Comp 2 Review
1. Nurse caring for assigned clients. Nurse should refer to
A. RT, the client who had outpatient surgery and has hx of asthma
B. OT, the client who had a stroke and needs instruction on using a walker
C. Psych, the client with terminal cancer and requesting to complete advance directive
D. ST, the client who has COPD and has developed dysphagia
2. Med-surg unit nurse delegating tasks to UAP. Task requires follow up by charge nurse?
A. Provide cath care to client who has catheter associated UTI (CAUTI)
B. Take VS of client who returned from PACU 4 hrs ago & reporting pain 8/10
C. Assist client who had a paracentesis 2 hrs ago to get out of bed for the first time
D. Assist pt who had total hip arthroplasty transfer from bed to chair for 2 nd time since surgery
3. Nurse on med-surg unit received hand-off report should first plan to assess client with
A. acute pancreatitis and is reporting radiation of pain to the left shoulder
B. a history of myasthenia gravis and is coughing when eating their breakfast
C. peripheral arterial disease (PAD) and reports a burning pain in the calf when walking
D. COPD who intermittently coughs up a moderate amount of secretions
4. Nurse preceptor observing newly hired nurse. Correct care if newly hired nurse
A. uses clean gloves when discontinuing a client's IV infusion
B. empties a client's colostomy pouch when it is two-thirds full
C. instills 10 mL of air into NG tube to check placement
D. opens the top flap of a sterile package toward the body
5. Client with sealed radiation implant. Which precaution should nurse implement?
A. Assign the same nurse to care for the client
B. Limit each visitor to 1 hour per day
C. Keep dedicated equipment in the client's room until the implant is removed
D. Wear a dosimeter badge throughout the assigned shift
6. Nurse assess school-age child w/ left arm pain & several bruises on body. Action nurse take 1 st?
A. Separate the child from the parents until abuse is ruled out
B. Obtain detailed history regarding how the bruising occurred
C. Report the bruising to CPS
D. Request a referral for a psychiatric consultation
7. Nurse received change-of-shift report should first see the client who
A. had a cesarean delivery 4 hrs ago and is reporting an open area in the incision
B. had a cervical cerclage placed 10 hrs ago and is at 12 wks gestation
C. had a vaginal delivery 24 hrs ago and is having dark red lochia
D. had a tubal ligation and is scheduled to be discharged today
This study source was downloaded by 100000820853758 from CourseHero.com on 11-21-2025 07:30:04 GMT -06:00
https://www.coursehero.com/file/239240728/Comp-2-Questionsdocx/
, 8. Nurse caring for client 5 hrs post-op TURP notes indwelling urethral cath has not drained in
last hr. Nurse checks tubing for kinks & finds none. Which action nurse take next?
A. Administer a belladonna and opium (B and O) suppository
B. Notify the surgeon of the findings
C. Adjust the rate of the bladder irrigation
D. Irrigate the urethral catheter
9. Nurse caring for client w/ hypovolemic shock, HR 116 beats/min, O2 at 2 L/min per nasal
cannula. Priority action for nurse to perform?
A. Administer prescribed 0.9% NaCl 150 mL/hour
B. Obtain a prescription to increase oxygen to 4 L/min
C. Document the findings and continue to monitor the client
D. Notify the PHCP
10. Client developed DKA. Which ABG results should nurse expect client to have?
A. pH = 7.24; PaO2 = 80 mm Hg; PaCO2 = 50 mm Hg; HCO3- = 24 mEq/L; SaO2 = 89%
B. pH = 7.47; PaO2 = 75 mm Hg; PaCO2 = 38 mm Hg; HCO3- = 32 mEq/L; SaO2 = 86%
C. pH = 7.36; PaO2 = 93 mm Hg; PaCO2 = 42 mm Hg; HCO3- = 26 mEq/L; SaO2 = 96%
D. pH = 7.25; PaO2 = 90 mm Hg; PaCO2 = 35 mm Hg; HCO3- = 14 mEq/L; SaO2 = 95%
11. Nurse on med-surg unit is caring for assigned clients. Task appropriate to delegate?
A. Ask LVN to teach client with a newly created ileostomy how to change the appliance
B. Ask LVN to check on a client who is diaphoretic and reporting indigestion
C. Ask UAP to measure urine output of client with VRE and is on contact precautions
D. Ask UAP to turn off tube feeding for pt receiving continuous feedings & is vomiting
12. Client experiencing sickle cell crisis. Should place client in a room with a client who has
A. an open, draining wound on the heel and coccyx
B. pneumonia and has been receiving IV antibiotics for the past 24 hours
C. acute pancreatitis and is receiving patient-controlled analgesia (PCA)
D. frequent, loose stools and is receiving IV antibiotics
13. For which situation should nurse complete an incident report?
A. UAP identifies the BP machine in client's room does not work correctly
B. Staff member determines that a client's dentures are missing
C. LPN/ LVN does not show up for an assigned shift
D. A nurse has a disagreement with the charge nurse about staffing
14. Well-baby clinic nurse assessed several infants. Most important to suggest follow-up for?
A. 3 months old and does not smile when played with
B. 4 months old and does not hold its own bottle
C. 5 months old and does not have a Moro reflex
D. 6 months old and does not release objects at will
This study source was downloaded by 100000820853758 from CourseHero.com on 11-21-2025 07:30:04 GMT -06:00
https://www.coursehero.com/file/239240728/Comp-2-Questionsdocx/
1. Nurse caring for assigned clients. Nurse should refer to
A. RT, the client who had outpatient surgery and has hx of asthma
B. OT, the client who had a stroke and needs instruction on using a walker
C. Psych, the client with terminal cancer and requesting to complete advance directive
D. ST, the client who has COPD and has developed dysphagia
2. Med-surg unit nurse delegating tasks to UAP. Task requires follow up by charge nurse?
A. Provide cath care to client who has catheter associated UTI (CAUTI)
B. Take VS of client who returned from PACU 4 hrs ago & reporting pain 8/10
C. Assist client who had a paracentesis 2 hrs ago to get out of bed for the first time
D. Assist pt who had total hip arthroplasty transfer from bed to chair for 2 nd time since surgery
3. Nurse on med-surg unit received hand-off report should first plan to assess client with
A. acute pancreatitis and is reporting radiation of pain to the left shoulder
B. a history of myasthenia gravis and is coughing when eating their breakfast
C. peripheral arterial disease (PAD) and reports a burning pain in the calf when walking
D. COPD who intermittently coughs up a moderate amount of secretions
4. Nurse preceptor observing newly hired nurse. Correct care if newly hired nurse
A. uses clean gloves when discontinuing a client's IV infusion
B. empties a client's colostomy pouch when it is two-thirds full
C. instills 10 mL of air into NG tube to check placement
D. opens the top flap of a sterile package toward the body
5. Client with sealed radiation implant. Which precaution should nurse implement?
A. Assign the same nurse to care for the client
B. Limit each visitor to 1 hour per day
C. Keep dedicated equipment in the client's room until the implant is removed
D. Wear a dosimeter badge throughout the assigned shift
6. Nurse assess school-age child w/ left arm pain & several bruises on body. Action nurse take 1 st?
A. Separate the child from the parents until abuse is ruled out
B. Obtain detailed history regarding how the bruising occurred
C. Report the bruising to CPS
D. Request a referral for a psychiatric consultation
7. Nurse received change-of-shift report should first see the client who
A. had a cesarean delivery 4 hrs ago and is reporting an open area in the incision
B. had a cervical cerclage placed 10 hrs ago and is at 12 wks gestation
C. had a vaginal delivery 24 hrs ago and is having dark red lochia
D. had a tubal ligation and is scheduled to be discharged today
This study source was downloaded by 100000820853758 from CourseHero.com on 11-21-2025 07:30:04 GMT -06:00
https://www.coursehero.com/file/239240728/Comp-2-Questionsdocx/
, 8. Nurse caring for client 5 hrs post-op TURP notes indwelling urethral cath has not drained in
last hr. Nurse checks tubing for kinks & finds none. Which action nurse take next?
A. Administer a belladonna and opium (B and O) suppository
B. Notify the surgeon of the findings
C. Adjust the rate of the bladder irrigation
D. Irrigate the urethral catheter
9. Nurse caring for client w/ hypovolemic shock, HR 116 beats/min, O2 at 2 L/min per nasal
cannula. Priority action for nurse to perform?
A. Administer prescribed 0.9% NaCl 150 mL/hour
B. Obtain a prescription to increase oxygen to 4 L/min
C. Document the findings and continue to monitor the client
D. Notify the PHCP
10. Client developed DKA. Which ABG results should nurse expect client to have?
A. pH = 7.24; PaO2 = 80 mm Hg; PaCO2 = 50 mm Hg; HCO3- = 24 mEq/L; SaO2 = 89%
B. pH = 7.47; PaO2 = 75 mm Hg; PaCO2 = 38 mm Hg; HCO3- = 32 mEq/L; SaO2 = 86%
C. pH = 7.36; PaO2 = 93 mm Hg; PaCO2 = 42 mm Hg; HCO3- = 26 mEq/L; SaO2 = 96%
D. pH = 7.25; PaO2 = 90 mm Hg; PaCO2 = 35 mm Hg; HCO3- = 14 mEq/L; SaO2 = 95%
11. Nurse on med-surg unit is caring for assigned clients. Task appropriate to delegate?
A. Ask LVN to teach client with a newly created ileostomy how to change the appliance
B. Ask LVN to check on a client who is diaphoretic and reporting indigestion
C. Ask UAP to measure urine output of client with VRE and is on contact precautions
D. Ask UAP to turn off tube feeding for pt receiving continuous feedings & is vomiting
12. Client experiencing sickle cell crisis. Should place client in a room with a client who has
A. an open, draining wound on the heel and coccyx
B. pneumonia and has been receiving IV antibiotics for the past 24 hours
C. acute pancreatitis and is receiving patient-controlled analgesia (PCA)
D. frequent, loose stools and is receiving IV antibiotics
13. For which situation should nurse complete an incident report?
A. UAP identifies the BP machine in client's room does not work correctly
B. Staff member determines that a client's dentures are missing
C. LPN/ LVN does not show up for an assigned shift
D. A nurse has a disagreement with the charge nurse about staffing
14. Well-baby clinic nurse assessed several infants. Most important to suggest follow-up for?
A. 3 months old and does not smile when played with
B. 4 months old and does not hold its own bottle
C. 5 months old and does not have a Moro reflex
D. 6 months old and does not release objects at will
This study source was downloaded by 100000820853758 from CourseHero.com on 11-21-2025 07:30:04 GMT -06:00
https://www.coursehero.com/file/239240728/Comp-2-Questionsdocx/
