NUR235EXAM 3.2 Fall 2026 Asn

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Sample questions from NUR235EXAM 3.2 Fall 2026 Asn

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

1. 1.During postoperative rounds, a 44-year-old client reports feeling faint. Refer to the client's chart. Which action should the nurse take first?

   • A.Reassess the dressing in 30 minutes
   • B.Assist the client to walk to improve circulation
   • C.Administer the prescribed opioid analgesic
   • D.Activate the rapid response team

   Rationale: The falling BP, rising HR, new confusion, and rapidly increasing bloody drainage indicate possible hemorrhagic shock requiring immediate emergency assistance. An opioid could worsen hypotension and does not address the cause. Ambulation is unsafe, and delaying reassessment risks further deterioration. Prioritize rescue when postoperative findings indicate compromised circulation.

2. 2.On a rehabilitation unit, a 67-year-old client recovering from a stroke has stable vital signs and an established mobility plan. Which task is appropriate for the RN to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Evaluate whether the current mobility goals remain appropriate
   • B.Assist the client to the chair using the prescribed transfer technique
   • C.Teach the family how to use the transfer belt
   • D.Determine whether the client's swallowing has improved

   Rationale: Assisting with an established transfer technique is a routine task that may be delegated for a stable client. Determining swallowing status requires nursing assessment, and initial family teaching requires professional judgment. Evaluating mobility goals is also an RN responsibility. Delegate predictable tasks, not assessment, teaching, or evaluation.

3. 3.Before signing consent for surgery, a 52-year-old client in the preoperative area says, 'I still do not understand why I need this operation.' Sedating medications have not been administered. What is the nurse's best response?

   • A.Notify the surgeon that the client needs further explanation
   • B.Witness the signature and document the client's concern
   • C.Explain all surgical risks and obtain the signature
   • D.Ask the spouse to sign because the client is uncertain

   Rationale: The surgeon must provide the information needed for informed consent, so the nurse should pause the process and request clarification. The nurse may reinforce information but should not replace the surgeon's explanation of the procedure and risks. A capable adult's uncertainty does not authorize a spouse to consent, and witnessing a signature does not resolve inadequate understanding. Consent must be informed and voluntary.

4. 4.In an outpatient infusion center, a 29-year-old client who is alert and oriented refuses a prescribed blood transfusion because of religious beliefs. Hemoglobin is 6.8 g/dL, BP is 112/70 mm Hg, and HR is 96 beats/min. Which action best protects the client's rights?

   • A.Tell the client that refusal ends the treatment relationship
   • B.Ask a family member to authorize the transfusion
   • C.Explore the client's understanding and notify the provider about the refusal
   • D.Begin the transfusion because the hemoglobin is critically low

   Answer and rationale are in the full material.

5. 5.At discharge planning rounds for a 73-year-old client, the RN reviews barriers to safe care at home. Refer to the client's chart. Which actions should the RN include in the discharge plan? Select all that apply.

   • A.Ask case management to address medication costs and transportation
   • B.Use teach-back to evaluate understanding of daily weights
   • C.Arrange home health evaluation with the client's agreement
   • D.Request pharmacist review of the conflicting diuretic instructions
   • E.Ask the neighbor to select the appropriate diuretic dose

   Answer and rationale are in the full material.