Nua 302

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Sample questions from Nua 302

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, an RN receives report on four clients. Which client should the RN assess first?

   • A.A client with pneumonia whose temperature is 38.2 C (100.8 F) and who is requesting acetaminophen
   • B.A client with diabetes whose premeal glucose is 198 mg/dL
   • C.A client 4 hours after thyroidectomy who is restless and has audible stridor
   • D.A client with a hip fracture who reports pain of 8/10 after physical therapy

   Rationale: Stridor after thyroid surgery suggests airway obstruction from edema or bleeding and requires immediate assessment and intervention. Fever, pain, and a moderately elevated glucose need attention but are less immediately life-threatening in the absence of other instability. Prioritize threats to airway, breathing, and circulation.

2. 2.In a long-term care facility, an RN is assigning tasks to an experienced unlicensed assistive personnel (UAP). Which task is appropriate to delegate?

   • A.Teach a resident how to use a walker after surgery
   • B.Obtain routine morning weights for stable residents
   • C.Assess a new resident's ability to swallow pills
   • D.Evaluate a resident's response to a newly prescribed analgesic

   Rationale: Obtaining routine weights for stable residents is a predictable task that can be delegated to a trained UAP. Assessment, teaching, and evaluation require nursing judgment and remain the RN's responsibility. The RN should communicate parameters for reporting unexpected findings.

3. 3.In the emergency department, a 68-year-old client with pneumonia has received oxygen and IV fluids. Refer to the client's chart. Which findings require immediate follow-up? Select all that apply.

   • A.The client reports a sore arm at the IV site, which has no redness or swelling
   • B.SpO2 has fallen from 93% to 86% on 2 L/min nasal cannula
   • C.Respiratory rate has increased from 22/min to 32/min
   • D.Temperature is 38.1 C at 1000
   • E.The client is newly difficult to arouse at 1000

   Rationale: The decline in oxygen saturation, new decreased level of consciousness, and rising respiratory rate indicate worsening respiratory status and possible hypoxemia. A fever may occur with pneumonia and requires monitoring, but it is not as urgent as the signs of respiratory deterioration. Mild IV-site soreness without visible changes warrants assessment but does not take priority over breathing concerns.

4. 4.In a medical-surgical unit, a 72-year-old client treated for heart failure develops increasing dyspnea. Refer to the client's chart. Which actions should the nurse take now? Select all that apply.

   • A.Notify the provider of worsening respiratory findings
   • B.Encourage the client to drink a large glass of water
   • C.Raise the head of the bed to high-Fowler position
   • D.Lay the client flat to conserve energy
   • E.Apply oxygen as prescribed and reassess oxygenation

   Answer and rationale are in the full material.

5. 5.At a home visit, a 74-year-old client taking warfarin reports black, tarry stools and dizziness when standing. Which instruction is the priority?

   • A.Seek urgent medical evaluation now and do not take an extra warfarin dose
   • B.Take aspirin for the dizziness
   • C.Skip follow-up INR testing if the stools stop
   • D.Increase dietary vitamin K today and call at the next appointment

   Answer and rationale are in the full material.