NUR410

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Sample questions from NUR410

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

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

   • A.A client with chronic heart failure who gained 1 kg in 24 hours and has bilateral ankle edema
   • B.A client 2 hours after thyroidectomy who is restless and has inspiratory stridor
   • C.A client with diabetes whose premeal glucose is 238 mg/dL and who is due for insulin
   • D.A client with a urinary infection who reports burning with urination

   Rationale: Stridor after thyroidectomy suggests airway obstruction from edema or a neck hematoma and requires immediate assessment and intervention. The weight gain and edema need follow-up but do not indicate an immediate airway threat. Hyperglycemia and dysuria are important but are less urgent in the absence of additional instability.

2. 2.During a home visit, a registered nurse is planning care for an adult with a new colostomy. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Measure and record the amount of liquid stool in the pouch
   • B.Assess the stoma for ischemia and report its color
   • C.Teach the client how to empty and change the pouch
   • D.Evaluate the client's adaptation to the ostomy

   Rationale: Measuring and recording output is a routine, predictable task that can be assigned to a competent UAP. Assessing the stoma, teaching, and evaluating adaptation require nursing judgment. The registered nurse remains responsible for interpreting the recorded output and acting on concerns.

3. 3.In the emergency department, a 10-year-old with a perforated appendix is awaiting surgery. The parent says the child has a severe latex allergy. Which actions should the nurse take to coordinate safe care? Select all that apply.

   • A.Place a latex-allergy alert on the chart and communicate it during handoff
   • B.Use powdered latex gloves if they are worn only briefly
   • C.Verify that gloves and equipment used for the child are latex-free
   • D.Notify the operating-room team and verify a latex-safe environment
   • E.Ask the parent to bring the child's usual latex-free supplies from home before care begins

   Rationale: A visible alert and direct communication help prevent inadvertent exposure across care settings. Verifying latex-free equipment and notifying the operating-room team are essential because exposure can cause a severe reaction. Delaying care for supplies from home is unnecessary, and powdered latex gloves remain unsafe even with brief use.

4. 4.A client states, "I do not understand why the surgeon wants me to sign this consent." The client is scheduled for surgery in 30 minutes and has received prescribed midazolam. What should the nurse do?

   • A.Witness the signature after the client states agreement
   • B.Explain the surgical risks and obtain the signature
   • C.Ask the client's family member to sign the form
   • D.Pause the process and notify the surgeon that the client needs further explanation

   Answer and rationale are in the full material.

5. 5.In a long-term care facility, a charge nurse assigns four clients to an experienced practical nurse (PN). Which assignment is appropriate?

   • A.A client reporting new crushing chest pain
   • B.A newly admitted client with sudden confusion and an oxygen saturation of 88%
   • C.A stable client with a chronic pressure injury requiring a scheduled dressing change
   • D.A client receiving a first unit of packed red blood cells

   Answer and rationale are in the full material.