NSG 245 Exam 1 Review Questions and Correct Answers
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Course
NUR 245
Institution
NUR 245
A clinic nurse is teaching a client prior to surgery. The client does not seem to comprehend the teaching, forgets a lot of what is said, and asks the same questions again and again. What action by the nurse is best? a. Assess the client for anxiety. b. Break the information into smaller c. Give th...
NSG 245 Exam 1 Review Questions and
Correct Answers
A clinic nurse is teaching a client prior to surgery. The client does not seem to
comprehend the teaching,
forgets a lot of what is said, and asks the same questions again and again. What action
by the nurse is best?
a. Assess the client for anxiety.
b. Break the information into smaller
c. Give the client written information
d. Review the information again ✅ANS: A
Anxiety can interfere with learning and cooperation. The nurse should assess the client
for anxiety. The other
actions are appropriate too, and can be included in the teaching plan, but effective
teaching cannot occur if the
client is highly anxious.
A preoperative nurse is reviewing morning laboratory values on four clients waiting for
surgery. Which
result warrants immediate communication with the surgical team?
a. Creatinine: 1.2 mg/dL
b. Hemoglobin: 14.8 mg/dL
c. Potassium: 2.9 mEq/L
d. Sodium: 134 mEq/L ✅ANS: C
A potassium of 2.9 mEq/L is critically low and can affect cardiac and respiratory status.
The nurse should
communicate this laboratory value immediately. The creatinine is at the high end of
normal, the hemoglobin is
normal, and the sodium is only slightly low (normal low being 136 mEq/L), so these
values do not need to be
reported immediately.
A client waiting for surgery is very anxious. What intervention can the nurse delegate to
the unlicensed
assistive personnel (UAP)?
a. Assess the clients anxiety.
b. Give the client a back rub.
c. Remind the client to turn.
d. Teach about postoperative care. ✅ANS: B
A back rub reduces anxiety and can be delegated to the UAP. Once teaching has been
done, the UAP can
remind the client to turn, but this is not related to relieving anxiety. Assessing anxiety
and teaching are not
within the scope of practice for the UAP.
, A nurse is concerned that a preoperative client has a great deal of anxiety about the
upcoming procedure. What action by the nurse is best?
a. Ask the client to describe current feelings.
b. Determine if the client wants a chaplain.
c. Reassure the client this surgery is common.
d. Tell the client there is no need to be anxious. ✅ANS: A
The nurse needs to conduct further assessment of the clients anxiety. Asking open-
ended questions about
current feelings is an appropriate way to begin. The client may want a chaplain, but the
nurse needs to do more
for the client. Reassurance can be good, but false hope is not, and simply reassuring
the client may not be
helpful. Telling the client not to be anxious belittles the clients feelings
A postoperative client has just been admitted to the postanesthesia care unit (PACU).
What assessment by
the PACU nurse takes priority?
a. Airway
b. Bleeding
c. Breathing
d. Cardiac rhythm ✅ANS: A
Assessing the airway always takes priority, followed by breathing and circulation.
Bleeding is part of the
circulation assessment, as is cardiac rhythm.
A nurse is assessing clients for fluid and electrolyte imbalances. Which client should the
nurse assess first
for potential hyponatremia?
a. A 34-year-old on NPO status who is receiving intravenous D5W
b. A 50-year-old with an infection who is prescribed a sulfonamide antibiotic
c. A 67-year-old who is experiencing pain and is prescribed ibuprofen (Motrin)
d. A 73-year-old with tachycardia who is receiving digoxin (Lanoxin) ✅ANS: A
Dextrose 5% in water (D5W) contains no electrolytes. Because the client is not taking
any food or fluids by
mouth (NPO), normal sodium excretion can lead to hyponatremia. The sulfonamide
antibiotic, ibuprofen, and
digoxin will not put a client at risk for hyponatremia.
A nurse teaches a client who is at risk for mild hypernatremia. Which statement should
the nurse include in
this clients teaching?
a. Weigh yourself every morning and every night.
b. Check your radial pulse twice a day.
c. Read food labels to determine sodium content
d. Bake or grill the meat instead of frying it ✅ANS: C
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