NUR 445 Exam 3.2 UPDATED ACTUAL Questions and
CORRECT Answers
The nurse is caring for a client admitted with septic shock D-Dimer 0.9mcg/mL
2 days ago. The client has new bruises and is oozing from 3 multiple choice options
puncture sites. Which lab value would indicate that the
client is developing disseminated intravascular
coagulopathy (DIC)?
Lab Test Normal Values:
D-Dimer 0-0.5 mcg/mL
Platelets 150-450x103/microL
PT 10-13 seconds
Lactate <2mmol/L
A nurse is caring for a patient suspected of having sepsis. Lactic acid
The healthcare provider has initiated the sepsis bundle. 3 multiple choice options
Which lab test should the nurse identify as the most
important to monitor?
A nurse is caring for a patient diagnosed with trigeminal Teach the patient to avoid known triggers
neuralgia. The client reports episodes of severe, stabbing 3 multiple choice options
facial pain triggered by light touch. Which of the
following should the nurse implement to help manage
the patient's pain?
Which is the best position for the nurse to place a client Semi-Fowler's with head in neutral alignment
with increased ICP and decreased intracranial 3 multiple choice options
compliance?
Which type of shock is characterized by widespread Distributive (neurogenic)
vasodilation and increased permeability? 3 multiple choice options
, The nurse assesses a client suspected of being in shock. Crackles
Which assessment finding is indicative of cardiogenic 3 multiple choice options
shock?
A female client is admitted to the ICU with cardiogenic Intra-aortic balloon
shock following a myocardial infarction. What treatment 3 multiple choice options
option would best provide circulatory support?
The nurse reviews the lab results of a client with multiple- BUN 26mg/dL
organ failure. Which lab value requires further 3 multiple choice options
evaluation?
Laboratory Test Normal Findings (Conventional Units)
Hct (Male & Female) Male: 42-52% Female: 36-48%
BUN 8-21 mg/dL
Serum Creatinine Male: 0.61-1.21 mg/dL
Female: 0.51-1.11 mg/dL
Lactate <2 mmol/L
The nurse cares for a client who is septic and is receiving Urine output increases
a normal saline infusion. Which finding should indicate 3 multiple choice options
that this treatment has been successful?
The nurse cares for a client with septic shock. Which Temperature of 99.8F
assessment findings should indicate that the treatment Respiratory rate of 16
was effective? (SATA) WBC 10,000
3 multiple choice options
Laboratory Test Normal Findings (Conventional Units)
WBCs 4.5-11.1 103/microL
Lactic Acid <2 mmol/L
A client presents to a primary care office with reports of Myasthenia Gravis
fluctuating trunk and limb weakness, ptosis, and diplopia 3 multiple choice options
that is making activities of daily living more difficult. The
nurse should recognize that these assessment findings
correlate with which condition?
A stroke client who has hemianopia is at risk for injury. Scan the room from side to side frequently
What should the nurse educate the client to do to 3 multiple choice options
prevent injury?
The nurse assesses a client with increased ICP. What Assess the client's orientation
priority action should the nurse complete? 3 multiple choice options
The nurse provides care for a client with ALS. Which Mottled skin color
observation by the nurse would require immediate 3 multiple choice options
follow-up?
The nurse is educating the client and their family about "All muscles, sensation, and cognition will be affected."
the client's new dx of ALS. Which statement by the 3 multiple choice options
client/family would require the nurse to provide further
education?
CORRECT Answers
The nurse is caring for a client admitted with septic shock D-Dimer 0.9mcg/mL
2 days ago. The client has new bruises and is oozing from 3 multiple choice options
puncture sites. Which lab value would indicate that the
client is developing disseminated intravascular
coagulopathy (DIC)?
Lab Test Normal Values:
D-Dimer 0-0.5 mcg/mL
Platelets 150-450x103/microL
PT 10-13 seconds
Lactate <2mmol/L
A nurse is caring for a patient suspected of having sepsis. Lactic acid
The healthcare provider has initiated the sepsis bundle. 3 multiple choice options
Which lab test should the nurse identify as the most
important to monitor?
A nurse is caring for a patient diagnosed with trigeminal Teach the patient to avoid known triggers
neuralgia. The client reports episodes of severe, stabbing 3 multiple choice options
facial pain triggered by light touch. Which of the
following should the nurse implement to help manage
the patient's pain?
Which is the best position for the nurse to place a client Semi-Fowler's with head in neutral alignment
with increased ICP and decreased intracranial 3 multiple choice options
compliance?
Which type of shock is characterized by widespread Distributive (neurogenic)
vasodilation and increased permeability? 3 multiple choice options
, The nurse assesses a client suspected of being in shock. Crackles
Which assessment finding is indicative of cardiogenic 3 multiple choice options
shock?
A female client is admitted to the ICU with cardiogenic Intra-aortic balloon
shock following a myocardial infarction. What treatment 3 multiple choice options
option would best provide circulatory support?
The nurse reviews the lab results of a client with multiple- BUN 26mg/dL
organ failure. Which lab value requires further 3 multiple choice options
evaluation?
Laboratory Test Normal Findings (Conventional Units)
Hct (Male & Female) Male: 42-52% Female: 36-48%
BUN 8-21 mg/dL
Serum Creatinine Male: 0.61-1.21 mg/dL
Female: 0.51-1.11 mg/dL
Lactate <2 mmol/L
The nurse cares for a client who is septic and is receiving Urine output increases
a normal saline infusion. Which finding should indicate 3 multiple choice options
that this treatment has been successful?
The nurse cares for a client with septic shock. Which Temperature of 99.8F
assessment findings should indicate that the treatment Respiratory rate of 16
was effective? (SATA) WBC 10,000
3 multiple choice options
Laboratory Test Normal Findings (Conventional Units)
WBCs 4.5-11.1 103/microL
Lactic Acid <2 mmol/L
A client presents to a primary care office with reports of Myasthenia Gravis
fluctuating trunk and limb weakness, ptosis, and diplopia 3 multiple choice options
that is making activities of daily living more difficult. The
nurse should recognize that these assessment findings
correlate with which condition?
A stroke client who has hemianopia is at risk for injury. Scan the room from side to side frequently
What should the nurse educate the client to do to 3 multiple choice options
prevent injury?
The nurse assesses a client with increased ICP. What Assess the client's orientation
priority action should the nurse complete? 3 multiple choice options
The nurse provides care for a client with ALS. Which Mottled skin color
observation by the nurse would require immediate 3 multiple choice options
follow-up?
The nurse is educating the client and their family about "All muscles, sensation, and cognition will be affected."
the client's new dx of ALS. Which statement by the 3 multiple choice options
client/family would require the nurse to provide further
education?
