NURS4121: Exam Review Questions And
Already Passed Answers.
A patient with AKI asks if they will need a kidney transplant. What should the nurse respond? - Answer
your condition can be reversed with proper treatment and usually won't destroy the kidney
In the oliguric phase of AKI, what should the nurse assess for? - Answer pulmonary edema - we are
worried about HTN and fluid overload
A 42 y/o male has partial thickness, circumferential burns on his right arm, and superficial burns on his
chest. What is a potential complication? - Answer infection
Why does hypovolemic shock occur in burn patients? - Answer burns cause a massive fluid shift due to
capillary permeability
A 50 y/o male was involved in an MVA. What is the priority action? - Answer assess ABCs
Why would the nurse plan an AKI patient's care based on excess fluid volume? - Answer pitting edema
in lower limbs
The nurse is caring for a patient with the following arterial blood gas values: pH 7.37, PCO2 35 mmHg,
HCO3 24. These findings indicate that the patient is experiencing what condition? - Answer normal
acid-base balance
What finding will the nurse expect when analyzing the cardiac rhythm for a patient with first degree
atrioventricular (AV) block? - Answer every P wave is conducted to the ventricles
What would the nurse expect to see when assessing a patient with a primary brain tumour who has
developed SIADH? - Answer vomiting, increased weight, decreased serum sodium, and decreased LOC
, What clinical finding would the nurse expect to identify when completing a nursing admission history
and physical on a patient with suspected hyperthyroidism? - Answer palpitations, tachycardia, and
thickened skin
The nurse is taking care of a patient with cirrhosis of the liver and ascites. Which lunch is an appropriate
choice for a patient with this disorder? - Answer penne pasta, spinach, banana, and decaf iced tea -
moderate to low fat and low sodium intake
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 BPM. If the bradycardia is
symptomatic, which of the following findings should the nurse expect the patient to exhibit? - Answer -
SOB
AFIB Case Study: A 45 y/o woman enters the ER with sudden onset of palpitations and SOB. ECG shows
AFIB with a rapid ventricular response (HR is 168 BPM). She has no previous history of acute cardiac
problems. An emergent cardioversion is planned because the person is young and has no cardiac history.
1. What are some teaching points before the procedure?
2. What treatments are available if the procedure is unsuccessful?
3. What risks does sustained atrial fibrillation pose, and how can this information be helpful in ensuring
adherence to a treatment plan? - Answer 1. quick procedure, will be sedated, explain what a
cardioversion is
2. calcium channel blockers and beta blockers
3. loss of atrial kick, thrombus formation, stroke
A patient has a diagnosis of acute myocardial infarction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognizes
as the most characteristic of PVCs is which of the following? - Answer -a wide, distorted QRS complex
A patient in the coronary care unit (CCU) develops ventricular fibrillation. Which action should the nurse
take first? - Answer -initiate CPR, then defibrillator, then life saving drugs
Which information about a patient's condition would the nurse consider when providing care to a
patient who just received radioactive iodine for Grave's disease? - Answer -mildly radioactive and
should be treated with routine safety precautions
Already Passed Answers.
A patient with AKI asks if they will need a kidney transplant. What should the nurse respond? - Answer
your condition can be reversed with proper treatment and usually won't destroy the kidney
In the oliguric phase of AKI, what should the nurse assess for? - Answer pulmonary edema - we are
worried about HTN and fluid overload
A 42 y/o male has partial thickness, circumferential burns on his right arm, and superficial burns on his
chest. What is a potential complication? - Answer infection
Why does hypovolemic shock occur in burn patients? - Answer burns cause a massive fluid shift due to
capillary permeability
A 50 y/o male was involved in an MVA. What is the priority action? - Answer assess ABCs
Why would the nurse plan an AKI patient's care based on excess fluid volume? - Answer pitting edema
in lower limbs
The nurse is caring for a patient with the following arterial blood gas values: pH 7.37, PCO2 35 mmHg,
HCO3 24. These findings indicate that the patient is experiencing what condition? - Answer normal
acid-base balance
What finding will the nurse expect when analyzing the cardiac rhythm for a patient with first degree
atrioventricular (AV) block? - Answer every P wave is conducted to the ventricles
What would the nurse expect to see when assessing a patient with a primary brain tumour who has
developed SIADH? - Answer vomiting, increased weight, decreased serum sodium, and decreased LOC
, What clinical finding would the nurse expect to identify when completing a nursing admission history
and physical on a patient with suspected hyperthyroidism? - Answer palpitations, tachycardia, and
thickened skin
The nurse is taking care of a patient with cirrhosis of the liver and ascites. Which lunch is an appropriate
choice for a patient with this disorder? - Answer penne pasta, spinach, banana, and decaf iced tea -
moderate to low fat and low sodium intake
A patient's cardiac rhythm is sinus bradycardia with a heart rate of 34 BPM. If the bradycardia is
symptomatic, which of the following findings should the nurse expect the patient to exhibit? - Answer -
SOB
AFIB Case Study: A 45 y/o woman enters the ER with sudden onset of palpitations and SOB. ECG shows
AFIB with a rapid ventricular response (HR is 168 BPM). She has no previous history of acute cardiac
problems. An emergent cardioversion is planned because the person is young and has no cardiac history.
1. What are some teaching points before the procedure?
2. What treatments are available if the procedure is unsuccessful?
3. What risks does sustained atrial fibrillation pose, and how can this information be helpful in ensuring
adherence to a treatment plan? - Answer 1. quick procedure, will be sedated, explain what a
cardioversion is
2. calcium channel blockers and beta blockers
3. loss of atrial kick, thrombus formation, stroke
A patient has a diagnosis of acute myocardial infarction, and his cardiac rhythm is sinus bradycardia with
six to eight premature ventricular contractions (PVCs) per minute. The pattern that the nurse recognizes
as the most characteristic of PVCs is which of the following? - Answer -a wide, distorted QRS complex
A patient in the coronary care unit (CCU) develops ventricular fibrillation. Which action should the nurse
take first? - Answer -initiate CPR, then defibrillator, then life saving drugs
Which information about a patient's condition would the nurse consider when providing care to a
patient who just received radioactive iodine for Grave's disease? - Answer -mildly radioactive and
should be treated with routine safety precautions
