NSG 430 FINAL EXAM REVIEW TOPICS
QUESTIONS AND ANSWERS
SATA: Risk factors for bacterial infection - CORRECT ANSWER-Diabetes Mellitus
(YES), Atopic dermatitis (YES), Moisture (YES), Obesity (YES), Skin neoplasms (YES)
SATA: Treatment for lower extremity cellulitis - CORRECT ANSWER-Vancomycin
1000mls, Elevate the extremity, Heat packs
MODS question - CORRECT ANSWER-It takes more time than usual for your blood to
clot
INR/PT levels doubled, what are you giving? - CORRECT ANSWER-Fresh frozen
plasma
Patient recovering from heart surgery develops pericarditis - CORRECT ANSWER-Oral
Ibuprofen (Motrin) 600 mg
Assessment data for acute myocardial infarction (AMI) - CORRECT ANSWER-Pain
lasting longer than 30 minutes
Enlarged veins in the lower esophagus - CORRECT ANSWER-Can cause serious
bleeding
Balloon tamponade procedure - CORRECT ANSWER-Involves inserting and inflating a
balloon to stop or reduce bleeding in the esophagus, stomach, or uterus
Nursing action for bleeding esophageal varices - CORRECT ANSWER-Monitor for SOB
(and monitor O2)
Patient with possible brain injury after MVA - CORRECT ANSWER-Patient states they
regularly take warfarin (coumadin) regularly
Mitral valve replacement - CORRECT ANSWER-A surgical procedure that replaces a
damaged mitral valve with a mechanical or tissue valve
Discharge teaching for mitral valve replacement - CORRECT ANSWER-Need for
frequent PTT/INR measurement; long term anticoagulants
,Acute pyelonephritis - CORRECT ANSWER-A bacterial infection of the kidneys and
renal pelvis that can be life-threatening
Assessment finding for acute pyelonephritis - CORRECT ANSWER-Low BP 82/60
(shock)
Decorticate posture - CORRECT ANSWER-An abnormal posturing in which a person is
stiff with bent arms, clenched fists, and legs held out straight
Consent for lumbar puncture - CORRECT ANSWER-What would you question?
Patient with acute pancreatitis - CORRECT ANSWER-Reporting excessive thirst,
excessive voiding, and blurred vision
Priority for patient with acute pancreatitis - CORRECT ANSWER-Checking the patient's
blood glucose
Early signs of hypoxemia with anemia - CORRECT ANSWER-Altered LOC/restlessness
Annual physical exam for a 50-year-old man - CORRECT ANSWER-Colonoscopy
Transjugular intrahepatic portosystemic shunt (TIPS) - CORRECT ANSWER-Reduces
portal hypertension by diverting blood flow around the liver
Effectiveness of TIPS placed 3 months ago - CORRECT ANSWER-Decreased (fewer
episodes) of bleeding from varices
Expected lab value for someone with SIADH - CORRECT ANSWER-A condition that
occurs when the body produces too much antidiuretic hormone (ADH), leading to low
blood sodium levels
Oral Ibuprofen (Motrin) 600 mg - CORRECT ANSWER-Ordered PRN medication for
chest pain level 6 after heart surgery.
Pain lasting longer than 30 minutes - CORRECT ANSWER-Assessment data
suggesting acute myocardial infarction (AMI).
Monitor for SOB - CORRECT ANSWER-Nursing action for patient treated for bleeding
esophageal varices with balloon tamponade.
,Patient states they regularly take warfarin (coumadin) - CORRECT ANSWER-Most
important finding to report for a patient with possible brain injury.
Need for frequent PTT/INR measurement; long term anticoagulants - CORRECT
ANSWER-Instructions for a patient after mitral valve replacement with a mechanical
valve.
Low BP 82/60 - CORRECT ANSWER-Important assessment finding for a patient
admitted with acute pyelonephritis.
Checking the patient's blood glucose - CORRECT ANSWER-Priority action for a patient
with acute pancreatitis reporting excessive thirst and voiding.
Altered LOC/ restlessness - CORRECT ANSWER-Early signs of hypoxemia in a patient
with anemia.
Colonoscopy - CORRECT ANSWER-Teaching planned for a 50-year-old man during an
annual physical exam.
Decreased (fewer episodes) of bleeding from varices - CORRECT ANSWER-Indicates
effectiveness of transjugular intrahepatic portosystemic shunt (TIPS).
Sodium level of 115 - CORRECT ANSWER-Expected lab value for someone with
SIADH.
Glomerular filtration rate (GFR) - CORRECT ANSWER-Most useful information for
evaluating improvement in kidney function in AKI.
Use of NSAIDS - CORRECT ANSWER-Risk factors for gastritis to ask a patient with
acute gastritis.
Glucose over past 90 days - CORRECT ANSWER-Meaning of an a1c level.
Measure hourly urine output - CORRECT ANSWER-Indicates effective fluid
resuscitation in partial-thickness burns.
Norepinephrine (Levophed) - CORRECT ANSWER-Anticipated order for a patient with
septic shock after receiving 2 L of normal saline.
, Parkland formula 65kg, 55% - CORRECT ANSWER-Calculated fluid requirement in
ml/hr: 894.
Call HCP - CORRECT ANSWER-First action for a patient with circumferential burns of
both legs and decreased pulse strength.
Prophylactic antibiotics - CORRECT ANSWER-Discharge teaching for a patient who
has had a mitral valve replacement with a mechanical valve.
Monitor breath sounds frequently - CORRECT ANSWER-Intervention for a patient who
has cardiogenic shock.
Decreased chest pain - CORRECT ANSWER-Evaluation of effectiveness of IV
nitroglycerin (Tridil) for a patient with myocardial infarction.
B-type natriuretic peptide (BNP) levels - CORRECT ANSWER-Diagnostic test useful for
determining heart failure in patients with acute shortness of breath (SOB).
BUN, Creatinine - CORRECT ANSWER-Laboratory tests to identify kidney problems in
a patient with acute pancreatitis.
Administer prescribed opioids - CORRECT ANSWER-Priority nursing action for pain
relief in patients with pancreatic cancer.
Herpes zoster (shingles) - CORRECT ANSWER-Contagious condition that requires
teaching about precautions, especially for pregnant visitors.
Ammonium levels - CORRECT ANSWER-Important to monitor in patients with severe
cirrhosis and bleeding esophageal varices to detect complications.
Asterixis and lethargy - CORRECT ANSWER-Assessment data critical to communicate
in a patient with acute liver failure.
Albumin - CORRECT ANSWER-Focused data to assess in a patient with cirrhosis and
4+ pitting edema.
Crackles in lungs and rhonchi in mid chest - CORRECT ANSWER-Data that should be
reported to the healthcare provider after exploratory laparotomy.
QUESTIONS AND ANSWERS
SATA: Risk factors for bacterial infection - CORRECT ANSWER-Diabetes Mellitus
(YES), Atopic dermatitis (YES), Moisture (YES), Obesity (YES), Skin neoplasms (YES)
SATA: Treatment for lower extremity cellulitis - CORRECT ANSWER-Vancomycin
1000mls, Elevate the extremity, Heat packs
MODS question - CORRECT ANSWER-It takes more time than usual for your blood to
clot
INR/PT levels doubled, what are you giving? - CORRECT ANSWER-Fresh frozen
plasma
Patient recovering from heart surgery develops pericarditis - CORRECT ANSWER-Oral
Ibuprofen (Motrin) 600 mg
Assessment data for acute myocardial infarction (AMI) - CORRECT ANSWER-Pain
lasting longer than 30 minutes
Enlarged veins in the lower esophagus - CORRECT ANSWER-Can cause serious
bleeding
Balloon tamponade procedure - CORRECT ANSWER-Involves inserting and inflating a
balloon to stop or reduce bleeding in the esophagus, stomach, or uterus
Nursing action for bleeding esophageal varices - CORRECT ANSWER-Monitor for SOB
(and monitor O2)
Patient with possible brain injury after MVA - CORRECT ANSWER-Patient states they
regularly take warfarin (coumadin) regularly
Mitral valve replacement - CORRECT ANSWER-A surgical procedure that replaces a
damaged mitral valve with a mechanical or tissue valve
Discharge teaching for mitral valve replacement - CORRECT ANSWER-Need for
frequent PTT/INR measurement; long term anticoagulants
,Acute pyelonephritis - CORRECT ANSWER-A bacterial infection of the kidneys and
renal pelvis that can be life-threatening
Assessment finding for acute pyelonephritis - CORRECT ANSWER-Low BP 82/60
(shock)
Decorticate posture - CORRECT ANSWER-An abnormal posturing in which a person is
stiff with bent arms, clenched fists, and legs held out straight
Consent for lumbar puncture - CORRECT ANSWER-What would you question?
Patient with acute pancreatitis - CORRECT ANSWER-Reporting excessive thirst,
excessive voiding, and blurred vision
Priority for patient with acute pancreatitis - CORRECT ANSWER-Checking the patient's
blood glucose
Early signs of hypoxemia with anemia - CORRECT ANSWER-Altered LOC/restlessness
Annual physical exam for a 50-year-old man - CORRECT ANSWER-Colonoscopy
Transjugular intrahepatic portosystemic shunt (TIPS) - CORRECT ANSWER-Reduces
portal hypertension by diverting blood flow around the liver
Effectiveness of TIPS placed 3 months ago - CORRECT ANSWER-Decreased (fewer
episodes) of bleeding from varices
Expected lab value for someone with SIADH - CORRECT ANSWER-A condition that
occurs when the body produces too much antidiuretic hormone (ADH), leading to low
blood sodium levels
Oral Ibuprofen (Motrin) 600 mg - CORRECT ANSWER-Ordered PRN medication for
chest pain level 6 after heart surgery.
Pain lasting longer than 30 minutes - CORRECT ANSWER-Assessment data
suggesting acute myocardial infarction (AMI).
Monitor for SOB - CORRECT ANSWER-Nursing action for patient treated for bleeding
esophageal varices with balloon tamponade.
,Patient states they regularly take warfarin (coumadin) - CORRECT ANSWER-Most
important finding to report for a patient with possible brain injury.
Need for frequent PTT/INR measurement; long term anticoagulants - CORRECT
ANSWER-Instructions for a patient after mitral valve replacement with a mechanical
valve.
Low BP 82/60 - CORRECT ANSWER-Important assessment finding for a patient
admitted with acute pyelonephritis.
Checking the patient's blood glucose - CORRECT ANSWER-Priority action for a patient
with acute pancreatitis reporting excessive thirst and voiding.
Altered LOC/ restlessness - CORRECT ANSWER-Early signs of hypoxemia in a patient
with anemia.
Colonoscopy - CORRECT ANSWER-Teaching planned for a 50-year-old man during an
annual physical exam.
Decreased (fewer episodes) of bleeding from varices - CORRECT ANSWER-Indicates
effectiveness of transjugular intrahepatic portosystemic shunt (TIPS).
Sodium level of 115 - CORRECT ANSWER-Expected lab value for someone with
SIADH.
Glomerular filtration rate (GFR) - CORRECT ANSWER-Most useful information for
evaluating improvement in kidney function in AKI.
Use of NSAIDS - CORRECT ANSWER-Risk factors for gastritis to ask a patient with
acute gastritis.
Glucose over past 90 days - CORRECT ANSWER-Meaning of an a1c level.
Measure hourly urine output - CORRECT ANSWER-Indicates effective fluid
resuscitation in partial-thickness burns.
Norepinephrine (Levophed) - CORRECT ANSWER-Anticipated order for a patient with
septic shock after receiving 2 L of normal saline.
, Parkland formula 65kg, 55% - CORRECT ANSWER-Calculated fluid requirement in
ml/hr: 894.
Call HCP - CORRECT ANSWER-First action for a patient with circumferential burns of
both legs and decreased pulse strength.
Prophylactic antibiotics - CORRECT ANSWER-Discharge teaching for a patient who
has had a mitral valve replacement with a mechanical valve.
Monitor breath sounds frequently - CORRECT ANSWER-Intervention for a patient who
has cardiogenic shock.
Decreased chest pain - CORRECT ANSWER-Evaluation of effectiveness of IV
nitroglycerin (Tridil) for a patient with myocardial infarction.
B-type natriuretic peptide (BNP) levels - CORRECT ANSWER-Diagnostic test useful for
determining heart failure in patients with acute shortness of breath (SOB).
BUN, Creatinine - CORRECT ANSWER-Laboratory tests to identify kidney problems in
a patient with acute pancreatitis.
Administer prescribed opioids - CORRECT ANSWER-Priority nursing action for pain
relief in patients with pancreatic cancer.
Herpes zoster (shingles) - CORRECT ANSWER-Contagious condition that requires
teaching about precautions, especially for pregnant visitors.
Ammonium levels - CORRECT ANSWER-Important to monitor in patients with severe
cirrhosis and bleeding esophageal varices to detect complications.
Asterixis and lethargy - CORRECT ANSWER-Assessment data critical to communicate
in a patient with acute liver failure.
Albumin - CORRECT ANSWER-Focused data to assess in a patient with cirrhosis and
4+ pitting edema.
Crackles in lungs and rhonchi in mid chest - CORRECT ANSWER-Data that should be
reported to the healthcare provider after exploratory laparotomy.
