Nurs 480 exam 2020 exam questions with answers guaranteed
success
1.) A nurse is conducting an in-service for a group of nurses who work in the emergency
department. For which of the following childhood diseases should the nurse initiate airborne
precautions?
a. Scabies
b. Whooping cough
c. Measles
d. Mumps
2.) A nurse is observing bonding between a client and her newborn. Which of the following actions
by the client will require the nurse to intervene?
a. Holding the newborn in an face position
b. Asking the father to change the newborn’s diaper
c. Viewing the newborn’s actions to be uncooperative
d. Requesting the nurse to take the newborn to the nursery so she can rest
3.) A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following
findings indicates to the nurse that the medication is effective?
a. Decreased Blood pressure
b. Weight loss
c. Decreased inflammation
d. Absence of seizure
4.) A nurse is planning to teach a group of parents regarding development of 15 month-old toddlers.
Which of the following information should the nurse include in the teaching?
a. Understands simple commands
b. Build tower 6 to 7 cubes (2 years)
c. Picks up object without falling
d. Refers to self by name
5.) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
a. Oliguria
b. Constricted pupils
c. Shivering
d. Bradypnea
6.) A nurse is assisting with mass casualty triage following an explosion at a local factory. Which of
the following clients should the nurse identify as the priority?
a. A client who has an open fracture of the lower extremity
b. A client who has a massive head trauma
c. A client who has full-thickness burns to the face and trunk
d. A client who has indications of hypovolemic shock
7.) A nurse is receiving report on four clients. Which of the following clients should the nurse assess
first?
a. A client who has an ileal conduit and mucus in the pouch
b. A client who has an arteriovenous fistula that vibrates when palpated
,Nurs 480 exam 2020 exam questions with answers guaranteed
success
c. A client who had an transurethral resection of the prostate (TURP) with red-tinged
urine in the bed (Hemorrhage) SOUNDS MORE RIGHT
d. A client who has chronic kidney disease with cloudy dialysate outflow
8.) A nurse is caring for a client who has just received the first dose of lisinopril (Zestril). Which of
the following is the appropriate nursing intervention? (monitor for potassium –hyper)
a. Provide standby assist when the client gets up from bed
b. Encourage foods high in potassium
c. Place the client on continuous cardiac monitoring???
d. Monitor the client’s oxygen saturation
9.) A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse
is reviewing the monitor tracing and notes early decelerations. Which of the following should
the nurse expect?
a. Head compression
b. Fetal hypoxia
c. Abruptio placentae
d. Postmaturity
10.) A nurse is planning nonpharmacological pain management for a preschool child. Which of the
following actions should the nurse take when using relaxation techniques?
a. Give the child a sticker following the procedure
b. Using a rocking motion while holding the child
c. Have the child blow bubbles
d. Ask the child to describe a favorite activity
11.) A nurse is caring for an infant who has a prescription for continuous pulse oximetry. Which of
the following is an appropriate action for the nurse to take?
a. Heat the skin 1 min prior to placing the probe
b. Place the infant under a radiant warmer
c. Place the sensor on the index finger
d. Move the probe site every 3 hour
12.) A nurse is evaluating a client’s understanding of a liver biopsy before obtaining a signed
informed consent. Which of the following statements by the client indicates understanding of
the procedure?
a. “I will know what is wrong with me before I leave the hospital.”
b. “I will be able to go home after I recover from general anesthesia.”
c. “I will leave the pressure dressing in place after discharge for 24 hours.”
d. “I will need to lie flat for 8 hours after the procedure.”
13.) A nurse working in a clinic is teaching a group of clients who are pregnant on the use of the
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a. “Hypnosis uses therapeutic touch to reduce anxiety during labor.”
b. “Hypnosis promotes increased control over pain perception during contractions.”
c. “Hypnosis provides distraction to minimize pain.”
,Nurs 480 exam 2020 exam questions with answers guaranteed
success
d. “Hypnosis focuses on the use of biofeedback as a relaxation technique.”
, Nurs 480 exam 2020 exam questions with answers guaranteed
success
14.) A client says to the nurse, “I’m tired of being here! I hate all of you nurses!” Which of the
following is an appropriate response by the nurse?
a. “Why are you tired of being here?”
b. “Tell me more about how you are feeling”
c. “I think we should talk when you are in a better mood.”
d. “You shouldn’t take your anger out on the nurses.”
15.) A nurse is obtaining the medical story of a client who has a new prescription for isosorbide
mononitrate (Imdur). Which of the following should the nurse identify as a contraindication to
the medication?
a. Migraine headaches
b. Polycythemia
c. Glaucoma
d. Hypertension
16.) A nurse is working in the emergency department. Which of the following triaged clients should
the nurse assess first?
a. A client who has a headache and a blood pressure of 180/104
b. An older adult client who has a blood glucose of 250 mg/dL and numbness in both feet
c. A client who reports urinary frequency, burning, and hematuria
d. An older adult client who has had vomiting and diarrhea for 2 days
17.) A nurse is reviewing the laboratory report for a client who reports vomiting for 2 days. The
client’s serum potassium level is 2.9 mEq/L. Which of the following is an expected finding of this
client?
a. Positive Chvostek’s sign
b. Hyperactive reflexes
c. Muscle weakness
d. Numbess and tingling of fingers
18.) A nurse is caring for a client who has breast cancer and has been receiving chemotherapy.
Which of the following laboratory values should the nurse report to the provider?
a. aPTT 30 seconds
b. WBC 3,000/mm3 (Immunosuppressed)
c. Hemoglobin 14 g/dL
d. Platelet count 250,000/mm3
19.)A nurse is developing a plan or care for a client who is experiencing period manic
episodes. Which of the following interventions should the nurse include? (give them
finger foods, no groups)
a. Schedule frequent rest periods during the day
b. Encourage the client to stay in his room
c. Arrange for the client to attend group activities
d. Have the client sit in the dining room for meals
20.)A nurse is performing change-of-shift assessments on four clients. Which of the following
findings should the nurse report to the provider first?
success
1.) A nurse is conducting an in-service for a group of nurses who work in the emergency
department. For which of the following childhood diseases should the nurse initiate airborne
precautions?
a. Scabies
b. Whooping cough
c. Measles
d. Mumps
2.) A nurse is observing bonding between a client and her newborn. Which of the following actions
by the client will require the nurse to intervene?
a. Holding the newborn in an face position
b. Asking the father to change the newborn’s diaper
c. Viewing the newborn’s actions to be uncooperative
d. Requesting the nurse to take the newborn to the nursery so she can rest
3.) A nurse is caring for a client who is taking levothyroxine (Synthroid). Which of the following
findings indicates to the nurse that the medication is effective?
a. Decreased Blood pressure
b. Weight loss
c. Decreased inflammation
d. Absence of seizure
4.) A nurse is planning to teach a group of parents regarding development of 15 month-old toddlers.
Which of the following information should the nurse include in the teaching?
a. Understands simple commands
b. Build tower 6 to 7 cubes (2 years)
c. Picks up object without falling
d. Refers to self by name
5.) A nurse is assessing a client in the PACU. Which of the following findings indicates decreased
cardiac output?
a. Oliguria
b. Constricted pupils
c. Shivering
d. Bradypnea
6.) A nurse is assisting with mass casualty triage following an explosion at a local factory. Which of
the following clients should the nurse identify as the priority?
a. A client who has an open fracture of the lower extremity
b. A client who has a massive head trauma
c. A client who has full-thickness burns to the face and trunk
d. A client who has indications of hypovolemic shock
7.) A nurse is receiving report on four clients. Which of the following clients should the nurse assess
first?
a. A client who has an ileal conduit and mucus in the pouch
b. A client who has an arteriovenous fistula that vibrates when palpated
,Nurs 480 exam 2020 exam questions with answers guaranteed
success
c. A client who had an transurethral resection of the prostate (TURP) with red-tinged
urine in the bed (Hemorrhage) SOUNDS MORE RIGHT
d. A client who has chronic kidney disease with cloudy dialysate outflow
8.) A nurse is caring for a client who has just received the first dose of lisinopril (Zestril). Which of
the following is the appropriate nursing intervention? (monitor for potassium –hyper)
a. Provide standby assist when the client gets up from bed
b. Encourage foods high in potassium
c. Place the client on continuous cardiac monitoring???
d. Monitor the client’s oxygen saturation
9.) A nurse is caring for a client who is in labor and receiving electronic fetal monitoring. The nurse
is reviewing the monitor tracing and notes early decelerations. Which of the following should
the nurse expect?
a. Head compression
b. Fetal hypoxia
c. Abruptio placentae
d. Postmaturity
10.) A nurse is planning nonpharmacological pain management for a preschool child. Which of the
following actions should the nurse take when using relaxation techniques?
a. Give the child a sticker following the procedure
b. Using a rocking motion while holding the child
c. Have the child blow bubbles
d. Ask the child to describe a favorite activity
11.) A nurse is caring for an infant who has a prescription for continuous pulse oximetry. Which of
the following is an appropriate action for the nurse to take?
a. Heat the skin 1 min prior to placing the probe
b. Place the infant under a radiant warmer
c. Place the sensor on the index finger
d. Move the probe site every 3 hour
12.) A nurse is evaluating a client’s understanding of a liver biopsy before obtaining a signed
informed consent. Which of the following statements by the client indicates understanding of
the procedure?
a. “I will know what is wrong with me before I leave the hospital.”
b. “I will be able to go home after I recover from general anesthesia.”
c. “I will leave the pressure dressing in place after discharge for 24 hours.”
d. “I will need to lie flat for 8 hours after the procedure.”
13.) A nurse working in a clinic is teaching a group of clients who are pregnant on the use of the
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a. “Hypnosis uses therapeutic touch to reduce anxiety during labor.”
b. “Hypnosis promotes increased control over pain perception during contractions.”
c. “Hypnosis provides distraction to minimize pain.”
,Nurs 480 exam 2020 exam questions with answers guaranteed
success
d. “Hypnosis focuses on the use of biofeedback as a relaxation technique.”
, Nurs 480 exam 2020 exam questions with answers guaranteed
success
14.) A client says to the nurse, “I’m tired of being here! I hate all of you nurses!” Which of the
following is an appropriate response by the nurse?
a. “Why are you tired of being here?”
b. “Tell me more about how you are feeling”
c. “I think we should talk when you are in a better mood.”
d. “You shouldn’t take your anger out on the nurses.”
15.) A nurse is obtaining the medical story of a client who has a new prescription for isosorbide
mononitrate (Imdur). Which of the following should the nurse identify as a contraindication to
the medication?
a. Migraine headaches
b. Polycythemia
c. Glaucoma
d. Hypertension
16.) A nurse is working in the emergency department. Which of the following triaged clients should
the nurse assess first?
a. A client who has a headache and a blood pressure of 180/104
b. An older adult client who has a blood glucose of 250 mg/dL and numbness in both feet
c. A client who reports urinary frequency, burning, and hematuria
d. An older adult client who has had vomiting and diarrhea for 2 days
17.) A nurse is reviewing the laboratory report for a client who reports vomiting for 2 days. The
client’s serum potassium level is 2.9 mEq/L. Which of the following is an expected finding of this
client?
a. Positive Chvostek’s sign
b. Hyperactive reflexes
c. Muscle weakness
d. Numbess and tingling of fingers
18.) A nurse is caring for a client who has breast cancer and has been receiving chemotherapy.
Which of the following laboratory values should the nurse report to the provider?
a. aPTT 30 seconds
b. WBC 3,000/mm3 (Immunosuppressed)
c. Hemoglobin 14 g/dL
d. Platelet count 250,000/mm3
19.)A nurse is developing a plan or care for a client who is experiencing period manic
episodes. Which of the following interventions should the nurse include? (give them
finger foods, no groups)
a. Schedule frequent rest periods during the day
b. Encourage the client to stay in his room
c. Arrange for the client to attend group activities
d. Have the client sit in the dining room for meals
20.)A nurse is performing change-of-shift assessments on four clients. Which of the following
findings should the nurse report to the provider first?
