NURS 341 FINAL EXAM REVIEW (COMPLETE & VERIFIED) WITH WELL DETAILED
SOLUTIONS -GRADED A+
What is the rationale for using preoperative checklists on the day of surgery?
a. The patient is correctly identified
b. All pre-op orders are carried out, records are complete
c. Family is informed where they can wait for the patient
d. Pre-op meds are the last procedure before going to the OR
b. All pre-op orders are carried out, records are complete
The patient develops chills and 102.2*F during a blood transfusion. Which priority action
does the RN take?
a. Stop the transfusion and instill normal saline
b. Notify the healthcare provider and blood bank
c. Add a leukocyte reduction filter to the blood tubing
d. Recognize this as a mild allergic reaction and slow the rate
a. Stop the transfusion and instill normal saline
While administering an infusion of packed RBCs, which actions can the RN delegate to the
UAP?
a. Verify that the IV is patent
b. Obtain the blood products from the blood bank
c. Monitor the blood transfusion rate and adjust as needed
,d. Obtain vital signs before and after the first 15 mins
b. Obtain the blood products from the blood bank
d. Obtain vital signs before and after the first 15 mins
A client has anemia. Which question is MOST appropriate to ask regarding activity
tolerance?
a. What were you able to do 6 months ago compared to now?
b. How long have you had this problem?
c. Have you been able to keep up with all usual activities?
d. Are you more tired now than you used to be?
a. What were you able to do 6 months ago compared to now?
Postop: Hct < from 36% to 34% even though RBC & Hgb are stable. Which intervention is
BEST?
a. Check the dressing and drains for frank bleeding
b. Call the physician
c. Continue to monitor vitals
d. Start oxygen at 2L/min per NC
c. Continue to monitor vitals
A client is to receive Epogen. What lab value should be assessed prior?
, a. Hematocrit
b. Partial thromboplastin time
c. Hemoglobin concentration
d. Prothrombin time
a. Hematocrit
Which of the following blood components is decreased in anemia?
a. Erythrocytes
b. Granulocytes
c. Leukocytes
d. Platelets
a. Erythrocytes
Which of the following cells is the precursor to the RBC?
a. B cell
b. Macrophage
c. Stem cell
d. T cell
c. Stem cell
Which instruction about prescribed ferrous gluconate should the nurse teach?
SOLUTIONS -GRADED A+
What is the rationale for using preoperative checklists on the day of surgery?
a. The patient is correctly identified
b. All pre-op orders are carried out, records are complete
c. Family is informed where they can wait for the patient
d. Pre-op meds are the last procedure before going to the OR
b. All pre-op orders are carried out, records are complete
The patient develops chills and 102.2*F during a blood transfusion. Which priority action
does the RN take?
a. Stop the transfusion and instill normal saline
b. Notify the healthcare provider and blood bank
c. Add a leukocyte reduction filter to the blood tubing
d. Recognize this as a mild allergic reaction and slow the rate
a. Stop the transfusion and instill normal saline
While administering an infusion of packed RBCs, which actions can the RN delegate to the
UAP?
a. Verify that the IV is patent
b. Obtain the blood products from the blood bank
c. Monitor the blood transfusion rate and adjust as needed
,d. Obtain vital signs before and after the first 15 mins
b. Obtain the blood products from the blood bank
d. Obtain vital signs before and after the first 15 mins
A client has anemia. Which question is MOST appropriate to ask regarding activity
tolerance?
a. What were you able to do 6 months ago compared to now?
b. How long have you had this problem?
c. Have you been able to keep up with all usual activities?
d. Are you more tired now than you used to be?
a. What were you able to do 6 months ago compared to now?
Postop: Hct < from 36% to 34% even though RBC & Hgb are stable. Which intervention is
BEST?
a. Check the dressing and drains for frank bleeding
b. Call the physician
c. Continue to monitor vitals
d. Start oxygen at 2L/min per NC
c. Continue to monitor vitals
A client is to receive Epogen. What lab value should be assessed prior?
, a. Hematocrit
b. Partial thromboplastin time
c. Hemoglobin concentration
d. Prothrombin time
a. Hematocrit
Which of the following blood components is decreased in anemia?
a. Erythrocytes
b. Granulocytes
c. Leukocytes
d. Platelets
a. Erythrocytes
Which of the following cells is the precursor to the RBC?
a. B cell
b. Macrophage
c. Stem cell
d. T cell
c. Stem cell
Which instruction about prescribed ferrous gluconate should the nurse teach?
