Nursing 112 First Semester Final Exams

Free preview · Original latest version

Sample questions from Nursing 112 First Semester Final Exams

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

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

   • A.A client awaiting discharge instructions after an uncomplicated procedure
   • B.A client with pneumonia whose temperature is 38.1 C (100.6 F)
   • C.A client 2 hours after thyroidectomy who is restless and has audible stridor
   • D.A client with chronic back pain requesting the scheduled analgesic

   Rationale: Restlessness with stridor after thyroid surgery suggests acute airway obstruction and requires immediate assessment and intervention. Chronic pain, a moderate fever in a client with pneumonia, and discharge teaching are important but do not take priority over a threatened airway. Prioritize airway, breathing, and circulation when comparing clients.

2. 2.During a home visit, a 76-year-old client with heart failure reports increased fatigue. The client takes furosemide and has new ankle edema; BP is 146/84 mm Hg, HR 92/min, RR 22/min, and SpO2 93% on room air. Which actions are appropriate for the RN? Select all that apply.

   • A.Ask the client to describe medication use and recent sodium intake
   • B.Assess lung sounds and compare the client's weight with recent measurements
   • C.Notify the health care provider about worsening symptoms and assessment findings
   • D.Recommend that the client increase fluid intake without consulting the provider
   • E.Instruct the client to stop furosemide until the edema resolves

   Rationale: Lung assessment and weight trends help identify worsening fluid overload, and medication and diet review may reveal contributing factors. Reporting the new edema, fatigue, and tachypnea supports timely evaluation. Stopping the diuretic or increasing fluids without an order could worsen heart failure; the takeaway is to assess trends and escalate changes rather than independently alter therapy.

3. 3.In a long-term care facility, an RN plans assignments for the shift. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Assess a resident who reports new chest pressure
   • B.Evaluate whether a prescribed pain medication relieved pain
   • C.Teach a resident how to use a walker after a fall
   • D.Obtain routine vital signs for a stable resident before breakfast

   Rationale: Obtaining routine vital signs for a stable resident is a predictable task that can be delegated to a competent UAP. Assessment, teaching, and evaluation require nursing judgment and remain the RN's responsibility. Delegation does not transfer accountability for appropriate supervision and follow-up.

4. 4.A provider prescribes a medication at 0900, but the electronic record lists a severe allergy to that medication. The 42-year-old client is stable in the outpatient clinic. What should the nurse do first?

   • A.Hold the medication and clarify the prescription with the provider
   • B.Administer the medication and monitor for a reaction
   • C.Document the allergy and administer a reduced dose
   • D.Ask the client whether the allergy is still present

   Answer and rationale are in the full material.

5. 5.On a pediatric unit, a 6-year-old client is scheduled for surgery. The parent asks who can provide consent because the other parent is unavailable. What is the nurse's best response?

   • A."The surgeon can proceed if the child agrees."
   • B."The legally authorized representative must provide consent; I will help clarify who is authorized."
   • C."A relative who brought the child may sign in place of a parent."
   • D."I can sign the consent as the child's nurse."

   Answer and rationale are in the full material.