PN 3006 NURSING PATHOPHYSIOLOGY
2026 ASSESSMENT QUESTIONS
SOLUTIONS FINAL STUDY GUIDE
◉ A patient initially weighs 200 lbs, but on the 2nd day of admission
the patient weighed 209 lbs, what should the nurse evaluate the
patient for?
Answer: Fluid retention
◉ In preparation for a rectal exam of non ambulatory patient w/
arthritis in both hips, patient exam in which position?
Answer: Sims position
◉ Subjective data
Answer: feelings, perceptions, reported symptoms
◉ After assessing the patient and using 2 ID needed to provide
headache relief the nurse gives tylenol. What do you do after?
Answer: reassess again after 30 mins
, ◉ Patient with high dose of opioid medication for severe pain, which
assessment finding do you find due to opioid toxicity
Answer: respiratory depression
◉ Nurse caring for patientt with peripheral IV being used
intermittently for medications but not continuous infusion, what
does that mean?what should the nurse do for cleaning this?
Answer: Flush with 0.9 saline and lock it
◉ The nurse completed a head to toe ax on patient. Which clinical
sign does the nurse find?
Answer: Bilateral crackles
◉ The nurse instruct the patient to void or empty the urinary
drainage collection container before administering a blood
transfusion. T/F
Answer: True, due to fluid overload
◉ A piggyback IV med, should it be hung above or below the
primary IV bag?
Answer: should be hung above the primary IV bag, not below
◉ what does it indicate if your IV site is swollen and pale?
Answer: fluid may have leaked into the interstitial space
2026 ASSESSMENT QUESTIONS
SOLUTIONS FINAL STUDY GUIDE
◉ A patient initially weighs 200 lbs, but on the 2nd day of admission
the patient weighed 209 lbs, what should the nurse evaluate the
patient for?
Answer: Fluid retention
◉ In preparation for a rectal exam of non ambulatory patient w/
arthritis in both hips, patient exam in which position?
Answer: Sims position
◉ Subjective data
Answer: feelings, perceptions, reported symptoms
◉ After assessing the patient and using 2 ID needed to provide
headache relief the nurse gives tylenol. What do you do after?
Answer: reassess again after 30 mins
, ◉ Patient with high dose of opioid medication for severe pain, which
assessment finding do you find due to opioid toxicity
Answer: respiratory depression
◉ Nurse caring for patientt with peripheral IV being used
intermittently for medications but not continuous infusion, what
does that mean?what should the nurse do for cleaning this?
Answer: Flush with 0.9 saline and lock it
◉ The nurse completed a head to toe ax on patient. Which clinical
sign does the nurse find?
Answer: Bilateral crackles
◉ The nurse instruct the patient to void or empty the urinary
drainage collection container before administering a blood
transfusion. T/F
Answer: True, due to fluid overload
◉ A piggyback IV med, should it be hung above or below the
primary IV bag?
Answer: should be hung above the primary IV bag, not below
◉ what does it indicate if your IV site is swollen and pale?
Answer: fluid may have leaked into the interstitial space
