NUR 198 FINAL EXAM-QUESTIONS WITH
VERIFIED SOLUTIONS | 2026 UPDATE
An older adult comes in with new onset of confusion. What should you do first?
Rule out physiological possibilities then test for delirium
Chronic Condition
Diseases that can be treated but not cured, prolonged and progressive
Safety risks for visually impaired older adults
Physiological changes in Older Adults
Which medication do you administer for a potassium of 5.8?
Sodium polystyrene
Acid/Base imbalance that causes flu-like symptoms with hyperactive reflexes and a new
onset of confusion
Metabolic alkalosis
Complications of potassium imbalance
Arrhthymias
First symptom of acidosis
hyperventilation
How to prevent edema in extremities post-op
elevation
,Role of the circulating nurse
Document and time out
Post-Op teaching should include
Teaching about leg exercises, IS, Deep Breathing, TED hose, ambulation
Best nutrient to promote wound healing post-operatively
protein
Appropriate med for low-moderate pain
Nonpharm methods and/or nonopioids
Major side effect of opioids
respiratory depression
Pain medication modalities during the post-op phase
PCA, nerve blocks
Pain Scales
FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is having vomiting and severe
diarrhea
potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
,□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28
Fever, Oxygenation, and Productive cough
For each finding, click to specify if the finding is associated OR not associated with COPD
associated: occupation, pulse oximeter at 87%, 50-pack smoking history, productive cough,
clubbing in fingers, ABG CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status
1. treat the pneumonia
For each finding, click to specify if the finding is associated OR not associated with COPD
, associated: iv methylprednisolone, administer po acetaminophen for fever, encourage flutter
valve or acapella use, encourage pursed lip breathing, monitor wbc.
What should the nurse teach the client before discharge about the treatment plan? Select
all that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the prednisone.
-Can continue flutter valve or acapella at least 3-4 times daily.
-Increase oxygen level to 5-6 L/minute whenever short of breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking.
- continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times daily
-obtain pneumococcal and flu baccine at next provider visit.
-eat smaller, more frequent high calorie, high protein meals
-consider strategies to stop smoking
For each potential client statement, click to specify whether the statement indicates an
understanding, or no understanding of discharge teaching provided.
VERIFIED SOLUTIONS | 2026 UPDATE
An older adult comes in with new onset of confusion. What should you do first?
Rule out physiological possibilities then test for delirium
Chronic Condition
Diseases that can be treated but not cured, prolonged and progressive
Safety risks for visually impaired older adults
Physiological changes in Older Adults
Which medication do you administer for a potassium of 5.8?
Sodium polystyrene
Acid/Base imbalance that causes flu-like symptoms with hyperactive reflexes and a new
onset of confusion
Metabolic alkalosis
Complications of potassium imbalance
Arrhthymias
First symptom of acidosis
hyperventilation
How to prevent edema in extremities post-op
elevation
,Role of the circulating nurse
Document and time out
Post-Op teaching should include
Teaching about leg exercises, IS, Deep Breathing, TED hose, ambulation
Best nutrient to promote wound healing post-operatively
protein
Appropriate med for low-moderate pain
Nonpharm methods and/or nonopioids
Major side effect of opioids
respiratory depression
Pain medication modalities during the post-op phase
PCA, nerve blocks
Pain Scales
FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is having vomiting and severe
diarrhea
potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
,□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28
Fever, Oxygenation, and Productive cough
For each finding, click to specify if the finding is associated OR not associated with COPD
associated: occupation, pulse oximeter at 87%, 50-pack smoking history, productive cough,
clubbing in fingers, ABG CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status
1. treat the pneumonia
For each finding, click to specify if the finding is associated OR not associated with COPD
, associated: iv methylprednisolone, administer po acetaminophen for fever, encourage flutter
valve or acapella use, encourage pursed lip breathing, monitor wbc.
What should the nurse teach the client before discharge about the treatment plan? Select
all that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the prednisone.
-Can continue flutter valve or acapella at least 3-4 times daily.
-Increase oxygen level to 5-6 L/minute whenever short of breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking.
- continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times daily
-obtain pneumococcal and flu baccine at next provider visit.
-eat smaller, more frequent high calorie, high protein meals
-consider strategies to stop smoking
For each potential client statement, click to specify whether the statement indicates an
understanding, or no understanding of discharge teaching provided.
