NUR 445 exam 1 UPDATED ACTUAL Questions and CORRECT
Answers
A client is admitted with suspected DKA. Which Kussmaul respirations
assessment finding would the nurse expect to find?
A patient with SIADH has a serum sodium of 128 mEq/L. Restrict fluid intake
Which intervention should the nurse implement first?
A client with Addison's disease presents with an Increased potassium
Addisonian crisis. Which lab value would the nurse
expect to find?
A nurse is caring for a patient with thyroid storm. Which Administer beta-blockers
intervention has the highest priority?
A patient with diabetes insipidus has a urine specific Increased serum osmolality
gravity of 1.002. Which finding would the nurse also
expect?
The nurse is assessing a patient with suspected Blood pressure 82/40
pulmonary embolism. Which finding requires immediate
intervention?
A mechanically ventilated patient has a PaO₂ of 55 Assess breath sounds
mmHg. The nurse should first?
A patient has a chest tube inserted for pneumothorax. Fluctuation with respiration
Which finding indicates proper functioning?
A post-thyroidectomy patient reports tingling around the Assess for Chvostek's sign
mouth. The nurse should first?
The nurse is caring for a patient with HHS. Which finding Blood glucose >600 mg/dL
differentiates this from DKA?
A patient with ARDS is receiving mechanical ventilation. SpO2 92% on current settings
Which assessment finding requires immediate
intervention?
Answers
A client is admitted with suspected DKA. Which Kussmaul respirations
assessment finding would the nurse expect to find?
A patient with SIADH has a serum sodium of 128 mEq/L. Restrict fluid intake
Which intervention should the nurse implement first?
A client with Addison's disease presents with an Increased potassium
Addisonian crisis. Which lab value would the nurse
expect to find?
A nurse is caring for a patient with thyroid storm. Which Administer beta-blockers
intervention has the highest priority?
A patient with diabetes insipidus has a urine specific Increased serum osmolality
gravity of 1.002. Which finding would the nurse also
expect?
The nurse is assessing a patient with suspected Blood pressure 82/40
pulmonary embolism. Which finding requires immediate
intervention?
A mechanically ventilated patient has a PaO₂ of 55 Assess breath sounds
mmHg. The nurse should first?
A patient has a chest tube inserted for pneumothorax. Fluctuation with respiration
Which finding indicates proper functioning?
A post-thyroidectomy patient reports tingling around the Assess for Chvostek's sign
mouth. The nurse should first?
The nurse is caring for a patient with HHS. Which finding Blood glucose >600 mg/dL
differentiates this from DKA?
A patient with ARDS is receiving mechanical ventilation. SpO2 92% on current settings
Which assessment finding requires immediate
intervention?
