NSG 210 FINAL EXAM QUESTIONS
AND ANSWERS ALL CORRECT
The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the
main priority for this patient?
a. describe how the alcohol is causing the withdrawal effects
b. leave the patient by him/herself so as not to cause agitation
c. promote a safe, calm, and comfortable environment
d. refer the patient to an alcohol-abuse counselor - Answer-c. promote a safe, calm, and
comfortable environment
6. A 45-year-old man is brought to the emergency department presenting with a
respiratory rate of 6 breaths/min, and cardiac dysrhythmias. The most appropriate
question the nurse should ask the patient's friend is
a. does he take amphetamines or uppers?
b. has he ever used LSD?
c. have you two been out of the country in the last 2 days?
d. is he using any opioids such as heroin? - Answer-d. is he using any opioids such as
heroin?
Strategies that a nurse could use in a motivational interview to increase the changes of
change include which of the following?
a. Educating the patient on the physical damage the substance is causing
b. Encouraging the patient to think of ways to change environmental triggers to abuse
substances
c. Asking the patient how they think substance abuse affects their family life
d. Explaining to the patient that substance abuse affects everyone in the family and give
examples
e. Asking the patient what methods they think would work and encouraging participating
in self-help groups - Answer-b. Encouraging the patient to think of ways to change
environmental triggers to abuse substances
c. Asking the patient how they think substance abuse affects their family life
e. Asking the patient what methods they think would work and encouraging participating
in self-help groups
A 20-year0old female is being admitted for electrolyte disorders of unknown etiology.
Which assessment finding is most important to report to the health care provider?
,a. the patient uses laxatives daily
b. the patients knuckles are macerated
c. the patient's serum potassium level is 2.9mEq/L
d. the patient has a history of large weight fluctuations - Answer-c. the patient's serum
potassium level is 2.9mEq/L
21. A patient who has a history of ongoing opioid use is hospitalized for surgery. After a
visit by a friend, the nurse finds that the patient is unresponsive with pinpoint pupils.
Which prescribed medication will the nurse administer?
a. naloxone
b. diazepam
c. clonidine
d. methadone - Answer-a. naloxone
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help
me?" Select the nurse's best response.
a. "The goal of AA is for members to learn controlled drinking with the support of a
higher power."
b. "An individual is supported by peers while striving for abstinence one day at a time."
c. "You must make a commitment to permanently abstain from alcohol and other drugs."
d. "You will be assigned a sponsor who will plan your treatment program. - Answer-b.
"An individual is supported by peers while striving for abstinence one day at a time."
A nurse reviews vital signs for a patient admitted with an injury sustained while
intoxicated. The medical record shows these blood pressure and pulse readings at the
times listed:0200: 118/78 mm Hg and 72 beats/min0400: 126/80 mm Hg and 76
beats/min0600: 128/82 mm Hg and 72 beats/min0800: 132/88 mm Hg and 80
beats/min1000: 148/94 mm Hg and 96 beats/min. What is the nurse's priority action?
a. Force fluids.
b. Begin detox protocol.
c. Obtain a clean-catch urine sample.
d. Place the patient in a vest-type restraint. - Answer-b. Begin detox protocol.
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48
hours. The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares.
The pulse rate is 130 beats/min. The patient shouts, "Bugs are crawling on my bed. I've
got to get out of here." Select the most accurate assessment of this situation. The
patient:
a. is attempting to obtain attention by manipulating staff.
b. may have sustained a head injury before admission.
c. has symptoms of alcohol-withdrawal delirium.
, d. is having an acute psychosis. - Answer-c. has symptoms of alcohol-withdrawal
delirium.
A patient admitted yesterday for injuries sustained while intoxicated believes bugs are
crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the
priority nursing diagnosis?
a. Disturbed sensory perception
b. Ineffective coping
c. Ineffective denial
d. Risk for injury - Answer-d. Risk for injury
The patient is brought to the emergency department after a motor vehicle accident. The
patient is diagnosed with internal bleeding. What is the priority of care for this patient?
a. Mental alertness
b. Perfusion
c. Pain
d. Reaction to medications - Answer-b. Perfusion
A patient's serum electrolytes are being monitored. The nurse notices that the
potassium level is low. What should the nurse monitor for this patient?
a. tissue ischemia
b. brain malformations
c. intestinal blockage
d. cardiac dysrhythmia - Answer-d. cardiac dysrhythmia
The nurse would identify which body systems as directly involved in the process of
normal gas exchange?
a. neurologic system
b. endocrine system
c. pulmonary system
d. immune system
e. cardiovascular system
f. hepatic system - Answer-a. neurologic
c. pulmonary
e. cardiovascular
The nurse is assessing a patient for the adequacy of ventilation. What assessment
findings would indicate the patient has good ventilation?
a. respiratory rate is 24
b. oxygen saturation is 98%
c. the right side of the thorax expands slightly more than the left
d. trachea is just to the left of the sternal notch
e. nail beds are pink with good capillary refill
AND ANSWERS ALL CORRECT
The nurse is caring for a patient who is experiencing alcohol withdrawal. What is the
main priority for this patient?
a. describe how the alcohol is causing the withdrawal effects
b. leave the patient by him/herself so as not to cause agitation
c. promote a safe, calm, and comfortable environment
d. refer the patient to an alcohol-abuse counselor - Answer-c. promote a safe, calm, and
comfortable environment
6. A 45-year-old man is brought to the emergency department presenting with a
respiratory rate of 6 breaths/min, and cardiac dysrhythmias. The most appropriate
question the nurse should ask the patient's friend is
a. does he take amphetamines or uppers?
b. has he ever used LSD?
c. have you two been out of the country in the last 2 days?
d. is he using any opioids such as heroin? - Answer-d. is he using any opioids such as
heroin?
Strategies that a nurse could use in a motivational interview to increase the changes of
change include which of the following?
a. Educating the patient on the physical damage the substance is causing
b. Encouraging the patient to think of ways to change environmental triggers to abuse
substances
c. Asking the patient how they think substance abuse affects their family life
d. Explaining to the patient that substance abuse affects everyone in the family and give
examples
e. Asking the patient what methods they think would work and encouraging participating
in self-help groups - Answer-b. Encouraging the patient to think of ways to change
environmental triggers to abuse substances
c. Asking the patient how they think substance abuse affects their family life
e. Asking the patient what methods they think would work and encouraging participating
in self-help groups
A 20-year0old female is being admitted for electrolyte disorders of unknown etiology.
Which assessment finding is most important to report to the health care provider?
,a. the patient uses laxatives daily
b. the patients knuckles are macerated
c. the patient's serum potassium level is 2.9mEq/L
d. the patient has a history of large weight fluctuations - Answer-c. the patient's serum
potassium level is 2.9mEq/L
21. A patient who has a history of ongoing opioid use is hospitalized for surgery. After a
visit by a friend, the nurse finds that the patient is unresponsive with pinpoint pupils.
Which prescribed medication will the nurse administer?
a. naloxone
b. diazepam
c. clonidine
d. methadone - Answer-a. naloxone
A patient diagnosed with alcoholism asks, "How will Alcoholics Anonymous (AA) help
me?" Select the nurse's best response.
a. "The goal of AA is for members to learn controlled drinking with the support of a
higher power."
b. "An individual is supported by peers while striving for abstinence one day at a time."
c. "You must make a commitment to permanently abstain from alcohol and other drugs."
d. "You will be assigned a sponsor who will plan your treatment program. - Answer-b.
"An individual is supported by peers while striving for abstinence one day at a time."
A nurse reviews vital signs for a patient admitted with an injury sustained while
intoxicated. The medical record shows these blood pressure and pulse readings at the
times listed:0200: 118/78 mm Hg and 72 beats/min0400: 126/80 mm Hg and 76
beats/min0600: 128/82 mm Hg and 72 beats/min0800: 132/88 mm Hg and 80
beats/min1000: 148/94 mm Hg and 96 beats/min. What is the nurse's priority action?
a. Force fluids.
b. Begin detox protocol.
c. Obtain a clean-catch urine sample.
d. Place the patient in a vest-type restraint. - Answer-b. Begin detox protocol.
A patient admitted for injuries sustained while intoxicated has been hospitalized for 48
hours. The patient is now shaky, irritable, anxious, diaphoretic, and reports nightmares.
The pulse rate is 130 beats/min. The patient shouts, "Bugs are crawling on my bed. I've
got to get out of here." Select the most accurate assessment of this situation. The
patient:
a. is attempting to obtain attention by manipulating staff.
b. may have sustained a head injury before admission.
c. has symptoms of alcohol-withdrawal delirium.
, d. is having an acute psychosis. - Answer-c. has symptoms of alcohol-withdrawal
delirium.
A patient admitted yesterday for injuries sustained while intoxicated believes bugs are
crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the
priority nursing diagnosis?
a. Disturbed sensory perception
b. Ineffective coping
c. Ineffective denial
d. Risk for injury - Answer-d. Risk for injury
The patient is brought to the emergency department after a motor vehicle accident. The
patient is diagnosed with internal bleeding. What is the priority of care for this patient?
a. Mental alertness
b. Perfusion
c. Pain
d. Reaction to medications - Answer-b. Perfusion
A patient's serum electrolytes are being monitored. The nurse notices that the
potassium level is low. What should the nurse monitor for this patient?
a. tissue ischemia
b. brain malformations
c. intestinal blockage
d. cardiac dysrhythmia - Answer-d. cardiac dysrhythmia
The nurse would identify which body systems as directly involved in the process of
normal gas exchange?
a. neurologic system
b. endocrine system
c. pulmonary system
d. immune system
e. cardiovascular system
f. hepatic system - Answer-a. neurologic
c. pulmonary
e. cardiovascular
The nurse is assessing a patient for the adequacy of ventilation. What assessment
findings would indicate the patient has good ventilation?
a. respiratory rate is 24
b. oxygen saturation is 98%
c. the right side of the thorax expands slightly more than the left
d. trachea is just to the left of the sternal notch
e. nail beds are pink with good capillary refill
