NURS 239 FINAL EXAM UPDATED QUESTIONS
AND ANSWERS | NURS 239 FINAL STUDY
GUIDE & PRACTICE TEST 2026/2027
1 of 274
Term
Tension pneumo to the right, what are you going to see?
Give this one a go later!
Tracheal deviation to the left
Recent sore throat
BP drop
CHF
Pressure 80/40 Hypotension
Dehydration
Don't know?
2 of 274
,Term
The most accurate assessment parameters for the nurse to use to
determine adequate tissue perfusion in the patient with MODS are
a. blood pressure, pulse, and respirations.
b. breath sounds, blood pressure, and body temperature.
c. pulse pressure, level of consciousness, and pupillary response.
d. level of consciousness, urine output, and skin color and temperature.
Give this one a go later!
Right sided hemiplegia
LOC, urine output, skin color
Aphasia
and temperature
Inability to do math
Heart: 4 hours
protect the airway- consider
Liver: 12 hours
intubation
Kidneys: 24 hours
Don't know?
3 of 274
Term
A patient is in the first (exudative) stage of ARDS?
,Give this one a go later!
neuro- delated 12-24 hours
diminished or absent breath sounds
cardiac - watch for dysrhythmias,
over affected lung
cardiac monitoring
refractory hypoxemia
destroyed surfactant
-everything must be burned
respiratory alkalosis
increased capillary permeability
Don't know?
4 of 274
Term
Patient comes back from dialysis and looks very agitated, confused,
and hypotensive, what is the patient experiencing?
Give this one a go later!
watch BP, MAP
Disequilibrium syndrome
-this is hepatorenal syndrome
-disequilibrium syndrome protect the airway- consider
-Tx = fluid bolud intubation
Don't know?
, 5 of 274
Term
Before you give a pt kayexalate for high potassium what do you need
to check?
Give this one a go later!
Bowel Sounds Blood Pressure
Respiratory Rate Urine Output
Don't know?
6 of 274
Term
Patient is having an MI with crushing chest pain, BP is low, sweaty, what
can you now not give?
Give this one a go later!
confusion, low urine output,
Norepinephrine (Levophed)
orthopnea
AND ANSWERS | NURS 239 FINAL STUDY
GUIDE & PRACTICE TEST 2026/2027
1 of 274
Term
Tension pneumo to the right, what are you going to see?
Give this one a go later!
Tracheal deviation to the left
Recent sore throat
BP drop
CHF
Pressure 80/40 Hypotension
Dehydration
Don't know?
2 of 274
,Term
The most accurate assessment parameters for the nurse to use to
determine adequate tissue perfusion in the patient with MODS are
a. blood pressure, pulse, and respirations.
b. breath sounds, blood pressure, and body temperature.
c. pulse pressure, level of consciousness, and pupillary response.
d. level of consciousness, urine output, and skin color and temperature.
Give this one a go later!
Right sided hemiplegia
LOC, urine output, skin color
Aphasia
and temperature
Inability to do math
Heart: 4 hours
protect the airway- consider
Liver: 12 hours
intubation
Kidneys: 24 hours
Don't know?
3 of 274
Term
A patient is in the first (exudative) stage of ARDS?
,Give this one a go later!
neuro- delated 12-24 hours
diminished or absent breath sounds
cardiac - watch for dysrhythmias,
over affected lung
cardiac monitoring
refractory hypoxemia
destroyed surfactant
-everything must be burned
respiratory alkalosis
increased capillary permeability
Don't know?
4 of 274
Term
Patient comes back from dialysis and looks very agitated, confused,
and hypotensive, what is the patient experiencing?
Give this one a go later!
watch BP, MAP
Disequilibrium syndrome
-this is hepatorenal syndrome
-disequilibrium syndrome protect the airway- consider
-Tx = fluid bolud intubation
Don't know?
, 5 of 274
Term
Before you give a pt kayexalate for high potassium what do you need
to check?
Give this one a go later!
Bowel Sounds Blood Pressure
Respiratory Rate Urine Output
Don't know?
6 of 274
Term
Patient is having an MI with crushing chest pain, BP is low, sweaty, what
can you now not give?
Give this one a go later!
confusion, low urine output,
Norepinephrine (Levophed)
orthopnea
