NURS 241 Exam 2025 With 100%
Complete Answers
Quiz Q: 1. The nurse is taking care of a new admission patient with known schizophrenia who has been
having diarrhea for 3 days from a new medication regimen. The patient is restless agitated and has
twitching in their face and hands. The patient states "They can't go on like this". Put the following
nursing interventions in order or prioritization: - correct answers ✔✔a. Assess that the patient is safe
and free from imminent danger including suicidal ideation
b. Assess patient vital signs, intake and output, and basic neurological orientation
c. Assess lab values including magnesium and sodium
d. Notify the provider of findings
e. Start IV fluids of 0.9 NS with 20 mEq K
(THESE ARE ALREADY IN THE CORRECT ORDER)
Quiz Q: The nurse is taking care of the patient with acute paranoid schizophrenia. Which of the following
medication orders is the most correct? - correct answers ✔✔a. Haldol deconate/haloperidol 0.15 mg IM
x 1 for acute psychosis
b. Haldol deconate/haloperidol 15 mg IM x 1 for acute psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12 hours
d. Haldol deconate/haloperidol 150 mg orally every 12 hours
Quiz Q: 1. Which of the following predisposing factors are most prevalent in the development of
psychosis? - correct answers ✔✔>>a. White/Caucasion ethnicity
b. High income
>>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the most likely fluid imbalance. - correct answers ✔✔a. Hgb 13.2
yesterday. 10.1 today; urine specific gravity 1.001
,>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the client with schizophrenia who has current visual hallucinations
of seeing bats in the room. Which of the following statements indicate that the nurse understands
therapeutic communication techniques for the situation. Select all that apply. - correct answers ✔✔a.
"I'm sure it will get better when your meds kick in"
>>b. "So what you are saying is that you are seeing small flying animals"
c. "Let's see what's on TV"
>>d. "I am not seeing bats in the activity room"
>>e. "I will just sit here quietly with you. If you want to talk about it, that's ok."
Quiz Q: 1. Which of the following nursing interventions would the nurse perform for the client with
psychosis/schizophrenia? Select all that apply. - correct answers ✔✔>>a. Assess home medications and
current doses, and verify proper administration/dosing with patient
>>b. Assess labs including electrolytes and any substance abuse toxicity reports
>>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out injury
Quiz Q: 1. Which of the following best represents accurate, prioritized, initial nursing assessment of the
client with psychosis who has fasciculation's (muscle twitching) of the arms and legs? - correct answers
✔✔a. Assess medication hx, intake and output, and birth hx
b. Assess mental health hx, electrolytes and heart tones
>>c. Assess medication hx, electrolytes, and cranial nerves
d. Assess mental health hx, BUN/creatinine, general appearance
Quiz Q: 1. Which interventions should you anticipate for a patient with isotonic dehydration? - correct
answers ✔✔a. 0.45% NS
>>b. 0.9% NS
,c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old unconscious patient with a fever, saline lock IV site, and orders for
1000 mL tube feeding q 24 hours. Does the data from this case point to FVD or FVE? - correct answers
✔✔a. Neither fluid volume deficit or excess
>>b. Fluid volume deficit
c. Fluid volume excess
Quiz Q: 1. Which assessment finding best indicates that fluid resuscitation therapy for the patient with
hypertonic dehydration has achieved the desired effect? - correct answers ✔✔a. Serum osmolality has
changed from 375m/Osmol/kg to 400m/Osmol/kg
>>b. Serum osmolality has changed from 375m/Osmol/kg to 300m/Osmol/kg
c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient receiving regular insulin. Which of the following paent
statements indicates a need for further teaching? The patient will be self administering a dose at 0800. -
correct answers ✔✔"I will watch for signs of hypoglycemia at 2000"
" I will watch for signs of hypoglycemia at 0830"
>>"I will watch for signs of hypoglycemia at 1100"
"I will watch for signs of hypoglycemia at 1800"
Table 2 in the Gosmanov Article
(know peak, onset, and duration) - correct answers ✔✔
Quiz Q: The nurse knows that which of the following are the best medication interventions for DKA? Pick
the correct medications in the correctly priorized order. - correct answers ✔✔Insulin 100 units
subcutaneously for loading then titrated IV insulin infusion to maintain stable blood sugars, potential
potassium replacement
, Insulin 5 units subcutaneously for loading then titrated IV insulin infusion to maintain stable blood
sugars, potential potassium replacement
Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain stable blood sugars,
potential magnesium replacement
>>Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain stable blood
sugars, potential potassium replacement
Quiz Q: Match the following nursing interventions as correct or incorrect nursing interventions for DKA. -
correct answers ✔✔>>0.9% NS at 100 mL/hour (good rate)
>>Recheck Glucose every hour and PRN (timely!)
Recheck glucose every 6-12 hours
0.9% NS at 350 mL/hour
>>Drop glucose slowly to avoid complications such as changes in ICP
Drop glucose as fast as possible to avoid complications such as changes in ICP
Quiz Q: Which of the following patient statements indicates the need for more education regarding
diabetic ketoacidosis (DKA)? - correct answers ✔✔>> "My body is making at least a little insulin"
"When I go home, I need to check my blood sugar every day, and maybe more frequently when I am
stressed or super busy"
"If my family says my breath smells funny, I should check my blood sugar"
Complete Answers
Quiz Q: 1. The nurse is taking care of a new admission patient with known schizophrenia who has been
having diarrhea for 3 days from a new medication regimen. The patient is restless agitated and has
twitching in their face and hands. The patient states "They can't go on like this". Put the following
nursing interventions in order or prioritization: - correct answers ✔✔a. Assess that the patient is safe
and free from imminent danger including suicidal ideation
b. Assess patient vital signs, intake and output, and basic neurological orientation
c. Assess lab values including magnesium and sodium
d. Notify the provider of findings
e. Start IV fluids of 0.9 NS with 20 mEq K
(THESE ARE ALREADY IN THE CORRECT ORDER)
Quiz Q: The nurse is taking care of the patient with acute paranoid schizophrenia. Which of the following
medication orders is the most correct? - correct answers ✔✔a. Haldol deconate/haloperidol 0.15 mg IM
x 1 for acute psychosis
b. Haldol deconate/haloperidol 15 mg IM x 1 for acute psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12 hours
d. Haldol deconate/haloperidol 150 mg orally every 12 hours
Quiz Q: 1. Which of the following predisposing factors are most prevalent in the development of
psychosis? - correct answers ✔✔>>a. White/Caucasion ethnicity
b. High income
>>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the most likely fluid imbalance. - correct answers ✔✔a. Hgb 13.2
yesterday. 10.1 today; urine specific gravity 1.001
,>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the client with schizophrenia who has current visual hallucinations
of seeing bats in the room. Which of the following statements indicate that the nurse understands
therapeutic communication techniques for the situation. Select all that apply. - correct answers ✔✔a.
"I'm sure it will get better when your meds kick in"
>>b. "So what you are saying is that you are seeing small flying animals"
c. "Let's see what's on TV"
>>d. "I am not seeing bats in the activity room"
>>e. "I will just sit here quietly with you. If you want to talk about it, that's ok."
Quiz Q: 1. Which of the following nursing interventions would the nurse perform for the client with
psychosis/schizophrenia? Select all that apply. - correct answers ✔✔>>a. Assess home medications and
current doses, and verify proper administration/dosing with patient
>>b. Assess labs including electrolytes and any substance abuse toxicity reports
>>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out injury
Quiz Q: 1. Which of the following best represents accurate, prioritized, initial nursing assessment of the
client with psychosis who has fasciculation's (muscle twitching) of the arms and legs? - correct answers
✔✔a. Assess medication hx, intake and output, and birth hx
b. Assess mental health hx, electrolytes and heart tones
>>c. Assess medication hx, electrolytes, and cranial nerves
d. Assess mental health hx, BUN/creatinine, general appearance
Quiz Q: 1. Which interventions should you anticipate for a patient with isotonic dehydration? - correct
answers ✔✔a. 0.45% NS
>>b. 0.9% NS
,c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old unconscious patient with a fever, saline lock IV site, and orders for
1000 mL tube feeding q 24 hours. Does the data from this case point to FVD or FVE? - correct answers
✔✔a. Neither fluid volume deficit or excess
>>b. Fluid volume deficit
c. Fluid volume excess
Quiz Q: 1. Which assessment finding best indicates that fluid resuscitation therapy for the patient with
hypertonic dehydration has achieved the desired effect? - correct answers ✔✔a. Serum osmolality has
changed from 375m/Osmol/kg to 400m/Osmol/kg
>>b. Serum osmolality has changed from 375m/Osmol/kg to 300m/Osmol/kg
c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient receiving regular insulin. Which of the following paent
statements indicates a need for further teaching? The patient will be self administering a dose at 0800. -
correct answers ✔✔"I will watch for signs of hypoglycemia at 2000"
" I will watch for signs of hypoglycemia at 0830"
>>"I will watch for signs of hypoglycemia at 1100"
"I will watch for signs of hypoglycemia at 1800"
Table 2 in the Gosmanov Article
(know peak, onset, and duration) - correct answers ✔✔
Quiz Q: The nurse knows that which of the following are the best medication interventions for DKA? Pick
the correct medications in the correctly priorized order. - correct answers ✔✔Insulin 100 units
subcutaneously for loading then titrated IV insulin infusion to maintain stable blood sugars, potential
potassium replacement
, Insulin 5 units subcutaneously for loading then titrated IV insulin infusion to maintain stable blood
sugars, potential potassium replacement
Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain stable blood sugars,
potential magnesium replacement
>>Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain stable blood
sugars, potential potassium replacement
Quiz Q: Match the following nursing interventions as correct or incorrect nursing interventions for DKA. -
correct answers ✔✔>>0.9% NS at 100 mL/hour (good rate)
>>Recheck Glucose every hour and PRN (timely!)
Recheck glucose every 6-12 hours
0.9% NS at 350 mL/hour
>>Drop glucose slowly to avoid complications such as changes in ICP
Drop glucose as fast as possible to avoid complications such as changes in ICP
Quiz Q: Which of the following patient statements indicates the need for more education regarding
diabetic ketoacidosis (DKA)? - correct answers ✔✔>> "My body is making at least a little insulin"
"When I go home, I need to check my blood sugar every day, and maybe more frequently when I am
stressed or super busy"
"If my family says my breath smells funny, I should check my blood sugar"
