NUR1140

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Sample questions from NUR1140

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

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

   • A.A client with diabetes whose blood glucose is 210 mg/dL before breakfast
   • B.A client with chronic heart failure who has 1+ ankle edema and an oxygen saturation of 95% on room air
   • C.A client with pneumonia who has a temperature of 38.1 C and is due for acetaminophen
   • D.A client 2 hours after thyroidectomy who reports tingling around the mouth and has a hoarse voice

   Rationale: Perioral tingling and hoarseness after thyroid surgery may signal hypocalcemia or airway compromise from bleeding or swelling. The heart failure findings, fever, and elevated glucose require follow-up but are not as immediately threatening based on the information provided. Airway and rapidly worsening postoperative complications take priority.

2. 2.In a rehabilitation unit, an RN is assigning tasks to a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which task is appropriate for the RN to delegate to the UAP?

   • A.Evaluate whether a PRN analgesic relieved a client's pain
   • B.Obtain a routine morning weight for a stable client with heart failure
   • C.Teach a client with a new colostomy how to change the pouch
   • D.Assess a client reporting new chest pressure

   Rationale: Obtaining a routine weight for a stable client is a predictable task that can be delegated to trained UAP, with the RN interpreting the result. Teaching, assessment of new chest pressure, and evaluation of medication effectiveness require nursing judgment. The RN remains accountable for follow-up on delegated data.

3. 3.During a home health visit, an RN reviews care with a 74-year-old client who has limited mobility and a stage 2 sacral pressure injury. Which actions are appropriate to include in the plan of care? Select all that apply.

   • A.Encourage adequate protein and fluid intake if not contraindicated
   • B.Use a donut-shaped ring to keep pressure off the sacrum
   • C.Massage reddened areas over bony prominences to improve circulation
   • D.Keep the skin clean and gently dry after episodes of incontinence
   • E.Reposition the client at individualized regular intervals and offload pressure

   Rationale: Regular repositioning and pressure offloading, moisture management, and adequate nutrition support prevention and healing. Massaging reddened tissue can worsen damage, and donut devices concentrate pressure around their edges. The plan should be individualized to mobility, skin status, and other health restrictions.

4. 4.A provider prescribes a medication for a client who says, 'I do not understand why I need this, and I do not want it.' Which action should the nurse take first?

   • A.Explore the client's concerns and provide information within the nurse's role
   • B.Crush the medication into food so the client receives the dose
   • C.Document the refusal and immediately leave the room
   • D.Ask a family member to persuade the client to take the medication

   Answer and rationale are in the full material.

5. 5.On a pediatric unit, a 6-year-old with asthma is prescribed an inhaled medication. Which task may the RN delegate to an experienced LPN?

   • A.Perform the initial respiratory assessment after the child's admission
   • B.Develop the teaching plan for the child's new asthma diagnosis
   • C.Administer the prescribed inhaled medication to a stable child and report the response
   • D.Determine whether the child is ready for discharge

   Answer and rationale are in the full material.