NUR283 Comp Exam 1
1. Medications should be given through Central line
what?
2. The nurse working on a medical surgical A. Assisting a client who had a
unit is delegating tasks to unlicensed per- paracentesis 2 hours ago to get
sonnel. Which of the following delegated out of bed for the first time.
task would REQUIRE FOLLOW UP by the Rationale - anytime a client is
charge nurse? doing something for the first
time the RN needs to do it
3. The nurse is prioritizing patient care after B. Had an endoscopic retro-
a change of shift report. The nurse should grade cholangiopancreatogra-
first plan to see the patient who: phy 30 minutes ago and is re-
porting difficulty swallowing Ra-
tionale - Difficulty swallowing -
ABC's!
4. The nurse working on the mom/baby unit C. a neonate who is 4 hours old,
has become aware of the following client whose resting HR is 95 BPM.
situations. Which of the following clients Rationale - Normal HR for a
should the nurse INITIALLY assess? newborn is 120-140 BPM - 95
is a LOW BPM
5. A nurse working on a medical surgical unit D. Acute pancreatitis and is re-
has just received a handoff report on the porting the development of pain
following clients. The nurse should FIRST on deep inspiration
plan to assess the client who has: Rationale - "acute" if not caught
early, will possible burst and pa-
tient will become septic
6. The nurse working on a pediatric unit is A. 5 yr old with diagnosed cystic
caring for the following children who have fibrosis at birth and has been
been admitted in the past 12 hours. It hospitalized 4 times in the past
would be a priority goal for the nurse to 2 months
initiate an interdisciplinary conference for Rationale - This is conferencing
the child who: everyone!!! PT, dietary, spiritu-
al guidance, everyone should
be conferenced for this patient.
This question is asking - WHO
1/9
, NUR283 Comp Exam 1
/ WHICH child is requiring the
MOST help and resources???
7. The nurse working in the ED has received D. Initiate IV sodium and potas-
the following prescriptions for a newly ad- sium for a client admitted with
mitted client. Which prescriptions should diarrhea and dehydration who
the nurse implement FIRST? has a serum potassium level of
2.9.
Rationale - serum potassium of
2.9 is CRITICAL -this is a criti-
cal lab value and should be ad-
dressed first!
8. A nurse is working in a community health A. a 57 year old with graves
clinic is assessing clients who are waiting disease with a temperature of
to be seen. Which client should the nurse 100.5
have the primary health care provider see Rationale - Thyroid issue
FIRST?
9. A nurse is working on a pediatric cardiac A. 2 year old toddler who is
unit is reviewing the telemetry monitors walking in the hallway and has
for assigned clients. Which client should a HR of 160 BPM
the nurse INITIALLY plan to assess? Rationale - Abnormal HR - all
the other choices were normal
for the child
10. A nurse is caring for a male client who D. A urinary output of 45 ml over
has a deep partial thickness and a full the past two hours
thickness burn to 45 % of the lower body. Rationale - Normal urinary out-
It would be a PRIORITY for the nurse to put per hour is 30 ml.hr. This
notify the primary health care physician if question really has nothing to
the client has: do with "burn" and more know
your normal values.
11. The nurse is assessing clients at the C. the client who has multiple
scene of a mass casualty disaster and compound fractures and is re-
is prioritizing care based on the disaster porting chest pain Rationale -
triage tag system. Which of the following patient is reporting chest pain
clients should be transported to the health
care facility FIRST?
2/9
1. Medications should be given through Central line
what?
2. The nurse working on a medical surgical A. Assisting a client who had a
unit is delegating tasks to unlicensed per- paracentesis 2 hours ago to get
sonnel. Which of the following delegated out of bed for the first time.
task would REQUIRE FOLLOW UP by the Rationale - anytime a client is
charge nurse? doing something for the first
time the RN needs to do it
3. The nurse is prioritizing patient care after B. Had an endoscopic retro-
a change of shift report. The nurse should grade cholangiopancreatogra-
first plan to see the patient who: phy 30 minutes ago and is re-
porting difficulty swallowing Ra-
tionale - Difficulty swallowing -
ABC's!
4. The nurse working on the mom/baby unit C. a neonate who is 4 hours old,
has become aware of the following client whose resting HR is 95 BPM.
situations. Which of the following clients Rationale - Normal HR for a
should the nurse INITIALLY assess? newborn is 120-140 BPM - 95
is a LOW BPM
5. A nurse working on a medical surgical unit D. Acute pancreatitis and is re-
has just received a handoff report on the porting the development of pain
following clients. The nurse should FIRST on deep inspiration
plan to assess the client who has: Rationale - "acute" if not caught
early, will possible burst and pa-
tient will become septic
6. The nurse working on a pediatric unit is A. 5 yr old with diagnosed cystic
caring for the following children who have fibrosis at birth and has been
been admitted in the past 12 hours. It hospitalized 4 times in the past
would be a priority goal for the nurse to 2 months
initiate an interdisciplinary conference for Rationale - This is conferencing
the child who: everyone!!! PT, dietary, spiritu-
al guidance, everyone should
be conferenced for this patient.
This question is asking - WHO
1/9
, NUR283 Comp Exam 1
/ WHICH child is requiring the
MOST help and resources???
7. The nurse working in the ED has received D. Initiate IV sodium and potas-
the following prescriptions for a newly ad- sium for a client admitted with
mitted client. Which prescriptions should diarrhea and dehydration who
the nurse implement FIRST? has a serum potassium level of
2.9.
Rationale - serum potassium of
2.9 is CRITICAL -this is a criti-
cal lab value and should be ad-
dressed first!
8. A nurse is working in a community health A. a 57 year old with graves
clinic is assessing clients who are waiting disease with a temperature of
to be seen. Which client should the nurse 100.5
have the primary health care provider see Rationale - Thyroid issue
FIRST?
9. A nurse is working on a pediatric cardiac A. 2 year old toddler who is
unit is reviewing the telemetry monitors walking in the hallway and has
for assigned clients. Which client should a HR of 160 BPM
the nurse INITIALLY plan to assess? Rationale - Abnormal HR - all
the other choices were normal
for the child
10. A nurse is caring for a male client who D. A urinary output of 45 ml over
has a deep partial thickness and a full the past two hours
thickness burn to 45 % of the lower body. Rationale - Normal urinary out-
It would be a PRIORITY for the nurse to put per hour is 30 ml.hr. This
notify the primary health care physician if question really has nothing to
the client has: do with "burn" and more know
your normal values.
11. The nurse is assessing clients at the C. the client who has multiple
scene of a mass casualty disaster and compound fractures and is re-
is prioritizing care based on the disaster porting chest pain Rationale -
triage tag system. Which of the following patient is reporting chest pain
clients should be transported to the health
care facility FIRST?
2/9
