NUR 283 (Exams 1–3 & Study Guide) Complete
Bundle
400 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Exam 1 – Foundations of Nursing
2 Exam 2 – Medical-Surgical Nursing
3 Exam 3 – Specialty Nursing
4 Study Guide
,Exam 1 – Foundations of Nursing
Q1
A nurse is preparing to assess a client’s blood pressure. Which action is correct?
A) Place the cuff over the client’s clothing
B) *Position the client’s arm at heart level CORRECT
C) Use a cuff that covers 40% of the arm
D) Deflate the cuff rapidly
Rationale
Arm at heart level ensures accurate measurement. Cuff should cover 80% of arm circumference.
Q2
A client with a history of falls is being admitted. Which intervention should the nurse implement
first?
A) Apply a vest restraint
B) *Place the bed in the lowest position with brakes locked CORRECT
C) Ask the family to stay 24 hours
D) Request a sitter
Rationale
Environmental safety measures are the first line. Restraints require an order.
Q3
A nurse is documenting a client’s refusal of a medication. Which entry is correct?
A) “Client uncooperative”
B) *“Client refused furosemide 40 mg at 08:00, stating ‘I don’t need it.’ Provider CORRECT
notified.”
C) “Client refused – non-compliant”
D) “Client refused, no further action”
2
,Rationale
Objective documentation includes the client’s exact words and provider notification.
Q4
A nurse is using therapeutic communication with a client who is anxious. Which statement is
most appropriate?
A) “Don’t worry, everything will be fine.”
B) *“Tell me more about what is making you feel anxious.” CORRECT
C) “You should calm down now.”
D) “Why are you so upset?”
Rationale
Open-ended questions encourage expression of feelings.
Q5
A client refuses a life-saving blood transfusion due to religious beliefs. The nurse’s first action
should be to:
A) Notify the hospital attorney
B) *Respect the client’s decision and notify the provider CORRECT
C) Administer the transfusion under emergency consent
D) Ask the family to override the decision
Rationale
A competent adult has the right to refuse treatment based on religious beliefs (autonomy).
Q6
A nurse is caring for a client with Clostridium difficile infection. Which type of precautions should
the nurse implement?
A) Airborne precautions
B) Droplet precautions
3
, C) *Contact precautions CORRECT
D) Standard precautions only
Rationale
C. diff is transmitted via contact; use gloves, gown, and soap-and-water hand hygiene.
Q7
A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Assess a client’s pain level
B) *Measure a client’s intake and output CORRECT
C) Administer a tube feeding
D) Change a sterile dressing
Rationale
I&O measurement is within UAP scope.
Q8
A nurse discovers a small fire in a client’s room. What is the first action?
A) Pull the fire alarm
B) *Rescue the client from the room CORRECT
C) Extinguish the fire
D) Close the door to contain smoke
Rationale
RACE: Rescue, Alarm, Contain, Extinguish.
4
Bundle
400 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Exam 1 – Foundations of Nursing
2 Exam 2 – Medical-Surgical Nursing
3 Exam 3 – Specialty Nursing
4 Study Guide
,Exam 1 – Foundations of Nursing
Q1
A nurse is preparing to assess a client’s blood pressure. Which action is correct?
A) Place the cuff over the client’s clothing
B) *Position the client’s arm at heart level CORRECT
C) Use a cuff that covers 40% of the arm
D) Deflate the cuff rapidly
Rationale
Arm at heart level ensures accurate measurement. Cuff should cover 80% of arm circumference.
Q2
A client with a history of falls is being admitted. Which intervention should the nurse implement
first?
A) Apply a vest restraint
B) *Place the bed in the lowest position with brakes locked CORRECT
C) Ask the family to stay 24 hours
D) Request a sitter
Rationale
Environmental safety measures are the first line. Restraints require an order.
Q3
A nurse is documenting a client’s refusal of a medication. Which entry is correct?
A) “Client uncooperative”
B) *“Client refused furosemide 40 mg at 08:00, stating ‘I don’t need it.’ Provider CORRECT
notified.”
C) “Client refused – non-compliant”
D) “Client refused, no further action”
2
,Rationale
Objective documentation includes the client’s exact words and provider notification.
Q4
A nurse is using therapeutic communication with a client who is anxious. Which statement is
most appropriate?
A) “Don’t worry, everything will be fine.”
B) *“Tell me more about what is making you feel anxious.” CORRECT
C) “You should calm down now.”
D) “Why are you so upset?”
Rationale
Open-ended questions encourage expression of feelings.
Q5
A client refuses a life-saving blood transfusion due to religious beliefs. The nurse’s first action
should be to:
A) Notify the hospital attorney
B) *Respect the client’s decision and notify the provider CORRECT
C) Administer the transfusion under emergency consent
D) Ask the family to override the decision
Rationale
A competent adult has the right to refuse treatment based on religious beliefs (autonomy).
Q6
A nurse is caring for a client with Clostridium difficile infection. Which type of precautions should
the nurse implement?
A) Airborne precautions
B) Droplet precautions
3
, C) *Contact precautions CORRECT
D) Standard precautions only
Rationale
C. diff is transmitted via contact; use gloves, gown, and soap-and-water hand hygiene.
Q7
A nurse is delegating tasks to a UAP. Which task is appropriate to delegate?
A) Assess a client’s pain level
B) *Measure a client’s intake and output CORRECT
C) Administer a tube feeding
D) Change a sterile dressing
Rationale
I&O measurement is within UAP scope.
Q8
A nurse discovers a small fire in a client’s room. What is the first action?
A) Pull the fire alarm
B) *Rescue the client from the room CORRECT
C) Extinguish the fire
D) Close the door to contain smoke
Rationale
RACE: Rescue, Alarm, Contain, Extinguish.
4
