NURS 320
EXAM 1, 2 & FINAL
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers. It covers core
topics assessed in the course and reflects the
actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
, Preview Pages Below
Get the Complete PDF After Purchase
NURS 320 - EXAM 1, 2 & FINAL - Verified Questions & Answers - (Health and Illness Co
If you require further clarification
or in need of any study resources,
feel free to Message me.
OPEN FULL ORIGINAL PDF
,Table of Contents
NURS 320 Exam 1 ................................................................................... 2
NURS 320 Exam 2 ................................................................................. 59
NURS 320 Final Exam.......................................................................... 105
NURS 320 Exam 1
A client who has been suffering from severe diarrhea has developed hypokalemia and
cardiac arrhythmias as a result. Which of the following treatments would mostlikely be
ordered for this client to correct the situation?
a. IV administration of potassium
b. Oral intake of potassium by electrolyte preparations
c. Encouraged intake of potassium-rich foods, such as bananas
d. No intervention but continue to monitor the client's hemodynamic status
a. IV administration of potassium
Expert Rationale:
Hypokalemia occurs when there is not enough potassium in the body. The decrease in
potassium can cause life-threatening arrhythmias. Although hypokalemia may be treated
in various ways by adding potassium to the diet, if the condition is severe enough that it
is causing heart conduction changes, the client should receive potassium as soon as
possible to correct the situation, preferably through an IV.
A client is being seen for care after developing abdominal distention, cramping, and
hypotension. The client is diagnosed with hypokalemia secondary to excessive use of
diuretics. Which of the following nursing interventions is most appropriate for this
client?
a. Arrange for an ECG as ordered and report the findings to the provider
, Administer an
b. Administer an IV
IV push
pushof
ofpotassium
potassiumas
asordered
ordered
c. Prepare to set
set up
up for
for dialysis
dialysistreatment
treatment
Administer sodium
d. Administer sodium bicarbonate
bicarbonateas
asordered
ordered
a. Arrange
Arrange for
for an
an ECG
ECGas
asordered
orderedand
andreport
reportthe
thefindings
findingstotothe
theprovider
provider
Expert Rationale:
Expert Rationale:
A client who has developed
developed hypokalemia
hypokalemiaisisat
atrisk
riskof
ofharmful
harmfulcardiac
cardiacdysrhythmias.
dysrhythmias.If Ifthe
the
client is experiencing
experiencing symptoms
symptomsof
ofhypokalemia,
hypokalemia,the
thenurse
nurseshould
shouldset
setup
upfor
forananECG
ECGtoto
assess
assess the
the client's
client's heart
heart rhythm
rhythmand
andensure
ensurethat
thatdysrhythmias
dysrhythmiasare
arenot
notpresent
presentasasa a
result
result
of the electrolyte
electrolyte imbalance.
imbalance.
A nurse is reviewing
reviewing the
the laboratory
laboratoryresults
resultsfor
foraaclient
clientand
andnotes
notesthat
thatthe
theclient has
client has
hyperkalemia.
hyperkalemia. Which
Which ofof the
the following
followingEKG
EKGabnormalities
abnormalitieswould
wouldbebeconsistent
consistentwith
withthis
this
finding? Select
Select all
all that
thatapply.
apply.
a. Peaked
Peaked TT waves
waves
b. Wide QRS
QRS
c. Prolonged
Prolonged QT interval
interval
d. Atrial fibrillation
fibrillation
e. U wave
wave
a and b
A client with magnesium
magnesiumdepletion
depletionhas
haslaboratory
laboratorytesting
testingwhich
whichshowed
showeda acalcium
calcium
level of 7.9 mg/dL. Which nursing
nursing interventions
interventionsare
aremost
mostappropriate
appropriateininthis
thissituation?
situation?
Select all that
that apply.
apply.
Increase intake
a. Increase intakeof
ofdairy
dairyproducts
productsand
andleafy
leafygreen
greenvegetables
vegetables
Include vitamin
b. Include vitamin D
D supplements
supplementswith
withcalcium
calcium
c. Perform laboratory
laboratory testing
testingfor
forvitamin
vitaminKKlevels
levels
intake and
d. Monitor intake and output
output
Encourage bed
e. Encourage bed rest
rest and
andfrequent
frequentnaps
naps
a, b, and d
Expert Rationale:
Expert Rationale:
Monitoring overall
overall intake
intake and
andoutput
outputisisgoing
goingtotohelp
helpthe
thenurse
nurseaddress
addressthe client's
the client's
,calcium issue,
issue, as
as calcium
calciumcan
canbe
beaffected
affectedby
bydiarrhea,
diarrhea,some
somediuretics,
diuretics,and
andintake ofof
intake
calcium rich and
and vitamin
vitamin DDrich
richfoods.
foods.
A nurse is caring
caring for
foraaclient
clientwho
whohas
hashad
hadthyroid
thyroidsurgery.
surgery.The
Theclient's
client'scalcium
calciumresult
result
has returned
returned atat7.5
7.5 mg/dL.
mg/dL. Which
Which nursing
nursinginterventions
interventionsare
arethe
themost
mostappropriate
appropriate
based on this
this calcium
calciumlevel?
level?Select
Selectall
allthat
thatapply.
apply.
a. Implement
Implement seizure
seizure precautions
precautions
b. Assess for signs
signs of
of hypocalcemia
hypocalcemia
c. Assess for signs
signs of
of hypercalcemia
hypercalcemia
d. Administer intravenous
intravenousfurosemide
furosemide
e. Administer intravenous
intravenous calcium
calciumgluconate
gluconate
a, b, and e
A nurse is caring
caringfor
foraaclient
clientwho
whoisisrecovering
recoveringfrom
fromsurgery.
surgery.The
Theclient has
client hasdeveloped
developedaa
headache, muscle
muscle weakness,
weakness, and and mental
mentalstatus
statuschanges.
changes.The
Thenurse
nursenotes
notesthat the
that the
client's
client's glucose
glucoselevel
levelisis85
85mg/dL,
mg/dL,sodium
sodiumisis126
126mEq/L,
mEq/L,potassium
potassiumisis
4.8
4.8mEq/L
mEq/Landand
calcium
calcium isis 8.6
8.6 mg/dL. What intervention
interventionisismost
mostappropriate
appropriatefor
forthe
thenurse
nursetotoperform
perform
in this situation?
situation?
a. Administer
Administer 3%3% sodium
sodiumchloride
chloridesolution
solution
b. Give potassium
potassium chloride
chloridein
in5%
5%dextrose
dextrose
c. Offer the client
client aa drink
drink containing
containingglucose
glucose
d. Administer calcium
calcium supplements
supplementsorally
orally
a. Administer
Administer 3%
3% sodium
sodiumchloride
chloridesolution
solution
Expert Rationale:
Expert Rationale:
This client is showing
showingsigns
signsof
ofhyponatremia,
hyponatremia,asaswell
wellasaslab
labvalues
valuesthat
thatreflect a alow
reflect low
sodium level.
sodium level. A
A client
client with
with hyponatremia
hyponatremiacan
candevelop
developsymptoms
symptomsthat
thatinclude
includeskeletal
skeletal
muscle weakness,
weakness, headache,
headache,confusion,
confusion,hyperactive
hyperactivebowel
bowelsounds,
sounds,nausea,
nausea,abdominal
abdominal
cramping, increased
cramping, increasedurinary
urinaryoutput,
output,and
anddry
drymucous
mucousmembranes.
membranes.The
Thenurse
nursewould
wouldmost
most
likely administer
administer aa hypertonic
hypertonicsolution
solutionthat
thatcontains
containsextra
extrasodium,
sodium,such
suchasas3%
3%sodium
sodium
chloride.
, NURS 320 Exam
Exam 22
instructing the
While instructing thepatient
patientwith
withdiabetes
diabeteson
oninsulin
insulininjections,
injections,the
thenurse
nurseisis
paged byby
paged
the unit clerk
clerk when
when she
she learns
learnsseveral
severalpatients
patientsare
arehaving
havingproblems
problemsthat
thatrequire her
require her
attention. Which
attention. Which action
action should
shouldthe
thenurse
nursetake
takefirst?
first?
a. Return to the patient
patient and
and supervise
supervisethe
theinsulin
insulininject
injectsince
sincethe
thebreakfast
breakfasttray has
tray has
arrived.
arrived.
Administer the
b. Administer the dose
dose of
of antibiotic
antibioticto
tothe
thediabetic
diabeticpatient
patientwith
withan
aninfected foot
infected who
foot is is
who
scheduled for
for the
the OR
OR in
in an
an hour.
hour.
Administer IV
c. Administer IV dextrose
dextroseto
tothe
thediabetic
diabeticpatient
patientwith
withaamorning
morningblood
bloodglucose
glucoselevel ofof
level
mg/dL.
25 mg/dL.
d. Hang a new bag
bag of
of normal
normalsaline
salinefor
forthe
thepatient
patientwith
withdiabetes
diabeteswith
withHHNK
HHNKand
and
morning blood
morning blood glucose
glucoselevel
levelof
of350mg/dL.
350mg/dL.
Administer IV
c. Administer IV dextrose
dextroseto
tothe
thediabetic
diabeticpatient
patientwith
withaamorning
morningblood
bloodglucose
glucoselevel ofof
level
25 mg/dL.
Expert Rationale:
Expert Rationale:
Always treat hypoglycemic
hypoglycemicpatients
patientsfirst!
first!
A patient with Type
Type II diabetes
diabetescalls
callsthe
theclinic
clinicand
andcomplains
complainsofofnausea
nauseaand
andvomiting.
vomiting.
Which instruction
instruction isisessential
essentialfor
forthe
thenurse
nursetotoprovide
providetotothe
thepatient?
patient?
a. Hold the regular
regulardose
doseof
ofinsulin
insulin
b. Check
Check the
the blood
blood glucose
glucoselevel
levelevery
every22toto44hours
hours
c. Drink cool liquids
liquids with
with high
highglucose
glucosecontent
content
d. Use a less strenuous
strenuous form
form of
of exercise
exercisethat
thatusual
usualuntil
untilthe
theillness
illnessresolves
resolves
b. Check the blood
blood glucose
glucoselevel
levelevery
every22to
to44hours
hours
After assessing
assessing the
thepatency
patencyofofthe
thepatient's
patient'sIV
IVcatheter,
catheter,the
thenurse
nurseattempts
attemptstotoflush the
flush the
catheter
catheter and
and meets
meetsresistance.
resistance.What
Whatactions
actionsshould
shouldthe
thenurse
nursetake
takenext?
next?
, larger size
a. Get a larger size syringe
syringeand
andrepeat
repeatthe
theflush
flushattempt
attempt
heparinized solution
b. Use a heparinized solution and
andrepeat
repeatthe
theflush
flushattempt
attempt
c. Gently force-flush
force-flush the
the catheter
catheterand
andcheck
checkfor
forblood
bloodreturn
return
d. Stop the flush attempt
attemptand
anddiscontinue
discontinuethe
theIV
IV
d. Stop the flush
flush attempt
attemptand
anddiscontinue
discontinuethe
theIVIV
The nurse assesses
assesses the
the patient's
patient'sIV
IVfluids
fluids(via
(viagravity)
gravity)and
andnotices
noticesthat
thatititisisrunning
running
slowly. Which action
action should
should the
the nurse
nursetake
takefirst?
first?
Discontinue the
a. Discontinue the IV
IV site
site and
andnotify
notifyIV
IVteam
teamfor
foraarestart
restart
b. Lower the bag
bag below
below the
the heart
heartto
tocheck
checkfor
foraablood
bloodreturn
return
c. Apply a warm soak
soak because
becausevenous
venousspasms
spasmsmay
maybe
bepresent
present
d. Check the tubing
tubing for
for kinks
kinksand
andstraighten
straightenthe
theline
lineasasneeded
needed
d. Check the tubing
tubing for
for kinks
kinksand
andstraighten
straightenthe
theline
lineasasneeded
needed
assessment finding
Which assessment findingalerts
alertsthe
thenurse
nurseto
toan
anIV
IVphlebitis
phlebitisversus
versusanother
another
complication?
complication?
a. BP
BP 140/90
140/90
Dyspnea
b. Dyspnea
c. Warm area around
around IV
IV site
site
Discomfort around
d. Discomfort around IV
IV site
site
c. Warm area around
around IV
IVsite
site
Which lab results
results supports
supportsdehydration?
dehydration?Select
Selectall
allthat
thatapply
apply
a. Na+
Na+ 158
158
b. K+ 3.7
c. Cl- 115
d. CO2 22
e. BS 175
f. BUN
BUN 28
28
g. Urine Specific
Specific gravity
gravity1.037
1.037
h. Urine color
color amber
amber
Urine pH
i. Urine pH 55
, NURS 320 Final Exam
Exam
assessment is
Which assessment is essential
essentialfor
forthe
thenurse
nurseto
tocomplete
completeimmediately
immediatelyfollowing aa
following
transesophageal echocardiogram
transesophageal echocardiogram(TEE)?
(TEE)?
Check pedal
a. Check pedal pulses
pulses
b. Monitor urine
urine output
output
gag reflex
c. Check gag reflex
d. Complete a neuro
neuro assessment
assessment
gag reflex
c. Check gag reflex
instruction should
Which instruction shouldthe
thenurse
nurseprovide
provideto
toaapatient
patientwho
whoisisscheduled
scheduledtotohave
haveanan
exercise electrocardiography
exercise electrocardiographytest?
test?
a. Have nothing
nothing to
to drink
drink or
or eat
eatafter
aftermidnight
midnight
smoking or
b. Avoid smoking or drinking
drinkingfor
forat
atleast
least22weeks
weeksbefore
beforethe
thetest
test
comfortable, loose
c. Wear comfortable, loose clothing
clothingand
andsupportive
supportiverubber
rubbersoled
soledshoes
shoes
must drive
d. Someone must drive you
you home
homebecause
becauseof
ofthe
themedication
medicationside
sideeffects.
effects.
c. Wear comfortable, loose
loose clothing
clothingand
andsupportive
supportiverubber
rubbersoled
soledshoes
shoes
The patient is
is scheduled
scheduled for
for aacardiac
cardiaccatheterization.
catheterization.Which
Whichinterventions
interventionsare
are
appropriate by
appropriate by the
the nurse?
nurse?Select
Selectall
allthat
thatapply
apply
Instruction the
a. Instruction thepatient
patientthat
thataawarm
warmsensation
sensationmay
maybe
befelt
feltduring
duringthe procedure
the procedure
Inform patient
b. Inform patient to
to report
reportpain
painwhile
whilethe
thecatheter
catheterisisbeing
beinginserted
inserted
Instruct the
c. Instruct thepatient
patientthat
thatmedications
medicationswill
willbe
begiven
giventotoinduce
inducesleep
sleep
d. Check the patient
patient for
for allergies
allergiesto
toshellfish
shellfish
a, b, and d
, instructor is
The instructor is monitoring
monitoringaastudent
studentwho
whoisiscaring
caringfor
foraapatient
patientreturning
returningtotothe unit
the unit
from a cardiac
cardiac catheterization(femoral
catheterization(femoralvein
veinused).
used).Which
Whichstudent
studentaction
actionrequires
requiresthe
the
nursing
nursing instructor
instructorto
tointervene?
intervene?The
Thestudent...
student...
Instructs the
a. Instructs thepatient
patientto
toremain
remainininbed
bedfor
for24
24hours
hours
b. Assesses the pedal
pedal pulses
pulses and
and skin
skinfor
fortemperature
temperatureand
andcolor
color
c. Monitors the intake
intakeand
andoutput
output
d. Checks the patient's
patient's groin
groinpressure
pressuredressing
dressing
a. Instructs
Instructs the
the patient
patient to
to remain
remainin
inbed
bedfor
for24
24hours
hours
The CT Scan may
may involve
involve which
whichtypes
typesof
ofcontrast
contrastmaterial.
material.Select
Selectall
allthat
thatapply.
apply.
a. oral solution
solution
b. injectable material
material
c. barium
barium enema
enema
d. suppository
suppository medication
medication
a, b, and c
Which patients
patients may
may require
requireaaCT
CTscan?
scan?Select
Selectall
allthat
thatapply
apply
a. Patient
Patient with
with suspected
suspectedabdominal
abdominalbleeding
bleeding
b. Patient
Patient with
with suspected
suspectedpulmonary
pulmonaryembolism
embolism
c. Patient
Patient with
with fever
feverand
andaabladder
bladderinfection
infection
d. A pregnant
pregnant female
female with
with aa fracture
fracturefemur
femur
a and b
Which tests can
can the
the nurse
nurseanticipate
anticipatewill
willbe
beordered
orderedfor
forthe
thepatient
patientadmitted
admittedwith
with
chest pain
pain and
and dyspnea?
dyspnea? Select
Selectall
allthat
thatapply.
apply.
a. Troponin
Troponin
b. D-Dimer
D-Dimer
c. Electrolytes
Electrolytes
d. Albumin
Albumin
, NURS 320
EXAM 1, 2 & FINAL
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers. It covers core
topics assessed in the course and reflects the
actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
EXAM 1, 2 & FINAL
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers. It covers core
topics assessed in the course and reflects the
actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
, Preview Pages Below
Get the Complete PDF After Purchase
NURS 320 - EXAM 1, 2 & FINAL - Verified Questions & Answers - (Health and Illness Co
If you require further clarification
or in need of any study resources,
feel free to Message me.
OPEN FULL ORIGINAL PDF
,Table of Contents
NURS 320 Exam 1 ................................................................................... 2
NURS 320 Exam 2 ................................................................................. 59
NURS 320 Final Exam.......................................................................... 105
NURS 320 Exam 1
A client who has been suffering from severe diarrhea has developed hypokalemia and
cardiac arrhythmias as a result. Which of the following treatments would mostlikely be
ordered for this client to correct the situation?
a. IV administration of potassium
b. Oral intake of potassium by electrolyte preparations
c. Encouraged intake of potassium-rich foods, such as bananas
d. No intervention but continue to monitor the client's hemodynamic status
a. IV administration of potassium
Expert Rationale:
Hypokalemia occurs when there is not enough potassium in the body. The decrease in
potassium can cause life-threatening arrhythmias. Although hypokalemia may be treated
in various ways by adding potassium to the diet, if the condition is severe enough that it
is causing heart conduction changes, the client should receive potassium as soon as
possible to correct the situation, preferably through an IV.
A client is being seen for care after developing abdominal distention, cramping, and
hypotension. The client is diagnosed with hypokalemia secondary to excessive use of
diuretics. Which of the following nursing interventions is most appropriate for this
client?
a. Arrange for an ECG as ordered and report the findings to the provider
, Administer an
b. Administer an IV
IV push
pushof
ofpotassium
potassiumas
asordered
ordered
c. Prepare to set
set up
up for
for dialysis
dialysistreatment
treatment
Administer sodium
d. Administer sodium bicarbonate
bicarbonateas
asordered
ordered
a. Arrange
Arrange for
for an
an ECG
ECGas
asordered
orderedand
andreport
reportthe
thefindings
findingstotothe
theprovider
provider
Expert Rationale:
Expert Rationale:
A client who has developed
developed hypokalemia
hypokalemiaisisat
atrisk
riskof
ofharmful
harmfulcardiac
cardiacdysrhythmias.
dysrhythmias.If Ifthe
the
client is experiencing
experiencing symptoms
symptomsof
ofhypokalemia,
hypokalemia,the
thenurse
nurseshould
shouldset
setup
upfor
forananECG
ECGtoto
assess
assess the
the client's
client's heart
heart rhythm
rhythmand
andensure
ensurethat
thatdysrhythmias
dysrhythmiasare
arenot
notpresent
presentasasa a
result
result
of the electrolyte
electrolyte imbalance.
imbalance.
A nurse is reviewing
reviewing the
the laboratory
laboratoryresults
resultsfor
foraaclient
clientand
andnotes
notesthat
thatthe
theclient has
client has
hyperkalemia.
hyperkalemia. Which
Which ofof the
the following
followingEKG
EKGabnormalities
abnormalitieswould
wouldbebeconsistent
consistentwith
withthis
this
finding? Select
Select all
all that
thatapply.
apply.
a. Peaked
Peaked TT waves
waves
b. Wide QRS
QRS
c. Prolonged
Prolonged QT interval
interval
d. Atrial fibrillation
fibrillation
e. U wave
wave
a and b
A client with magnesium
magnesiumdepletion
depletionhas
haslaboratory
laboratorytesting
testingwhich
whichshowed
showeda acalcium
calcium
level of 7.9 mg/dL. Which nursing
nursing interventions
interventionsare
aremost
mostappropriate
appropriateininthis
thissituation?
situation?
Select all that
that apply.
apply.
Increase intake
a. Increase intakeof
ofdairy
dairyproducts
productsand
andleafy
leafygreen
greenvegetables
vegetables
Include vitamin
b. Include vitamin D
D supplements
supplementswith
withcalcium
calcium
c. Perform laboratory
laboratory testing
testingfor
forvitamin
vitaminKKlevels
levels
intake and
d. Monitor intake and output
output
Encourage bed
e. Encourage bed rest
rest and
andfrequent
frequentnaps
naps
a, b, and d
Expert Rationale:
Expert Rationale:
Monitoring overall
overall intake
intake and
andoutput
outputisisgoing
goingtotohelp
helpthe
thenurse
nurseaddress
addressthe client's
the client's
,calcium issue,
issue, as
as calcium
calciumcan
canbe
beaffected
affectedby
bydiarrhea,
diarrhea,some
somediuretics,
diuretics,and
andintake ofof
intake
calcium rich and
and vitamin
vitamin DDrich
richfoods.
foods.
A nurse is caring
caring for
foraaclient
clientwho
whohas
hashad
hadthyroid
thyroidsurgery.
surgery.The
Theclient's
client'scalcium
calciumresult
result
has returned
returned atat7.5
7.5 mg/dL.
mg/dL. Which
Which nursing
nursinginterventions
interventionsare
arethe
themost
mostappropriate
appropriate
based on this
this calcium
calciumlevel?
level?Select
Selectall
allthat
thatapply.
apply.
a. Implement
Implement seizure
seizure precautions
precautions
b. Assess for signs
signs of
of hypocalcemia
hypocalcemia
c. Assess for signs
signs of
of hypercalcemia
hypercalcemia
d. Administer intravenous
intravenousfurosemide
furosemide
e. Administer intravenous
intravenous calcium
calciumgluconate
gluconate
a, b, and e
A nurse is caring
caringfor
foraaclient
clientwho
whoisisrecovering
recoveringfrom
fromsurgery.
surgery.The
Theclient has
client hasdeveloped
developedaa
headache, muscle
muscle weakness,
weakness, and and mental
mentalstatus
statuschanges.
changes.The
Thenurse
nursenotes
notesthat the
that the
client's
client's glucose
glucoselevel
levelisis85
85mg/dL,
mg/dL,sodium
sodiumisis126
126mEq/L,
mEq/L,potassium
potassiumisis
4.8
4.8mEq/L
mEq/Landand
calcium
calcium isis 8.6
8.6 mg/dL. What intervention
interventionisismost
mostappropriate
appropriatefor
forthe
thenurse
nursetotoperform
perform
in this situation?
situation?
a. Administer
Administer 3%3% sodium
sodiumchloride
chloridesolution
solution
b. Give potassium
potassium chloride
chloridein
in5%
5%dextrose
dextrose
c. Offer the client
client aa drink
drink containing
containingglucose
glucose
d. Administer calcium
calcium supplements
supplementsorally
orally
a. Administer
Administer 3%
3% sodium
sodiumchloride
chloridesolution
solution
Expert Rationale:
Expert Rationale:
This client is showing
showingsigns
signsof
ofhyponatremia,
hyponatremia,asaswell
wellasaslab
labvalues
valuesthat
thatreflect a alow
reflect low
sodium level.
sodium level. A
A client
client with
with hyponatremia
hyponatremiacan
candevelop
developsymptoms
symptomsthat
thatinclude
includeskeletal
skeletal
muscle weakness,
weakness, headache,
headache,confusion,
confusion,hyperactive
hyperactivebowel
bowelsounds,
sounds,nausea,
nausea,abdominal
abdominal
cramping, increased
cramping, increasedurinary
urinaryoutput,
output,and
anddry
drymucous
mucousmembranes.
membranes.The
Thenurse
nursewould
wouldmost
most
likely administer
administer aa hypertonic
hypertonicsolution
solutionthat
thatcontains
containsextra
extrasodium,
sodium,such
suchasas3%
3%sodium
sodium
chloride.
, NURS 320 Exam
Exam 22
instructing the
While instructing thepatient
patientwith
withdiabetes
diabeteson
oninsulin
insulininjections,
injections,the
thenurse
nurseisis
paged byby
paged
the unit clerk
clerk when
when she
she learns
learnsseveral
severalpatients
patientsare
arehaving
havingproblems
problemsthat
thatrequire her
require her
attention. Which
attention. Which action
action should
shouldthe
thenurse
nursetake
takefirst?
first?
a. Return to the patient
patient and
and supervise
supervisethe
theinsulin
insulininject
injectsince
sincethe
thebreakfast
breakfasttray has
tray has
arrived.
arrived.
Administer the
b. Administer the dose
dose of
of antibiotic
antibioticto
tothe
thediabetic
diabeticpatient
patientwith
withan
aninfected foot
infected who
foot is is
who
scheduled for
for the
the OR
OR in
in an
an hour.
hour.
Administer IV
c. Administer IV dextrose
dextroseto
tothe
thediabetic
diabeticpatient
patientwith
withaamorning
morningblood
bloodglucose
glucoselevel ofof
level
mg/dL.
25 mg/dL.
d. Hang a new bag
bag of
of normal
normalsaline
salinefor
forthe
thepatient
patientwith
withdiabetes
diabeteswith
withHHNK
HHNKand
and
morning blood
morning blood glucose
glucoselevel
levelof
of350mg/dL.
350mg/dL.
Administer IV
c. Administer IV dextrose
dextroseto
tothe
thediabetic
diabeticpatient
patientwith
withaamorning
morningblood
bloodglucose
glucoselevel ofof
level
25 mg/dL.
Expert Rationale:
Expert Rationale:
Always treat hypoglycemic
hypoglycemicpatients
patientsfirst!
first!
A patient with Type
Type II diabetes
diabetescalls
callsthe
theclinic
clinicand
andcomplains
complainsofofnausea
nauseaand
andvomiting.
vomiting.
Which instruction
instruction isisessential
essentialfor
forthe
thenurse
nursetotoprovide
providetotothe
thepatient?
patient?
a. Hold the regular
regulardose
doseof
ofinsulin
insulin
b. Check
Check the
the blood
blood glucose
glucoselevel
levelevery
every22toto44hours
hours
c. Drink cool liquids
liquids with
with high
highglucose
glucosecontent
content
d. Use a less strenuous
strenuous form
form of
of exercise
exercisethat
thatusual
usualuntil
untilthe
theillness
illnessresolves
resolves
b. Check the blood
blood glucose
glucoselevel
levelevery
every22to
to44hours
hours
After assessing
assessing the
thepatency
patencyofofthe
thepatient's
patient'sIV
IVcatheter,
catheter,the
thenurse
nurseattempts
attemptstotoflush the
flush the
catheter
catheter and
and meets
meetsresistance.
resistance.What
Whatactions
actionsshould
shouldthe
thenurse
nursetake
takenext?
next?
, larger size
a. Get a larger size syringe
syringeand
andrepeat
repeatthe
theflush
flushattempt
attempt
heparinized solution
b. Use a heparinized solution and
andrepeat
repeatthe
theflush
flushattempt
attempt
c. Gently force-flush
force-flush the
the catheter
catheterand
andcheck
checkfor
forblood
bloodreturn
return
d. Stop the flush attempt
attemptand
anddiscontinue
discontinuethe
theIV
IV
d. Stop the flush
flush attempt
attemptand
anddiscontinue
discontinuethe
theIVIV
The nurse assesses
assesses the
the patient's
patient'sIV
IVfluids
fluids(via
(viagravity)
gravity)and
andnotices
noticesthat
thatititisisrunning
running
slowly. Which action
action should
should the
the nurse
nursetake
takefirst?
first?
Discontinue the
a. Discontinue the IV
IV site
site and
andnotify
notifyIV
IVteam
teamfor
foraarestart
restart
b. Lower the bag
bag below
below the
the heart
heartto
tocheck
checkfor
foraablood
bloodreturn
return
c. Apply a warm soak
soak because
becausevenous
venousspasms
spasmsmay
maybe
bepresent
present
d. Check the tubing
tubing for
for kinks
kinksand
andstraighten
straightenthe
theline
lineasasneeded
needed
d. Check the tubing
tubing for
for kinks
kinksand
andstraighten
straightenthe
theline
lineasasneeded
needed
assessment finding
Which assessment findingalerts
alertsthe
thenurse
nurseto
toan
anIV
IVphlebitis
phlebitisversus
versusanother
another
complication?
complication?
a. BP
BP 140/90
140/90
Dyspnea
b. Dyspnea
c. Warm area around
around IV
IV site
site
Discomfort around
d. Discomfort around IV
IV site
site
c. Warm area around
around IV
IVsite
site
Which lab results
results supports
supportsdehydration?
dehydration?Select
Selectall
allthat
thatapply
apply
a. Na+
Na+ 158
158
b. K+ 3.7
c. Cl- 115
d. CO2 22
e. BS 175
f. BUN
BUN 28
28
g. Urine Specific
Specific gravity
gravity1.037
1.037
h. Urine color
color amber
amber
Urine pH
i. Urine pH 55
, NURS 320 Final Exam
Exam
assessment is
Which assessment is essential
essentialfor
forthe
thenurse
nurseto
tocomplete
completeimmediately
immediatelyfollowing aa
following
transesophageal echocardiogram
transesophageal echocardiogram(TEE)?
(TEE)?
Check pedal
a. Check pedal pulses
pulses
b. Monitor urine
urine output
output
gag reflex
c. Check gag reflex
d. Complete a neuro
neuro assessment
assessment
gag reflex
c. Check gag reflex
instruction should
Which instruction shouldthe
thenurse
nurseprovide
provideto
toaapatient
patientwho
whoisisscheduled
scheduledtotohave
haveanan
exercise electrocardiography
exercise electrocardiographytest?
test?
a. Have nothing
nothing to
to drink
drink or
or eat
eatafter
aftermidnight
midnight
smoking or
b. Avoid smoking or drinking
drinkingfor
forat
atleast
least22weeks
weeksbefore
beforethe
thetest
test
comfortable, loose
c. Wear comfortable, loose clothing
clothingand
andsupportive
supportiverubber
rubbersoled
soledshoes
shoes
must drive
d. Someone must drive you
you home
homebecause
becauseof
ofthe
themedication
medicationside
sideeffects.
effects.
c. Wear comfortable, loose
loose clothing
clothingand
andsupportive
supportiverubber
rubbersoled
soledshoes
shoes
The patient is
is scheduled
scheduled for
for aacardiac
cardiaccatheterization.
catheterization.Which
Whichinterventions
interventionsare
are
appropriate by
appropriate by the
the nurse?
nurse?Select
Selectall
allthat
thatapply
apply
Instruction the
a. Instruction thepatient
patientthat
thataawarm
warmsensation
sensationmay
maybe
befelt
feltduring
duringthe procedure
the procedure
Inform patient
b. Inform patient to
to report
reportpain
painwhile
whilethe
thecatheter
catheterisisbeing
beinginserted
inserted
Instruct the
c. Instruct thepatient
patientthat
thatmedications
medicationswill
willbe
begiven
giventotoinduce
inducesleep
sleep
d. Check the patient
patient for
for allergies
allergiesto
toshellfish
shellfish
a, b, and d
, instructor is
The instructor is monitoring
monitoringaastudent
studentwho
whoisiscaring
caringfor
foraapatient
patientreturning
returningtotothe unit
the unit
from a cardiac
cardiac catheterization(femoral
catheterization(femoralvein
veinused).
used).Which
Whichstudent
studentaction
actionrequires
requiresthe
the
nursing
nursing instructor
instructorto
tointervene?
intervene?The
Thestudent...
student...
Instructs the
a. Instructs thepatient
patientto
toremain
remainininbed
bedfor
for24
24hours
hours
b. Assesses the pedal
pedal pulses
pulses and
and skin
skinfor
fortemperature
temperatureand
andcolor
color
c. Monitors the intake
intakeand
andoutput
output
d. Checks the patient's
patient's groin
groinpressure
pressuredressing
dressing
a. Instructs
Instructs the
the patient
patient to
to remain
remainin
inbed
bedfor
for24
24hours
hours
The CT Scan may
may involve
involve which
whichtypes
typesof
ofcontrast
contrastmaterial.
material.Select
Selectall
allthat
thatapply.
apply.
a. oral solution
solution
b. injectable material
material
c. barium
barium enema
enema
d. suppository
suppository medication
medication
a, b, and c
Which patients
patients may
may require
requireaaCT
CTscan?
scan?Select
Selectall
allthat
thatapply
apply
a. Patient
Patient with
with suspected
suspectedabdominal
abdominalbleeding
bleeding
b. Patient
Patient with
with suspected
suspectedpulmonary
pulmonaryembolism
embolism
c. Patient
Patient with
with fever
feverand
andaabladder
bladderinfection
infection
d. A pregnant
pregnant female
female with
with aa fracture
fracturefemur
femur
a and b
Which tests can
can the
the nurse
nurseanticipate
anticipatewill
willbe
beordered
orderedfor
forthe
thepatient
patientadmitted
admittedwith
with
chest pain
pain and
and dyspnea?
dyspnea? Select
Selectall
allthat
thatapply.
apply.
a. Troponin
Troponin
b. D-Dimer
D-Dimer
c. Electrolytes
Electrolytes
d. Albumin
Albumin
, NURS 320
EXAM 1, 2 & FINAL
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers. It covers core
topics assessed in the course and reflects the
actual exam format and question style. Ideal for
exam preparation and concept reinforcement.
