NUR 265 EXAM 4 STUDY QUESTIONS
WITH DETAILED VERIFIED ANSWERS;
ALREADY GRADED A; 2026
A nurse in the emergency department (ED) has attended an in-
service on maintaining client safety in the ED. Which of the
following statements by the nurse indicates a correct
understanding of the in-service?
- It is necessary to anticipate hostile or violent behavior by
clients, family members, or visitors
- I should ask a client's family member to leave if the client
appears confused."
- When searching through the belongings of a client who is
confused, someone from the security department should
perform the search."
- Protection from skin injuries or breakdowns is not necessary in
the ED since clients are only here for a short period of time. -
correct answer- It is necessary to anticipate hostile or
violent behavior by clients, family members, or visitors
Laboratory Test
Hematocrit Hct) 30%
Hemoglobin (Hgb) 9 g/dL
,White blood cell (WBC) 4,000 mm
Platelets30,000 mm
Which of the following client assessment findings is a priority for
follow- up?
- Petechiae on the anterior abdomen.
- Ulcers on the mucous membrane.
- Reports of activity intolerance and fatigue.
- Reports of increased nausea and vomiting. - correct
answer- Petechiae on the anterior abdomen.
The charge nurse is observing a newly hired nurse care for a
client who has laryngeal cancer and had a total laryngectomy 12
hours ago. Which of the following interventions by the newly
hired nurse requires follow-up by the charge nurse?
- Providing preprinted flashcards for communication
- Keeping the head of bed (HOB) elevated to enhance comfort.
- Applying humidified oxygen to the client's tracheostomy.
- Monitoring tissue flap integrity via Doppler every 2 hours. -
correct answer- Monitoring tissue flap integrity via
Doppler every 2 hours.
, The charge nurse is observing a newly hired nurse tag clients
during a mass casualty event using the disaster triage tag
system. It requires the charge nurse to intervene if the newly
hired nurse is observed tagging
- a client who has a forehead laceration as nonurgent ( Green)
- a client who has a GCS of 3 as expectant (black)
- A client who has extensive full-thickness burns to the entire
body as urgent (yellow)
- a client who has an open fracture of the femur as urgent
( yellow) - correct answer- A client who has extensive
full-thickness burns to the entire body as urgent (yellow)
The charge nurse is observing nursing personnel provide client
care during an external disaster in the community. Which of the
following actions by a nurse requires the charge nurse to
intervene?
- Leaving a penetrating object in a client in place
- Placing an IV line in the hand of a client who suspected of
closed radial fracture
- Inserting an oropharyngeal airway in an unconscious client
- Performing a jaw-thrust maneuver on a client who has a
suspected cervical spine injury. - correct answer- Placing
an IV line in the hand of a client who suspected of closed radial
fracture
WITH DETAILED VERIFIED ANSWERS;
ALREADY GRADED A; 2026
A nurse in the emergency department (ED) has attended an in-
service on maintaining client safety in the ED. Which of the
following statements by the nurse indicates a correct
understanding of the in-service?
- It is necessary to anticipate hostile or violent behavior by
clients, family members, or visitors
- I should ask a client's family member to leave if the client
appears confused."
- When searching through the belongings of a client who is
confused, someone from the security department should
perform the search."
- Protection from skin injuries or breakdowns is not necessary in
the ED since clients are only here for a short period of time. -
correct answer- It is necessary to anticipate hostile or
violent behavior by clients, family members, or visitors
Laboratory Test
Hematocrit Hct) 30%
Hemoglobin (Hgb) 9 g/dL
,White blood cell (WBC) 4,000 mm
Platelets30,000 mm
Which of the following client assessment findings is a priority for
follow- up?
- Petechiae on the anterior abdomen.
- Ulcers on the mucous membrane.
- Reports of activity intolerance and fatigue.
- Reports of increased nausea and vomiting. - correct
answer- Petechiae on the anterior abdomen.
The charge nurse is observing a newly hired nurse care for a
client who has laryngeal cancer and had a total laryngectomy 12
hours ago. Which of the following interventions by the newly
hired nurse requires follow-up by the charge nurse?
- Providing preprinted flashcards for communication
- Keeping the head of bed (HOB) elevated to enhance comfort.
- Applying humidified oxygen to the client's tracheostomy.
- Monitoring tissue flap integrity via Doppler every 2 hours. -
correct answer- Monitoring tissue flap integrity via
Doppler every 2 hours.
, The charge nurse is observing a newly hired nurse tag clients
during a mass casualty event using the disaster triage tag
system. It requires the charge nurse to intervene if the newly
hired nurse is observed tagging
- a client who has a forehead laceration as nonurgent ( Green)
- a client who has a GCS of 3 as expectant (black)
- A client who has extensive full-thickness burns to the entire
body as urgent (yellow)
- a client who has an open fracture of the femur as urgent
( yellow) - correct answer- A client who has extensive
full-thickness burns to the entire body as urgent (yellow)
The charge nurse is observing nursing personnel provide client
care during an external disaster in the community. Which of the
following actions by a nurse requires the charge nurse to
intervene?
- Leaving a penetrating object in a client in place
- Placing an IV line in the hand of a client who suspected of
closed radial fracture
- Inserting an oropharyngeal airway in an unconscious client
- Performing a jaw-thrust maneuver on a client who has a
suspected cervical spine injury. - correct answer- Placing
an IV line in the hand of a client who suspected of closed radial
fracture
