A+
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
© 2025 Assignment Expert
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?
Guru01 - Stuvia
Diagnosis
Evaluation
Implementation
Assessment [ANS:] 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
, 2
For Expert help and assignment solutions, +254707240657
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
© 2025 Assignment Expert
Planning
Guru01 - Stuvia
Assessment [ANS:] 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
, 3
For Expert help and assignment solutions, +254707240657
Reflex urinary incontinence [ANS:] 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
© 2025 Assignment Expert
Ask the patient to describe the type of reaction
Guru01 - Stuvia
Document latex allergy on medication administration record
Process to the termination phase of interview [ANS:] 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.
, 4
For Expert help and assignment solutions, +254707240657
Patient-controlled analgesia (PCA) offers a constant level of
opioids within therapeutic range.
Use of analgesics will eventually lead to addiction.
© 2025 Assignment Expert
Pain level and pain tolerance can be assessed using a scale from
0 to 10.
Guru01 - Stuvia
Each client's expression of pain may be different and
individualized. [ANS:] 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:
