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NUR 417 EXAM 3 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. A patient describes involvement in a situation the nurse suspects is sexual abuse of a
child. What is the nurse’s initial response?
A. Verify that the event actually occurred.
B. Consider the negative effects of breaching patient trust.
C. Report the suspected abuse to the appropriate agency.
D. Notify the health care provider of the statement.
Rationale: Mandatory reporting laws require health professionals to report suspected
child sexual abuse to authorities immediately; verification is not the nurse’s
responsibility.
2. The nurse suspects elder abuse in an older adult. Which action is appropriate?
A. Collect proof of abuse before notifying authorities.
B. Confront the caretakers about the suspicion.
C. Notify the authorities of the suspected elder abuse.
D. Report the abuse only if the older adult gives permission.
Rationale: Nurses are mandatory reporters for elder abuse; do not delay reporting or
confront potential abusers.
3. You suspect physical abuse of a child. What is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family to identify resources.
Rationale: Mandatory reporting to authorities is the legal priority; documentation and
referrals follow.
4. Which action should the nurse plan to prevent aspiration in a high-risk patient?
A. Turn and reposition an immobile patient every 2 hours.
B. Place a patient with altered consciousness in a side-lying position.
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C. Insert a nasogastric tube for feeding a patient with high calorie needs.
D. Monitor respiratory symptoms in an immunosuppressed patient.
Rationale: Side-lying/upright positioning protects airway when gag/cough reflexes are
depressed.
5. An occupational health nurse at a plant with inhaled dust exposure should recommend
which action to prevent lung disease?
A. Treat workers with pulmonary fibrosis.
B. Teach about symptoms of lung disease.
C. Require the use of protective equipment.
D. Monitor workers for coughing and wheezing.
Rationale: Primary prevention (PPE/engineering controls) reduces exposure risk best.
6. After chest tube placement for hemopneumothorax, which finding is most concerning?
A. A large air leak in the water-seal chamber.
B. 400 mL of blood in the collection chamber.
C. Complaint of pain with deep inspiration.
D. Subcutaneous emphysema at the insertion site.
Rationale: Large/ongoing blood loss risks hypovolemia and shock—urgent.
7. A patient with chest wall contusion from blunt trauma — which finding is most
concerning initially?
A. Paradoxical chest movement.
B. Complaint of chest wall pain.
C. Heart rate 110 bpm.
D. Large bruised area on chest.
Rationale: Paradoxical movement indicates flail chest and impaired ventilation—
emergency.
8. Post-MVC patient with tachycardia and absent right lung breath sounds—prepare for:
A. Emergency pericardiocentesis.
B. Stabilization of the chest wall.
C. Bronchodilator administration.
NUR 417 EXAM 3 UPDATED EXAM WITH MOST TESTED
QUESTIONS AND ANSWERS | GRADED A+ | ASSURED
SUCCESS WITH DETAILED RATIONALES
1. A patient describes involvement in a situation the nurse suspects is sexual abuse of a
child. What is the nurse’s initial response?
A. Verify that the event actually occurred.
B. Consider the negative effects of breaching patient trust.
C. Report the suspected abuse to the appropriate agency.
D. Notify the health care provider of the statement.
Rationale: Mandatory reporting laws require health professionals to report suspected
child sexual abuse to authorities immediately; verification is not the nurse’s
responsibility.
2. The nurse suspects elder abuse in an older adult. Which action is appropriate?
A. Collect proof of abuse before notifying authorities.
B. Confront the caretakers about the suspicion.
C. Notify the authorities of the suspected elder abuse.
D. Report the abuse only if the older adult gives permission.
Rationale: Nurses are mandatory reporters for elder abuse; do not delay reporting or
confront potential abusers.
3. You suspect physical abuse of a child. What is your primary legal responsibility?
A. Document your assessment thoroughly and accurately.
B. Report the abuse to local authorities.
C. Refer the family to support groups.
D. Assist the family to identify resources.
Rationale: Mandatory reporting to authorities is the legal priority; documentation and
referrals follow.
4. Which action should the nurse plan to prevent aspiration in a high-risk patient?
A. Turn and reposition an immobile patient every 2 hours.
B. Place a patient with altered consciousness in a side-lying position.
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C. Insert a nasogastric tube for feeding a patient with high calorie needs.
D. Monitor respiratory symptoms in an immunosuppressed patient.
Rationale: Side-lying/upright positioning protects airway when gag/cough reflexes are
depressed.
5. An occupational health nurse at a plant with inhaled dust exposure should recommend
which action to prevent lung disease?
A. Treat workers with pulmonary fibrosis.
B. Teach about symptoms of lung disease.
C. Require the use of protective equipment.
D. Monitor workers for coughing and wheezing.
Rationale: Primary prevention (PPE/engineering controls) reduces exposure risk best.
6. After chest tube placement for hemopneumothorax, which finding is most concerning?
A. A large air leak in the water-seal chamber.
B. 400 mL of blood in the collection chamber.
C. Complaint of pain with deep inspiration.
D. Subcutaneous emphysema at the insertion site.
Rationale: Large/ongoing blood loss risks hypovolemia and shock—urgent.
7. A patient with chest wall contusion from blunt trauma — which finding is most
concerning initially?
A. Paradoxical chest movement.
B. Complaint of chest wall pain.
C. Heart rate 110 bpm.
D. Large bruised area on chest.
Rationale: Paradoxical movement indicates flail chest and impaired ventilation—
emergency.
8. Post-MVC patient with tachycardia and absent right lung breath sounds—prepare for:
A. Emergency pericardiocentesis.
B. Stabilization of the chest wall.
C. Bronchodilator administration.
