NUR 345 Test 1 Practice Questions and
100 % Correct Answers
The nurse assesses the patient notes a bounding pulse quality, neck vein distention
when supine, presence of crackles in the lungs and increasing peripheral edema. What
condition
Fluid excess
Fluid deficit
Electrolyte imbalance
Serum protein increase ✅Fluid excess
A nurse is completing the intake record for a client with chronic pancreatitis. The client
has. Had the following intake during the previous 8 hours. How many milliliters should
the nurse record as the client's intake?
4 oz apple juice
1/2 cup fruit flavored gelatin
6 oz water
500 mL of .45% sodium chloride ✅920 mL
The patient is talking to the nurse about sodium intake. Which statement by the patient
indicates an understanding of high sodium foods?
I love bacon and eggs
We never eat seafood because of the salt water
I love Chinese food but I gave it up because of the soy sauce ✅I love Chinese food
but I gave it up because of the soy sauce
Which of the following manifestations should the nurse assess for when developing a
plan of care for a patient with hyponatremia? Muscle weakness
Moist mucous membranes
Subnormal temperature
Complaints of thirst and agitation ✅Complaints of thirst and agitation
The nurse is instructing a patient diagnosed with hyperkalemia about foods to avoid.
Which indicates a need for further teaching?
I should avoid eating a lot of banana
It will be nice to be able to eat fresh tomatoes this summer
I will use salt substitutes instead of real salt
No more avocado sandwhiches for me ✅I will use salt substitutes instead of real salt
The nurse concludes that a patient understands the side effects of furosemide (lasix)
and its relationship to potassium levels when the patient makes which statement?
I do not need to take my pulse anymore when I take digoxin
I should call my doctor If I have digoxin
, I should call my doctor if I Feel myself becoming dizzy when I stand up
I so not need to eat bananas for breakfast anymore because I am taking this medication
✅I should call my doctor if I Feel myself becoming dizzy when I stand up
What would you give in a patient with a positive chovstek sign Calcitonin
Vitamin D
Loop diuretics
Calium glulconate ✅Calium glulconate
Following a bowel resection surgery, a patient's magnesium level is 1.0 which
assessment finding should the nurse report to the physician immediately?
Hyperactive reflexes
Nausea
Anorexia
Abdominal pain ✅Hyperactive reflexes
A client is complaining of pain 1 day after a colostomy. The nurse gives meperidine
(demerol) I.M. and 30 minutes later finds the client's respiratory rate of 8 breaths/min,
with the nasal cannula on the floor. ABG results are pH 7.23, PaO2 58 mmHg, PaCo 61
mmHg, HCO3 24 meq. Which group of factors contributes most to the clients ABG
results?
Colostomy, pain, and demerol
Demerol, the nasal cannula on the floor, and the colostomy Demerol, RR of 8 per min,
and nasal cannula on the floor
Pain, RR of 8, and the nasal cannula on the floor ✅Respiratory acidosis Demerol, RR
of 8 per min, and nasal cannula on the floor
Your patient is receiving a 3% NaCl solution to correct hyponatremia. Which of the
following assessments is the most important for the nurse doing the administration of
this solution? Urinary output
Lung sounds
Peripheral pulses
Peripheral edema ✅Lung sounds — crackles
Your patient has hypercalcemia. Which of the following interventions would you include
in the care plan?
Monitoring for trousseau and chvsteks signs
Auscultating lung sounds every 4 hours
Encouraging fluid intake up to 4,000 mL every day
Maintaining the patient in bed rest ✅Encouraging fluid intake up to 4,000 mL every
day. Make sure they don't get renal stones
Your patient has massive fluid loss. Which of the following is the greatest concern?
Urine output is 30 mL over the last hour
The blood pressure is 90/40 mmHg
, There is prolonged skin tenting over the sternum Oral fluid intake is 100 mL for the last
8 hours ✅The blood pressure is 90/40 mmHg
Your patient is admitted with hypovolemia and has multiple draining wounds. What is
the most accurate assessment for this patient? Presence of edema
Hourly urine output
Skin turgor
Daily weight ✅Daily weight
Which medication classification must be assessed during the preoperative period
because it can cause an electrolyte imbalance during surgery?
Corticosteroids
Diuretics
Phenothiazines
Insulin ✅Diuretics
The primary goal in withholding food before surgery is to prevent aspiration
True or false ✅True
The nurse is preparing to administer a premedication. Which of the following actions
should the nurse take first?
Have the family present
Ensure that the preoperative shave is complete
Have the patient void
Make sure the patient is covered with a warm blanket ✅Have the patient void
The nurse asks a preoperative patient to sign a surgical consent form as specified by
the surgeon and signs the form after the patient. What is the use doing by performing
this action?
Witnessing the patient's signature
Obtaining informed consent from the patient for surgery
Verifying that the consent for surgery is truly voluntary and informed
Ensuring that the patient is mentally competent to sign the consent form ✅Witnessing
the patient's signature
A preoperative nurse prepares a patient for surgery, which nursing interventions are
necessary actions that should be included in the plan of care (select all that apply)
Maintain NPO status to prevent aspiration
Verify the patient's signature on the consent prior to surgery
Remove dentures and contact lenses prior to surgery
Check the patient's allergy and blood bands for accuracy
Verify the patient's mobility in all extremities prior to surgery
100 % Correct Answers
The nurse assesses the patient notes a bounding pulse quality, neck vein distention
when supine, presence of crackles in the lungs and increasing peripheral edema. What
condition
Fluid excess
Fluid deficit
Electrolyte imbalance
Serum protein increase ✅Fluid excess
A nurse is completing the intake record for a client with chronic pancreatitis. The client
has. Had the following intake during the previous 8 hours. How many milliliters should
the nurse record as the client's intake?
4 oz apple juice
1/2 cup fruit flavored gelatin
6 oz water
500 mL of .45% sodium chloride ✅920 mL
The patient is talking to the nurse about sodium intake. Which statement by the patient
indicates an understanding of high sodium foods?
I love bacon and eggs
We never eat seafood because of the salt water
I love Chinese food but I gave it up because of the soy sauce ✅I love Chinese food
but I gave it up because of the soy sauce
Which of the following manifestations should the nurse assess for when developing a
plan of care for a patient with hyponatremia? Muscle weakness
Moist mucous membranes
Subnormal temperature
Complaints of thirst and agitation ✅Complaints of thirst and agitation
The nurse is instructing a patient diagnosed with hyperkalemia about foods to avoid.
Which indicates a need for further teaching?
I should avoid eating a lot of banana
It will be nice to be able to eat fresh tomatoes this summer
I will use salt substitutes instead of real salt
No more avocado sandwhiches for me ✅I will use salt substitutes instead of real salt
The nurse concludes that a patient understands the side effects of furosemide (lasix)
and its relationship to potassium levels when the patient makes which statement?
I do not need to take my pulse anymore when I take digoxin
I should call my doctor If I have digoxin
, I should call my doctor if I Feel myself becoming dizzy when I stand up
I so not need to eat bananas for breakfast anymore because I am taking this medication
✅I should call my doctor if I Feel myself becoming dizzy when I stand up
What would you give in a patient with a positive chovstek sign Calcitonin
Vitamin D
Loop diuretics
Calium glulconate ✅Calium glulconate
Following a bowel resection surgery, a patient's magnesium level is 1.0 which
assessment finding should the nurse report to the physician immediately?
Hyperactive reflexes
Nausea
Anorexia
Abdominal pain ✅Hyperactive reflexes
A client is complaining of pain 1 day after a colostomy. The nurse gives meperidine
(demerol) I.M. and 30 minutes later finds the client's respiratory rate of 8 breaths/min,
with the nasal cannula on the floor. ABG results are pH 7.23, PaO2 58 mmHg, PaCo 61
mmHg, HCO3 24 meq. Which group of factors contributes most to the clients ABG
results?
Colostomy, pain, and demerol
Demerol, the nasal cannula on the floor, and the colostomy Demerol, RR of 8 per min,
and nasal cannula on the floor
Pain, RR of 8, and the nasal cannula on the floor ✅Respiratory acidosis Demerol, RR
of 8 per min, and nasal cannula on the floor
Your patient is receiving a 3% NaCl solution to correct hyponatremia. Which of the
following assessments is the most important for the nurse doing the administration of
this solution? Urinary output
Lung sounds
Peripheral pulses
Peripheral edema ✅Lung sounds — crackles
Your patient has hypercalcemia. Which of the following interventions would you include
in the care plan?
Monitoring for trousseau and chvsteks signs
Auscultating lung sounds every 4 hours
Encouraging fluid intake up to 4,000 mL every day
Maintaining the patient in bed rest ✅Encouraging fluid intake up to 4,000 mL every
day. Make sure they don't get renal stones
Your patient has massive fluid loss. Which of the following is the greatest concern?
Urine output is 30 mL over the last hour
The blood pressure is 90/40 mmHg
, There is prolonged skin tenting over the sternum Oral fluid intake is 100 mL for the last
8 hours ✅The blood pressure is 90/40 mmHg
Your patient is admitted with hypovolemia and has multiple draining wounds. What is
the most accurate assessment for this patient? Presence of edema
Hourly urine output
Skin turgor
Daily weight ✅Daily weight
Which medication classification must be assessed during the preoperative period
because it can cause an electrolyte imbalance during surgery?
Corticosteroids
Diuretics
Phenothiazines
Insulin ✅Diuretics
The primary goal in withholding food before surgery is to prevent aspiration
True or false ✅True
The nurse is preparing to administer a premedication. Which of the following actions
should the nurse take first?
Have the family present
Ensure that the preoperative shave is complete
Have the patient void
Make sure the patient is covered with a warm blanket ✅Have the patient void
The nurse asks a preoperative patient to sign a surgical consent form as specified by
the surgeon and signs the form after the patient. What is the use doing by performing
this action?
Witnessing the patient's signature
Obtaining informed consent from the patient for surgery
Verifying that the consent for surgery is truly voluntary and informed
Ensuring that the patient is mentally competent to sign the consent form ✅Witnessing
the patient's signature
A preoperative nurse prepares a patient for surgery, which nursing interventions are
necessary actions that should be included in the plan of care (select all that apply)
Maintain NPO status to prevent aspiration
Verify the patient's signature on the consent prior to surgery
Remove dentures and contact lenses prior to surgery
Check the patient's allergy and blood bands for accuracy
Verify the patient's mobility in all extremities prior to surgery
