GN 6501: NURSING OF ADULTS AND OLDER ADULTS FINAL EXAM QUESTIONS AND ANSWERS CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE


As a reminder, approximately 75% of the final will cover content on exam #1, 2
and 3 Approximately 25% will be on content in new chapters


• Review prioritization
o Prioritize Hypotheses. Consider all possibilities and determine their urgency and risk for the
patient. What will happen? Which possible outcomes present the greatest concern?
o Patient and staff safety is the major priority for professional nurses
o Prioritize patients by ABCs --> 1) airway, 2) breathing, 3) circulation. Prioritization begins
with determining immediate threats to life as part of the initial assessment and is based
on the ABC pneumonic focusing on the airway as priority, moving to breathing, and
circulation.


A postoperative client has just been admitted to the post anesthesia care unit (PACU). What
assessment by the PACU nurse takes priority?
a. Airway

b. Bleeding

c. Breathing

d. Cardiac rhythm



ANS: A
Assessing the airway always takes priority, followed by breathing and circulation.
Bleeding is part of the circulation assessment, as is cardiac rhythm.
GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

,GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE




• Review what you can delegate to others and what a
RN must do
o only delegate something that is within that person’s scope
of practice
o you must supervise the person and make sure the task is carried out
o initial assessment and vitals must be carried out by bedside nurse
o example of delegation tasks – ADLs ambulate, turning and positioning, vitals on a stable pt,
I&O measurements, feeding a stable patient
o UAP/CNAs cannot assess patients, give meds, assist w/ feeding on a pt with special diet
rules/issues such as dysphagia, cannot educate
o Nurses cannot delegate TAPE
§ Teaching
§ Assessment
§ Planning
§ Evaluation




5. A nurse and unlicensed assistive personnel (UAP) are helping a

GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

,GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

client during a hysterosalpingogram. Which action by the nurse is
best delegated to the UAP?
a. Witnessing of the consent form
b. Assisting the client into a lithotomy position
c. Asking about allergies to iodine or shellfish
d. Assessing for pelvic or shoulder pain after the study


ANS: B
The UAP would be able to position the client for the procedure. Only the nurse has the


3. A client is diagnosed with a fibrocystic breast condition while in
the hospital and is experiencing breast discomfort. What comfort
measure would the nurse delegate to the unlicensed assistive
personnel (UAP)?
a. Aid in the draining of the cysts by needle aspiration.
b. Teach the client to wear a supportive bra to bed.

c. Administer diuretics to decrease breast swelling.
d. Obtain a cold pack to temporarily relieve the pain.


ANS: D
All of the options would be comfort measures for a client with a
fibrocystic breast condition. The UAP can obtain the cold or heat
therapy. Only the nurse should aid the health care provider with a
GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

, GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE

needle aspiration, teach, and administer medications.


• The nurse is caring for a postoperative client following an
anterior colporrhaphy. What action can be delegated to the
unlicensed assistive personnel (UAP)?
a. Reviewing the hematocrit and hemoglobin results
b. Teaching the client to avoid lifting her 4-year-old grandson
c. Assessing the level of pain and any drainage
d. Drawing a shallow hot bath
for comfort measures ANS: D


A client is scheduled to have a tracheostomy placed in an hour. What action by the
nurse is the
priority?
a. Administer prescribed anxiolytic medication.
b. Ensure informed consent is on the chart.
c. Reinforce any teaching done previously.
d. Start the preoperative antibiotic infusion.




ANS: B
Since this is an operative procedure, the client must sign an informed consent, which
must be onthe chart. Giving anxiolytics and antibiotics and reinforcing teaching may
GN 6501: NURSING OF ADULTS AND OLDER ADULTS
FINAL EXAM QUESTIONS AND ANSWERS
CORRECTLY/VERIFIED BEST RATED A+ STUDY GUIDE