NUR412

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Sample questions from NUR412

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 76-year-old client with pneumonia has a new oxygen requirement, a 68-year-old client is waiting for discharge teaching, a 54-year-old client needs a routine dressing change, and a 43-year-old client requests pain medication for chronic back pain. Which client should the nurse assess first?

   • A.The client due for a routine dressing change
   • B.The client with pneumonia whose oxygen requirement has increased from 2 L/min to 6 L/min
   • C.The client waiting for discharge teaching
   • D.The client requesting medication for chronic back pain

   Rationale: An increasing oxygen requirement can signal worsening respiratory status and requires immediate assessment. Discharge teaching and a routine dressing change can wait, as can assessment of chronic pain when no acute change is described. Prioritize actual or potential threats to airway and breathing.

2. 2.Refer to the client's chart. Which actions should the nurse take now for the 68-year-old client on a surgical unit? Select all that apply.

   • A.Review the medication list for drugs that can contribute to hypotension
   • B.Assist the client to a sitting position before checking orthostatic blood pressure
   • C.Hold the prescribed antihypertensive medication and clarify the order
   • D.Document the low blood pressure and reassess in 4 hours without notifying anyone
   • E.Instruct the client to rise slowly and call for help before standing

   Rationale: The blood pressure has fallen from 118/70 to 88/54 mm Hg, and the client reports dizziness, so the nurse should reduce fall risk, assess orthostatic changes safely, and clarify a medication that may worsen hypotension. Reviewing the medication list can identify contributing drugs. Waiting 4 hours without escalation is unsafe given symptomatic hypotension.

3. 3.In an outpatient clinic, a 42-year-old client asks to have the medical record corrected because it lists an allergy the client denies. Which action should the nurse take?

   • A.Follow facility policy for documenting the client's requested amendment
   • B.Tell the client that only the provider may review the medical record
   • C.Remove the allergy from the record after the client confirms it is incorrect
   • D.Copy the record and give it to the client without checking identity

   Rationale: The client's request should be handled through the organization's formal record-amendment process, preserving the original record and its audit trail. A nurse should not independently erase or alter a documented allergy. Record access and disclosure also require identity verification and established procedures.

4. 4.A provider prescribes a medication dose that is ten times the usual dose listed in the medication reference for a 9-year-old client. The client is stable and the medication is due now. What should the nurse do?

   • A.Administer the dose because the provider prescribed it
   • B.Give one tenth of the prescribed dose and document the change
   • C.Ask another nurse to verify the dose and then administer it
   • D.Withhold the medication and clarify the prescription with the provider

   Answer and rationale are in the full material.

5. 5.During a home visit, a 79-year-old client with heart failure says, "I cannot afford all these pills, so I take them every other day." Which nursing action is best?

   • A.Notify the provider that the client is refusing treatment
   • B.Recommend stopping the least important medication
   • C.Ask which medications are being skipped and collaborate on lower-cost options
   • D.Tell the client that skipping doses can lead to hospitalization

   Answer and rationale are in the full material.