NURS 325
Nursing Concepts
COMPREHENSIVE FINALS
EXAM
Q&S
©2024/2025
,1. A patient presents with signs of hypovolemia post-operatively.
Which of the following is the most appropriate initial nursing
intervention?
A. Administer a diuretic
B. Assess for hypovolemic shock
C. Elevate the patient's legs
D. Increase the rate of IV fluids
Correct Answer: D. Increase the rate of IV fluids
Rationale: Increasing IV fluids can quickly restore circulating
volume and is a priority intervention in hypovolemia.
2. Which of the following drugs requires careful monitoring of
blood clotting times due to its anticoagulant effect?
A. Warfarin
B. Acetaminophen
C. Metformin
D. Digoxin
Correct Answer: A. Warfarin
Rationale: Warfarin is an anticoagulant, and monitoring of
PT/INR is necessary to prevent bleeding complications.
3. In assessing a patient with suspected cardiogenic shock, which
of the following findings would be most concerning?
A. Blood pressure of 140/90 mmHg
B. Lung crackles with decreased oxygen saturation
C. Peripheral edema
D. Respiratory rate of 18 breaths per minute
©2024/2025
, Correct Answer: B. Lung crackles with decreased oxygen
saturation
Rationale: These findings suggest pulmonary congestion and
poor cardiac output, critical in cardiogenic shock.
### Fill-in-the-Blank Questions
4. ____ is the most common electrolyte imbalance observed in
patients receiving diuretic therapy.
Correct Answer: Hypokalemia
Rationale: Diuretics commonly cause the excretion of
potassium, leading to hypokalemia.
5. The therapeutic range for lithium serum levels in the
treatment of bipolar disorder is ____ mEq/L.
Correct Answer: 0.6-1.2
Rationale: This is the established therapeutic range for
lithium, requiring consistent monitoring to avoid toxicity.
6. Controlled ____, characterized by disease remission or slowed
progression, is the primary therapeutic goal in treating chronic
illness.
Correct Answer: Management
Rationale: The goal of chronic illness management is to
maintain disease control and improve quality of life.
### True/False Questions
©2024/2025
Nursing Concepts
COMPREHENSIVE FINALS
EXAM
Q&S
©2024/2025
,1. A patient presents with signs of hypovolemia post-operatively.
Which of the following is the most appropriate initial nursing
intervention?
A. Administer a diuretic
B. Assess for hypovolemic shock
C. Elevate the patient's legs
D. Increase the rate of IV fluids
Correct Answer: D. Increase the rate of IV fluids
Rationale: Increasing IV fluids can quickly restore circulating
volume and is a priority intervention in hypovolemia.
2. Which of the following drugs requires careful monitoring of
blood clotting times due to its anticoagulant effect?
A. Warfarin
B. Acetaminophen
C. Metformin
D. Digoxin
Correct Answer: A. Warfarin
Rationale: Warfarin is an anticoagulant, and monitoring of
PT/INR is necessary to prevent bleeding complications.
3. In assessing a patient with suspected cardiogenic shock, which
of the following findings would be most concerning?
A. Blood pressure of 140/90 mmHg
B. Lung crackles with decreased oxygen saturation
C. Peripheral edema
D. Respiratory rate of 18 breaths per minute
©2024/2025
, Correct Answer: B. Lung crackles with decreased oxygen
saturation
Rationale: These findings suggest pulmonary congestion and
poor cardiac output, critical in cardiogenic shock.
### Fill-in-the-Blank Questions
4. ____ is the most common electrolyte imbalance observed in
patients receiving diuretic therapy.
Correct Answer: Hypokalemia
Rationale: Diuretics commonly cause the excretion of
potassium, leading to hypokalemia.
5. The therapeutic range for lithium serum levels in the
treatment of bipolar disorder is ____ mEq/L.
Correct Answer: 0.6-1.2
Rationale: This is the established therapeutic range for
lithium, requiring consistent monitoring to avoid toxicity.
6. Controlled ____, characterized by disease remission or slowed
progression, is the primary therapeutic goal in treating chronic
illness.
Correct Answer: Management
Rationale: The goal of chronic illness management is to
maintain disease control and improve quality of life.
### True/False Questions
©2024/2025
