Nursing 112 All Exams

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Sample questions from Nursing 112 All Exams

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 73-year-old with chronic arthritis requesting the scheduled acetaminophen
   • B.A 68-year-old with pneumonia whose oxygen saturation decreased from 94% to 88% on 2 L/min nasal cannula
   • C.A 45-year-old awaiting discharge instructions after an uncomplicated laparoscopic procedure
   • D.A 52-year-old with diabetes whose premeal glucose is 168 mg/dL

   Rationale: The client with pneumonia has worsening hypoxemia despite supplemental oxygen and needs immediate assessment and intervention. Discharge teaching, routine analgesia, and a glucose of 168 mg/dL are important but do not take priority over impaired oxygenation. Use airway and breathing needs to prioritize care.

2. 2.During a home health visit, a 79-year-old client with heart failure reports increased fatigue and shortness of breath. The client takes furosemide and digoxin; BP is 104/66 mm Hg and HR is 54/min. Which actions should the nurse take? Select all that apply.

   • A.Ask the client to describe medication use and any missed doses
   • B.Encourage the client to double the next furosemide dose without a prescription
   • C.Notify the prescriber about the bradycardia and symptoms before administering digoxin
   • D.Assess the client's apical pulse for 1 full minute before the next digoxin dose
   • E.Review the client's daily weights and recent weight trend

   Rationale: An apical pulse of 54/min and new symptoms warrant a full assessment and prescriber notification before digoxin is given. Daily weights help identify fluid retention, and medication reconciliation can reveal missed or incorrect doses. Independently doubling furosemide is unsafe because it can cause hypotension and electrolyte disturbances.

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

   • A.Teach a resident how to use a newly prescribed inhaler
   • B.Evaluate a resident's response to an oral analgesic
   • C.Assess a resident who reports new chest pressure
   • D.Obtain and record the morning weight of a stable resident with heart failure

   Rationale: Obtaining a routine weight for a stable resident is a predictable task that can be delegated to trained AP. Assessment of new chest pressure, teaching, and evaluation require nursing judgment and remain the RN's responsibility. The RN should review and act on the weight result.

4. 4.A provider prescribes a blood transfusion for a 64-year-old client with symptomatic anemia in an inpatient unit. Which action is essential before the transfusion begins?

   • A.Prime the blood tubing with dextrose 5% in water
   • B.Leave the client unattended for the first 15 minutes
   • C.Verify the blood product and client identity with a second qualified staff member according to policy
   • D.Warm the blood in a microwave to prevent chills

   Answer and rationale are in the full material.

5. 5.On a pediatric inpatient unit, a 10-year-old with a new diagnosis of type 1 diabetes is preparing for discharge. The child and caregiver have questions about home care. Which teaching points should the nurse include? Select all that apply.

   • A.Stop all insulin whenever the child has a fever
   • B.Give insulin according to the prescribed plan, including during illness unless the diabetes team advises otherwise
   • C.Check blood glucose as prescribed and keep a record of results
   • D.Treat a conscious child's hypoglycemia with a fast-acting carbohydrate
   • E.Contact the diabetes team for persistent vomiting or inability to keep fluids down

   Answer and rationale are in the full material.