NUR 160 EXAM 2, HONDROS LATEST 2023 WITH
COMPLETE SOLUTION
The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary Disease
(COPD). Which arterial blood gas values indicate that the patient is in respiratory acidosis? -
ANSWER...pH 721 PaCO2 49. HCO3 25
The nurse is providing care to a patient had a bowel resection, with a midline incision that has
ten sutures. In order to predict and manage potential complications, which action should the
nurse take? - ANSWER...Place the patient in semi fowlers knees slightly flexed
The LPN is completing a head-to- toe assessment on a patient. Which pulse assessment is not
appropriate for the nurse to take? - ANSWER...Palpate the carotid arteries bilaterally at the same
time
The post operative patient tells the nurse "I felt something pop near my incision" Upon assessing
the surgical safe, the nurse noticed the wound is it in the process of dehiscence. The nurse
understands this may have occurred due to which process? - ANSWER...Forceful coughing
The LPN is caring for a patient who has crackles bilaterally on inspiration that does not clear
with coughing. Which would the LPN anticipate as the cause of crackles? - ANSWER...Fluid in
the lungs
The patient asks the LPN what could have continued to their diagnosis of metabolic acidosis.
Which of the following statements would be an appropriate response by the nurse? -
ANSWER...The diarrhea you experienced during the last week caused your imbalance"
During lunch the nurse notices a patient with a mid- line incision coughing forcibly. Which
should be the nurse's next action after the patient is no longer coughing? - ANSWER...The nurse
will educate on splinting
The nurse is doing education with a patient that is newly diagnosed with diabetes mellitus.
Which statement by the patient would indicate a need for further teaching? - ANSWER...I
would wipe the first drop away with an alcohol pad"
The LPN is doing patient education on risk factors for developing cardiovascular disease. The
nurse understands which are contributing factors? - ANSWER...- Family history of
cardiovascular disease
, - Age
- Smoking
A patient is taking warfarin (Coumadin) to treat cardiac dysrthmias. The nurse knows to educate
the patient to limit her intake of Vitamin K in their diet because it can potentially have which
effect on the patient? - ANSWER...Increase in the PT/INR and increase clotting time
The LPN is reinforcing teaching that was provided to a patient about furosemide (Lasix). The
LPN knows furosemide (Lasix) will act on the body in which way? - ANSWER...To reduce
edema
A patient presents to the Emergency Room (ED) with the following symptoms: three pound
weight gain in the 24 hours, dyspnea at rest, fatigue, anxiety, and 4+ edema of the bilateral lower
extremities from the foot to the knee. Which vital signs would the LPN expect the patient to
display? - ANSWER...BP 160/98, HR 102, RR 24
The nurse is educating a patient on the risk factors the patient can modify, or change to prevent
the development of peripheral vascular disease (PVD). The LPN knows which of the following
are risk factors that can be modified? - ANSWER...Smoking
- Obesity
- Sedentary lifestyle
The nurse is inserting a foley catheter in a female patient. After inserting the catheter three
inches, and advancing another one to two inches, the nurse still hasn't obtained any urine return
and assumes the catheter is in the vagina. Which is the next action by the nurse? -
ANSWER...Leave the catheter in place as a marker, obtain a new sterile catheter kit and attempt
again
When inserting a catheter in a male patient, the LPN knows the urethra is longer, and the catheter
should be inserted how many inches? - ANSWER...7-9 inches
The LPN is providing care to a patient with a history of diabetes mellitus who is lethargic and
confused. Their skin is hot - ANSWER...Check the blood glucose level
The LPN is assessing the Glasgow Coma Scale (GCS) on a patient who has had a change in
mental status. The LPN knows which of following would be assessed by the GCS? -
ANSWER...Best eye - opening response
COMPLETE SOLUTION
The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary Disease
(COPD). Which arterial blood gas values indicate that the patient is in respiratory acidosis? -
ANSWER...pH 721 PaCO2 49. HCO3 25
The nurse is providing care to a patient had a bowel resection, with a midline incision that has
ten sutures. In order to predict and manage potential complications, which action should the
nurse take? - ANSWER...Place the patient in semi fowlers knees slightly flexed
The LPN is completing a head-to- toe assessment on a patient. Which pulse assessment is not
appropriate for the nurse to take? - ANSWER...Palpate the carotid arteries bilaterally at the same
time
The post operative patient tells the nurse "I felt something pop near my incision" Upon assessing
the surgical safe, the nurse noticed the wound is it in the process of dehiscence. The nurse
understands this may have occurred due to which process? - ANSWER...Forceful coughing
The LPN is caring for a patient who has crackles bilaterally on inspiration that does not clear
with coughing. Which would the LPN anticipate as the cause of crackles? - ANSWER...Fluid in
the lungs
The patient asks the LPN what could have continued to their diagnosis of metabolic acidosis.
Which of the following statements would be an appropriate response by the nurse? -
ANSWER...The diarrhea you experienced during the last week caused your imbalance"
During lunch the nurse notices a patient with a mid- line incision coughing forcibly. Which
should be the nurse's next action after the patient is no longer coughing? - ANSWER...The nurse
will educate on splinting
The nurse is doing education with a patient that is newly diagnosed with diabetes mellitus.
Which statement by the patient would indicate a need for further teaching? - ANSWER...I
would wipe the first drop away with an alcohol pad"
The LPN is doing patient education on risk factors for developing cardiovascular disease. The
nurse understands which are contributing factors? - ANSWER...- Family history of
cardiovascular disease
, - Age
- Smoking
A patient is taking warfarin (Coumadin) to treat cardiac dysrthmias. The nurse knows to educate
the patient to limit her intake of Vitamin K in their diet because it can potentially have which
effect on the patient? - ANSWER...Increase in the PT/INR and increase clotting time
The LPN is reinforcing teaching that was provided to a patient about furosemide (Lasix). The
LPN knows furosemide (Lasix) will act on the body in which way? - ANSWER...To reduce
edema
A patient presents to the Emergency Room (ED) with the following symptoms: three pound
weight gain in the 24 hours, dyspnea at rest, fatigue, anxiety, and 4+ edema of the bilateral lower
extremities from the foot to the knee. Which vital signs would the LPN expect the patient to
display? - ANSWER...BP 160/98, HR 102, RR 24
The nurse is educating a patient on the risk factors the patient can modify, or change to prevent
the development of peripheral vascular disease (PVD). The LPN knows which of the following
are risk factors that can be modified? - ANSWER...Smoking
- Obesity
- Sedentary lifestyle
The nurse is inserting a foley catheter in a female patient. After inserting the catheter three
inches, and advancing another one to two inches, the nurse still hasn't obtained any urine return
and assumes the catheter is in the vagina. Which is the next action by the nurse? -
ANSWER...Leave the catheter in place as a marker, obtain a new sterile catheter kit and attempt
again
When inserting a catheter in a male patient, the LPN knows the urethra is longer, and the catheter
should be inserted how many inches? - ANSWER...7-9 inches
The LPN is providing care to a patient with a history of diabetes mellitus who is lethargic and
confused. Their skin is hot - ANSWER...Check the blood glucose level
The LPN is assessing the Glasgow Coma Scale (GCS) on a patient who has had a change in
mental status. The LPN knows which of following would be assessed by the GCS? -
ANSWER...Best eye - opening response
