NUR210

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Sample questions from NUR210

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

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

   • A.A 52-year-old client with diabetes whose premeal blood glucose is 248 mg/dL and who is waiting for a scheduled insulin dose
   • B.A 40-year-old client 1 day after appendectomy who reports incisional pain of 7 out of 10
   • C.A 77-year-old client with chronic kidney disease whose morning potassium is 5.2 mEq/L and whose ECG is unchanged
   • D.A 68-year-old client with pneumonia who has a new SpO2 of 86% on room air and is using accessory muscles

   Rationale: The client with hypoxemia and increased work of breathing has an immediate threat to airway and breathing and requires prompt assessment. The elevated glucose requires follow-up, but the client is not described as unstable. The postoperative pain needs treatment, and the mildly elevated potassium needs monitoring, but neither takes priority over respiratory compromise. Prioritize using airway, breathing, and circulation before less acute needs.

2. 2.In a long-term care facility, an RN is planning assignments for a licensed practical nurse (LPN) and a nursing assistant. Which task is appropriate to assign to the nursing assistant?

   • A.Teach a resident with a new prescription how to use an inhaler
   • B.Obtain routine vital signs for a stable 81-year-old resident before breakfast
   • C.Evaluate whether a pain medication relieved a resident's pain
   • D.Assess a resident who reports new shortness of breath

   Rationale: Obtaining routine vital signs for a stable resident is a predictable task that can be delegated to a nursing assistant, with the RN responsible for interpreting and following up on results. Assessment of new shortness of breath requires nursing judgment. Teaching inhaler use and evaluating medication effectiveness also require the nurse's knowledge and judgment. Delegate tasks, not assessment, teaching, or evaluation.

3. 3.During a home visit, a 73-year-old client with heart failure says, "I get confused about which pills to take." The client has three medication bottles with overlapping instructions, reports dizziness when standing, and has a BP of 98/60 mm Hg. Which actions should the nurse take? Select all that apply.

   • A.Assess orthostatic vital signs and report the dizziness and low blood pressure to the prescriber
   • B.Ask the client to demonstrate how the medications are organized and taken each day
   • C.Tell the client to stop all prescribed medications until the next clinic appointment
   • D.Discard the older-looking bottles without checking their contents or instructions
   • E.Reconcile the medication bottles against the current medication list and contact the prescriber or pharmacist about discrepancies

   Rationale: Reconciling the bottles with the current list helps identify duplication or conflicting directions, and asking for a demonstration reveals how the client actually takes the medications. Dizziness with a BP of 98/60 mm Hg warrants further assessment, including orthostatic measurements, and communication with the prescriber. Stopping all medications independently could worsen heart failure, while discarding bottles without verification risks removing a needed medication. Medication changes should be coordinated with the prescribing team.

4. 4.A client states, "I do not want the surgery," after signing a consent form earlier that morning. The 46-year-old client is alert, has received no sedating medication, and is scheduled to leave for the operating room in 10 minutes. What is the nurse's priority action?

   • A.Explain that signing the consent form makes the decision final
   • B.Ask the client's spouse to persuade the client to continue with the surgery
   • C.Notify the surgeon that the client is withdrawing consent and pause the transfer
   • D.Give the prescribed preoperative sedative to reduce the client's anxiety

   Answer and rationale are in the full material.

5. 5.The parent of a 6-year-old child in the emergency department asks why the nurse is contacting child protective services after the child disclosed being struck at home. Which response by the nurse is best?

   • A.I am required to report a reasonable suspicion of abuse; the appropriate agency will investigate
   • B.You will need to report this yourself before the hospital can take any action
   • C.I will wait to report until the child's injuries have been confirmed by imaging
   • D.I can keep this information confidential if you promise the child will be safe

   Answer and rationale are in the full material.