NURI8S Final Exam Winter 2022
draft
Time: 51mins Avg. Point Biserial: vy013 | Upper
Date and Time of f Exam Creation: 112/2 3
7/2021O. 2:45PM EST . | Total Exam Points: 70 | Est. Completion
R
27%: 0.86 | Lower 27%: % 0.67 | Disc. | Index: in the Blank: 0 | True/False: 0 | Essay:
e sc. ex: 0.00 | Difficulty: 077 | Total Questions: 70 | Multiple Choice: 0 | Fill
to go to the urgent care. The nurse clusters
:\v rl;i:e;tt::sf::oe;‘:omdning for two and a half days. The patient finally decided
= g data that suggests fluid volume deficit? Select all that apply.
A. Tenting of the skin
i . BP 86/50
moo®
. Tongue is moist.
Crackles in the lung bases.
v . Welight has gone from 65kg to 60.5 kg., over the past two days.
expect
0.83 | Rational e: Lungs would expect to be clear and BP low, would
Question ID: 4882 | Point Value: 1| Point Biserial: 18 | Difficulty:
would be dry. | Categories:
tachycardia, weight would be decreasing. The tongue -
- ing symptoms are
a. The nurse knows thet ihe fnticw
T be bleeding due to thrombocytopeni
he nurse suspects a patient may
signs of hemorrhaging? Select all that apply.
A. BP160/90
B. pulse 120
SNSS
C. hematuria
D. coffee ground emesis
E. thirst
e
know the s/s that could indicat
1R ationale: Students ne ed to
1 | Point Biserial: .23 | Difficulty: 0.48 1o a5 results. | Categories:
Question ID: 4880 | Point Value: so, student s need to know info. relsied
will use. Al
terms that the healthcare team
hemorrhage and the medical Selectall
do which orde! rslinterventions?
(Coumadin). The nurse will
The patient is on warfarin
A patient has an INR of 6.8.
that apply.
ble if needed.
Protamine sulfate, is availa
A. Make sure the antidote,
blood In their stool.
Instruct the patientto report
Qg
Observe for hematemesis.
SN
Hold the Warfarin.
O
Call the doctor. the
be needed. Thirst is often
g
e: Soft tooth brush would
11 Point Biser ial: 15 | Difficulty: 0.69 | Rationall
Que stion ID: 4879 |
Point Value: :
quarter 3. | Categories
e...this was taught to them
of hemorrhag s which
earliest indicator ing. The nurse know
blood in his stool this morn
hom e repo rts that he had what looked like
A clientin the nursing ble G.l. bleed (gastro-
lntestinal)?
indicator of a possi
4. trend woul d be the best
hours later
70 t his am to 75 two
A. Pulse went from
day was 13.9 , and today was 70
yester
B. Hemoglobin r was 108/74
v and four hours late
ning was 112/70
Cc. BPthis mor ay 124 pounds.
weight tod
terday 125 pounds; and they have lost ap
prox.
D. Weight yes og lobin has dropped
Diff icul ty: 0.98 | Rationale: The hem
11
1| Point Biserial:
8 | Point Value:
"ff"ouestion I D: 487
pints of bl rie s:
ood. | Catego
Scanned with CamScanner
, A nurse is teaching a student nurse about aspirin. What will the nurse Include In the teaching? Pply.
Select all that apply,
A. Itis not to be used for a patient with a myocardial infarction.
B. It can be used for fever In children.
v C. lItis an antiplatelet & analgesic
v D. Do not give to children because It causes Reye's syndrome
Nd E. It can cause tinnitus,
Question ID: 4877 | point Value: 1 Point Biserial: 17 | Difficulty: 0.71| Rationale:
\
aspirin is a 185 list drug and 17 It is used for Mis it is not
used for children d/t Reyes
Syndrome. | Categories:
& The LPN is caring for a patient 1day_postop creation of a ileal
conduit. Which assessment findings would the LPN reportto
the RN immediately?
v A. Apale stoma
B. Temperature of 99.5 orally
C. Bowel sounds are absent.
D. Continuous urine output
Question ID: 4875 | Point Value: 1|
Point Biserial: .09 | Difficul ty: 0.97 | Rationale: C Cooper
1719 Also, post-op patients often have a low
grade temp. for the first 24-48 hrs.
and NO bowel sounds fo r 24-48 hrs. is totally normal. | Categories:
7 A patient with renal problems, shortness
of breath, crackles in his lung bases,
¢ a potassium of 6.1 this morning, is being sent to
the hospital by squad. The physician has
given some orders and the nurse, wl
hile waiting on the squad, needs more
education when she states that she will
carry out which intervention/order?
A. Startan IV with a saline lock.
\/ B. Give a dose of K-DUR 20meq po
now.
C. Apply oxygen at 2 liters per minute
per nasal cannula.
D. Explain that the paramedics will be putting
him on a heart monitor when they arrive.
Question ID: 4876 | Point Value: 1| Point
Biserial: 111 Difficul Ity: 0.65 | Rationale: Concept:
elimination: renal failure Safety: Change in
patient condition Students need to be aware
of normal lab values vs severe cnes. Tne potassium
is too high and could be deadly to give
more. They have been taught this quarter
and last that a high potassium can cause lethal
rhythms and thus the need for the cardiac
monitor. | Categories: NCLEX-PN Client Needs
Categories, Safety and Infection Control
The nurse is caring for a patient on a ventilator,
Which actions will the nurse take?
Select all that apply.
A. Keep the HOB elevated at least 10 degrees.
Vv B. Make sure the patient has SCD hose on.
C. Limit suction time to 5 seconds.
D. Routinely instill Normal Saline per the endotrachial tube to
promote secretion removal.
Vv E. Hyperoxygenate before suctioning.
Question ID: 4874 | Point Value: 1| Point Biserial: 12| Difficulty: 0.48 | Rationale:
Suctioning is to be limited to 10 seconds. Do NOT instill
NS. Week 1 article on CAMS HOB up 30 degrees Hyperoxygenate before suctioning.
| Categories:
Scanned with CamScanner
draft
Time: 51mins Avg. Point Biserial: vy013 | Upper
Date and Time of f Exam Creation: 112/2 3
7/2021O. 2:45PM EST . | Total Exam Points: 70 | Est. Completion
R
27%: 0.86 | Lower 27%: % 0.67 | Disc. | Index: in the Blank: 0 | True/False: 0 | Essay:
e sc. ex: 0.00 | Difficulty: 077 | Total Questions: 70 | Multiple Choice: 0 | Fill
to go to the urgent care. The nurse clusters
:\v rl;i:e;tt::sf::oe;‘:omdning for two and a half days. The patient finally decided
= g data that suggests fluid volume deficit? Select all that apply.
A. Tenting of the skin
i . BP 86/50
moo®
. Tongue is moist.
Crackles in the lung bases.
v . Welight has gone from 65kg to 60.5 kg., over the past two days.
expect
0.83 | Rational e: Lungs would expect to be clear and BP low, would
Question ID: 4882 | Point Value: 1| Point Biserial: 18 | Difficulty:
would be dry. | Categories:
tachycardia, weight would be decreasing. The tongue -
- ing symptoms are
a. The nurse knows thet ihe fnticw
T be bleeding due to thrombocytopeni
he nurse suspects a patient may
signs of hemorrhaging? Select all that apply.
A. BP160/90
B. pulse 120
SNSS
C. hematuria
D. coffee ground emesis
E. thirst
e
know the s/s that could indicat
1R ationale: Students ne ed to
1 | Point Biserial: .23 | Difficulty: 0.48 1o a5 results. | Categories:
Question ID: 4880 | Point Value: so, student s need to know info. relsied
will use. Al
terms that the healthcare team
hemorrhage and the medical Selectall
do which orde! rslinterventions?
(Coumadin). The nurse will
The patient is on warfarin
A patient has an INR of 6.8.
that apply.
ble if needed.
Protamine sulfate, is availa
A. Make sure the antidote,
blood In their stool.
Instruct the patientto report
Qg
Observe for hematemesis.
SN
Hold the Warfarin.
O
Call the doctor. the
be needed. Thirst is often
g
e: Soft tooth brush would
11 Point Biser ial: 15 | Difficulty: 0.69 | Rationall
Que stion ID: 4879 |
Point Value: :
quarter 3. | Categories
e...this was taught to them
of hemorrhag s which
earliest indicator ing. The nurse know
blood in his stool this morn
hom e repo rts that he had what looked like
A clientin the nursing ble G.l. bleed (gastro-
lntestinal)?
indicator of a possi
4. trend woul d be the best
hours later
70 t his am to 75 two
A. Pulse went from
day was 13.9 , and today was 70
yester
B. Hemoglobin r was 108/74
v and four hours late
ning was 112/70
Cc. BPthis mor ay 124 pounds.
weight tod
terday 125 pounds; and they have lost ap
prox.
D. Weight yes og lobin has dropped
Diff icul ty: 0.98 | Rationale: The hem
11
1| Point Biserial:
8 | Point Value:
"ff"ouestion I D: 487
pints of bl rie s:
ood. | Catego
Scanned with CamScanner
, A nurse is teaching a student nurse about aspirin. What will the nurse Include In the teaching? Pply.
Select all that apply,
A. Itis not to be used for a patient with a myocardial infarction.
B. It can be used for fever In children.
v C. lItis an antiplatelet & analgesic
v D. Do not give to children because It causes Reye's syndrome
Nd E. It can cause tinnitus,
Question ID: 4877 | point Value: 1 Point Biserial: 17 | Difficulty: 0.71| Rationale:
\
aspirin is a 185 list drug and 17 It is used for Mis it is not
used for children d/t Reyes
Syndrome. | Categories:
& The LPN is caring for a patient 1day_postop creation of a ileal
conduit. Which assessment findings would the LPN reportto
the RN immediately?
v A. Apale stoma
B. Temperature of 99.5 orally
C. Bowel sounds are absent.
D. Continuous urine output
Question ID: 4875 | Point Value: 1|
Point Biserial: .09 | Difficul ty: 0.97 | Rationale: C Cooper
1719 Also, post-op patients often have a low
grade temp. for the first 24-48 hrs.
and NO bowel sounds fo r 24-48 hrs. is totally normal. | Categories:
7 A patient with renal problems, shortness
of breath, crackles in his lung bases,
¢ a potassium of 6.1 this morning, is being sent to
the hospital by squad. The physician has
given some orders and the nurse, wl
hile waiting on the squad, needs more
education when she states that she will
carry out which intervention/order?
A. Startan IV with a saline lock.
\/ B. Give a dose of K-DUR 20meq po
now.
C. Apply oxygen at 2 liters per minute
per nasal cannula.
D. Explain that the paramedics will be putting
him on a heart monitor when they arrive.
Question ID: 4876 | Point Value: 1| Point
Biserial: 111 Difficul Ity: 0.65 | Rationale: Concept:
elimination: renal failure Safety: Change in
patient condition Students need to be aware
of normal lab values vs severe cnes. Tne potassium
is too high and could be deadly to give
more. They have been taught this quarter
and last that a high potassium can cause lethal
rhythms and thus the need for the cardiac
monitor. | Categories: NCLEX-PN Client Needs
Categories, Safety and Infection Control
The nurse is caring for a patient on a ventilator,
Which actions will the nurse take?
Select all that apply.
A. Keep the HOB elevated at least 10 degrees.
Vv B. Make sure the patient has SCD hose on.
C. Limit suction time to 5 seconds.
D. Routinely instill Normal Saline per the endotrachial tube to
promote secretion removal.
Vv E. Hyperoxygenate before suctioning.
Question ID: 4874 | Point Value: 1| Point Biserial: 12| Difficulty: 0.48 | Rationale:
Suctioning is to be limited to 10 seconds. Do NOT instill
NS. Week 1 article on CAMS HOB up 30 degrees Hyperoxygenate before suctioning.
| Categories:
Scanned with CamScanner
