Answers (Verified Answers) (Latest Update 2025)
PN 2005 – Final Exam
Question 1:
A nurse observes a patient’s BP is 88/54 mmHg and pulse is 120 bpm. What is the priority
action?
Answer: Notify the healthcare provider and assess for hypotension symptoms
Rationale: Low BP with high pulse may indicate shock; immediate intervention is critical.
Question 2:
Correct sequence for donning sterile gloves:
Answer: Wash hands → open package → glove dominant hand → glove non-dominant
hand
Rationale: Ensures asepsis and prevents contamination.
Question 3:
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Early signs of hypoxia include:
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,Answer: Restlessness and tachypnea
Rationale: Early hypoxia manifests with increased respiratory rate and agitation.
Question 4:
Fruity-smelling breath, rapid breathing, and confusion suggest:
Answer: Diabetic ketoacidosis (DKA)
Rationale: These are classic DKA symptoms requiring urgent treatment.
Question 5:
Key intervention to prevent pressure ulcers:
Answer: Frequent repositioning and skin inspection
Rationale: Relieves pressure and prevents skin breakdown.
Question 6:
Fastest onset of medication action:
Answer: Intravenous (IV)
Rationale: IV medications enter the bloodstream directly.
Question 7:
Proper hand hygiene includes:
Answer: Wash hands with soap and water for at least 20 seconds before and after
patient contact
Rationale: Reduces pathogen transmission.
Question 8:
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Before administering meds via nasogastric tube, the nurse should:
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, Answer: Check tube placement and residual volume
Rationale: Prevents aspiration and ensures safe medication delivery.
Question 9:
Signs of fluid overload in heart failure:
Answer: Edema, crackles in lungs, and weight gain
Rationale: Indicates excess fluid retention.
Question 10:
Post-op patient with fever and confusion likely has:
Answer: Post-operative infection
Rationale: Early detection prevents complications.
Question 11:
Lab to monitor for a patient on heparin:
Answer: Activated partial thromboplastin time (aPTT)
Rationale: Measures anticoagulation and bleeding risk.
Question 12:
Shortness of breath intervention:
Answer: Elevate head of bed and assess oxygen saturation
Rationale: Improves lung expansion and oxygenation.
Question 13:
Proper documentation includes:
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