NUR 388 MIDTERM EXAM 3 2026 ACCURATE
SPRING-SUMMER GUARANTEED PASS SOLVED
Test Bank with 200+ Practice Questions and
Correct Verified Answers
A client is receiving morphine sulfate (MS Contin) for severe metastatic bone pain. To prevent
complications from a common, serious side effect of morphine, the nurse should:
a. monitor for diarrhea
b. observe for an opioid addiction
c. assess for altered breathing patterns
d. check for a decreased urinary output - Correct Answer -C!
Morphine sulfate is a central nervous system depressant that commonly decreases the
respiratory rate, which can lead to respiratory arrest. Morphine, an opioid, will cause
constipation, not diarrhea. Addiction is not a concern for a terminally ill client. Although
morphine sulfate may cause urinary retention, it is not a common side effect and is not life
threatening.
A client receives a prescription for nitroglycerin (Nitrostat) sublingual as needed for anginal
pain. What should the nurse include in the teaching about this medication?
a.To facilitate absorption, drink a large glass of water after taking the medication
b. Place the tablet under the tongue or between the cheek and gum
c. It takes 30 to 45 minutes for the nitroglycerin to achieve its effect
d. If dizziness occurs, take a few deep breaths and lean the head back - Correct Answer -B!
Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed. They work much
faster when absorbed through the lining of the mouth. Clients are instructed to place the tablet
under the tongue or between the cheek and gum, and let it dissolve. The client should not eat,
drink, smoke, or use chewing tobacco while a tablet is dissolving; this will decrease the
1
,effectiveness of the drug. If taken with water, the tablet is washed away from the site of
absorption or may be swallowed. Nitroglycerin sublingual tablets usually give relief in one to
five minutes. If a client experiences dizziness or lightheadedness, the client is instructed to take
several deep breaths and bend forward with the head between the knees. This position
promotes blood flow to the head.Content Area: Cardiovascular System, Blood, and Lymphatic
Systems
When caring for a client who is receiving enteral feedings, the nurse should take which measure
to prevent aspiration?
a. Elevate the head of the bed between 30 and 45 degrees.
b. Decrease flow rate at night.
c. Check for residual daily.
d. Irrigate regularly with warm tap water. - Correct Answer -A!
To prevent aspiration, the nurse should keep the head of the bed elevated between 30 and 45
degrees. Decreasing flow rate, checking residual, and irrigating regularly will not prevent
aspiration.
When a nurse requests that a client's pain intensity be rated on a scale of 0 to 10, the client
states that the pain is "99." The nurse concludes that the client:
a. Needs the instructions to be repeated.
b. Requires an intervention immediately.
c. Does not understand the numeric scale.
d. Is using humor to get the nurse's attention. - Correct Answer -B!
The client reported a number as instructed but chose a number beyond the stated intensity
scale. When numbers above 10 are identified, clients are communicating that the pain is
excessive; immediate nursing action is indicated. It is not likely that the client misunderstood
the instructions or does not understand the numeric scale; the client reported a number as
instructed but chose a number beyond the stated intensity scale. The client has the nurse's
attention; the use of humor is not commonly associated with clients in pain.
2
,A nurse in the pediatric clinic discusses the nutrition and feeding needs of an 18-month-old
toddler with the child's parents. What information should the nurse include?
a. Growth rate increases, so more protein is needed per pound of body size.
b. Energy requirements become so high that more calories are needed to meet them.
c. Struggling for autonomy may involve refusal of food, but they will eat the amount they need.
d. Three meals a day should be offered, with no between-meal snacks, because they are finicky
eaters. - Correct Answer -C!
A toddler's increasing mobility and growing independence affects eating behaviors; slowed
physical growth at this age requires relatively fewer calories. A toddler's growth rate and
energy requirements decrease compared with the first year of life. Nutritious snacks between
meals should be encouraged if the toddler is not eating adequate meals.
A client is receiving patient-controlled analgesia (PCA) after surgery. The nurse determines that
with this type of therapy the:
a. Client is able to self-administer pain-relieving drugs as necessary
b. Amount of medication received is determined entirely by the client
c. Amount of drug used for analgesia fluctuates greatly over a given period
d. Self-administration relieves the nurse of monitoring the client for pain relief - Correct Answer
-A!
The ability of the client to self-administer pain-relieving medications as necessary is the
purpose of patient-controlled analgesia; usually smaller amounts of analgesics are used with
self-administration. The amount and dosage of the medication are programmed to prevent
accidents or abuse. Drug levels are kept in a maintenance range, and pain relief is achieved
without extreme fluctuations. The nurse is not absolved of responsibility when PCA is used;
monitoring the client for effectiveness, refilling the apparatus with prescribed narcotic, charting
the amount administered, and the client's response are required.
After surgery a 5-year-old child experiences intense pain and an analgesic is prescribed. What
should the nurse consider when administering the analgesic?
a. Even though children do not like medicines, analgesics will make them more comfortable.
3
, b, Pain is not felt as strongly by children as by adults; therefore analgesics are not needed as
frequently.
c. Children should rarely receive analgesics because they could cause addiction or respiratory
depression.
d. Children do not need analgesics because they quickly return to playing or sleeping when they
are distracted. - Correct Answer -A!
Children feel pain and should receive analgesics when needed. The idea that pain is not felt as
strongly by children as it is by adults is a myth; it may be difficult for children to communicate
pain. Not giving analgesics to children is a common but unsound belief; addiction and
respiratory depression are rare. Some sources suggest that returning to play or sleep is a child's
way of coping with unrelieved pain; however, it is no reason to withhold medication.
A primary care provider prescribes cefazolin (Kefzol) 125 mg intramuscularly (IM) for a client.
The vial contains 0.5 gm of cefazolin in powdered form. The instructions indicate to add 2 mL of
sterile water to provide a solution that contains 225 mg per mL. Record your answer using one
decimal place, including leading zero if applicable. ___ mL - Correct Answer -0.6
Use the "Desire over Have" formula of ratio and proportion to solve this problem. Desire 125
mg = x mL Have 225 mg 1 mL 225x = 125 X = 125 ÷ 225 X = 0.55 mL. Round the answer up to 0.6
mL
An 18-month-old child has received all required immunizations. What immunization should the
nurse explain to a parent will be one of the vaccines required between 4 and 6 years of age?
a. Rotavirus
b. Hepatitis B
c. Inactivated poliovirus
d. Haemophilus influenzae type b - Correct Answer -C!
Four doses of inactivated poliovirus are administered: at 2 months, 4 months, between 6 and
18 months, and between 4 and 6 years. Rotavirus vaccines are administered at 2, 4, and 6
months of age. The first dose of hepatitis B vaccine is administered at birth, the second dose is
administered between 1 and 2 months of age, and the third dose is administered between 6
4
SPRING-SUMMER GUARANTEED PASS SOLVED
Test Bank with 200+ Practice Questions and
Correct Verified Answers
A client is receiving morphine sulfate (MS Contin) for severe metastatic bone pain. To prevent
complications from a common, serious side effect of morphine, the nurse should:
a. monitor for diarrhea
b. observe for an opioid addiction
c. assess for altered breathing patterns
d. check for a decreased urinary output - Correct Answer -C!
Morphine sulfate is a central nervous system depressant that commonly decreases the
respiratory rate, which can lead to respiratory arrest. Morphine, an opioid, will cause
constipation, not diarrhea. Addiction is not a concern for a terminally ill client. Although
morphine sulfate may cause urinary retention, it is not a common side effect and is not life
threatening.
A client receives a prescription for nitroglycerin (Nitrostat) sublingual as needed for anginal
pain. What should the nurse include in the teaching about this medication?
a.To facilitate absorption, drink a large glass of water after taking the medication
b. Place the tablet under the tongue or between the cheek and gum
c. It takes 30 to 45 minutes for the nitroglycerin to achieve its effect
d. If dizziness occurs, take a few deep breaths and lean the head back - Correct Answer -B!
Nitroglycerin sublingual tablets should not be chewed, crushed, or swallowed. They work much
faster when absorbed through the lining of the mouth. Clients are instructed to place the tablet
under the tongue or between the cheek and gum, and let it dissolve. The client should not eat,
drink, smoke, or use chewing tobacco while a tablet is dissolving; this will decrease the
1
,effectiveness of the drug. If taken with water, the tablet is washed away from the site of
absorption or may be swallowed. Nitroglycerin sublingual tablets usually give relief in one to
five minutes. If a client experiences dizziness or lightheadedness, the client is instructed to take
several deep breaths and bend forward with the head between the knees. This position
promotes blood flow to the head.Content Area: Cardiovascular System, Blood, and Lymphatic
Systems
When caring for a client who is receiving enteral feedings, the nurse should take which measure
to prevent aspiration?
a. Elevate the head of the bed between 30 and 45 degrees.
b. Decrease flow rate at night.
c. Check for residual daily.
d. Irrigate regularly with warm tap water. - Correct Answer -A!
To prevent aspiration, the nurse should keep the head of the bed elevated between 30 and 45
degrees. Decreasing flow rate, checking residual, and irrigating regularly will not prevent
aspiration.
When a nurse requests that a client's pain intensity be rated on a scale of 0 to 10, the client
states that the pain is "99." The nurse concludes that the client:
a. Needs the instructions to be repeated.
b. Requires an intervention immediately.
c. Does not understand the numeric scale.
d. Is using humor to get the nurse's attention. - Correct Answer -B!
The client reported a number as instructed but chose a number beyond the stated intensity
scale. When numbers above 10 are identified, clients are communicating that the pain is
excessive; immediate nursing action is indicated. It is not likely that the client misunderstood
the instructions or does not understand the numeric scale; the client reported a number as
instructed but chose a number beyond the stated intensity scale. The client has the nurse's
attention; the use of humor is not commonly associated with clients in pain.
2
,A nurse in the pediatric clinic discusses the nutrition and feeding needs of an 18-month-old
toddler with the child's parents. What information should the nurse include?
a. Growth rate increases, so more protein is needed per pound of body size.
b. Energy requirements become so high that more calories are needed to meet them.
c. Struggling for autonomy may involve refusal of food, but they will eat the amount they need.
d. Three meals a day should be offered, with no between-meal snacks, because they are finicky
eaters. - Correct Answer -C!
A toddler's increasing mobility and growing independence affects eating behaviors; slowed
physical growth at this age requires relatively fewer calories. A toddler's growth rate and
energy requirements decrease compared with the first year of life. Nutritious snacks between
meals should be encouraged if the toddler is not eating adequate meals.
A client is receiving patient-controlled analgesia (PCA) after surgery. The nurse determines that
with this type of therapy the:
a. Client is able to self-administer pain-relieving drugs as necessary
b. Amount of medication received is determined entirely by the client
c. Amount of drug used for analgesia fluctuates greatly over a given period
d. Self-administration relieves the nurse of monitoring the client for pain relief - Correct Answer
-A!
The ability of the client to self-administer pain-relieving medications as necessary is the
purpose of patient-controlled analgesia; usually smaller amounts of analgesics are used with
self-administration. The amount and dosage of the medication are programmed to prevent
accidents or abuse. Drug levels are kept in a maintenance range, and pain relief is achieved
without extreme fluctuations. The nurse is not absolved of responsibility when PCA is used;
monitoring the client for effectiveness, refilling the apparatus with prescribed narcotic, charting
the amount administered, and the client's response are required.
After surgery a 5-year-old child experiences intense pain and an analgesic is prescribed. What
should the nurse consider when administering the analgesic?
a. Even though children do not like medicines, analgesics will make them more comfortable.
3
, b, Pain is not felt as strongly by children as by adults; therefore analgesics are not needed as
frequently.
c. Children should rarely receive analgesics because they could cause addiction or respiratory
depression.
d. Children do not need analgesics because they quickly return to playing or sleeping when they
are distracted. - Correct Answer -A!
Children feel pain and should receive analgesics when needed. The idea that pain is not felt as
strongly by children as it is by adults is a myth; it may be difficult for children to communicate
pain. Not giving analgesics to children is a common but unsound belief; addiction and
respiratory depression are rare. Some sources suggest that returning to play or sleep is a child's
way of coping with unrelieved pain; however, it is no reason to withhold medication.
A primary care provider prescribes cefazolin (Kefzol) 125 mg intramuscularly (IM) for a client.
The vial contains 0.5 gm of cefazolin in powdered form. The instructions indicate to add 2 mL of
sterile water to provide a solution that contains 225 mg per mL. Record your answer using one
decimal place, including leading zero if applicable. ___ mL - Correct Answer -0.6
Use the "Desire over Have" formula of ratio and proportion to solve this problem. Desire 125
mg = x mL Have 225 mg 1 mL 225x = 125 X = 125 ÷ 225 X = 0.55 mL. Round the answer up to 0.6
mL
An 18-month-old child has received all required immunizations. What immunization should the
nurse explain to a parent will be one of the vaccines required between 4 and 6 years of age?
a. Rotavirus
b. Hepatitis B
c. Inactivated poliovirus
d. Haemophilus influenzae type b - Correct Answer -C!
Four doses of inactivated poliovirus are administered: at 2 months, 4 months, between 6 and
18 months, and between 4 and 6 years. Rotavirus vaccines are administered at 2, 4, and 6
months of age. The first dose of hepatitis B vaccine is administered at birth, the second dose is
administered between 1 and 2 months of age, and the third dose is administered between 6
4
