Practice Questions for NUR 233 FINAL |\ |\ |\ |\ |\ |\
exam with correct answers |\ |\ |\
A patient with a venous thromboembolism (VTE) is
|\ |\ |\ |\ |\ |\ |\ |\
started on enoxaparin (Lovenox) and warfarin
|\ |\ |\ |\ |\ |\
(Coumadin). The patient asks the nurse why two |\ |\ |\ |\ |\ |\ |\ |\
medications are necessary. Which response by the nurse |\ |\ |\ |\ |\ |\ |\ |\
is accurate? - CORRECT ANSWERS ✔✔Enoxaparin will
|\ |\ |\ |\ |\ |\ |\
work right away, but warfarin takes several days to begin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preventing clots. |\
Which topic should the nurse include in teaching for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with a venous stasis ulcer on the lower leg? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Application of elastic compression
|\ |\ |\ |\ |\
stockings
|\
A patient with Parkinson's disease has bradykinesia.
|\ |\ |\ |\ |\ |\ |\
Which action should the nurse include in the plan of care?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Suggest that the patient rock
|\ |\ |\ |\ |\ |\ |\ |\ |\
from side to side to initiate leg movement.
|\ |\ |\ |\ |\ |\ |\
A patient who had open reduction and internal fixation
|\ |\ |\ |\ |\ |\ |\ |\ |\
(ORIF) of left lower leg fractures continues to report
|\ |\ |\ |\ |\ |\ |\ |\ |\
severe pain in the leg 15 minutes after receiving the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed IV morphine. The nurse determines pulses are |\ |\ |\ |\ |\ |\ |\ |\
,faintly palpable and the foot is cool to the touch. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action should the nurse take next? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Notify the health care provider |\ |\ |\ |\
For a patient who has had right hip arthroplasty, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing action can the nurse delegate to experienced
|\ |\ |\ |\ |\ |\ |\ |\
unlicensed assistive personnel (UAP)? - CORRECT |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Reposition the patient every 1 to 2 hours |\ |\ |\ |\ |\ |\ |\ |\
The nurse practitioner gives Mrs. Smith written
|\ |\ |\ |\ |\ |\ |\
instructions on her new medication and provides one-on- |\ |\ |\ |\ |\ |\ |\
one instruction regarding priority information on
|\ |\ |\ |\ |\ |\
furosemide (Lasix). Identify the correct teaching |\ |\ |\ |\ |\ |\
statements regarding furosemide. (Select all that apply) - |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A. You will need to monitor your |\ |\ |\ |\ |\ |\ |\ |\ |\
blood pressure because this drug can lower your BP
|\ |\ |\ |\ |\ |\ |\ |\
B. Furosemide (lasix) can cause a low potassium level so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you will want to increase your dietary intake of foods high
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in potassium such as bananas.
|\ |\ |\ |\ |\
C. You should change your position slowly to avoid a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sudden drop in blood pressure and dizziness when initially
|\ |\ |\ |\ |\ |\ |\ |\
standing from a lying or sitting position.
|\ |\ |\ |\ |\ |\ |\
When the patient is being examined for venous
|\ |\ |\ |\ |\ |\ |\ |\
thromboembolism (VTE) in the calf, what diagnostic test |\ |\ |\ |\ |\ |\ |\ |\
should the nurse expect to teach the patient about first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Duplex ultrasound
|\ |\ |\ |\
,The nurse is caring for a client who has developed stage
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
IV pressure ulcers on the left trochanter and coccyx.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which collaborative problem has the highest priority? -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Altered nutrition |\ |\ |\
After receiving a change-of-shift report, which patient
|\ |\ |\ |\ |\ |\ |\
should the nurse assess first? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔The patient receiving chemotherapy who has a
|\ |\ |\ |\ |\ |\ |\
temperature of 102 |\ |\
A patient with an open leg lesion has a white blood cell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(WBC) count of 13,500/µL. What prescribed action should
|\ |\ |\ |\ |\ |\ |\ |\
the nurse take first? - CORRECT ANSWERS ✔✔Obtain
|\ |\ |\ |\ |\ |\ |\ |\
cultures of the wound. |\ |\ |\
An older patient receiving iso-osmolar continuous tube
|\ |\ |\ |\ |\ |\ |\
feedings develops restlessness, agitation, and weakness.
|\ |\ |\ |\ |\ |\
Which laboratory result should the nurse report to the
|\ |\ |\ |\ |\ |\ |\ |\ |\
health care provider immediately? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Na+ 154 mEq/L (154 mmol/L) |\ |\ |\ |\
IV potassium Chloride (KCl) 60 mEq is prescribed for
|\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of a patient with severe hypokalemia. Which |\ |\ |\ |\ |\ |\ |\ |\
action should the nurse take? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Infuse the KCl at a rate of 10 mEQ/hour |\ |\ |\ |\ |\ |\ |\ |\
, A patient comes to the clinic complaining of frequent,
|\ |\ |\ |\ |\ |\ |\ |\ |\
watery stools for the past 2 days. What action should the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse take first? - CORRECT ANSWERS ✔✔Check the
|\ |\ |\ |\ |\ |\ |\ |\
patient's blood pressure |\ |\
It is important for the nurse to assess for which clinical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
manifestation(s) in a patient who has undergone a total |\ |\ |\ |\ |\ |\ |\ |\ |\
thyroidectomy. - CORRECT ANSWERS ✔✔Positive |\ |\ |\ |\ |\
Chvostek's sign |\
Implementation of nursing care for a patient with |\ |\ |\ |\ |\ |\ |\ |\
hyponatremia includes - CORRECT ANSWERS ✔✔fluid |\ |\ |\ |\ |\ |\
restriction
The client's pulse oximetry is reading 90%. What action
|\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse take first? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Move the sensor to another area
|\ |\ |\ |\ |\
The client diagnosed with a community-acquired
|\ |\ |\ |\ |\ |\
pneumonia is being admitted to the medical unit. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
nursing intervention has the highest priority? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Obtain a sputum specimen for culture and
|\ |\ |\ |\ |\ |\ |\ |\
sensitivity.
exam with correct answers |\ |\ |\
A patient with a venous thromboembolism (VTE) is
|\ |\ |\ |\ |\ |\ |\ |\
started on enoxaparin (Lovenox) and warfarin
|\ |\ |\ |\ |\ |\
(Coumadin). The patient asks the nurse why two |\ |\ |\ |\ |\ |\ |\ |\
medications are necessary. Which response by the nurse |\ |\ |\ |\ |\ |\ |\ |\
is accurate? - CORRECT ANSWERS ✔✔Enoxaparin will
|\ |\ |\ |\ |\ |\ |\
work right away, but warfarin takes several days to begin
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preventing clots. |\
Which topic should the nurse include in teaching for a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient with a venous stasis ulcer on the lower leg? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Application of elastic compression
|\ |\ |\ |\ |\
stockings
|\
A patient with Parkinson's disease has bradykinesia.
|\ |\ |\ |\ |\ |\ |\
Which action should the nurse include in the plan of care?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Suggest that the patient rock
|\ |\ |\ |\ |\ |\ |\ |\ |\
from side to side to initiate leg movement.
|\ |\ |\ |\ |\ |\ |\
A patient who had open reduction and internal fixation
|\ |\ |\ |\ |\ |\ |\ |\ |\
(ORIF) of left lower leg fractures continues to report
|\ |\ |\ |\ |\ |\ |\ |\ |\
severe pain in the leg 15 minutes after receiving the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
prescribed IV morphine. The nurse determines pulses are |\ |\ |\ |\ |\ |\ |\ |\
,faintly palpable and the foot is cool to the touch. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action should the nurse take next? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Notify the health care provider |\ |\ |\ |\
For a patient who has had right hip arthroplasty, which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing action can the nurse delegate to experienced
|\ |\ |\ |\ |\ |\ |\ |\
unlicensed assistive personnel (UAP)? - CORRECT |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Reposition the patient every 1 to 2 hours |\ |\ |\ |\ |\ |\ |\ |\
The nurse practitioner gives Mrs. Smith written
|\ |\ |\ |\ |\ |\ |\
instructions on her new medication and provides one-on- |\ |\ |\ |\ |\ |\ |\
one instruction regarding priority information on
|\ |\ |\ |\ |\ |\
furosemide (Lasix). Identify the correct teaching |\ |\ |\ |\ |\ |\
statements regarding furosemide. (Select all that apply) - |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔A. You will need to monitor your |\ |\ |\ |\ |\ |\ |\ |\ |\
blood pressure because this drug can lower your BP
|\ |\ |\ |\ |\ |\ |\ |\
B. Furosemide (lasix) can cause a low potassium level so
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you will want to increase your dietary intake of foods high
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
in potassium such as bananas.
|\ |\ |\ |\ |\
C. You should change your position slowly to avoid a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
sudden drop in blood pressure and dizziness when initially
|\ |\ |\ |\ |\ |\ |\ |\
standing from a lying or sitting position.
|\ |\ |\ |\ |\ |\ |\
When the patient is being examined for venous
|\ |\ |\ |\ |\ |\ |\ |\
thromboembolism (VTE) in the calf, what diagnostic test |\ |\ |\ |\ |\ |\ |\ |\
should the nurse expect to teach the patient about first? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Duplex ultrasound
|\ |\ |\ |\
,The nurse is caring for a client who has developed stage
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
IV pressure ulcers on the left trochanter and coccyx.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Which collaborative problem has the highest priority? -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Altered nutrition |\ |\ |\
After receiving a change-of-shift report, which patient
|\ |\ |\ |\ |\ |\ |\
should the nurse assess first? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔The patient receiving chemotherapy who has a
|\ |\ |\ |\ |\ |\ |\
temperature of 102 |\ |\
A patient with an open leg lesion has a white blood cell
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
(WBC) count of 13,500/µL. What prescribed action should
|\ |\ |\ |\ |\ |\ |\ |\
the nurse take first? - CORRECT ANSWERS ✔✔Obtain
|\ |\ |\ |\ |\ |\ |\ |\
cultures of the wound. |\ |\ |\
An older patient receiving iso-osmolar continuous tube
|\ |\ |\ |\ |\ |\ |\
feedings develops restlessness, agitation, and weakness.
|\ |\ |\ |\ |\ |\
Which laboratory result should the nurse report to the
|\ |\ |\ |\ |\ |\ |\ |\ |\
health care provider immediately? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Na+ 154 mEq/L (154 mmol/L) |\ |\ |\ |\
IV potassium Chloride (KCl) 60 mEq is prescribed for
|\ |\ |\ |\ |\ |\ |\ |\ |\
treatment of a patient with severe hypokalemia. Which |\ |\ |\ |\ |\ |\ |\ |\
action should the nurse take? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Infuse the KCl at a rate of 10 mEQ/hour |\ |\ |\ |\ |\ |\ |\ |\
, A patient comes to the clinic complaining of frequent,
|\ |\ |\ |\ |\ |\ |\ |\ |\
watery stools for the past 2 days. What action should the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse take first? - CORRECT ANSWERS ✔✔Check the
|\ |\ |\ |\ |\ |\ |\ |\
patient's blood pressure |\ |\
It is important for the nurse to assess for which clinical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
manifestation(s) in a patient who has undergone a total |\ |\ |\ |\ |\ |\ |\ |\ |\
thyroidectomy. - CORRECT ANSWERS ✔✔Positive |\ |\ |\ |\ |\
Chvostek's sign |\
Implementation of nursing care for a patient with |\ |\ |\ |\ |\ |\ |\ |\
hyponatremia includes - CORRECT ANSWERS ✔✔fluid |\ |\ |\ |\ |\ |\
restriction
The client's pulse oximetry is reading 90%. What action
|\ |\ |\ |\ |\ |\ |\ |\ |\
should the nurse take first? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Move the sensor to another area
|\ |\ |\ |\ |\
The client diagnosed with a community-acquired
|\ |\ |\ |\ |\ |\
pneumonia is being admitted to the medical unit. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\
nursing intervention has the highest priority? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Obtain a sputum specimen for culture and
|\ |\ |\ |\ |\ |\ |\ |\
sensitivity.
