NRSG3000 Foundations of Professional Nursing — Original Latest Version Study Set

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Sample questions from NRSG3000 Foundations of Professional Nursing — Original Latest Version Study Set

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, report describes four clients: a 72-year-old with new confusion and SpO2 88%, a 45-year-old requesting pain medication, a 60-year-old awaiting discharge, and a 38-year-old with a scheduled dressing change. Which client should the nurse assess first?

   • A.The client needing a dressing change
   • B.The client awaiting discharge
   • C.The client with new confusion and SpO2 88%
   • D.The client requesting pain medication

   Rationale: New confusion with hypoxemia may indicate impaired oxygenation and requires immediate assessment. Pain, discharge needs, and a routine dressing change are important but do not take priority over a possible airway or breathing problem. The exam takeaway is to prioritize acute physiologic instability over routine needs.

2. 2.In a pediatric clinic, a 6-year-old with asthma has an oxygen saturation of 97% and is due for a scheduled oral medication; the parent asks the nurse to also give an over-the-counter cough syrup brought from home. What is the nurse's best action?

   • A.Document the request and administer the scheduled medication and syrup
   • B.Check the medication label and consult the prescriber or pharmacist before administering it
   • C.Ask the child whether the syrup has been taken before
   • D.Give the cough syrup if the parent confirms the dose

   Rationale: The nurse must verify the safety, ingredients, dose, and potential interactions of a medication before administration. A parent's approval or the child's prior use does not establish that it is safe, and documenting a request does not replace verification. The scheduled medication can be given if it is independently verified as appropriate.

3. 3.During a home visit, a 79-year-old with heart failure reports new shortness of breath when lying flat; respiratory rate is 26/min and ankle edema has increased since yesterday. Which action should the nurse take first?

   • A.Assess respiratory effort, lung sounds, and oxygenation
   • B.Ask the client to weigh again after lunch
   • C.Arrange a routine follow-up appointment for next week
   • D.Review the client's low-sodium meal plan

   Rationale: The client's worsening dyspnea and edema suggest possible fluid overload, so immediate respiratory assessment is the priority. Diet teaching and a future appointment do not address current respiratory risk, and a post-lunch weight is not a substitute for assessing the client's condition. Escalate care promptly if findings indicate deterioration.

4. 4.On a rehabilitation unit, a registered nurse is planning assignments for a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP); which tasks are appropriate to delegate? Select all that apply.

   • A.Ask the UAP to evaluate a client's response to a new pain medication
   • B.Ask the UAP to obtain routine vital signs for a stable client
   • C.Ask the LPN to reinforce previously taught ostomy care
   • D.Ask the UAP to assess a newly admitted client's swallowing ability
   • E.Ask the LPN to administer a prescribed oral medication to a stable client

   Answer and rationale are in the full material.

5. 5.In an outpatient clinic, a 52-year-old with limited English proficiency arrives for a consent discussion before a procedure; the client's adult daughter offers to interpret. Which action best supports informed consent?

   • A.Use the daughter because she knows the client's history
   • B.Have the provider explain the procedure only to the daughter
   • C.Ask the client to sign now and clarify the procedure afterward
   • D.Use a qualified medical interpreter and confirm the client's understanding

   Answer and rationale are in the full material.