NUR283 COMPREHENSIVE EXAM 1 – NURSING PRIORITIZATION, PHARMACOLOGY, PEDIATRICS,
AND MEDICAL-SURGICAL PRACTICE QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
1. Medications should be given through what?: Central line
2. The nurse working on a medical surgical unit is delegating tasks to un-
licensed personnel. Which of the following delegated task would REQUIRE
FOLLOW UP by the charge nurse?: 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. The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who:: B. Had an endoscopic retrograde cholangiopancreatog-
raphy 30 minutes ago and is reporting diflculty swallowing Rationale - Diflculty swallowing - ABC's!
4. The nurse working on the mom/baby unit has become aware of the follow-
ing client situations. Which of the following clients should the nurse 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 nurse working on a medical surgical unit has just received a handoff report
on the following clients. The nurse should FIRST plan to assess the client who
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. The nurse working on a pediatric unit is caring for the following children
who have been admitted in the past 12 hours. It would be a priority goal for
the nurse to initiate an interdisciplinary conference for the child who:: 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. The nurse working in the ED has received the following prescriptions for
a newly admitted client. Which prescriptions should the nurse implement
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 nurse is working in a community health clinic is assessing clients who are
waiting to be seen. Which client should the nurse have the primary health
care provider see FIRST?: A. a 57 year old with graves disease with a temperature of 100.5
Rationale - Thyroid issue
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, NUR283 COMPREHENSIVE EXAM 1 – NURSING PRIORITIZATION, PHARMACOLOGY, PEDIATRICS,
AND MEDICAL-SURGICAL PRACTICE QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
9. A nurse is working on a pediatric cardiac unit is reviewing the telemetry
monitors for assigned clients. Which client should the nurse 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 nurse is caring for a male client who has a deep partial thickness and a
full thickness burn to 45 % of the lower body. It would be a PRIORITY for the
nurse to notify the primary health care physician if the client has:: D. A urinary output
of 45 ml over the past two hours
Rationale - Normal urinary output per hour is 30 ml.hr. This question really has nothing to do with "burn" and more
know your normal values.
11. The nurse is assessing clients at the scene of a mass casualty disaster
and is prioritizing care based on the disaster triage tag system. Which of the
following clients should be transported to the health care facility FIRST?: C. the
client who has multiple compound fractures and is reporting chest pain Rationale - patient is reporting chest pain
12. The charge nurse in the ED is reviewing the care provided for recently ad-
mitted clients. which of the following reflects implementation of an accepted
standard of care?: B. placing the client who has suspected Hemophilus influenza on droplet precautions
Rationale - influenza = droplet
13. A charge nurse is planning to admit several clients in the medical unit. It
would be necessary for the nurse to admit which client to a PRIVATE room?: B.
Has a fever of unknown origin
14. Sequence for "doffing" (removing) personal protective equipment
(PPE): Gloves
Goggles
Gown
Mask
15. A nurse is caring for a client who has a sealed radiation implant. Which of
the following precautions should the nurse implement: D. Wear the lead shield while
providing client care
16. A preceptor is working with a newly hired nurse who is preparing to per-
form a sterile dressing change. Which of the following actions by the newly
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AND MEDICAL-SURGICAL PRACTICE QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
1. Medications should be given through what?: Central line
2. The nurse working on a medical surgical unit is delegating tasks to un-
licensed personnel. Which of the following delegated task would REQUIRE
FOLLOW UP by the charge nurse?: 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. The nurse is prioritizing patient care after a change of shift report. The nurse
should first plan to see the patient who:: B. Had an endoscopic retrograde cholangiopancreatog-
raphy 30 minutes ago and is reporting diflculty swallowing Rationale - Diflculty swallowing - ABC's!
4. The nurse working on the mom/baby unit has become aware of the follow-
ing client situations. Which of the following clients should the nurse 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 nurse working on a medical surgical unit has just received a handoff report
on the following clients. The nurse should FIRST plan to assess the client who
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. The nurse working on a pediatric unit is caring for the following children
who have been admitted in the past 12 hours. It would be a priority goal for
the nurse to initiate an interdisciplinary conference for the child who:: 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. The nurse working in the ED has received the following prescriptions for
a newly admitted client. Which prescriptions should the nurse implement
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 nurse is working in a community health clinic is assessing clients who are
waiting to be seen. Which client should the nurse have the primary health
care provider see FIRST?: A. a 57 year old with graves disease with a temperature of 100.5
Rationale - Thyroid issue
1/7
, NUR283 COMPREHENSIVE EXAM 1 – NURSING PRIORITIZATION, PHARMACOLOGY, PEDIATRICS,
AND MEDICAL-SURGICAL PRACTICE QUESTIONS AND CORRECT ANSWERS WITH RATIONALES
9. A nurse is working on a pediatric cardiac unit is reviewing the telemetry
monitors for assigned clients. Which client should the nurse 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 nurse is caring for a male client who has a deep partial thickness and a
full thickness burn to 45 % of the lower body. It would be a PRIORITY for the
nurse to notify the primary health care physician if the client has:: D. A urinary output
of 45 ml over the past two hours
Rationale - Normal urinary output per hour is 30 ml.hr. This question really has nothing to do with "burn" and more
know your normal values.
11. The nurse is assessing clients at the scene of a mass casualty disaster
and is prioritizing care based on the disaster triage tag system. Which of the
following clients should be transported to the health care facility FIRST?: C. the
client who has multiple compound fractures and is reporting chest pain Rationale - patient is reporting chest pain
12. The charge nurse in the ED is reviewing the care provided for recently ad-
mitted clients. which of the following reflects implementation of an accepted
standard of care?: B. placing the client who has suspected Hemophilus influenza on droplet precautions
Rationale - influenza = droplet
13. A charge nurse is planning to admit several clients in the medical unit. It
would be necessary for the nurse to admit which client to a PRIVATE room?: B.
Has a fever of unknown origin
14. Sequence for "doffing" (removing) personal protective equipment
(PPE): Gloves
Goggles
Gown
Mask
15. A nurse is caring for a client who has a sealed radiation implant. Which of
the following precautions should the nurse implement: D. Wear the lead shield while
providing client care
16. A preceptor is working with a newly hired nurse who is preparing to per-
form a sterile dressing change. Which of the following actions by the newly
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