NUR 211 Midterm

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Sample questions from NUR 211 Midterm

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, a nurse receives report on four clients. Which client should the nurse assess first?

   • A.A client with diabetes whose premeal glucose is 210 mg/dL
   • B.A client awaiting discharge who needs instructions about a new prescription
   • C.A client 1 day after surgery who reports incisional pain of 7/10
   • D.A client with pneumonia whose SpO2 has fallen from 94% to 88% on 2 L/min oxygen

   Rationale: The falling oxygen saturation despite supplemental oxygen signals worsening gas exchange and requires prompt assessment and intervention. Pain, moderately elevated glucose, and discharge teaching are important but are less immediately urgent than impaired oxygenation. Prioritize acute threats to airway and breathing.

2. 2.During a medical-surgical shift, an RN is assigning tasks to an experienced UAP. Which tasks are appropriate to delegate? Select all that apply.

   • A.Assist a stable client with bathing and oral care
   • B.Evaluate whether a newly administered analgesic relieved pain
   • C.Teach a client how to use a new incentive spirometer
   • D.Measure and document intake and output for a stable client
   • E.Obtain routine vital signs for a stable client awaiting discharge

   Rationale: Routine vital signs, personal care, and measurement of intake and output for stable clients are predictable tasks appropriate for a UAP. Evaluating analgesic effectiveness and teaching require nursing assessment and judgment. The RN remains accountable for evaluating delegated care and responding to abnormal findings.

3. 3.In a rehabilitation unit, an RN is planning assignments for a team that includes an LPN and a UAP. Which client is most appropriate for the LPN to care for?

   • A.A stable client with a chronic tracheostomy who needs a routine dressing change
   • B.A client newly admitted with chest pain who needs an initial assessment
   • C.A client with new confusion and a sudden change in level of consciousness
   • D.A client receiving the first dose of an IV antibiotic who needs close monitoring

   Rationale: A stable client requiring a routine dressing change fits the LPN's scope when permitted by facility policy and competency. Initial assessment, evaluation of an acute neurologic change, and close monitoring of a first-dose IV medication require RN-level assessment and judgment. Match assignments to client stability and the team member's scope.

4. 4.A client states, "I do not want the blood transfusion," after signing consent earlier that morning. The client is alert and has decision-making capacity. What should the nurse do?

   • A.Begin the transfusion because the consent form is signed
   • B.Notify the provider and clarify the client's current refusal
   • C.Ask another nurse to witness the transfusion
   • D.Ask the family to persuade the client to continue with the transfusion

   Answer and rationale are in the full material.

5. 5.In a medical unit, a client with a new prescription for IV potassium chloride has a potassium level of 3.0 mEq/L and a creatinine level of 2.4 mg/dL. Which action should the nurse take first?

   • A.Administer the potassium by IV push as prescribed
   • B.Add the potassium to a hanging IV bag at the bedside
   • C.Clarify the prescription and assess the client's renal status
   • D.Ask the UAP to obtain a repeat potassium level

   Answer and rationale are in the full material.