NR 464 practice Questions With Complete Solutions
A "lifesaving" culture can drive aggressive care even when it
becomes obvious that the individual will ultimately die?
True or False? Correct Answers True
A client with a skull fracture has clear liquid coming form his
nose. What fining shows it is CSF?
A. Fluid is clear and tests negative for glucose
B. Fluid is grossly bloody in appearance and has a pH of 6
C. Fluid clumps together on the dressing and has a pH of 7
D. Fluid separates into rings and tests positive for glucose
Correct Answers D. Fluid separates into rings and tests positive
for glucose
A client with severe back pain and hematuria is found to have
hydronephrosis due to urolithiases. The nurse anticipates that
which treatment will be done to relieve the obstruction?
A. Analysis of the urinary stone
B. Peritoneal dialysis
C. Place ureteral stent with uretoscopy
D. IV opioid analgesics Correct Answers C. Place ureteral
stent with ureteroscopy
Priority is to relieve the obstruction so the urine can drain
A patient determined to be brain dead may be considered an
organ donor by:
A. First-person consent
B. Consent from the patient's fiancée
C. This patient cannot be an organ donor
,D. No consent is required, as the patient is brain dead Correct
Answers A. First-person consent
A patient is admitted to the critical care unit with a diagnosis of
possible meningitis. Actions the nurse anticipates include all the
following except:
A. Placing the patient on contact precautions
B. Obtaining blood and urine cultures
C. Administering antibiotics as soon as possible
D. Preparing the patient for lumbar puncture Correct Answers
A. Placing the patient on contact precautions (should be on
droplet)
A patient with a feeding tube is prescribed an oral medication.
What would be the best action for the nurse to take?
A. Crush the medication and administer with the tube feeding.
B. Contact the pharmacist to check the medication and obtain it
in liquid form.
C. Melt the medication in 30 mL of water and administer
through the feeding tube.
D. Turn off the feeding for 30 minutes and have the patient
swallow the medication with a glass of water. Correct Answers
B. Contact the pharmacist to check the medication and obtain it
in liquid form.
-Contact the pharmacist to check the medication and obtain it in
liquid form.
A patient with CKD returns to the unit after hemodialysis. On
assessment, the RN notes that the patient's temp is 101.5 F.
Which nursing action is most appropriate?
A. Encourage fluid intake
,B. Notify health care provider
C. Continue to monitor vital signs
D. Monitor the site of the shunt for infection Correct Answers
B. Notify health care provider
This is a significantly elevated temp and may indicate infection
A staff nurse states, "I am a CCRN." What does CCRN mean?
Correct Answers CCRN signifies that the nurse was eligible for
certification in critical care and passed the CCRN examination
A trough medication level is drawn 30 min after the dose of
medication is administered...
True or False Correct Answers False
Drawn immediately before the next dose is administered
Acid-base regulation of the kidney is performed primarily in
which section of the nephron?
A. bowman's capsule
B. glomerulus
C. Afferent arteriole
D. Proximal and distal tubules Correct Answers D. Proximal
and Distal Tubules
Acid-base regulation of the kidney is performed primarily in
which section of the nephron?
A. Bowman's capsule
B. Glomerulus
C. Afferent arteriole
D. Proximal and distal tubules Correct Answers D. Proximal
and distal tubules
, After a stroke, which observation indicates that the client is
adapting most successfully?
A. Gets angry with family if they interrupt a task
B. Experiences bouts of depression
C. Has difficulty using modified feeding utensils
D. Consistently uses adaptive equipment in dressing Correct
Answers D. Consistently uses adaptive equipment in dressing
All of the following are true about hospice care except:
A. Tried to hasten death
B. Is a philosophy of care, not a specific location
C. Emphasizes comfort rather than cure
D. Can be given in a variety of environments Correct Answers
A. Tried to hasten death
All of the following are true about the brainstem functions
except:
A. The brainstem is responsible for temperature control
(hypothalamus is)
B. Mechanisms that regulate respiratory rhythm are located in
the brainstem
C. The brainstem connects the cerebellum to the rest of the brain
D. Nuclei for most cranial nerves are located in the brainstem
Correct Answers A. The brainstem is responsible for
temperature control (hypothalamus is)
All of the following increase lung resistance except
A. Increased airway diameter
B. spasms
C. Reduced airway diameter
A "lifesaving" culture can drive aggressive care even when it
becomes obvious that the individual will ultimately die?
True or False? Correct Answers True
A client with a skull fracture has clear liquid coming form his
nose. What fining shows it is CSF?
A. Fluid is clear and tests negative for glucose
B. Fluid is grossly bloody in appearance and has a pH of 6
C. Fluid clumps together on the dressing and has a pH of 7
D. Fluid separates into rings and tests positive for glucose
Correct Answers D. Fluid separates into rings and tests positive
for glucose
A client with severe back pain and hematuria is found to have
hydronephrosis due to urolithiases. The nurse anticipates that
which treatment will be done to relieve the obstruction?
A. Analysis of the urinary stone
B. Peritoneal dialysis
C. Place ureteral stent with uretoscopy
D. IV opioid analgesics Correct Answers C. Place ureteral
stent with ureteroscopy
Priority is to relieve the obstruction so the urine can drain
A patient determined to be brain dead may be considered an
organ donor by:
A. First-person consent
B. Consent from the patient's fiancée
C. This patient cannot be an organ donor
,D. No consent is required, as the patient is brain dead Correct
Answers A. First-person consent
A patient is admitted to the critical care unit with a diagnosis of
possible meningitis. Actions the nurse anticipates include all the
following except:
A. Placing the patient on contact precautions
B. Obtaining blood and urine cultures
C. Administering antibiotics as soon as possible
D. Preparing the patient for lumbar puncture Correct Answers
A. Placing the patient on contact precautions (should be on
droplet)
A patient with a feeding tube is prescribed an oral medication.
What would be the best action for the nurse to take?
A. Crush the medication and administer with the tube feeding.
B. Contact the pharmacist to check the medication and obtain it
in liquid form.
C. Melt the medication in 30 mL of water and administer
through the feeding tube.
D. Turn off the feeding for 30 minutes and have the patient
swallow the medication with a glass of water. Correct Answers
B. Contact the pharmacist to check the medication and obtain it
in liquid form.
-Contact the pharmacist to check the medication and obtain it in
liquid form.
A patient with CKD returns to the unit after hemodialysis. On
assessment, the RN notes that the patient's temp is 101.5 F.
Which nursing action is most appropriate?
A. Encourage fluid intake
,B. Notify health care provider
C. Continue to monitor vital signs
D. Monitor the site of the shunt for infection Correct Answers
B. Notify health care provider
This is a significantly elevated temp and may indicate infection
A staff nurse states, "I am a CCRN." What does CCRN mean?
Correct Answers CCRN signifies that the nurse was eligible for
certification in critical care and passed the CCRN examination
A trough medication level is drawn 30 min after the dose of
medication is administered...
True or False Correct Answers False
Drawn immediately before the next dose is administered
Acid-base regulation of the kidney is performed primarily in
which section of the nephron?
A. bowman's capsule
B. glomerulus
C. Afferent arteriole
D. Proximal and distal tubules Correct Answers D. Proximal
and Distal Tubules
Acid-base regulation of the kidney is performed primarily in
which section of the nephron?
A. Bowman's capsule
B. Glomerulus
C. Afferent arteriole
D. Proximal and distal tubules Correct Answers D. Proximal
and distal tubules
, After a stroke, which observation indicates that the client is
adapting most successfully?
A. Gets angry with family if they interrupt a task
B. Experiences bouts of depression
C. Has difficulty using modified feeding utensils
D. Consistently uses adaptive equipment in dressing Correct
Answers D. Consistently uses adaptive equipment in dressing
All of the following are true about hospice care except:
A. Tried to hasten death
B. Is a philosophy of care, not a specific location
C. Emphasizes comfort rather than cure
D. Can be given in a variety of environments Correct Answers
A. Tried to hasten death
All of the following are true about the brainstem functions
except:
A. The brainstem is responsible for temperature control
(hypothalamus is)
B. Mechanisms that regulate respiratory rhythm are located in
the brainstem
C. The brainstem connects the cerebellum to the rest of the brain
D. Nuclei for most cranial nerves are located in the brainstem
Correct Answers A. The brainstem is responsible for
temperature control (hypothalamus is)
All of the following increase lung resistance except
A. Increased airway diameter
B. spasms
C. Reduced airway diameter
