NUR 233 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfari n (C
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oumadin). The patient asks the nurse why two medications are necessary. Which response by the
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nurse is accurate? - CORRECT ANSWER✔✔-
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Enoxaparin will work right away, but warfarin takes several daysto begin preventing clots.cv cv cv cv cv cv cv cv cv cv cv cv cv
Which topic should thenurse include in teachingfor a patient with a venous stasisulcer on the lower le
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g? - CORRECT ANSWER✔✔-Application of elastic compression stockings
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A patient with Parkinson's disease hasbradykinesia. Which action should the nurse include in t he p
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lan of care? - CORRECT ANSWER✔✔-
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Suggest that the patient rock from side to side to initiate leg movement.
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A patient whohad open reduction and internal fixation (ORIF) of left lower leg fractures continu es to
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report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The n urse dete
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rmines pulses are faintly palpable and the foot is coolto thetouch. Which action shoul d the nurse tak
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e next? - CORRECT ANSWER✔✔-Notify the health care provider
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For a patient who has had right hip arthroplasty, which nursing action can the nurse delegate to expe
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rienced unlicensed assistive personnel (UAP)? - CORRECT ANSWER✔✔-
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Reposition the patient every 1 to 2 hours cv cv cv cv cv cv cv
Thenursepractitioner gives Mrs. Smith written instructionson hernew medication and provide s on
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e-on-
one instruction regarding priority information onfurosemide (Lasix).Identify the correctteachi ng
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statements regarding furosemide. (Select all that apply) - CORRECT ANSWER✔✔- cv cv cv cv cv cv cv cv cv
A. Youwillneed to monitor your blood pressure because thisdrug can lower your BP
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,B. Furosemide (lasix) can cause a low potassium level so you will want to increase your dietar y int cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
ake of foods high in potassium such as bananas.
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C. You should change your position slowlyto avoid a sudden drop in blood pressure and dizzines s wh
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en initially standing from a lying or sitting position.
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When the patient isbeing examined for venous thromboembolism (VTE) inthe calf, what di agn
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ostic test should the nurse expect to teach the patient about first? -
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CORRECT ANSWER✔✔-Duplex ultrasound cv cv
The nurse is caring for a client who has developed stage IV pressure ulcers on the left troch ante
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r and coccyx. Which collaborative problem has the highest priority? -
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CORRECT ANSWER✔✔-Altered nutrition cv cv
After receiving a change-of-shift report, which patient should the nurse assess first? -
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CORRECT ANSWER✔✔-The patient receiving chemotherapy whohas atemperature of 102
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A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL.What prescri bed acti
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on should the nurse take first? - CORRECT ANSWER✔✔-Obtain cultures of the wound.
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An older patient receiving iso-
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osmolar continuous tube feedingsdevelops restlessness, agitation, and weakness. Which labor ato
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ry result should the nurse report to the health care provider immediately? -
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CORRECT ANSWER✔✔-Na+ 154 mEq/L (154 mmol/L) cv cv cv cv cv
IV potassium Chloride (KCl) 60 mEq is prescribed for treatment of apatient with severe hypokal emia
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. Which action should the nurse take? - CORRECT ANSWER✔✔-
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Infuse the KCl at a rate of 10 mEQ/hour cv cv cv cv cv cv cv cv
A patient comes to the clinic complaining of frequent, watery stools for thepast 2 days. What ac tion
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should the nurse take first? - CORRECT ANSWER✔✔-c v c v c v c v c v c v c v
Check the patient's blood pressure c v c v c v cv
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, It is important forthe nurse to assessfor which clinical manifestation(s) in a patient whohas un dergo
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ne a total thyroidectomy. - CORRECT ANSWER✔✔-Positive Chvostek's sign
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Implementation ofnursing care for apatientwith hyponatremiaincludes - cv cv cv cv cv cv vc cv cv cv
CORRECT ANSWER✔✔-fluid restriction
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The client's pulse oximetry is reading 90%. What action should the nurse take first? -
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CORRECT ANSWER✔✔-Move the sensor to another area
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The clientdiagnosed with a community-
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acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the high
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est priority?- CORRECT ANSWER✔✔-Obtain a sputum specimen for culture and sensitivity.
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Which client problems are appropriate forthe nurse to include in theplan of carefor the clie nt dia
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gnosed with COPD? Select all that apply - CORRECT ANSWER✔✔-
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A. Impaired gas exchange cv ws
B. Inability to tolerate temperature extremes cv cv cv cv
C. Activity intolerance cv
D. Inability to cope with changes in roles cv cv cv cv cv cv
E. Alteration in nutrition cv cv
Thenurse isplanning the care of a client diagnosed with pneumonia and writes aproblem of "i mpai
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red gas exchange." Which is the expected outcome for this problem? -
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CORRECT ANSWER✔✔-Alert and oriented toperson, place, time and events
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The nurse identifies the diagnosis of Ineffective Breathing Pattern relatedto inability to maintai n a
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dequate rate and depth of respirationsfor a client with an acute respiratory problem resultin g from l
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ung disease. Which nursing intervention should be listed first on the care plan? -
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CORRECT ANSWER✔✔-Determine airway adequacy hourly and as needed.
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A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfari n (C
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
oumadin). The patient asks the nurse why two medications are necessary. Which response by the
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
nurse is accurate? - CORRECT ANSWER✔✔-
cv cv cv cv cv
Enoxaparin will work right away, but warfarin takes several daysto begin preventing clots.cv cv cv cv cv cv cv cv cv cv cv cv cv
Which topic should thenurse include in teachingfor a patient with a venous stasisulcer on the lower le
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
g? - CORRECT ANSWER✔✔-Application of elastic compression stockings
cv cv cv cv cv cv cv
A patient with Parkinson's disease hasbradykinesia. Which action should the nurse include in t he p
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
lan of care? - CORRECT ANSWER✔✔-
cv cv cv cv cv
Suggest that the patient rock from side to side to initiate leg movement.
cv cv cv cv cv cv cv cv cv cv cv ws
A patient whohad open reduction and internal fixation (ORIF) of left lower leg fractures continu es to
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The n urse dete
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
rmines pulses are faintly palpable and the foot is coolto thetouch. Which action shoul d the nurse tak
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
e next? - CORRECT ANSWER✔✔-Notify the health care provider
cv cv cv cv cv cv cv cv
For a patient who has had right hip arthroplasty, which nursing action can the nurse delegate to expe
cv cv cv cv cv cv ws cv cv cv cv cv cv cv cv cv cv
rienced unlicensed assistive personnel (UAP)? - CORRECT ANSWER✔✔-
cv cv cv cv cv cv cv
Reposition the patient every 1 to 2 hours cv cv cv cv cv cv cv
Thenursepractitioner gives Mrs. Smith written instructionson hernew medication and provide s on
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
e-on-
one instruction regarding priority information onfurosemide (Lasix).Identify the correctteachi ng
cv cv cv cv cv cv cv cv cv cv vc cv cv
statements regarding furosemide. (Select all that apply) - CORRECT ANSWER✔✔- cv cv cv cv cv cv cv cv cv
A. Youwillneed to monitor your blood pressure because thisdrug can lower your BP
vc cv cv cv cv cv cv cv cv cv cv cv cv cv
Downloaded cv ws Jenga () cv
,B. Furosemide (lasix) can cause a low potassium level so you will want to increase your dietar y int cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
ake of foods high in potassium such as bananas.
cv cv cv cv cv cv cv cv
C. You should change your position slowlyto avoid a sudden drop in blood pressure and dizzines s wh
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
en initially standing from a lying or sitting position.
cv cv cv cv cv cv cv cv
When the patient isbeing examined for venous thromboembolism (VTE) inthe calf, what di agn
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
ostic test should the nurse expect to teach the patient about first? -
cv cv cv cv cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-Duplex ultrasound cv cv
The nurse is caring for a client who has developed stage IV pressure ulcers on the left troch ante
cv cv cv ws cv cv cv cv cv cv cv cv cv cv cv cv cv cv
r and coccyx. Which collaborative problem has the highest priority? -
cv cv cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-Altered nutrition cv cv
After receiving a change-of-shift report, which patient should the nurse assess first? -
cv cv cv cv cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-The patient receiving chemotherapy whohas atemperature of 102
cv cv cv cv cv cv cv cv cv cv cv
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL.What prescri bed acti
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
on should the nurse take first? - CORRECT ANSWER✔✔-Obtain cultures of the wound.
cv cv cv cv cv cv cv cv cv cv cv cv
An older patient receiving iso-
cv cv cv cv
osmolar continuous tube feedingsdevelops restlessness, agitation, and weakness. Which labor ato
cv cv cv cv cv cv cv cv cv cv cv
ry result should the nurse report to the health care provider immediately? -
cv cv cv cv cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-Na+ 154 mEq/L (154 mmol/L) cv cv cv cv cv
IV potassium Chloride (KCl) 60 mEq is prescribed for treatment of apatient with severe hypokal emia
cv cv cv cv cv cv cv cv cv cv cv vc cv cv cv cv
. Which action should the nurse take? - CORRECT ANSWER✔✔-
cv cv cv cv cv cv cv cv cv
Infuse the KCl at a rate of 10 mEQ/hour cv cv cv cv cv cv cv cv
A patient comes to the clinic complaining of frequent, watery stools for thepast 2 days. What ac tion
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv c v
should the nurse take first? - CORRECT ANSWER✔✔-c v c v c v c v c v c v c v
Check the patient's blood pressure c v c v c v cv
Downloaded cv ws Jenga () cv
, It is important forthe nurse to assessfor which clinical manifestation(s) in a patient whohas un dergo
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
ne a total thyroidectomy. - CORRECT ANSWER✔✔-Positive Chvostek's sign
cv cv cv cv cv cv cv cv
Implementation ofnursing care for apatientwith hyponatremiaincludes - cv cv cv cv cv cv vc cv cv cv
CORRECT ANSWER✔✔-fluid restriction
cv cv cv
The client's pulse oximetry is reading 90%. What action should the nurse take first? -
cv cv cv cv cv ws cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-Move the sensor to another area
cv cv cv cv cv cv cv
The clientdiagnosed with a community-
cv cv cv cv cv
acquired pneumonia is being admitted to the medical unit. Which nursing intervention has the high
cv cv cv cv cv cv cv cv cv cv cv cv cv cv
est priority?- CORRECT ANSWER✔✔-Obtain a sputum specimen for culture and sensitivity.
cv cv cv cv cv cv cv cv cv cv cv
Which client problems are appropriate forthe nurse to include in theplan of carefor the clie nt dia
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
gnosed with COPD? Select all that apply - CORRECT ANSWER✔✔-
cv cv cv cv cv cv cv cv cv
A. Impaired gas exchange cv ws
B. Inability to tolerate temperature extremes cv cv cv cv
C. Activity intolerance cv
D. Inability to cope with changes in roles cv cv cv cv cv cv
E. Alteration in nutrition cv cv
Thenurse isplanning the care of a client diagnosed with pneumonia and writes aproblem of "i mpai
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
red gas exchange." Which is the expected outcome for this problem? -
cv cv cv cv ws cv cv cv cv cv cv
CORRECT ANSWER✔✔-Alert and oriented toperson, place, time and events
cv cv cv cv cv cv cv cv cv
The nurse identifies the diagnosis of Ineffective Breathing Pattern relatedto inability to maintai n a
cv cv cv cv cv cv cv cv cv cv cv cv cv cv
dequate rate and depth of respirationsfor a client with an acute respiratory problem resultin g from l
cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv cv
ung disease. Which nursing intervention should be listed first on the care plan? -
cv cv cv cv cv cv cv cv cv cv cv cv cv
CORRECT ANSWER✔✔-Determine airway adequacy hourly and as needed.
cv cv cv cv cv cv cv cv
Downloaded cv ws Jenga ()
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