NUR 211

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Sample questions from NUR 211

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 nurse assess first?

   • A.A client with chronic heart failure who has unchanged bilateral ankle edema
   • B.A client with pneumonia whose oxygen saturation decreased from 94% to 88% on 2 L/min oxygen
   • C.A client 1 day after surgery requesting prescribed pain medication
   • D.A client with diabetes whose premeal glucose is 240 mg/dL

   Rationale: The falling oxygen saturation despite supplemental oxygen suggests worsening gas exchange and requires immediate assessment. Hyperglycemia, postoperative pain, and unchanged chronic edema also need care, but are less urgent without additional acute findings. Prioritize threats to airway and breathing.

2. 2.During a home visit, a public health nurse reviews medication management with an older adult who takes several prescriptions. Which actions are appropriate to reduce medication errors? Select all that apply.

   • A.Recommend checking with a pharmacist before using an over-the-counter drug
   • B.Ask the client to show how each medication is taken
   • C.Suggest using a weekly organizer if the client can fill it safely
   • D.Encourage use of one current medication list shared with all clinicians
   • E.Tell the client to stop a medication whenever a new symptom occurs

   Rationale: Demonstration reveals misunderstanding, and a shared current list helps prevent duplication and interactions. A weekly organizer can help when the client can use it reliably, and a pharmacist can screen nonprescription drugs for interactions. Stopping a prescribed medication without consulting a clinician may cause harm.

3. 3.In a long-term care facility, an RN is assigning care to a nursing assistant. Which task is appropriate to delegate for a stable resident?

   • A.Teach the resident how to use a walker
   • B.Assess new unilateral calf pain
   • C.Evaluate the resident's response to a new diuretic
   • D.Obtain routine morning vital signs and report abnormal results

   Rationale: Obtaining routine vital signs for a stable resident is a predictable task that can be delegated, with abnormal results reported to the RN. Evaluation, teaching, and assessment of new calf pain require nursing judgment. The RN remains accountable for interpreting delegated findings.

4. 4.A provider prescribes IV potassium chloride for a hospitalized client with potassium 2.8 mEq/L. Which action should the nurse take?

   • A.Administer the potassium by IV push over 5 minutes
   • B.Add the potassium to a hanging IV bag at the bedside
   • C.Verify the infusion pump rate and dilute the medication as prescribed
   • D.Give the medication through an IV line without checking patency

   Answer and rationale are in the full material.

5. 5.On a surgical unit, a client scheduled for a procedure says, "I signed the form, but I do not understand what the surgeon plans to do." What should the nurse do?

   • A.Ask the surgeon to return and clarify the procedure before transport
   • B.Explain the surgical risks and obtain a new signature
   • C.Give the prescribed sedative to reduce the client's anxiety
   • D.Tell the client that signing the form means the procedure is understood

   Answer and rationale are in the full material.