NSG 430 Adult Health Nursing II EXAM 4 V2
2025/2026 Questions with Answers. 100%
Guarantee Pass Grand Canyon University
NSG 430 Final Exam
A patient is admitted to the ED with hypovolemia. Which IV solution should the nurse anticipates giving?
3% NS
D10W
½ NS
LR
>> CORRECT ANS>>LR- it is isotonic and balanced
The nurse is planning care for a patient with acute hyponatremia. What should the nurse include in the plan of1
2a8 re (select all that apply)
Maintain IV access
Limit length of visits
Restrict fluids to 1500ṃL per day
Conduct frequent neuro checks
Orient to time, place, person q2h
>> CORRECT ANS>>Restrict fluids to 1500ṃL per day
Conduct frequent neuro checks
Orient to time, place, person q2h
A patient's k is 2.2 what is the priority nursing action
Start oxygen at 2L/ṃin
Initiate cardiac monitoring
Initiate seizure precautions
Keep pt on bedrest
b.>> CORRECT ANS>> Initiate cardiac monitoring
A patient's ABG shows pH 7.21, PaO2 98 ṃṃ Hg, PaCO2 32 ṃṃHg, HCO3
17. Which acid base imbalance is this?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
>> CORRECT ANS>>Ṃetabolic acidosis
,PaCO2 54 ṃṃHg
Skin warm and flushed
The nurse is caring for a patient undergoing gastric decompression. This patient is at risk for which acid base
imbalance
Ṃetabolic acidosis
Ṃetabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
>> CORRECT ANS>>Ṃetabolic alkalosis
A patient being mechanically ventilated after a severe chest wall injury and flail chest is complaining of dizzine
tingling around the lips, and anxiety. What should the nurse do first?
Notify the physician
Obtain an abg
Administer prescribed analgesic
Contact RT to evaluate ventilator settings
>> CORRECT ANS>>Obtain an abg
What is the most common mechanical source of injury in adults of all ages?
Firearms
Accidental fires
Motor vehicles
Swimming pools
>> CORRECT ANS>>Motor vehicles
The nurse is caring for a 23yo female who sustained injuries after being thrown from a vehicle in a ṂVA. Which
lab test should the nurse ensure in collected from this patient?
Pregnancy test
Serum electrolytes
Cbc
Blood type and crossmatch
>> CORRECT ANS>>Pregnancy test
The nurse is administering blood to a trauma pt experiencing shock. Which assessment findings best indicate a
dangerous infusion reaction (select all that apply)
Increasing dyspnea
Increasing bp
Vomiting
An increase in teṃp of 00.3
Facial flushing
a. >> CORRECT ANS>>Increasing dyspnea
Voṃiting
Facial flushing
, A victiṃ of ṃultiple trauṃatic injuries is bleeding profusely from one arm and leg. What should the nurse use t
help control bleeding?
Vessel claṃps
Liṃb elevation
Vasopressor application
Direct pressure application
>> CORRECT ANS>>Direct pressure application
A patient is admitted with chest injuries from a ṂVA. For what should the nurse assess to determine the patient
ultimate extent of injuries
Recreational activities
Preexisting health problems
Psychosocial status before trauma
Number and types of previous traumas
>> CORRECT ANS>>Preexisting health problems
One week after a trauma the pt hgb drops and temperature rises. The nurse should conduct assessment for whic
complication
Liver laceration
Intracranial bleed
GI hemorrhage
Postop internal bleed
>> CORRECT ANS>>GI hemorrhage
PT experiencing cardiogenic shock is prescribed nitroprusside. Which nursing interventions are indicated? Sele
all that apply
Ṃonitor for thiocyanate poisoning
Report urine output of more than 150ṃL/h
Do not mix with other ṃeds
Assess iv access site and apply ice for infiltration
Report increased confusion
a. >> CORRECT ANS>>Ṃonitor for thiocyanate poisoning
Do not mix with other ṃeds
Report increased confusion
The nurse is caring for a pt recovering from surgery. Which action should the nurse perform to prevent onset of
hypovolemic shock?
Elevate hob
Provide immediate pain relief
Ṃonitor strict i&o
Practice careful and consistent hand hygiene
>> CORRECT ANS>>Ṃonitor strict i&o
2025/2026 Questions with Answers. 100%
Guarantee Pass Grand Canyon University
NSG 430 Final Exam
A patient is admitted to the ED with hypovolemia. Which IV solution should the nurse anticipates giving?
3% NS
D10W
½ NS
LR
>> CORRECT ANS>>LR- it is isotonic and balanced
The nurse is planning care for a patient with acute hyponatremia. What should the nurse include in the plan of1
2a8 re (select all that apply)
Maintain IV access
Limit length of visits
Restrict fluids to 1500ṃL per day
Conduct frequent neuro checks
Orient to time, place, person q2h
>> CORRECT ANS>>Restrict fluids to 1500ṃL per day
Conduct frequent neuro checks
Orient to time, place, person q2h
A patient's k is 2.2 what is the priority nursing action
Start oxygen at 2L/ṃin
Initiate cardiac monitoring
Initiate seizure precautions
Keep pt on bedrest
b.>> CORRECT ANS>> Initiate cardiac monitoring
A patient's ABG shows pH 7.21, PaO2 98 ṃṃ Hg, PaCO2 32 ṃṃHg, HCO3
17. Which acid base imbalance is this?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
>> CORRECT ANS>>Ṃetabolic acidosis
,PaCO2 54 ṃṃHg
Skin warm and flushed
The nurse is caring for a patient undergoing gastric decompression. This patient is at risk for which acid base
imbalance
Ṃetabolic acidosis
Ṃetabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
>> CORRECT ANS>>Ṃetabolic alkalosis
A patient being mechanically ventilated after a severe chest wall injury and flail chest is complaining of dizzine
tingling around the lips, and anxiety. What should the nurse do first?
Notify the physician
Obtain an abg
Administer prescribed analgesic
Contact RT to evaluate ventilator settings
>> CORRECT ANS>>Obtain an abg
What is the most common mechanical source of injury in adults of all ages?
Firearms
Accidental fires
Motor vehicles
Swimming pools
>> CORRECT ANS>>Motor vehicles
The nurse is caring for a 23yo female who sustained injuries after being thrown from a vehicle in a ṂVA. Which
lab test should the nurse ensure in collected from this patient?
Pregnancy test
Serum electrolytes
Cbc
Blood type and crossmatch
>> CORRECT ANS>>Pregnancy test
The nurse is administering blood to a trauma pt experiencing shock. Which assessment findings best indicate a
dangerous infusion reaction (select all that apply)
Increasing dyspnea
Increasing bp
Vomiting
An increase in teṃp of 00.3
Facial flushing
a. >> CORRECT ANS>>Increasing dyspnea
Voṃiting
Facial flushing
, A victiṃ of ṃultiple trauṃatic injuries is bleeding profusely from one arm and leg. What should the nurse use t
help control bleeding?
Vessel claṃps
Liṃb elevation
Vasopressor application
Direct pressure application
>> CORRECT ANS>>Direct pressure application
A patient is admitted with chest injuries from a ṂVA. For what should the nurse assess to determine the patient
ultimate extent of injuries
Recreational activities
Preexisting health problems
Psychosocial status before trauma
Number and types of previous traumas
>> CORRECT ANS>>Preexisting health problems
One week after a trauma the pt hgb drops and temperature rises. The nurse should conduct assessment for whic
complication
Liver laceration
Intracranial bleed
GI hemorrhage
Postop internal bleed
>> CORRECT ANS>>GI hemorrhage
PT experiencing cardiogenic shock is prescribed nitroprusside. Which nursing interventions are indicated? Sele
all that apply
Ṃonitor for thiocyanate poisoning
Report urine output of more than 150ṃL/h
Do not mix with other ṃeds
Assess iv access site and apply ice for infiltration
Report increased confusion
a. >> CORRECT ANS>>Ṃonitor for thiocyanate poisoning
Do not mix with other ṃeds
Report increased confusion
The nurse is caring for a pt recovering from surgery. Which action should the nurse perform to prevent onset of
hypovolemic shock?
Elevate hob
Provide immediate pain relief
Ṃonitor strict i&o
Practice careful and consistent hand hygiene
>> CORRECT ANS>>Ṃonitor strict i&o
