0121 Spring Comprehensive Exam #1 Prep
NSG4800 and NUR280
Question #1
The nurse manager is preparing an in-service regarding legal issues and client care. Which of the
following is a correct example for the nurse manager to give during the in-service?
a. Battery is having security keep a client in their room when they want to leave against medical advice
(AMA).
b. Using a recliner’s attached lap tray to keep the client in the chair is considered assault.
c. Malpractice is applying restraints without an order from the primary health care provider (PHCP).
d. *Defamation is posting inaccurate information regarding a coworker on social media
+Legal vocabulary
Question #2
The nurse is assessing assigned clients for hospice services. The nurse should recommend hospice care
for the client who
a. has diabetes mellitus and has developed chronic kidney disease (CKD).
b. *has terminal cancer and needs assistance with pain management at home.
c. has dysphagia due to a stroke and needs administration of gastric tube (g-tube) feedings.
d. has dementia and needs assistance with activities of daily living (ADLs).
+Describe the criteria and devise a POC for a patient requiring Hospice services
Question #3
The nurse working on a pediatric unit has received the change-of-shift report and is reviewing client
data and prescriptions. Which of the following clients should the nurse plan to see first?
a. The school-aged child who has diabetes mellitus (type 1) and requires blood glucose monitoring.
b. The infant who has a diagnosis of pertussis and has a dry hacking cough.
c. *The adolescent who was admitted with sickle cell crisis and reports visual disturbances.
d. The toddler who has bilateral arm casts and needs to be fed their breakfast.
+Prioritize the POC for a patient suffering from sickle cell crisis
,Question #4
The nurse working in an urgent care clinic is triaging the following clients. Which client should the
nurse have assessed immediately by the primary health care provider (PHCP)?
a. A 4-year-old client who has a laceration to the forehead and is screaming.
b. A 17-year-old client who is suspected of having a right wrist fracture.
c. A 32-year-old client with a painful sunburn to the face and arms.
d. *A 46-year-old client who is diaphoretic and reports epigastric pain.
+Develop the POC paying particular attention to assessment findings for a patient with the suspected MI
Question #5
The registered nurse (RN) is planning care for clients and is assigning tasks to a licensed
practical/vocational nurse (LPN/VN) and an unlicensed assistive personnel (UAP). Which of the
following tasks is best for the RN to assign to the LPN/VN?
a. *Collection of past medical history for a client who is admitted for cellulitis.
b. Recording the output for a client who just urinated in the collection container of the toilet.
c. Assisting with the delivery of the breakfast trays to the clients.
d. Development of a plan of care for a client who is postoperative from a cholecystitis.
+Review the delegation criteria of nursing tasks appropriately assigned an LVN, and a UAP
Question #6
The nurse working in the emergency department (ED) has been made aware of the following client
situations. Which client information requires reporting by the nurse to an outside public health
agency?
a. 14-year-old female who was admitted with abdominal pain and has a positive pregnancy test.
b. *27-year-old who was admitted with a confirmed sexually transmitted infection (STI).
c. 45-year-old who was involved in a local factory fire and has 50% total body surface area (TBSA) burns.
d. 72-year-old who resides in a long-term care (LTC) facility and has a coccyx pressure ulcer (stage 2).
+From a public health perspective, describe a plan for reporting, as well as acknowledging, what sort of
information gets reported to the San Antonio Health Department and to the Medical Examiner
, Question #7
The nurse working on the pediatric unit has been made aware of the following information. Which of
the following children should the nurse assess first?
a. *15-year-old who has acute post-streptococcal glomerulonephritis (PSGN) and has crackles in the
lungs with neck vein distention.
b. 13-year-old who has hemophilia and requires prolonged pressure held to a venipuncture site after the
collection of laboratory blood work.
c. 10-year-old who has sickle cell disease (SCD), is reporting a pain level of 7 on a scale of 0 (no pain)
to 10 (severe pain) and is scheduled to receive a dose of prescribed pain medication.
d. 7-year-old who has celiac disease and has had 3 episodes of diarrhea in the past 8 hours.
+Review the criteria for the prioritization of patient care and of what patient would you see first? What's
gonna kill you first!!
Question #8
The nurse is caring for a client who had a kidney transplant 1 week ago. It is a priority for the nurse to
notify the health care provider (HCP) if the client
a. has had a fluid intake of 800 mL and a urine output of 900 mL over the past 8 hours.
b. continues to have pink-tinged urine output.
c. has a white blood cell (WBC) count that has decreased from 6000 to 5000 mm.
d. *reports tenderness of the kidney with a noted increase in lethargy.
+Review the signs and symptoms of a transplanted organ rejection and prioritize the patient care
appropriately
Question #9
The nurse is preparing to develop a plan of care after assessing a newly admitted client who is
diagnosed with pericarditis. Which of the following actions should the nurse take next?
a. Prioritize the client’s reported concerns.
b. Determine any referrals that need to be initiated.
c. Ask the client what they would like to achieve by discharge.
d. *Review client data to identify the areas of concern.
+Develop a plan of care that is appropriately prioritized for a patient with pericarditis
NSG4800 and NUR280
Question #1
The nurse manager is preparing an in-service regarding legal issues and client care. Which of the
following is a correct example for the nurse manager to give during the in-service?
a. Battery is having security keep a client in their room when they want to leave against medical advice
(AMA).
b. Using a recliner’s attached lap tray to keep the client in the chair is considered assault.
c. Malpractice is applying restraints without an order from the primary health care provider (PHCP).
d. *Defamation is posting inaccurate information regarding a coworker on social media
+Legal vocabulary
Question #2
The nurse is assessing assigned clients for hospice services. The nurse should recommend hospice care
for the client who
a. has diabetes mellitus and has developed chronic kidney disease (CKD).
b. *has terminal cancer and needs assistance with pain management at home.
c. has dysphagia due to a stroke and needs administration of gastric tube (g-tube) feedings.
d. has dementia and needs assistance with activities of daily living (ADLs).
+Describe the criteria and devise a POC for a patient requiring Hospice services
Question #3
The nurse working on a pediatric unit has received the change-of-shift report and is reviewing client
data and prescriptions. Which of the following clients should the nurse plan to see first?
a. The school-aged child who has diabetes mellitus (type 1) and requires blood glucose monitoring.
b. The infant who has a diagnosis of pertussis and has a dry hacking cough.
c. *The adolescent who was admitted with sickle cell crisis and reports visual disturbances.
d. The toddler who has bilateral arm casts and needs to be fed their breakfast.
+Prioritize the POC for a patient suffering from sickle cell crisis
,Question #4
The nurse working in an urgent care clinic is triaging the following clients. Which client should the
nurse have assessed immediately by the primary health care provider (PHCP)?
a. A 4-year-old client who has a laceration to the forehead and is screaming.
b. A 17-year-old client who is suspected of having a right wrist fracture.
c. A 32-year-old client with a painful sunburn to the face and arms.
d. *A 46-year-old client who is diaphoretic and reports epigastric pain.
+Develop the POC paying particular attention to assessment findings for a patient with the suspected MI
Question #5
The registered nurse (RN) is planning care for clients and is assigning tasks to a licensed
practical/vocational nurse (LPN/VN) and an unlicensed assistive personnel (UAP). Which of the
following tasks is best for the RN to assign to the LPN/VN?
a. *Collection of past medical history for a client who is admitted for cellulitis.
b. Recording the output for a client who just urinated in the collection container of the toilet.
c. Assisting with the delivery of the breakfast trays to the clients.
d. Development of a plan of care for a client who is postoperative from a cholecystitis.
+Review the delegation criteria of nursing tasks appropriately assigned an LVN, and a UAP
Question #6
The nurse working in the emergency department (ED) has been made aware of the following client
situations. Which client information requires reporting by the nurse to an outside public health
agency?
a. 14-year-old female who was admitted with abdominal pain and has a positive pregnancy test.
b. *27-year-old who was admitted with a confirmed sexually transmitted infection (STI).
c. 45-year-old who was involved in a local factory fire and has 50% total body surface area (TBSA) burns.
d. 72-year-old who resides in a long-term care (LTC) facility and has a coccyx pressure ulcer (stage 2).
+From a public health perspective, describe a plan for reporting, as well as acknowledging, what sort of
information gets reported to the San Antonio Health Department and to the Medical Examiner
, Question #7
The nurse working on the pediatric unit has been made aware of the following information. Which of
the following children should the nurse assess first?
a. *15-year-old who has acute post-streptococcal glomerulonephritis (PSGN) and has crackles in the
lungs with neck vein distention.
b. 13-year-old who has hemophilia and requires prolonged pressure held to a venipuncture site after the
collection of laboratory blood work.
c. 10-year-old who has sickle cell disease (SCD), is reporting a pain level of 7 on a scale of 0 (no pain)
to 10 (severe pain) and is scheduled to receive a dose of prescribed pain medication.
d. 7-year-old who has celiac disease and has had 3 episodes of diarrhea in the past 8 hours.
+Review the criteria for the prioritization of patient care and of what patient would you see first? What's
gonna kill you first!!
Question #8
The nurse is caring for a client who had a kidney transplant 1 week ago. It is a priority for the nurse to
notify the health care provider (HCP) if the client
a. has had a fluid intake of 800 mL and a urine output of 900 mL over the past 8 hours.
b. continues to have pink-tinged urine output.
c. has a white blood cell (WBC) count that has decreased from 6000 to 5000 mm.
d. *reports tenderness of the kidney with a noted increase in lethargy.
+Review the signs and symptoms of a transplanted organ rejection and prioritize the patient care
appropriately
Question #9
The nurse is preparing to develop a plan of care after assessing a newly admitted client who is
diagnosed with pericarditis. Which of the following actions should the nurse take next?
a. Prioritize the client’s reported concerns.
b. Determine any referrals that need to be initiated.
c. Ask the client what they would like to achieve by discharge.
d. *Review client data to identify the areas of concern.
+Develop a plan of care that is appropriately prioritized for a patient with pericarditis
