NUR 172 FINAL EXAM QUESTIONS WITH 100% ACCURATE ANSWERS

NUR 172 FINAL EXAM QUESTIONS WITH 100% ACCURATE
ANSWERS.


1) An experienced nurse is reviewing with a new nurse about discontinuing an IV. The
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new nurse needs more education when he states which of the following? -- Answer
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✔✔ Apply pressure over the IV site, then pull the catheter out."
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- pressure should not applied until catheter is removed. t t t t t t t




2) An LPN is working on a medical/surgical floor of a small town hospital. The shift has
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just started, it is now 0730. Several patients need an IV inserted. Which patient will
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the LPN insert an IV first? -- Answer ✔✔ A 46 year old post-op pt. who is has
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hyperlipidemia, hypertension and is complaining of severe chest pain. t t t t t t t t




- ABC ( Airway, Breathing, Circulation) t t t t




- Chest pain trumps everything t t t




3) A 40 year old patient was in a car accident three days ago. The patient is NPO. The
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patient is to receive a unit of blood today for a hemoglobin of 6.8. Which task would
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be appropriate for the RN to delegate to a LPN? -- Answer ✔✔ Start the IV with an
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18 gauge needle in the right forearm.
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4) Which complication will the LPN immediately remove the IV catheter? -- Answer ✔✔
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The IV site is red and warm.
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- Signs of phlebitis t t




5) A patient is receiving an IV of LR at 50 ml/hr. The patient has also received two IVPBs
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today: 100ml and 75ml. The patient is NPO. The pt. had a urine output per urinal of
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200ml. Then an indwelling catheter was inserted and the catheter was emptied at the
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end of the shift, 700 ml was obtained. The patient had two J-P drains. J-P drain A was
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emptied twice: 50 ml and 75 ml. J-P drain B was emptied three times: 50ml, 45ml,
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50ml. The patient had two diarrhea stools that measured 65ml and 100ml. The
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patient was also diaphoretic today (unable to measure). The LPN has an order to call
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, the physician at the end of the shift and give an update. This facility is on 12 hour shifts.
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What will the LPN report? -- Answer ✔✔ This patient needs more IV fluid.
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- More output than input means more iv fluids. t t t t t t t




6) A patient has an IV with Albumin 25% infusing. Which symptom, related to this
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infusion would most concern the nurse? -- Answer ✔✔ Lungs now have crackles in
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the bases. t




- hypertonic solution , watch for fluid overload, listen to lungs, pulmonary t t t t t t t t t t t




edema, HTN t




7) A nurse is presenting an in-service to her unit about blood transfusion reactions. The
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nurse states which of the following signs/symptoms represent a probable acute
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hemolytic transfusion reaction? -- Answer ✔✔ "Fever, tachycardia, chest pain, back
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pain, low BP." t t




8) A nurse is teaching a student nurse about hypotonic solutions. The nurse will include
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which statement in the teaching? -- Answer ✔✔ "The blood pressure will usually
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decrease when giving this type of fluid." t t t t t t




9) Which statement made by the student nurse indicates a need for further teaching
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about solutions with IV Dextrose? -- Answer ✔✔ "Administering an IV with dextrose
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gives the patient carbohydrates and lipids."
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10) A patient has a sodium level of 120. The nurse will do which of the following actions? -
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- Answer ✔✔ Place seizure pads on the patient's side-rails.
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11) The patient reports a pounding headache, dyspnea, and has an increased pulse rate.
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The nurse is orienting a new LPN and teaches her what to do in this situation. The
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new LPN needs more instruction when she makes which statement? -- Answer ✔✔
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"Go find the RN and ask her/him what to do."
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- Slow down infusion rate t t t




12) Which statement is true regarding insertion of a peripheral IV? -- Answer ✔✔ The
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insertion site should be scrubbed with chlorhexidine and alcohol combo
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(Chloraprep) for 30 seconds prior to IV insertion and allowed to air dry. t t t t t t t t t t t t