NSG 430 ADULT HEALTH NURSING II 2025 SUMMER-
FALL QUESTIONS WITH RATIONALIZED ANSWERS.
100% GUARANTEE PASS GRAND CANYON UNIVERSITY.
NSG 430 Exam 4
SATA: Risk factors for bacterial infection
- CORRECT ANS>>-Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES) I think its all the options
SATA: Treatment for lower extremity cellulitis, what orders do you expect? -
- CORRECT ANS>>-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
Which data collected by the nurse caring for a patient who has cardiogenic shock
indicate that the patient may be developing multiple organ dysfunction syndrome
The patient's serum creatinine level is elevated.
The patient reports intermittent chest pressure.
The patient's extremities are cool and pulses are weak.
The patient has bilateral crackles throughout lung fields.
- CORRECT ANS>>a. The patient's serum creatinine level is elevated.
INR/PT levels doubled, what are you giving?
- CORRECT ANS>>Fresh frozen plasma
A patient recovering from heart surgery develops pericarditis and com- plains of level 6
(0 to 10 scale) chest pain with deep breathing. Which ordered PRN medication will be
the most appropriate for the nurse to give?
Fentanyl 1 mg IV
IV morphine sulfate 4 mg
Oral ibuprofen (Motrin) 600 mg
Oral acetaminophen (Tylenol) 650 mg
- CORRECT ANS>>c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest
, Which nursing action will be included in the plan of care for a patient who is being
treated for bleeding esophageal varices with balloon tamponade?
Instruct the patient to cough every hour.
Monitor the patient for shortness of breath.
Verify the position of the balloon every 4 hours.
Deflate the gastric balloon if the patient reports nausea.
- CORRECT ANS>>b. Monitor the patient
for shortness of breath.
When admitting a 42-year-old patient with a possible brain injury after a car accident
(MVA) to the emergency department (ED), the nurse obtains the following information.
Which finding is most important to report to the health care provider?
- CORRECT ANS>>Patient states they regularly take warfarin (coumadin) regularly
During discharge teaching with a 68-year-old patient who had a mitral valve
replacement with a mechanical valve, the nurse instructs the patient on the?
- CORRECT ANS>>Need for frequent PTT/INR measurement; long term anticoagulants
Which assessment finding for a patient who has just been admitted with acute
pyelonephritis is most important for the nurse to report to the health care provider?
Flank tenderness to palpation
Blood pressure 82/60 mm Hg
Cloudy and foul-smelling urine
Temperature 100.1F (57.8C)
- CORRECT ANS>>b. Blood pressure 82/60 mm Hg
Decorticate posture: what would you question?
- CORRECT ANS>>consent for the lumbar puncture
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and
blurred vision. As the nurse, what is the priority?
- CORRECT ANS>>Checking the patient's blood glucose
What are early signs of hypoxemia with a patient with anemia?
- CORRECT ANS>>Restless- ness
The nurse preparing for the annual physical exam of a 50-year-old man will plan to
teach the patient about?
- CORRECT ANS>>Colonoscopy
FALL QUESTIONS WITH RATIONALIZED ANSWERS.
100% GUARANTEE PASS GRAND CANYON UNIVERSITY.
NSG 430 Exam 4
SATA: Risk factors for bacterial infection
- CORRECT ANS>>-Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES) I think its all the options
SATA: Treatment for lower extremity cellulitis, what orders do you expect? -
- CORRECT ANS>>-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
Which data collected by the nurse caring for a patient who has cardiogenic shock
indicate that the patient may be developing multiple organ dysfunction syndrome
The patient's serum creatinine level is elevated.
The patient reports intermittent chest pressure.
The patient's extremities are cool and pulses are weak.
The patient has bilateral crackles throughout lung fields.
- CORRECT ANS>>a. The patient's serum creatinine level is elevated.
INR/PT levels doubled, what are you giving?
- CORRECT ANS>>Fresh frozen plasma
A patient recovering from heart surgery develops pericarditis and com- plains of level 6
(0 to 10 scale) chest pain with deep breathing. Which ordered PRN medication will be
the most appropriate for the nurse to give?
Fentanyl 1 mg IV
IV morphine sulfate 4 mg
Oral ibuprofen (Motrin) 600 mg
Oral acetaminophen (Tylenol) 650 mg
- CORRECT ANS>>c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest
, Which nursing action will be included in the plan of care for a patient who is being
treated for bleeding esophageal varices with balloon tamponade?
Instruct the patient to cough every hour.
Monitor the patient for shortness of breath.
Verify the position of the balloon every 4 hours.
Deflate the gastric balloon if the patient reports nausea.
- CORRECT ANS>>b. Monitor the patient
for shortness of breath.
When admitting a 42-year-old patient with a possible brain injury after a car accident
(MVA) to the emergency department (ED), the nurse obtains the following information.
Which finding is most important to report to the health care provider?
- CORRECT ANS>>Patient states they regularly take warfarin (coumadin) regularly
During discharge teaching with a 68-year-old patient who had a mitral valve
replacement with a mechanical valve, the nurse instructs the patient on the?
- CORRECT ANS>>Need for frequent PTT/INR measurement; long term anticoagulants
Which assessment finding for a patient who has just been admitted with acute
pyelonephritis is most important for the nurse to report to the health care provider?
Flank tenderness to palpation
Blood pressure 82/60 mm Hg
Cloudy and foul-smelling urine
Temperature 100.1F (57.8C)
- CORRECT ANS>>b. Blood pressure 82/60 mm Hg
Decorticate posture: what would you question?
- CORRECT ANS>>consent for the lumbar puncture
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and
blurred vision. As the nurse, what is the priority?
- CORRECT ANS>>Checking the patient's blood glucose
What are early signs of hypoxemia with a patient with anemia?
- CORRECT ANS>>Restless- ness
The nurse preparing for the annual physical exam of a 50-year-old man will plan to
teach the patient about?
- CORRECT ANS>>Colonoscopy
