Comp 283

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Sample questions from Comp 283

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 74-year-old client with pneumonia has an oxygen saturation of 88% on 2 L/min by nasal cannula, while three other clients are stable. Which action should the charge nurse take first?

   • A.Review the assignment sheet for possible staff changes
   • B.Call the provider to report that the client's saturation is below 90%
   • C.Assess the client with pneumonia and increase oxygen according to the prescribed protocol
   • D.Ask the unlicensed assistive personnel to obtain routine morning weights

   Rationale: The falling oxygen saturation requires immediate assessment and intervention to address possible respiratory deterioration. Calling the provider may be appropriate after assessing and initiating permitted measures, but does not replace immediate care. Routine weights and assignment review can wait.

2. 2.During a home visit, a 52-year-old client with a new colostomy says, "I am not sure I can manage this by myself." Which referral best supports the client's immediate learning needs?

   • A.Request a wound, ostomy, and continence nurse consultation
   • B.Refer the client to a dietitian before providing any ostomy instruction
   • C.Ask the client to attend a general support group next month
   • D.Arrange home physical therapy for transfer training

   Rationale: An ostomy specialist can assess the stoma and provide individualized appliance-care teaching and practice. A dietitian or support group may help later but does not address the immediate skill concern. Physical therapy is not indicated by the scenario.

3. 3.On a pediatric unit, a registered nurse is assigning care for four stable clients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel?

   • A.Evaluate whether an analgesic relieved pain
   • B.Teach a parent how to administer an inhaler
   • C.Assess a child who reports new abdominal pain
   • D.Obtain and record the temperature of a stable 8-year-old

   Rationale: Obtaining a routine temperature for a stable client is a predictable task that can be delegated with clear reporting parameters. Assessment, teaching, and evaluation require nursing judgment and remain the registered nurse's responsibility. The nurse should follow up on an abnormal result.

4. 4.A provider prescribes a medication dose that appears substantially higher than the usual dose for a 6-year-old. The child is stable, and administration is due now. What should the nurse do?

   • A.Give half the dose and document the change
   • B.Hold the medication and clarify the prescription with the provider
   • C.Ask the parent whether the child has received this dose before
   • D.Give the prescribed dose because the provider is responsible for the order

   Answer and rationale are in the full material.

5. 5.On a telemetry unit, a 61-year-old client admitted with heart failure has worsening dyspnea and new crackles. Refer to the client's chart. Which actions are appropriate? Select all that apply.

   • A.Apply oxygen as prescribed and reassess oxygen saturation
   • B.Review the trend in weight and fluid balance
   • C.Raise the head of the bed and support breathing
   • D.Encourage the client to drink a large glass of water
   • E.Notify the provider or activate rapid response based on severity

   Answer and rationale are in the full material.