NUR 235 Exam 3.1FALL 2026 Asn

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Sample questions from NUR 235 Exam 3.1FALL 2026 Asn

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 68-year-old client with pneumonia has an oxygen saturation of 88% on 2 L/min nasal cannula, while three other clients are waiting for routine medications. Which action should the nurse take first?

   • A.Give the routine medications to the other clients
   • B.Assess the client with pneumonia and increase oxygen as prescribed by protocol
   • C.Ask the nursing assistant to reassess the oxygen saturation in 30 minutes
   • D.Call the provider after completing the medication pass

   Rationale: An oxygen saturation of 88% indicates impaired oxygenation and requires immediate assessment and intervention. Routine medications and a delayed recheck do not address the current threat. The nurse should stabilize the client before attending to nonurgent tasks.

2. 2.In a rehabilitation unit, a 74-year-old client with a new stroke has right-sided weakness and dysphagia. Which tasks may the RN delegate to an experienced unlicensed assistive personnel (UAP)? Select all that apply.

   • A.Assist the client with bathing after the RN has assessed transfer safety
   • B.Obtain and record routine vital signs
   • C.Report new coughing during a meal to the RN immediately
   • D.Evaluate whether the prescribed swallowing strategies are effective
   • E.Teach the client how to use a transfer belt

   Rationale: Bathing and routine vital-sign collection are predictable tasks that can be delegated after the RN establishes the plan and safety parameters. Reporting coughing is appropriate for the UAP, while the RN must evaluate swallowing and teach transfer techniques. Assessment, evaluation, and teaching remain RN responsibilities.

3. 3.During a home health visit, a 59-year-old client with heart failure says, "I cannot afford all these pills." The client has skipped furosemide for 3 days and has new ankle edema. Which action is best?

   • A.Explore the client's medication access and collaborate on an affordable plan
   • B.Tell the client that taking every dose is essential
   • C.Ask the client to double the next furosemide dose
   • D.Document nonadherence and end the visit

   Rationale: Exploring the barrier supports a safe, individualized plan and allows collaboration with the prescriber, pharmacist, or social services. Scolding does not resolve the cost barrier, and doubling a dose without an order can cause harm. The new edema also warrants assessment and communication to the care team.

4. 4.A provider prescribes a medication dose that is ten times the usual dose for a 6-year-old client. The child is stable and the medication has not been given. What should the nurse do first?

   • A.Administer the dose because it is prescribed
   • B.Ask the parent to confirm the dose
   • C.Hold the medication and clarify the prescription with the prescriber
   • D.Give one tenth of the prescribed dose

   Answer and rationale are in the full material.

5. 5.In an emergency department, a 32-year-old client with abdominal pain is awaiting imaging when the client becomes pale and diaphoretic. BP is 82/48 mm Hg, HR 132/min, and the client reports feeling faint. Which action takes priority?

   • A.Obtain a detailed pain history
   • B.Continue the imaging preparation
   • C.Offer oral fluids
   • D.Initiate emergency response and support circulation while assessing the client

   Answer and rationale are in the full material.