Nur 160 Exam Questions And Accurate Answers
The nurse knows the most accurate way to determine Water balance in the body is
which of the following? - Answer Weighing The patient at the same time and same scale
The Nurse Understands the population at most risk for fluid and electrolyte imbalance
are which of the following? - Answer Infants
geriatrics
The nurse is assessing a patient that has exhibited positive Chovestick and Trousseau
signs. The nurse knows these are signs of which imbalance? - Answer Hypocalcemia
Which is the correct process for measuring the length for nasogastric tube insertion? -
Answer Tip of not to earlobe to xiphoid process
The nurse identifies that the most important thing is to confirm that the nasogastric tube
is correctly placed within the client's stomach. Which of the following does the literature
report as the best practice to confirm the placement of a nasogastric tube? Answer
Abdominal/Thoracic chest x-ray
A patient exhibits dry mucous membranes, poor skin turgor, and tenting of skin. The
nurse recognizes that these are signs and symptoms of which of the following? Answer
Fluid volume deficit FVD
A patient is refusing to ambulate to the bedside commode. Which Statement by the
patient is related to their refusal to ambulate? - Answer I saw my roommate fall last
week when going to the bathroom"
A patient with emphysema is having difficulty breathing after ambulating to the
bathroom. Which medication will the patient take for immediate relief of the breathing
difficulty? - Answer Albuterol (Proventil)
, The LPN is caring for a patient with a nasogastric tube (NGT) following gastric surgery.
The patient has an order for metropolol (Lopressor) 25 mg extended-release capsule.
Which is the LPN's best intervention? - Call Physician to clarify order
The nurse understands Vitamin D is necessary for the absorption of which electrolyte? -
Calcium
When would the nurse initiate discharge instructions with a surgical client? ANS During
preoperative phase
The nurse is providing education to the nursing assistant about oxygen safety related to
safe administration of oxygen and potential complications that need to be addressed by
the nurse. Which statement by the nursing assistant identifies that the assistant
requires further education? Answer will store an additional cylinder of oxygen in the
corner of the room near the heater"
The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary
Disease (COPD). Which arterial blood gas values reflect that the patient has respiratory
acidosis? - Answer pH 721 PaCO2 49. HCO3 25
The nurse is caring for a client who had a bowel resection. The client has a midline
incision with ten sutures. To predict and prevent complications, the nurse should take
which action? Place the patient in semi-Fowlers with knees slightly flexed.
The LPN is performing a head-to-toe assessment on a patient. Which pulse assessment
is not indicated for the nurse to obtain? - Answer Palpating the carotid arteries
bilaterally simultaneously
The postoperative client tells the nurse "I felt something pop near my incision." The
nurse looks at the surgical site and notices that the wound is eviscerating. The nurse
understands this occurred due to the result of what process? - Answer Compulsive
coughing
The nurse knows the most accurate way to determine Water balance in the body is
which of the following? - Answer Weighing The patient at the same time and same scale
The Nurse Understands the population at most risk for fluid and electrolyte imbalance
are which of the following? - Answer Infants
geriatrics
The nurse is assessing a patient that has exhibited positive Chovestick and Trousseau
signs. The nurse knows these are signs of which imbalance? - Answer Hypocalcemia
Which is the correct process for measuring the length for nasogastric tube insertion? -
Answer Tip of not to earlobe to xiphoid process
The nurse identifies that the most important thing is to confirm that the nasogastric tube
is correctly placed within the client's stomach. Which of the following does the literature
report as the best practice to confirm the placement of a nasogastric tube? Answer
Abdominal/Thoracic chest x-ray
A patient exhibits dry mucous membranes, poor skin turgor, and tenting of skin. The
nurse recognizes that these are signs and symptoms of which of the following? Answer
Fluid volume deficit FVD
A patient is refusing to ambulate to the bedside commode. Which Statement by the
patient is related to their refusal to ambulate? - Answer I saw my roommate fall last
week when going to the bathroom"
A patient with emphysema is having difficulty breathing after ambulating to the
bathroom. Which medication will the patient take for immediate relief of the breathing
difficulty? - Answer Albuterol (Proventil)
, The LPN is caring for a patient with a nasogastric tube (NGT) following gastric surgery.
The patient has an order for metropolol (Lopressor) 25 mg extended-release capsule.
Which is the LPN's best intervention? - Call Physician to clarify order
The nurse understands Vitamin D is necessary for the absorption of which electrolyte? -
Calcium
When would the nurse initiate discharge instructions with a surgical client? ANS During
preoperative phase
The nurse is providing education to the nursing assistant about oxygen safety related to
safe administration of oxygen and potential complications that need to be addressed by
the nurse. Which statement by the nursing assistant identifies that the assistant
requires further education? Answer will store an additional cylinder of oxygen in the
corner of the room near the heater"
The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary
Disease (COPD). Which arterial blood gas values reflect that the patient has respiratory
acidosis? - Answer pH 721 PaCO2 49. HCO3 25
The nurse is caring for a client who had a bowel resection. The client has a midline
incision with ten sutures. To predict and prevent complications, the nurse should take
which action? Place the patient in semi-Fowlers with knees slightly flexed.
The LPN is performing a head-to-toe assessment on a patient. Which pulse assessment
is not indicated for the nurse to obtain? - Answer Palpating the carotid arteries
bilaterally simultaneously
The postoperative client tells the nurse "I felt something pop near my incision." The
nurse looks at the surgical site and notices that the wound is eviscerating. The nurse
understands this occurred due to the result of what process? - Answer Compulsive
coughing
