NUR 4590 Final Exam Review EXAM 2024-2025
QUESTIONS AND CORRECT VERIFIED
ANSWERS /100% PASS SOLUTION / ALREADY
GRADED A+
The nurse arrives at work and is told to report (float) to the ICU for the day because the
ICU is understaffed and needs additional nurses to care for the patients. The nurse has
never worked in an ICU. Which is the best action for the nurse to take?
A. Refuse to float to the ICU based on lack of unit orientation.
B. Clarify the ICU patient assignment with the team leader to ensure that it is a safe
assignment.
C.Ask the nursing supervisor to review the hospital policy on floating.
D.Submit a written protest to nursing administration, and then call the hospital lawyer.
B
A primary health care provider (PHCP) asks the nurse to discontinue tube feeding in a
client who has a terminal condition. The PHCP tells the nurse that the request was made
by the client's spouse and children. What would the nurse check for first before carrying
out the prescription?
A. Court approval to discontinue the treatment
B. Approval by the institutional ethics committee
C. A written prescription by the PHCP to remove the tube
D. Authorization by the family to discontinue the treatment
D
A primary care provider's orders indicated that a surgical consent form needs to be signed.
Since the nurse was not present when the primary care provider discussed the surgical
procedure, which statement "best" illustrates the nurse fulfilling the client advocate role?
A. "The doctor has asked that you sign the consent form.
"B. "Do you have any questions about the procedure?"
,C. "What were you told about the procedure you are going to have?"
D. "Remember that you can change your mind and cancel the procedure."
C
A hospitalized client tells the nurse that a living will is being prepared and that the lawyer
will be bringing the will to the hospital today for witness signatures. The client asks the
nurse for assistance obtaining a witness to the will. Which is the most appropriate
response to the client?
A. "I will sign as a witness to your signature.
"B. "You will need to find a witness on your own.
C. "Whoever is available at the time will sign as a witness for you."
D. "I will call the nursing supervisor to seek assistance regarding your request."
D
Which patients below are best assigned to the LPN? Select all that apply:
A. A 30-year-old male patient with active GI bleeding that requires multiple blood
transfusion.
B. A 78-year-old female with osteoporosis who needs assistance performing range of
motion exercises and ambulating with a walker.
C. A 29-year-old male patient who is post-op day 6 from a colostomy placement that is on
a clear liquid diet.
D. A 55-year-old male patient who reports chest pain and has an ST segment elevation on
the EKG.
B and C
As the registered nurse, which tasks below should you NOT delegate to the LPN?
A. Performing an assessment on a new admission.
B. Collecting a urine sample from an indwelling Foley catheter.
C. Developing a plan of care for a patient who is admitted with Guillain-Barré Syndrome.
D. Educating a patient about how to monitor for side effects associated with Warfarin.
E. Auscultating lung and bowel sounds.
F. Starting a blood transfusion.
,G. Administering IV Morphine 2 mg for pain.
H. Providing wound care to a stage 3 pressure injury.
A, C, D, F, and G
On your unit there are two RNs: one is a new RN while the other is an experienced RN. In
addition, there are three LPNs and two nursing assistants. Which tasks delegated to one of
the nursing assistants by the new RN needs to be re-evaluated?
A. Apply hydrocortisone cream to eczema on a patient's skin after giving the patient a
bath.
B. Assist the patient with administering a Fleet Enema.
C. Empty an ostomy bag.
D. Assist a patient with ambulation.
E. Collect and record patients' blood pressure, heart rate, temperature,oxygen saturation,
respirations, and pain rating.
A and B
The nurse is working with one LPN and two assistant personnel (APs) on a 20-bed unit.
Which are the appropriate tasks to delegate to the appropriate person? (Select all that
apply)
A. Feeding an elderly and confused client to the aide.
B. Toileting the client for the first time after surgery to the LPN
C. Placing the bathroom supplies in the room of the new admission to the LPN.
D. Reinforcing the discharge teaching instructions to the LPN.
E. Administering a PO pain medication to the LPN.
F. Performing the routine dressing change 5 days after surgery to the LPN.
A, D, E, and F
The nurse is assigned to care for four clients. In planning client rounds, which client should
the nurse assess first?
A. A client scheduled for a chest x-ray
B. A client requiring daily dressing changes
, C. A postoperative client preparing for discharge
D. A client receiving nasal oxygen who had difficulty breathing during the previous shift.
D
A 64-year-old patient is receiving chemotherapy for breast cancer. After the morning
report, the nurse finds the patient nauseated, vomiting light green emesis, and crying
because her hair is falling out in clumps. The pulse is 115 beats/min and thready, and the
blood pressure is 90/50 mmHg. Which intervention should the nurse make a priority for
this patient?
A. Obtaining an order for intravenous fluids at 100 mL/hr
B. Teaching the patient some deep-breathing exercises to help her calm down
C. Cleansing the skin and applying a clean hospital gown
D. Premedication for nausea before the next chemotherapy dose
A
A client arrives at the emergency department with upper gastrointestinal (GI) bleeding
and is in moderate distress. The priority nursing action is to:
A. Obtain vital signs
B. Ask the client about the precipitating events
C. Complete an abdominal physical assessment
D. Insert a nasogastric (NG) tube and Hematest the emesis
A
An hour after admission to the nursery, the nurse observes a newborn baby having
spontaneous jerky movements of the limbs. The infant's mother had gestational diabetes
mellitus (GDM) during pregnancy. Which of the following actions should the nurse take
FIRST?
A. Give dextrose water.
B. Call the physician immediately.
C. Determine the blood glucose level.
D. Observe closely for other symptoms
C
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