NSG 3100 FINAL PREP EXAM QUESTIONS AND ANSWERS
1. you have a patient 36 weeks gestation that was recently admitted
to the L&D unit. as you are settling the patient, she states that
"she's so grateful that the doctor was willing to induce her so
she could go on vacation not pregnant". you are looking over
the orders and see that oxytocin was ordered. what is your first
priority?
a. take the patient's vital signs
b. ask the patient about history of placenta previa
c. contact the provider to clarify the order
d. arrange for c-section: c. contact the provider to clarify the order
oxytocin is not indicated for elective induction
2. SELECT ALL THAT APPLY: your patient is ordered oxytocin. which
are reasons that you would question the order?
- fetal distress
- hx of asthma
- painless bleeding
- plan on having a c-section
,- hx of MI: fetal
distress painless
bleeding
3. what adverse effect occurs when too much mannitol is given?
a. cardiac collapse
b. respiratory depression
c. metabolic acidosis
d. increase in intracranial pressure: d. increase in intracranial pressure
4. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs in 1-5
minutes"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
,c. "mannitol causes a decrease of Na+ and H2O reabsorption in
the kidneys, which increases urine output"
d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": a.
"reduction in the amount of pressure of csf occurs in 1-5 minutes"
5. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "you need to monitor fluid and electrolyte levels closely"
c. "mannitol causes a decrease of Na+ and H2O reabsorption in the
kidneys, which increases urine output"
d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": b. "you
need to monitor fluid and electrolyte levels closely"
6. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
c. "mannitol causes an increase of Na+ and H2O reabsorption in
the kidneys, which increases urine output"
, d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": c.
"mannitol causes an increase of Na+ and H2O reabsorption in the kidneys,
which increases urine output"
7. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
1. you have a patient 36 weeks gestation that was recently admitted
to the L&D unit. as you are settling the patient, she states that
"she's so grateful that the doctor was willing to induce her so
she could go on vacation not pregnant". you are looking over
the orders and see that oxytocin was ordered. what is your first
priority?
a. take the patient's vital signs
b. ask the patient about history of placenta previa
c. contact the provider to clarify the order
d. arrange for c-section: c. contact the provider to clarify the order
oxytocin is not indicated for elective induction
2. SELECT ALL THAT APPLY: your patient is ordered oxytocin. which
are reasons that you would question the order?
- fetal distress
- hx of asthma
- painless bleeding
- plan on having a c-section
,- hx of MI: fetal
distress painless
bleeding
3. what adverse effect occurs when too much mannitol is given?
a. cardiac collapse
b. respiratory depression
c. metabolic acidosis
d. increase in intracranial pressure: d. increase in intracranial pressure
4. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs in 1-5
minutes"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
,c. "mannitol causes a decrease of Na+ and H2O reabsorption in
the kidneys, which increases urine output"
d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": a.
"reduction in the amount of pressure of csf occurs in 1-5 minutes"
5. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "you need to monitor fluid and electrolyte levels closely"
c. "mannitol causes a decrease of Na+ and H2O reabsorption in the
kidneys, which increases urine output"
d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": b. "you
need to monitor fluid and electrolyte levels closely"
6. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
c. "mannitol causes an increase of Na+ and H2O reabsorption in
the kidneys, which increases urine output"
, d. "high doses of mannitol can open the blood brain barrier, which
causes the fluid to leak out faster than it would on a lower dose.": c.
"mannitol causes an increase of Na+ and H2O reabsorption in the kidneys,
which increases urine output"
7. you are educating a nursing student about the nursing
considerations of mannitol. which of the following statement
would indicate understanding?
a. "reduction in the amount of pressure of csf occurs over several
days"
b. "since there are no electrolytes in CSF, you don't need to
monitor those levels."
