Psyc 2120

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Sample questions from Psyc 2120

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 79-year-old client admitted with pneumonia has an oxygen saturation of 88% on room air, new confusion, and a respiratory rate of 30/min. Which client should the nurse assess first?

   • A.A client with chronic back pain requesting an analgesic
   • B.A client with diabetes whose premeal glucose is 210 mg/dL
   • C.A client awaiting discharge instructions after a routine procedure
   • D.The client with pneumonia and new confusion

   Rationale: The new confusion, hypoxemia, and tachypnea suggest worsening oxygenation and require immediate assessment. Pain, hyperglycemia, and routine discharge needs are important but do not take priority over an acute respiratory change. Use airway and breathing needs to guide priority.

2. 2.On a medical unit, a 68-year-old client with heart failure is stable after diuresis; the RN is assigning care to an experienced LPN and an assistive personnel (AP). Which tasks are appropriate to delegate? Select all that apply.

   • A.Ask the AP to obtain the client's daily weight and report it
   • B.Ask the AP to assist the client with bathing after the RN assesses fall risk
   • C.Ask the LPN to administer a prescribed oral furosemide dose to the stable client
   • D.Ask the LPN to perform the initial admission assessment
   • E.Ask the AP to teach the client how to follow a low-sodium diet

   Rationale: The LPN may administer a routine oral medication to a stable client, and the AP may obtain and report a weight or provide routine bathing assistance. Teaching and initial assessment require RN judgment and cannot be delegated to the AP or LPN in this assignment. Delegation transfers a task, not the RN's accountability for follow-up.

3. 3.During a home health visit, a 74-year-old client with limited mobility says, "I cannot afford all these prescriptions." The client has missed several doses of an anticoagulant. Which action should the nurse take first?

   • A.Tell the client to stop taking all medications until the next appointment
   • B.Report the client to the prescribing provider for nonadherence
   • C.Ask which medications the client can afford and assess the immediate risks of missed doses
   • D.Provide a general medication brochure and end the visit

   Rationale: The nurse should first assess the client's specific access problem and the risks associated with missed anticoagulant doses. Stopping all medications is unsafe, and reporting without first gathering relevant information does not address the barrier. A brochure alone is unlikely to resolve a cost-related problem.

4. 4.In an emergency department, a 52-year-old client with chest pressure is being evaluated while another client with a minor ankle sprain requests an ice pack. Which action should the nurse take first?

   • A.Ask the client with the sprain to rate the pain again
   • B.Obtain an electrocardiogram for the client with chest pressure
   • C.Apply ice to the ankle sprain
   • D.Complete discharge paperwork for a client with a resolved headache

   Answer and rationale are in the full material.

5. 5.A provider enters a medication order for a 61-year-old inpatient that reads, "Give 10 mg now" without naming the medication or route. What should the nurse do?

   • A.Clarify the incomplete order with the provider before administering anything
   • B.Ask the client which medication the provider intended
   • C.Use the medication most commonly given on the unit
   • D.Ask another nurse to interpret the order

   Answer and rationale are in the full material.