NSG126

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Sample questions from NSG126

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 68-year-old client with pneumonia has an oxygen saturation of 89% on 2 L/min by nasal cannula, compared with 94% one hour ago. The client is newly restless, with a respiratory rate of 30/min. Which action should the nurse take first?

   • A.Assess the client's respiratory status and increase support according to the prescription or protocol.
   • B.Ask the nursing assistant to obtain another set of vital signs in 15 minutes.
   • C.Call the client's family to ask whether restlessness is usual.
   • D.Document the findings and discuss them during rounds.

   Rationale: The falling oxygen saturation, tachypnea, and new restlessness suggest worsening oxygenation and require prompt assessment and intervention. Waiting for another set of vital signs or deferring discussion could delay treatment. The family may provide useful history but cannot replace immediate assessment, and documentation alone does not address the change.

2. 2.During a home health visit, a 74-year-old client with limited mobility is preparing for discharge from skilled services. The client uses a walker, takes several medications, and reports difficulty getting to the pharmacy. Which actions best support a safe transition in care? Select all that apply.

   • A.Reconcile the medication list with the client and prescribing clinician.
   • B.Confirm that the client can demonstrate safe walker use in the home.
   • C.Arrange for the client to stop taking any medication that is difficult to obtain.
   • D.Send the client's full health record to a neighbor who offered to help.
   • E.Collaborate with the client to identify a reliable medication delivery or pickup plan.

   Rationale: Medication reconciliation helps identify discrepancies and supports continuity after skilled services end. A practical pharmacy access plan and verification of safe walker use address the client's stated barriers and fall risk. The nurse should not independently discontinue prescribed medication, and health information should not be shared with a neighbor without the client's authorization.

3. 3.In the emergency department, a 42-year-old client with a fractured wrist is scheduled for procedural sedation. The client says, 'I do not understand what the doctor plans to do.' The consent form is unsigned, and the provider is preparing to begin. What should the nurse do?

   • A.Explain the procedure, obtain the signature, and proceed with preparation.
   • B.Ask the client's family member to sign the form instead.
   • C.Document that the client is anxious and continue with the planned sedation.
   • D.Pause preparation and notify the provider that the client needs further explanation before consenting.

   Rationale: Consent must be informed and voluntary, and the provider performing the procedure is responsible for explaining its risks, benefits, and alternatives. The nurse should pause the process and notify the provider when the client indicates a lack of understanding. The nurse should not provide the provider's explanation in place of the provider, seek a family signature for a competent adult, or proceed without valid consent.

4. 4.On a postpartum unit, a 29-year-old client is stable 8 hours after an uncomplicated vaginal birth and needs help with routine newborn care. Which task is appropriate for the registered nurse to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Assess the client's uterine tone and amount of lochia.
   • B.Evaluate whether the client's pain medication was effective.
   • C.Assist the client with ambulation after the RN has assessed readiness and provided instructions.
   • D.Teach the client how to recognize signs of postpartum hemorrhage.

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication for a 16-year-old client in an outpatient clinic. The client asks that the diagnosis not be shared with a parent. The client is alert, and no immediate safety threat is identified. Which action should the nurse take?

   • A.Promise that no information will ever be shared with anyone.
   • B.Explain that confidentiality depends on applicable law and clinic policy, and clarify the limits before discussing the concern.
   • C.Ask the parent to leave and document that the client is legally emancipated.
   • D.Tell the parent because the client is younger than 18 years.

   Answer and rationale are in the full material.