NUR 1023

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Sample questions from NUR 1023

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

1. 1.At change of shift on a medical unit, which client should the RN assess first?

   • A.A 67-year-old awaiting discharge who needs anticoagulant teaching
   • B.A 45-year-old with pancreatitis reporting pain of 7/10 with stable vital signs
   • C.A 29-year-old with cellulitis whose temperature decreased from 38.5 C to 37.8 C
   • D.An 82-year-old with pneumonia who developed confusion and an SpO2 of 88% on 2 L/min oxygen

   Rationale: New confusion with hypoxemia suggests impaired oxygen delivery and requires immediate assessment. Pain needs prompt treatment, but stable vital signs make it less urgent than respiratory deterioration. Discharge teaching can wait, and the decreasing temperature suggests improvement rather than deterioration.

2. 2.During postoperative rounds, an RN reviews a 71-year-old client's condition. Refer to the client's chart. Which action has priority?

   • A.Activate the rapid response team
   • B.Administer the prescribed oral analgesic
   • C.Delegate another set of vital signs in 30 minutes
   • D.Request a routine physical therapy consultation

   Rationale: The falling BP to 86/50 mm Hg, rising HR to 124 beats/min, oliguria, and increasing bloody drainage indicate possible hemorrhagic shock. Rapid response activation brings immediate assessment and stabilization resources. Delaying reassessment, arranging physical therapy, or treating pain alone fails to address the life-threatening deterioration.

3. 3.On a rehabilitation unit, a 76-year-old client recovering from hip surgery is stable and has an established mobility plan. Which tasks may the RN delegate to experienced assistive personnel? Select all that apply.

   • A.Measure and record oral fluid intake
   • B.Obtain routine vital signs and report values outside specified parameters
   • C.Determine whether new calf pain indicates a complication
   • D.Teach the client how to administer an anticoagulant injection
   • E.Assist with walking using the prescribed walker and established technique

   Rationale: Recording intake, assisting with established ambulation, and obtaining routine vital signs are predictable tasks appropriate for trained assistive personnel. Evaluating new calf pain requires nursing assessment because it could indicate thrombosis. Initial anticoagulant teaching requires a licensed nurse; delegation transfers task performance, not nursing judgment.

4. 4.Before a scheduled endoscopy in an outpatient center, a 54-year-old client says, 'I signed the form, but I still do not understand the major risks.' Sedation has not been administered. What should the RN do?

   • A.Explain all procedural risks and then administer sedation
   • B.Proceed because the signed form establishes informed consent
   • C.Notify the procedural provider that further explanation is needed before proceeding
   • D.Ask the spouse to confirm that the client should proceed

   Answer and rationale are in the full material.

5. 5.In a long-term care facility, a 79-year-old client with decision-making capacity refuses a scheduled antihypertensive because it caused dizziness yesterday. BP is 126/72 mm Hg. Which response is best?

   • A.Ask the client's daughter to authorize giving the medication
   • B.Explore the concern, assess the dizziness, and notify the prescriber about the refusal
   • C.Explain that facility admission requires acceptance of prescribed medications
   • D.Hide the medication in applesauce to prevent another refusal

   Answer and rationale are in the full material.