NUR 306 Final Exam UPDATED ACTUAL Questions and
CORRECT Answers
A nurse is developing a plan for a patient who was - take brief, 20 minute naps no more than twice a day.
diagnosed with narcolepsy. which interventions should - establish a regular exercise program
the nurse include on the plan? - teach the patient about the side effects of modafinil.
which statement made by a patient indicate an -"i will not watch tv in bed".
understanding of behaviors that will promote sleep? - "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."
a 72 year old patient asks the nurse about using an over "Antihistamines should not be used because they can cause confusion and
the counter antihistamine as a sleeping agent to help increase your risk for falls".
her get to sleep. what is the nurses best response?
which nursing interventions best promotes effective - limit fluids 2-4 hours before bed.
sleep in an older adult? - ensure that the room temperature in comfortably cool.
- provide warm covers.
which statement made by the patient indicates an " I usually drink. cup of warm milk in the evening to help me sleep."
understanding of sleep- hygiene practices?
which nursing interventions are appropriate to include - plan vital signs to be taken before the patient is a sleep
in a plan of care to promote sleep for patients who are - have patient follow at home bed time schedule
hospitalized? - close the door of the patients room at bedtime.
, the nurse is contacting the health care provider about a - "Dr. Smithson, this is Pam, the nurse caring for Mrs. Dodd. im calling becasue
patients sleep problem. place the steps in SBAR in the Mrs. Dodd is having difficult sleeping.
correct order. - Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
accident. she is in balanced skeletal traction for a femur fracture. she is having
difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates
her pain a 2 out of 10. last night she was still awake at 1 am. she states that she is
comfortable but that she just cant fall asleep. her vitals are Bp 124/76, P 78, R 12,
and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a
prn basis.
which statement made by a mother being discharged "well place the baby on her back to sleep".
home with her newborn infant indicates that she
understands the discharge teaching related to best
sleep practices.
a nurse is taking a sleep history from a patient. which " it takes me about 45-60 minutes to fall asleep.
statement made by the patient needs further follow up?
which sleep hygiene actions at bedtime can the nurse _ giving a patient a back rub
delegate to the AP? - turning on quite music
- dimming the lights in the patients room.
which of the following signs or symptoms in a patient difficulty arousing the patient
who is opioid-naive is of greatest concern to the nurse
when assessing the patient one hour after administering
an opiod?
a health care provider writes the following order for a calls the health care provider and question the provider
patient who is opioid naive who returned from
operating room following a total hip replacement:
Fentanyl patch 100mcg, change every 3 days." on the
basis of this order, the nurse takes which action?
a patient is being discharged home on an around the Stool softners
clock opioid for postoperative pain. because of this
order the nurse anticipates an additional order for
which class of medication?
a new medical resident writes an order for oxycodone the time interval
CR 10 mg PO q2h prn. which part of the order does the
nurse question?
the nurse reviews a patients medical administration the amount of daily acetaminophen.
record and finds that the patient has received
oxycodone/acetaminophen (5/325), two tablets PO
every 3 hours for the past 3 days. what concerns the
nurse the most?
when using ice massage for pain relief, whcih of the - apply ice using firm pressure over the skin.
following is correct? - apply ice for 5 minutes or until numbness occurs.
- use a slow steady circular massage.
CORRECT Answers
A nurse is developing a plan for a patient who was - take brief, 20 minute naps no more than twice a day.
diagnosed with narcolepsy. which interventions should - establish a regular exercise program
the nurse include on the plan? - teach the patient about the side effects of modafinil.
which statement made by a patient indicate an -"i will not watch tv in bed".
understanding of behaviors that will promote sleep? - "I will not caffeine later in the day".
- " I will start to exercise regularly during the day."
a 72 year old patient asks the nurse about using an over "Antihistamines should not be used because they can cause confusion and
the counter antihistamine as a sleeping agent to help increase your risk for falls".
her get to sleep. what is the nurses best response?
which nursing interventions best promotes effective - limit fluids 2-4 hours before bed.
sleep in an older adult? - ensure that the room temperature in comfortably cool.
- provide warm covers.
which statement made by the patient indicates an " I usually drink. cup of warm milk in the evening to help me sleep."
understanding of sleep- hygiene practices?
which nursing interventions are appropriate to include - plan vital signs to be taken before the patient is a sleep
in a plan of care to promote sleep for patients who are - have patient follow at home bed time schedule
hospitalized? - close the door of the patients room at bedtime.
, the nurse is contacting the health care provider about a - "Dr. Smithson, this is Pam, the nurse caring for Mrs. Dodd. im calling becasue
patients sleep problem. place the steps in SBAR in the Mrs. Dodd is having difficult sleeping.
correct order. - Mrs. Dodd, 46 year old was admitted 3 days ago following a motor vehicle
accident. she is in balanced skeletal traction for a femur fracture. she is having
difficulty falling asleep.
- Mrs. Dodd is taking her pain medication every 4 hours as ordered and rates
her pain a 2 out of 10. last night she was still awake at 1 am. she states that she is
comfortable but that she just cant fall asleep. her vitals are Bp 124/76, P 78, R 12,
and T 98.8.
- im calling to ask if you would order a hypnotic such as zolpidem to use on a
prn basis.
which statement made by a mother being discharged "well place the baby on her back to sleep".
home with her newborn infant indicates that she
understands the discharge teaching related to best
sleep practices.
a nurse is taking a sleep history from a patient. which " it takes me about 45-60 minutes to fall asleep.
statement made by the patient needs further follow up?
which sleep hygiene actions at bedtime can the nurse _ giving a patient a back rub
delegate to the AP? - turning on quite music
- dimming the lights in the patients room.
which of the following signs or symptoms in a patient difficulty arousing the patient
who is opioid-naive is of greatest concern to the nurse
when assessing the patient one hour after administering
an opiod?
a health care provider writes the following order for a calls the health care provider and question the provider
patient who is opioid naive who returned from
operating room following a total hip replacement:
Fentanyl patch 100mcg, change every 3 days." on the
basis of this order, the nurse takes which action?
a patient is being discharged home on an around the Stool softners
clock opioid for postoperative pain. because of this
order the nurse anticipates an additional order for
which class of medication?
a new medical resident writes an order for oxycodone the time interval
CR 10 mg PO q2h prn. which part of the order does the
nurse question?
the nurse reviews a patients medical administration the amount of daily acetaminophen.
record and finds that the patient has received
oxycodone/acetaminophen (5/325), two tablets PO
every 3 hours for the past 3 days. what concerns the
nurse the most?
when using ice massage for pain relief, whcih of the - apply ice using firm pressure over the skin.
following is correct? - apply ice for 5 minutes or until numbness occurs.
- use a slow steady circular massage.
