NURS 241 Exam 1 – Questions With Accurate Solutions
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Terms in this set (123)
Quiz Q: 1. The nurse is taking care of a a. Assess that the patient is safe and free from imminent
new admission patient with known danger including suicidal ideation
schizophrenia who has been having b. Assess patient vital signs, intake and output, and basic
diarrhea for 3 days from a new neurological orientation
medication regimen. The patient is c. Assess lab values including magnesium and sodium
restless agitated and has twitching in d. Notify the provider of findings
their face and hands. The patient states e. Start IV fluids of 0.9 NS with 20 mEq K
"They can't go on like this". Put the (THESE ARE ALREADY IN THE CORRECT ORDER)
following nursing interventions in order
or prioritization:
Quiz Q: The nurse is taking care of the a. Haldol deconate/haloperidol 0.15 mg IM x 1 for acute
patient with acute paranoid psychosis
schizophrenia. Which of the following b. Haldol deconate/haloperidol 15 mg IM x 1 for acute
medication orders is the most correct? psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12
hours
d. Haldol deconate/haloperidol 150 mg orally every 12
hours
,Quiz Q: 1. Which of the following >>a. White/Caucasion ethnicity
predisposing factors are most prevalent b. High income
in the development of psychosis? >>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the a. Hgb 13.2 yesterday. 10.1 today; urine specific gravity
most likely fluid imbalance. 1.001
>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum
osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the a. "I'm sure it will get better when your meds kick in"
client with schizophrenia who has >>b. "So what you are saying is that you are seeing small
current visual hallucinations of seeing flying animals"
bats in the room. Which of the following c. "Let's see what's on TV"
statements indicate that the nurse >>d. "I am not seeing bats in the activity room"
understands therapeutic communication >>e. "I will just sit here quietly with you. If you want to
techniques for the situation. Select all talk about it, that's ok."
that apply.
Quiz Q: 1. Which of the following nursing >>a. Assess home medications and current doses, and
interventions would the nurse perform verify proper administration/dosing with patient
for the client with >>b. Assess labs including electrolytes and any
psychosis/schizophrenia? Select all that substance abuse toxicity reports
apply. >>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out
injury
, Quiz Q: 1. Which of the following best a. Assess medication hx, intake and output, and birth hx
represents accurate, prioritized, initial b. Assess mental health hx, electrolytes and heart tones
nursing assessment of the client with >>c. Assess medication hx, electrolytes, and cranial
psychosis who has fasciculation's nerves
(muscle twitching) of the arms and legs? d. Assess mental health hx, BUN/creatinine, general
appearance
Quiz Q: 1. Which interventions should a. 0.45% NS
you anticipate for a patient with isotonic >>b. 0.9% NS
dehydration? c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old a. Neither fluid volume deficit or excess
unconscious patient with a fever, saline >>b. Fluid volume deficit
lock IV site, and orders for 1000 mL tube c. Fluid volume excess
feeding q 24 hours. Does the data from
this case point to FVD or FVE?
Quiz Q: 1. Which assessment finding best a. Serum osmolality has changed from 375m/Osmol/kg
indicates that fluid resuscitation therapy to 400m/Osmol/kg
for the patient with hypertonic >>b. Serum osmolality has changed from
dehydration has achieved the desired 375m/Osmol/kg to 300m/Osmol/kg
effect? c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient "I will watch for signs of hypoglycemia at 2000"
receiving regular insulin. Which of the " I will watch for signs of hypoglycemia at 0830"
following paent statements indicates a >>"I will watch for signs of hypoglycemia at 1100"
need for further teaching? The patient "I will watch for signs of hypoglycemia at 1800"
will be self administering a dose at
0800.
Table 2 in the Gosmanov Article
(know peak, onset, and duration)
Groups
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (123)
Quiz Q: 1. The nurse is taking care of a a. Assess that the patient is safe and free from imminent
new admission patient with known danger including suicidal ideation
schizophrenia who has been having b. Assess patient vital signs, intake and output, and basic
diarrhea for 3 days from a new neurological orientation
medication regimen. The patient is c. Assess lab values including magnesium and sodium
restless agitated and has twitching in d. Notify the provider of findings
their face and hands. The patient states e. Start IV fluids of 0.9 NS with 20 mEq K
"They can't go on like this". Put the (THESE ARE ALREADY IN THE CORRECT ORDER)
following nursing interventions in order
or prioritization:
Quiz Q: The nurse is taking care of the a. Haldol deconate/haloperidol 0.15 mg IM x 1 for acute
patient with acute paranoid psychosis
schizophrenia. Which of the following b. Haldol deconate/haloperidol 15 mg IM x 1 for acute
medication orders is the most correct? psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12
hours
d. Haldol deconate/haloperidol 150 mg orally every 12
hours
,Quiz Q: 1. Which of the following >>a. White/Caucasion ethnicity
predisposing factors are most prevalent b. High income
in the development of psychosis? >>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the a. Hgb 13.2 yesterday. 10.1 today; urine specific gravity
most likely fluid imbalance. 1.001
>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum
osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the a. "I'm sure it will get better when your meds kick in"
client with schizophrenia who has >>b. "So what you are saying is that you are seeing small
current visual hallucinations of seeing flying animals"
bats in the room. Which of the following c. "Let's see what's on TV"
statements indicate that the nurse >>d. "I am not seeing bats in the activity room"
understands therapeutic communication >>e. "I will just sit here quietly with you. If you want to
techniques for the situation. Select all talk about it, that's ok."
that apply.
Quiz Q: 1. Which of the following nursing >>a. Assess home medications and current doses, and
interventions would the nurse perform verify proper administration/dosing with patient
for the client with >>b. Assess labs including electrolytes and any
psychosis/schizophrenia? Select all that substance abuse toxicity reports
apply. >>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out
injury
, Quiz Q: 1. Which of the following best a. Assess medication hx, intake and output, and birth hx
represents accurate, prioritized, initial b. Assess mental health hx, electrolytes and heart tones
nursing assessment of the client with >>c. Assess medication hx, electrolytes, and cranial
psychosis who has fasciculation's nerves
(muscle twitching) of the arms and legs? d. Assess mental health hx, BUN/creatinine, general
appearance
Quiz Q: 1. Which interventions should a. 0.45% NS
you anticipate for a patient with isotonic >>b. 0.9% NS
dehydration? c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old a. Neither fluid volume deficit or excess
unconscious patient with a fever, saline >>b. Fluid volume deficit
lock IV site, and orders for 1000 mL tube c. Fluid volume excess
feeding q 24 hours. Does the data from
this case point to FVD or FVE?
Quiz Q: 1. Which assessment finding best a. Serum osmolality has changed from 375m/Osmol/kg
indicates that fluid resuscitation therapy to 400m/Osmol/kg
for the patient with hypertonic >>b. Serum osmolality has changed from
dehydration has achieved the desired 375m/Osmol/kg to 300m/Osmol/kg
effect? c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient "I will watch for signs of hypoglycemia at 2000"
receiving regular insulin. Which of the " I will watch for signs of hypoglycemia at 0830"
following paent statements indicates a >>"I will watch for signs of hypoglycemia at 1100"
need for further teaching? The patient "I will watch for signs of hypoglycemia at 1800"
will be self administering a dose at
0800.
Table 2 in the Gosmanov Article
(know peak, onset, and duration)
