NUR 283 Comprehensive 1 Questions & Answers Latest Update
Com p 1 Exam Recording
1. Medication s should be given thr ough a cen tr al line
2. Th e n ur se w or kin g on a m edical sur gical un it is delegatin g tasks
to un licensed per son n el w hich of the follow in g delegated task
w ould REQUIRE FOLLOW UP by the char ge n ur se?
A - Assisting a client who had a paracentesis 2 hours ago to get out of bed for the
first time
Rationale – anytime a client is doing something for the first time the RN needs to do it
3. Th e n ur se is pr ior itizin g patient car e after a chan ge of shift r epor t
the n ur se should fi r st plan to see the patien t w ho:
B – Had an endoscopic retrograde cholangiopancreatography 30 minutes ago
and is reporting difficulty swallowing
Rationale – Difficulty swallowing – ABC’s!
4. Th e n ur se w or kin g on the m om /baby un it has becom e aw ar e of the
follow in g clien t situation s, w hich of the follow in g clien ts should
the n ur se INITIALLY assess?
C – a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
5. A n ur se w or kin g on a m edical sur gical un it has just r eceived a
h an d- off r epor t on the follow in g clien ts, the n ur se should FIRST
plan to assess the client w ho has:
D –Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale – “acute” if not caught early, will possible burst and patient will become septic
6. Th e n ur se w or kin g on a pediatr ic un it is car in g for the follow in g
NUR 283 Comprehensive 1 Questions & Answers Latest Update
, NUR 283 Comprehensive 1 Questions & Answers Latest Update
ch ildr en w ho have been adm itted in the past 12 hour s - it w ould be a
NUR 283 Comprehensive 1 Questions & Answers Latest Update
, NUR 283 Comprehensive 1 Questions & Answers Latest Update
pr ior ity goal for the n ur se to in itiate an in ter disciplin ar y con fer ence for
the child w ho:
A – 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4 times
in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance, everyone
should be conferenced for this patient. This question is asking – WHO / WHICH child is
requiring the MOST help and resources???
7. Th e n ur se w or kin g in the ED has r eceived the follow in g
pr escr iption s for a new ly adm itted clien t, w hich pr escr iption s
sh ould the n ur se im plem en t FIRST?
D – Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL - this is a critical lab value and should be
addressed first!
8. A n ur se is w or kin g in a com m un ity health clin ic is assessin g
clien ts w ho ar e w aitin g to be seen , w hich client should the n ur se
h ave the pr im ar y health car e pr ovider see FIRST?
A – a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
9. A n ur se is w or kin g on a pediatr ic car diac un it is r eview in g the
telem etr y m on itor s for assign ed clients, w hich clien t should the
n ur se INITIALLY plan to assess?
A – 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
10. A n ur se is car in g for a m ale clien t w ho has a deep par tial
th ickn ess an d a full thickness bur n to 45 % of the low er body, it
w ould be a PRIORITY for the n ur se to n otify the pr im ar y health car e
ph ysician if the clien t has:
D – A urinary output of 45 ml over the past two hours
NUR 283 Comprehensive 1 Questions & Answers Latest Update
Com p 1 Exam Recording
1. Medication s should be given thr ough a cen tr al line
2. Th e n ur se w or kin g on a m edical sur gical un it is delegatin g tasks
to un licensed per son n el w hich of the follow in g delegated task
w ould REQUIRE FOLLOW UP by the char ge n ur se?
A - Assisting a client who had a paracentesis 2 hours ago to get out of bed for the
first time
Rationale – anytime a client is doing something for the first time the RN needs to do it
3. Th e n ur se is pr ior itizin g patient car e after a chan ge of shift r epor t
the n ur se should fi r st plan to see the patien t w ho:
B – Had an endoscopic retrograde cholangiopancreatography 30 minutes ago
and is reporting difficulty swallowing
Rationale – Difficulty swallowing – ABC’s!
4. Th e n ur se w or kin g on the m om /baby un it has becom e aw ar e of the
follow in g clien t situation s, w hich of the follow in g clien ts should
the n ur se INITIALLY assess?
C – a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
5. A n ur se w or kin g on a m edical sur gical un it has just r eceived a
h an d- off r epor t on the follow in g clien ts, the n ur se should FIRST
plan to assess the client w ho has:
D –Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale – “acute” if not caught early, will possible burst and patient will become septic
6. Th e n ur se w or kin g on a pediatr ic un it is car in g for the follow in g
NUR 283 Comprehensive 1 Questions & Answers Latest Update
, NUR 283 Comprehensive 1 Questions & Answers Latest Update
ch ildr en w ho have been adm itted in the past 12 hour s - it w ould be a
NUR 283 Comprehensive 1 Questions & Answers Latest Update
, NUR 283 Comprehensive 1 Questions & Answers Latest Update
pr ior ity goal for the n ur se to in itiate an in ter disciplin ar y con fer ence for
the child w ho:
A – 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4 times
in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance, everyone
should be conferenced for this patient. This question is asking – WHO / WHICH child is
requiring the MOST help and resources???
7. Th e n ur se w or kin g in the ED has r eceived the follow in g
pr escr iption s for a new ly adm itted clien t, w hich pr escr iption s
sh ould the n ur se im plem en t FIRST?
D – Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL - this is a critical lab value and should be
addressed first!
8. A n ur se is w or kin g in a com m un ity health clin ic is assessin g
clien ts w ho ar e w aitin g to be seen , w hich client should the n ur se
h ave the pr im ar y health car e pr ovider see FIRST?
A – a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
9. A n ur se is w or kin g on a pediatr ic car diac un it is r eview in g the
telem etr y m on itor s for assign ed clients, w hich clien t should the
n ur se INITIALLY plan to assess?
A – 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
10. A n ur se is car in g for a m ale clien t w ho has a deep par tial
th ickn ess an d a full thickness bur n to 45 % of the low er body, it
w ould be a PRIORITY for the n ur se to n otify the pr im ar y health car e
ph ysician if the clien t has:
D – A urinary output of 45 ml over the past two hours
NUR 283 Comprehensive 1 Questions & Answers Latest Update
