Modular 4 Content

Question 1

Performing active range of motion exercises requires assistance from the nurse or UAP.

Accepted Answer

False

Question 2

A nursing assistant can independently assess a patient's bowel sounds.

Accepted Answer

False

Question 3

Which of the following best demonstrates the nurse promoting safety in medication administration?

Accepted Answer

asking for help when unsure about a drug dosage

Question 4

Ordered: 2 g of a medication. Available: 500 mg tablets. How many tablets should you administer?

Accepted Answer

4

Question 5

A patient with COPD is receiving 4 L/min of oxygen via nasal cannula. Which action is most appropriate?

Accepted Answer

encourage pursed lip breathing

Question 6

Which nursing intervention is most appropriate for a patient with pneumonia who has a SpO₂ of 88% on room air?

Accepted Answer

administer oxygen as prescribed

Question 7

A provider orders 500 mg of a medication. The medication comes in 250 mg tablets. How many tablets will you give?

Accepted Answer

2 tablets

Question 8

Order: Morphine 2 mg IV q4h PRN. Available: Morphine 4 mg/mL. How much will you administer?

Accepted Answer

0.5 ml

Question 9

Placing a patient with shortness of breath in high Fowler’s position promotes lung expansion.

Accepted Answer

True

Question 10

Which statement by a patient with constipation indicates the need for further teaching?

Accepted Answer

i will take a laxative every day

Question 11

Which statement by the patient with hypertension indicates correct understanding of management?

Accepted Answer

I need to avoid high sodium foods

Question 12

Which action by the nurse supports the QSEN competency of "Teamwork and Collaboration"?

Accepted Answer

participating in bedside shift report

Question 13

Which finding in a patient with COPD requires immediate action?

Accepted Answer

O2 sat of 86% on room air

Question 14

Which nurse action best demonstrates collaboration in patient care?

Accepted Answer

communicating with the physical therapist about mobility needs

Question 15

A nurse implements pressure ulcer prevention protocols based on the latest research. This is an example of:

Accepted Answer

evidence based practice

Question 16

A child weighs 22 pounds. The ordered dose is 10 mg/kg. How many mg should the child receive?

Accepted Answer

110 mg

Question 17

A patient presents with dry mucous membranes and a serum sodium of 152 mEq/L. What is the priority intervention?

Accepted Answer

encourage oral fluids

Question 18

A nurse reviews patient fall data to develop a new fall prevention protocol. This action reflects:

Accepted Answer

quality improvement

Question 19

A patient is receiving IV fluids at a rapid rate. Which sign suggests fluid overload?

Accepted Answer

jugular vein distention

Question 20

A nurse is assessing a patient with suspected heart failure. Which finding is consistent with this diagnosis?

Accepted Answer

crackles in the lungs

Question 21

A nurse notes that a patient hasn’t voided in 6 hours post-catheter removal. What is the nurse’s priority action?

Accepted Answer

palpate the bladder

Question 22

A patient with hyponatremia should be encouraged to increase water intake.

Accepted Answer

False

Question 23

Which assessment finding suggests fluid volume deficit?

Accepted Answer

decreased skin turgor

Question 24

Which nursing action reflects the QSEN concept of patient-centered care?

Accepted Answer

involving the patient in creating their care plan

Question 25

Which is an early sign of hypoxia in an adult patient?

Accepted Answer

restlessness

Question 26

Which patient should the nurse see first?

Accepted Answer

A post op patient with a respiratory rate of 8 breaths/min

Question 27

What is a priority intervention for a patient who is on strict bed rest?

Accepted Answer

perform passive range of motion exercies

Question 28

Which of the following is a normal age-related change in urinary function for older adults?

Accepted Answer

increased risk of urinary incontinence

Question 29

A nurse notes 3+ pitting edema in a patient’s lower extremities. What is the likely cause?

Accepted Answer

heart failure

Question 30

Which intervention helps prevent skin breakdown in a patient with urinary incontinence?

Accepted Answer

Providing incontinence care after each episode

Question 31

Which body system is most at risk for complications from immobility?

Accepted Answer

musculoskeletal

Question 32

The order reads: Administer 1,000 mL of 0.9% NS over 8 hours. What is the infusion rate in mL/hr?

Accepted Answer

125 ml/hr

Question 33

Which finding requires immediate nursing intervention?

Accepted Answer

Blood pressure of 80/50 mmHg

Question 34

A patient has a new prescription for digoxin. What should the nurse do before administration?

Accepted Answer

check potassium level

Question 35

To prevent venous thromboembolism (VTE) in a post-op patient, the nurse should:

Accepted Answer

encourage frequent ambulation

Question 36

The dorsalis pedis pulse is used to assess cerebral perfusion.

Accepted Answer

False

Question 37

A patient with heart failure is receiving IV furosemide. Which electrolyte imbalance is most likely?

Accepted Answer

Hypokalemia

Question 38

Which situation requires the nurse to complete an incident report?

Accepted Answer

a visitor trips on a loose cord

Question 39

Which lab value indicates hyperkalemia?

Accepted Answer

K⁺ = 5.6 mEq/L

Question 40

A nurse delegates ambulation of a stable post-op patient to a UAP. What instruction is most important?

Accepted Answer

ensure the patient is wearing non skid socks

Modular 4 Content

Questions 40

Modular 4 Content

Questions 40