PN 3006 Midterm Exam - Questions With Applicable
Solutions
A patient initially weighs 200 lbs, but on the 2nd day of admission the patient
weighed 209 lbs, what should the nurse evaluate the patient for? Accurate
Answer - Fluid retention
In preparation for a rectal exam of non-ambulatory patient with arthritis in
both hips, patient exam in which position? Accurate Answer - Sims position
Subjective data Accurate Answer - feelings, perceptions, reported
symptoms
After assessing the patient and using 2 ID needed to provide headache relief
the nurse gives tylenol. What do you do after? Accurate Answer - reassess
again after 30 mins
Patient with high dose of opioid medication for severe pain, which assessment
finding do you find due to opioid toxicity Accurate Answer - respiratory
depression
Where do you find an adult apical pulse? Accurate Answer - Left 5th
intercostal rib mid clavicular
Nurse caring for patient with peripheral IV being used intermittently for
medications but not continuous infusion, what does that mean?what should
the nurse do for cleaning this? Accurate Answer - Flush with 0.9 saline and
lock it
The nurse completed a head to toe ax on patient. Which clinical sign does the
nurse find? Accurate Answer - Bilateral crackles
The nurse instructs the patient to void or empty the urinary drainage
collection container before administering a blood transfusion. T/F
Accurate Answer - True, due to fluid overload
A piggyback IV med, should it be hung above or below the primary IV bag?
Accurate Answer - should be hung above the primary IV bag, not below
Solutions
A patient initially weighs 200 lbs, but on the 2nd day of admission the patient
weighed 209 lbs, what should the nurse evaluate the patient for? Accurate
Answer - Fluid retention
In preparation for a rectal exam of non-ambulatory patient with arthritis in
both hips, patient exam in which position? Accurate Answer - Sims position
Subjective data Accurate Answer - feelings, perceptions, reported
symptoms
After assessing the patient and using 2 ID needed to provide headache relief
the nurse gives tylenol. What do you do after? Accurate Answer - reassess
again after 30 mins
Patient with high dose of opioid medication for severe pain, which assessment
finding do you find due to opioid toxicity Accurate Answer - respiratory
depression
Where do you find an adult apical pulse? Accurate Answer - Left 5th
intercostal rib mid clavicular
Nurse caring for patient with peripheral IV being used intermittently for
medications but not continuous infusion, what does that mean?what should
the nurse do for cleaning this? Accurate Answer - Flush with 0.9 saline and
lock it
The nurse completed a head to toe ax on patient. Which clinical sign does the
nurse find? Accurate Answer - Bilateral crackles
The nurse instructs the patient to void or empty the urinary drainage
collection container before administering a blood transfusion. T/F
Accurate Answer - True, due to fluid overload
A piggyback IV med, should it be hung above or below the primary IV bag?
Accurate Answer - should be hung above the primary IV bag, not below
