NURS 487 - FINAL EXAM PRACTICE
QUESTIONS WITH 100% CORRECT
ANSWERS!!
,1 of 48
Term
A 78-year-old patient is in the recovery room after lengthy hip
surgery. While gradually awakening, the patient requests pain
medication. Within 10 minutes after receiving a dose of morphine
sulphate, the patient is very lethargic; respiration is shallow, at a rate
of nine respirations per minute. What necessary action may the nurse
need to perform?
1. Immediate intubation and artificial ventilation
2.Close observation for signs of opioid tolerance
3.Administration of an agonist opioid, such as fentanyl
(Duragesic Mat)
4.Administration of naloxone, an opioid reversal agent
Give this one a try later!
1. The baseline dose of the
narcotic may need to be 4. endotracheal intubation and
increased in positive pressure ventilation.
increments.
4. Administration of naloxone, 1. The patient should begin oral
an opioid reversal agent oseltamivir (Tamiflu) therapy as soon
as possible.
Don't know?
2 of 48
Term
, The nurse is caring for a client who has septic shock. Which of the
following assessment findings is most important for the nurse to
report to the health care provider?
1. Arterial oxygen saturation 91%
2. Apical pulse 118 beats/minute
3. BP 92/56 mm Hg
4. Skin cool and clammy
Give this one a try later!
2.Daily alcohol intake 4. Skin cool and clammy
3.Absence of peripheral edema 2. Apical heart rate 48 beats/minute
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3 of 48
Term
Which of the following information obtained by the nurse when
caring for a client who has cardiogenic shock indicates that the
client may be developing multiple organ dysfunction syndrome
(MODS)?
1. The client has crackles throughout both lung fields.
2. The client complains of intermittent chest pressure.
3.The client's extremities are cool and pulses are weak.
4.The client's serum creatinine level is elevated.
Give this one a try later!
, 4.The client's serum 3. The client's PaO2 is 90 mm
creatinine level is elevated. Hg, and the SaO2 is 92%.
2. The blood pressure is 88/40 mm
1. The client's PaO2 is 45 mm Hg. Hg.
Don't know?
4 of 48
Term
The nurse is caring for a client who has the following arterial blood
gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and
HCO3 16 mmol/L. Which of the following interpretations would the
nurse document?
1. Metabolic alkalosis
2.Respiratory alkalosis
3. Metabolic acidosis
4. Respiratory acidosis
Give this one a try later!
4. Skin cool and clammy 3. Metabolic acidosis
1. The client's PaO2 is 45 mm Hg. 1.
The client is somnolent.
Don't know?
QUESTIONS WITH 100% CORRECT
ANSWERS!!
,1 of 48
Term
A 78-year-old patient is in the recovery room after lengthy hip
surgery. While gradually awakening, the patient requests pain
medication. Within 10 minutes after receiving a dose of morphine
sulphate, the patient is very lethargic; respiration is shallow, at a rate
of nine respirations per minute. What necessary action may the nurse
need to perform?
1. Immediate intubation and artificial ventilation
2.Close observation for signs of opioid tolerance
3.Administration of an agonist opioid, such as fentanyl
(Duragesic Mat)
4.Administration of naloxone, an opioid reversal agent
Give this one a try later!
1. The baseline dose of the
narcotic may need to be 4. endotracheal intubation and
increased in positive pressure ventilation.
increments.
4. Administration of naloxone, 1. The patient should begin oral
an opioid reversal agent oseltamivir (Tamiflu) therapy as soon
as possible.
Don't know?
2 of 48
Term
, The nurse is caring for a client who has septic shock. Which of the
following assessment findings is most important for the nurse to
report to the health care provider?
1. Arterial oxygen saturation 91%
2. Apical pulse 118 beats/minute
3. BP 92/56 mm Hg
4. Skin cool and clammy
Give this one a try later!
2.Daily alcohol intake 4. Skin cool and clammy
3.Absence of peripheral edema 2. Apical heart rate 48 beats/minute
Don't know?
3 of 48
Term
Which of the following information obtained by the nurse when
caring for a client who has cardiogenic shock indicates that the
client may be developing multiple organ dysfunction syndrome
(MODS)?
1. The client has crackles throughout both lung fields.
2. The client complains of intermittent chest pressure.
3.The client's extremities are cool and pulses are weak.
4.The client's serum creatinine level is elevated.
Give this one a try later!
, 4.The client's serum 3. The client's PaO2 is 90 mm
creatinine level is elevated. Hg, and the SaO2 is 92%.
2. The blood pressure is 88/40 mm
1. The client's PaO2 is 45 mm Hg. Hg.
Don't know?
4 of 48
Term
The nurse is caring for a client who has the following arterial blood
gas (ABG) results: pH 7.32, PaO2 88 mm Hg, PaCO2 37 mm Hg, and
HCO3 16 mmol/L. Which of the following interpretations would the
nurse document?
1. Metabolic alkalosis
2.Respiratory alkalosis
3. Metabolic acidosis
4. Respiratory acidosis
Give this one a try later!
4. Skin cool and clammy 3. Metabolic acidosis
1. The client's PaO2 is 45 mm Hg. 1.
The client is somnolent.
Don't know?
