NURS 418 SYNTHESIS EXAM 1 2025
QUESTIONS AND ANSWERS
The nurse is monitoring a patient recovering for a colonoscopy after moderate sedation that
was administered. Which findings requires the nurse's immediate attention?
a. Heart rate of 94 beats/ minute
b. Oxygen saturation of 88%
c. decreased cough and gag reflex
d. blood tinged stools - ANS b. Oxygen saturation of 88%
A nurse is reviewing medications to be administered to a patient. The nurse notes that one of
the medications is outside the normal dosage range. Which action by the nurse is most
appropriate?
a. give the medication as ordered by the provider
b. check with the charge nurse to determine if this is the correct dosage
c. call the provider to clarify the order
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,d. notify the nurse manager of the erroneous order - ANS c. call the provider to clarify the
order
The RN has received the assignment for the day shift. After making initial rounds and checking
all of the assigned patients, which patient will the RN plan to care for first?
a. the patient with asthma who has vesicular breath sounds after receiving a nebulizer
treatment
b. the patient whose heart rate decreases from 98 to 78 after receiving pain medication
c. the patient with a fever who is diaphoretic and restless
d. the patient who is postoperative and received pain medication - ANS c. the patient with a
fever who is diaphoretic and restless
A patient with gastroesophageal reflux disease should make diet and lifestyle changes. Which
instructions should the nurse provide to the patient upon discharge? SATA
a. Avoid alcohol
b. add milk to coffee or tea
c. limit smoking to 1/2 pack (10 cigarettes) per day
d. elevate the foot of the bed six inches
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,e. eat three evenly spaced meals per day
f. eat small frequent meals throughout the day - ANS a. Avoid alcohol
f. eat small frequent meals throughout the day
Which patient activities can be delegated to the UAP from the group of patients below?
a. assist a patient to ambulate to the bathroom
b. assessing pain level on the postoperative patient
c. completing a blood transfusion assessment
d. making a referral to a home care agency
e. assisting the patient with a full liquid diet - ANS a. assist a patient to ambulate to the
bathroom
e. assisting the patient with a full liquid diet
A patient is to have a colostomy placed. The surgeon tells the patient that the stool will be
formed. Where will the colostomy be placed (A,B,C,D)? - ANS D
The RN is planning the patient assignments for the day. Which of the following is most
appropriate assignment for the UAP considering skill level and scope of practice?
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, a. a patient requiring continuous oxygen saturation readings
b. a patient receiving continuous tube feedings
c. a patient who requires a urine specimen collection
d. a patient with difficulty swallowing foods and fluids - ANS c. a patient who requires a urine
specimen collection
The nurse is caring for a patient who has just had an upper Gi endoscopy. The patient's vital
signs must be taken every 30 mins for 2 hours after the procedure. The nurse assigns an UAP to
take the vital signs. One hour later, the UAP reports that the patient who was previously
afebrile has developed a temperature of 101.8F. The nurse should
a. ask the UAP to bathe the patient in tepid water
b. promptly asses the patient for a potential perforation
c. tell the UAP to change thermometers and retake the temperature
d. plan to give the patient acetaminophen to lower the temperature - ANS b. promptly asses
the patient for a potential perforation
A 13 year old female presents to the ED with her parents and reports abdominal pain of 8 on a
0-10 rating scale and a low grade fever. The nurse knows that the most serious assessment
finding in this patient is which of the following?
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QUESTIONS AND ANSWERS
The nurse is monitoring a patient recovering for a colonoscopy after moderate sedation that
was administered. Which findings requires the nurse's immediate attention?
a. Heart rate of 94 beats/ minute
b. Oxygen saturation of 88%
c. decreased cough and gag reflex
d. blood tinged stools - ANS b. Oxygen saturation of 88%
A nurse is reviewing medications to be administered to a patient. The nurse notes that one of
the medications is outside the normal dosage range. Which action by the nurse is most
appropriate?
a. give the medication as ordered by the provider
b. check with the charge nurse to determine if this is the correct dosage
c. call the provider to clarify the order
1 Copyright ©2025 FYNDLAY ALL RIGHTS RESERVED.
,d. notify the nurse manager of the erroneous order - ANS c. call the provider to clarify the
order
The RN has received the assignment for the day shift. After making initial rounds and checking
all of the assigned patients, which patient will the RN plan to care for first?
a. the patient with asthma who has vesicular breath sounds after receiving a nebulizer
treatment
b. the patient whose heart rate decreases from 98 to 78 after receiving pain medication
c. the patient with a fever who is diaphoretic and restless
d. the patient who is postoperative and received pain medication - ANS c. the patient with a
fever who is diaphoretic and restless
A patient with gastroesophageal reflux disease should make diet and lifestyle changes. Which
instructions should the nurse provide to the patient upon discharge? SATA
a. Avoid alcohol
b. add milk to coffee or tea
c. limit smoking to 1/2 pack (10 cigarettes) per day
d. elevate the foot of the bed six inches
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,e. eat three evenly spaced meals per day
f. eat small frequent meals throughout the day - ANS a. Avoid alcohol
f. eat small frequent meals throughout the day
Which patient activities can be delegated to the UAP from the group of patients below?
a. assist a patient to ambulate to the bathroom
b. assessing pain level on the postoperative patient
c. completing a blood transfusion assessment
d. making a referral to a home care agency
e. assisting the patient with a full liquid diet - ANS a. assist a patient to ambulate to the
bathroom
e. assisting the patient with a full liquid diet
A patient is to have a colostomy placed. The surgeon tells the patient that the stool will be
formed. Where will the colostomy be placed (A,B,C,D)? - ANS D
The RN is planning the patient assignments for the day. Which of the following is most
appropriate assignment for the UAP considering skill level and scope of practice?
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, a. a patient requiring continuous oxygen saturation readings
b. a patient receiving continuous tube feedings
c. a patient who requires a urine specimen collection
d. a patient with difficulty swallowing foods and fluids - ANS c. a patient who requires a urine
specimen collection
The nurse is caring for a patient who has just had an upper Gi endoscopy. The patient's vital
signs must be taken every 30 mins for 2 hours after the procedure. The nurse assigns an UAP to
take the vital signs. One hour later, the UAP reports that the patient who was previously
afebrile has developed a temperature of 101.8F. The nurse should
a. ask the UAP to bathe the patient in tepid water
b. promptly asses the patient for a potential perforation
c. tell the UAP to change thermometers and retake the temperature
d. plan to give the patient acetaminophen to lower the temperature - ANS b. promptly asses
the patient for a potential perforation
A 13 year old female presents to the ED with her parents and reports abdominal pain of 8 on a
0-10 rating scale and a low grade fever. The nurse knows that the most serious assessment
finding in this patient is which of the following?
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