Galen College of Nursing NUR 283
Exam 3 & 2: Key Practice Questions &
Rationales
Which client condition should the nurse prioritize 24 hours
postoperative?
The client who reports an increased pain level of 8 on a scale of 0 to 10
after receiving an opioid analgesic.
What is an example of malpractice in nursing?
A client who is competent refuses an antidepressant medication. The
nurse dissolves the medication in food and administers it to the client
without the client's knowledge.
Which client should the nurse follow up with regarding pyridostigmine?
The client receiving pyridostigmine who reports nausea and congested
cough.
What is the first strategy the CQI committee should initiate to reduce
medication errors?
,Review the events that led to the medication administration error by
creating a flow diagram.
When can informed consent be waived?
For urgent medical or surgical treatment if the client is unconscious, per
facility policy.
Which client should the nurse prioritize after receiving the hand-off
report?
The client with cirrhosis, several new areas of ecchymosis, and a partial
thromboplastin time (PTT) of 76 seconds.
Which pediatric client should the nurse assess first based on telemetry?
A 1-month-old infant who is sleeping and has a pulse of 180.
For which child should the nurse initiate an interdisciplinary conference?
A 5-year-old diagnosed with cystic fibrosis (CF) at birth and
hospitalized 4 times in the past 2 months.
, What is the most appropriate action for a nurse reviewing a client with
pericarditis and elevated WBC?
Update the nursing interventions as needed.
Which documentation by a nurse indicates correct practice?
IV catheter site in left antecubital space is red and warm to touch. IV
catheter removed intact. 20-gauge catheter placed in right forearm.
What should the nurse do with a client's CPAP machine brought from
home?
Have the machine inspected by the facility's engineering department.
Which client is safest for discharge during an emergency response plan?
The client who has a deep vein thrombosis (DVT), is receiving warfarin,
and has a prothrombin time (PT) of 28 seconds.
What indicates correct client care by a newly hired UAP?
Exam 3 & 2: Key Practice Questions &
Rationales
Which client condition should the nurse prioritize 24 hours
postoperative?
The client who reports an increased pain level of 8 on a scale of 0 to 10
after receiving an opioid analgesic.
What is an example of malpractice in nursing?
A client who is competent refuses an antidepressant medication. The
nurse dissolves the medication in food and administers it to the client
without the client's knowledge.
Which client should the nurse follow up with regarding pyridostigmine?
The client receiving pyridostigmine who reports nausea and congested
cough.
What is the first strategy the CQI committee should initiate to reduce
medication errors?
,Review the events that led to the medication administration error by
creating a flow diagram.
When can informed consent be waived?
For urgent medical or surgical treatment if the client is unconscious, per
facility policy.
Which client should the nurse prioritize after receiving the hand-off
report?
The client with cirrhosis, several new areas of ecchymosis, and a partial
thromboplastin time (PTT) of 76 seconds.
Which pediatric client should the nurse assess first based on telemetry?
A 1-month-old infant who is sleeping and has a pulse of 180.
For which child should the nurse initiate an interdisciplinary conference?
A 5-year-old diagnosed with cystic fibrosis (CF) at birth and
hospitalized 4 times in the past 2 months.
, What is the most appropriate action for a nurse reviewing a client with
pericarditis and elevated WBC?
Update the nursing interventions as needed.
Which documentation by a nurse indicates correct practice?
IV catheter site in left antecubital space is red and warm to touch. IV
catheter removed intact. 20-gauge catheter placed in right forearm.
What should the nurse do with a client's CPAP machine brought from
home?
Have the machine inspected by the facility's engineering department.
Which client is safest for discharge during an emergency response plan?
The client who has a deep vein thrombosis (DVT), is receiving warfarin,
and has a prothrombin time (PT) of 28 seconds.
What indicates correct client care by a newly hired UAP?