NURS 328 - Quiz 2| 406 Questions|
With Complete Solutions
Course
NURS 328
Question 1
A nurse is preparing to administer an oral medication to a hospitalized patient. Before
administering the medication, which action is most important?
A. Check the patient's insurance information.
B. Verify the patient's identity using two approved identifiers.
C. Ask the patient whether they have taken the medication before.
D. Record the medication in the chart before administration.
Correct Answer: B. Verify the patient's identity using two approved identifiers.
Rationale
Patient identification is a critical safety measure that helps prevent medication errors. Nurses
should use two approved identifiers, such as the patient's full name and date of birth or medical
record number, before administering any medication.
Question 2
A patient receiving intravenous furosemide develops muscle weakness and cardiac dysrhythmias.
Which electrolyte imbalance should the nurse suspect?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypermagnesemia
Correct Answer: C. Hypokalemia
Rationale
Loop diuretics such as furosemide increase potassium excretion. Signs of hypokalemia include
muscle weakness, fatigue, decreased bowel sounds, and potentially life-threatening cardiac
dysrhythmias.
,Question 3
Which intervention is the most effective method for preventing healthcare-associated infections?
A. Wearing gloves with every patient
B. Hand hygiene before and after patient contact
C. Administering prophylactic antibiotics
D. Cleaning equipment once daily
Correct Answer: B. Hand hygiene before and after patient contact.
Rationale
Proper hand hygiene remains the single most effective intervention for preventing transmission
of infectious organisms in healthcare settings.
Question 4
A patient suddenly develops shortness of breath, chest pain, and oxygen saturation of 84%.
Which nursing action should be performed first?
A. Notify the healthcare provider.
B. Increase oral fluid intake.
C. Apply supplemental oxygen and assess the airway.
D. Obtain a urine specimen.
Correct Answer: C. Apply supplemental oxygen and assess the airway.
Rationale
Using the ABC (Airway, Breathing, Circulation) priority framework, the nurse should first
ensure adequate oxygenation and assess respiratory status before initiating additional
interventions.
Question 5
Which finding indicates that a postoperative patient is at increased risk for developing deep vein
thrombosis?
A. Ambulating three times daily
B. Bilateral equal pedal pulses
,C. Prolonged immobility after surgery
D. Drinking two liters of water daily
Correct Answer: C. Prolonged immobility after surgery.
Rationale
Immobility slows venous blood flow, increasing the risk of clot formation. Early ambulation is
one of the most effective preventive measures against DVT.
Question 6
A nurse is caring for a patient receiving opioid analgesics. Which assessment finding requires
immediate intervention?
A. Respiratory rate of 8 breaths/minute
B. Pain rating of 4/10
C. Heart rate of 82 beats/minute
D. Blood pressure of 126/78 mmHg
Correct Answer: A. Respiratory rate of 8 breaths/minute.
Rationale
Respiratory depression is the most serious adverse effect of opioid medications. A respiratory
rate below 12 breaths/minute requires immediate assessment and intervention.
Question 7
Which statement by a patient demonstrates understanding of standard precautions?
A. "Healthcare workers only need gloves if I have an infection."
B. "Hand hygiene should be performed before and after patient contact."
C. "Masks are required for every patient encounter."
D. "Isolation precautions are the same for every infection."
Correct Answer: B. "Hand hygiene should be performed before and after patient contact."
Rationale
, Standard precautions apply to all patients regardless of diagnosis and include consistent hand
hygiene before and after patient contact.
Question 8
Which laboratory value should the nurse report immediately?
A. Sodium: 139 mEq/L
B. Potassium: 2.8 mEq/L
C. Calcium: 9.2 mg/dL
D. Glucose: 102 mg/dL
Correct Answer: B. Potassium: 2.8 mEq/L
Rationale
A potassium level of 2.8 mEq/L indicates significant hypokalemia, which increases the risk of
cardiac dysrhythmias and requires prompt treatment.
Question 9
A patient receiving intravenous fluids develops jugular venous distention, crackles in both lungs,
and peripheral edema. Which complication should the nurse suspect?
A. Dehydration
B. Fluid volume excess
C. Hypoglycemia
D. Metabolic acidosis
Correct Answer: B. Fluid volume excess.
Rationale
Fluid overload commonly presents with pulmonary crackles, peripheral edema, elevated blood
pressure, weight gain, and jugular venous distention.
Question 10
A nurse is educating a patient about preventing falls after surgery. Which patient statement
indicates that further teaching is needed?
With Complete Solutions
Course
NURS 328
Question 1
A nurse is preparing to administer an oral medication to a hospitalized patient. Before
administering the medication, which action is most important?
A. Check the patient's insurance information.
B. Verify the patient's identity using two approved identifiers.
C. Ask the patient whether they have taken the medication before.
D. Record the medication in the chart before administration.
Correct Answer: B. Verify the patient's identity using two approved identifiers.
Rationale
Patient identification is a critical safety measure that helps prevent medication errors. Nurses
should use two approved identifiers, such as the patient's full name and date of birth or medical
record number, before administering any medication.
Question 2
A patient receiving intravenous furosemide develops muscle weakness and cardiac dysrhythmias.
Which electrolyte imbalance should the nurse suspect?
A. Hypernatremia
B. Hypercalcemia
C. Hypokalemia
D. Hypermagnesemia
Correct Answer: C. Hypokalemia
Rationale
Loop diuretics such as furosemide increase potassium excretion. Signs of hypokalemia include
muscle weakness, fatigue, decreased bowel sounds, and potentially life-threatening cardiac
dysrhythmias.
,Question 3
Which intervention is the most effective method for preventing healthcare-associated infections?
A. Wearing gloves with every patient
B. Hand hygiene before and after patient contact
C. Administering prophylactic antibiotics
D. Cleaning equipment once daily
Correct Answer: B. Hand hygiene before and after patient contact.
Rationale
Proper hand hygiene remains the single most effective intervention for preventing transmission
of infectious organisms in healthcare settings.
Question 4
A patient suddenly develops shortness of breath, chest pain, and oxygen saturation of 84%.
Which nursing action should be performed first?
A. Notify the healthcare provider.
B. Increase oral fluid intake.
C. Apply supplemental oxygen and assess the airway.
D. Obtain a urine specimen.
Correct Answer: C. Apply supplemental oxygen and assess the airway.
Rationale
Using the ABC (Airway, Breathing, Circulation) priority framework, the nurse should first
ensure adequate oxygenation and assess respiratory status before initiating additional
interventions.
Question 5
Which finding indicates that a postoperative patient is at increased risk for developing deep vein
thrombosis?
A. Ambulating three times daily
B. Bilateral equal pedal pulses
,C. Prolonged immobility after surgery
D. Drinking two liters of water daily
Correct Answer: C. Prolonged immobility after surgery.
Rationale
Immobility slows venous blood flow, increasing the risk of clot formation. Early ambulation is
one of the most effective preventive measures against DVT.
Question 6
A nurse is caring for a patient receiving opioid analgesics. Which assessment finding requires
immediate intervention?
A. Respiratory rate of 8 breaths/minute
B. Pain rating of 4/10
C. Heart rate of 82 beats/minute
D. Blood pressure of 126/78 mmHg
Correct Answer: A. Respiratory rate of 8 breaths/minute.
Rationale
Respiratory depression is the most serious adverse effect of opioid medications. A respiratory
rate below 12 breaths/minute requires immediate assessment and intervention.
Question 7
Which statement by a patient demonstrates understanding of standard precautions?
A. "Healthcare workers only need gloves if I have an infection."
B. "Hand hygiene should be performed before and after patient contact."
C. "Masks are required for every patient encounter."
D. "Isolation precautions are the same for every infection."
Correct Answer: B. "Hand hygiene should be performed before and after patient contact."
Rationale
, Standard precautions apply to all patients regardless of diagnosis and include consistent hand
hygiene before and after patient contact.
Question 8
Which laboratory value should the nurse report immediately?
A. Sodium: 139 mEq/L
B. Potassium: 2.8 mEq/L
C. Calcium: 9.2 mg/dL
D. Glucose: 102 mg/dL
Correct Answer: B. Potassium: 2.8 mEq/L
Rationale
A potassium level of 2.8 mEq/L indicates significant hypokalemia, which increases the risk of
cardiac dysrhythmias and requires prompt treatment.
Question 9
A patient receiving intravenous fluids develops jugular venous distention, crackles in both lungs,
and peripheral edema. Which complication should the nurse suspect?
A. Dehydration
B. Fluid volume excess
C. Hypoglycemia
D. Metabolic acidosis
Correct Answer: B. Fluid volume excess.
Rationale
Fluid overload commonly presents with pulmonary crackles, peripheral edema, elevated blood
pressure, weight gain, and jugular venous distention.
Question 10
A nurse is educating a patient about preventing falls after surgery. Which patient statement
indicates that further teaching is needed?
