N320 Exam 1 Practice Test exam with
complete solutions
Which action should the nurse take first when an elderly patient who just woke up
from surgery is agitated and confused?
a. Administer a pain medication
b. Notify the physician
c. Check the oxygen saturation level
d. Take the blood pressure - ANSWER- c. Check the oxygen saturation level
A patient is transferred to the medical-surgical unit from the PACU. Which actions
should the nurse perform first?
a. Assess the patient's incision
b. Orient the patient to the unit
c. Assess the patient's vital signs
d. Order the patient a regular diet - ANSWER- c. Assess the patient's vital signs
An older patient receiving a continuous tube feeding develops agitation,
weakness and confusion. Which laboratory result should the nurse report to the
health care provider immediately?
a. K= 3.5 mEq/L
b. Ca+ 7.8 mEq/L
, c. Na+ 154 mEq/L
d. Mg+ 2.0 mEq/L - ANSWER- c. Na+ 154 mEq/L
A nurse received the written lab results of a positive pregnancy test for the
patient scheduled for an emergency appendectomy. Which action should the
nurse take first?
a. Call the lab to verify the results
b. Inform the patient of the positive results
c. Report the results immediately to the surgeon
d. Assess if the patient has any symptoms of pregnancy - ANSWER- c. Report
the results immediately to the surgeon
When interviewing a patient in the holding area, which information should the
nurse report to the health-care provider? Select all that apply. The patient ....
a. reports a decayed loose tooth.
b. smokes two packs of cigarettes a day.
c. has an X-Ray that does not show infiltrates
d. reports using herbs - ANSWER- a. reports a decayed loose tooth.
b. smokes two packs of cigarettes a day.
d. reports using herbs
The patient underwent a gall bladder removal with general anesthesia. One day
post-op, the patient develops an elevated temperature. Which intervention would
have the highest priority?
a. Encourage cough and deep breathing every hour
b. Encourage the client to drink fluids
complete solutions
Which action should the nurse take first when an elderly patient who just woke up
from surgery is agitated and confused?
a. Administer a pain medication
b. Notify the physician
c. Check the oxygen saturation level
d. Take the blood pressure - ANSWER- c. Check the oxygen saturation level
A patient is transferred to the medical-surgical unit from the PACU. Which actions
should the nurse perform first?
a. Assess the patient's incision
b. Orient the patient to the unit
c. Assess the patient's vital signs
d. Order the patient a regular diet - ANSWER- c. Assess the patient's vital signs
An older patient receiving a continuous tube feeding develops agitation,
weakness and confusion. Which laboratory result should the nurse report to the
health care provider immediately?
a. K= 3.5 mEq/L
b. Ca+ 7.8 mEq/L
, c. Na+ 154 mEq/L
d. Mg+ 2.0 mEq/L - ANSWER- c. Na+ 154 mEq/L
A nurse received the written lab results of a positive pregnancy test for the
patient scheduled for an emergency appendectomy. Which action should the
nurse take first?
a. Call the lab to verify the results
b. Inform the patient of the positive results
c. Report the results immediately to the surgeon
d. Assess if the patient has any symptoms of pregnancy - ANSWER- c. Report
the results immediately to the surgeon
When interviewing a patient in the holding area, which information should the
nurse report to the health-care provider? Select all that apply. The patient ....
a. reports a decayed loose tooth.
b. smokes two packs of cigarettes a day.
c. has an X-Ray that does not show infiltrates
d. reports using herbs - ANSWER- a. reports a decayed loose tooth.
b. smokes two packs of cigarettes a day.
d. reports using herbs
The patient underwent a gall bladder removal with general anesthesia. One day
post-op, the patient develops an elevated temperature. Which intervention would
have the highest priority?
a. Encourage cough and deep breathing every hour
b. Encourage the client to drink fluids
