NUR265 EXAM
#2
0121 Spring
,Question #1
The nurse is assessing a client who is suspected ◦ Develop a plan of care for a patient who has a
of having a pulmonary embolism (PE). Which of pulmonary embolism (PE), be sure to discuss
the following findings is consistent with this the risks, actual causes, and therapeutic
diagnosis? treatments, and precautions.
◦ Know your labs from the NCSBN Identify
a. Bradycardia. laboratory values for ABGs (pH, PO2, PCO2,
b. Asymmetrical chest expansion. SaO2, HCO3), BUN, cholesterol (total) glucose,
c. Kussmaul respirations. hematocrit, hemoglobin, glycosylated
d. *Cough. hemoglobin (HgbA1C), platelets, potassium,
sodium, WBC, creatinine, PT, PTT & APTT, INR
,Question #2
The nurse is caring for a client who is 4 days ◦ Slide 1
postoperative and suddenly develops difficulty breathing
and sharp chest pain. The nurse has called the rapid
response team (RRT), raised the head of the bed (HOB),
and applied oxygen to the client. Which action(s) from
the box below should the nurse take next?
1. Auscultate the client’s lung sounds.
2. Initiate continuous cardiac monitoring.
3. Prepare to administer intravenous (IV) alteplase.
4. Connect the client to a continuous pulse oximeter.
5. Apply bilateral antiembolism stockings to the legs.
a. 1, 4, 5.
b. 1, 2, 4, 6.
c. 2, 3, 5, 6.
d. 3, 4, 6.
, Question #3
The nurse has provided discharge teaching to a client who ◦ Slide 1
developed a pulmonary embolism (PE) following a surgical
procedure. The client will be taking newly prescribed
warfarin at home. Which of the following client statements
indicates a correct understanding of the teaching?
a. “Hard candy can be used if I develop a dry mouth while
taking warfarin.”
b. “The warfarin will continue to break up the clot over
the next several months.”
c. “I should avoid anything rectally, such as enemas or
suppositories.”
d. “I will take this medication for about 1-2 months.”
#2
0121 Spring
,Question #1
The nurse is assessing a client who is suspected ◦ Develop a plan of care for a patient who has a
of having a pulmonary embolism (PE). Which of pulmonary embolism (PE), be sure to discuss
the following findings is consistent with this the risks, actual causes, and therapeutic
diagnosis? treatments, and precautions.
◦ Know your labs from the NCSBN Identify
a. Bradycardia. laboratory values for ABGs (pH, PO2, PCO2,
b. Asymmetrical chest expansion. SaO2, HCO3), BUN, cholesterol (total) glucose,
c. Kussmaul respirations. hematocrit, hemoglobin, glycosylated
d. *Cough. hemoglobin (HgbA1C), platelets, potassium,
sodium, WBC, creatinine, PT, PTT & APTT, INR
,Question #2
The nurse is caring for a client who is 4 days ◦ Slide 1
postoperative and suddenly develops difficulty breathing
and sharp chest pain. The nurse has called the rapid
response team (RRT), raised the head of the bed (HOB),
and applied oxygen to the client. Which action(s) from
the box below should the nurse take next?
1. Auscultate the client’s lung sounds.
2. Initiate continuous cardiac monitoring.
3. Prepare to administer intravenous (IV) alteplase.
4. Connect the client to a continuous pulse oximeter.
5. Apply bilateral antiembolism stockings to the legs.
a. 1, 4, 5.
b. 1, 2, 4, 6.
c. 2, 3, 5, 6.
d. 3, 4, 6.
, Question #3
The nurse has provided discharge teaching to a client who ◦ Slide 1
developed a pulmonary embolism (PE) following a surgical
procedure. The client will be taking newly prescribed
warfarin at home. Which of the following client statements
indicates a correct understanding of the teaching?
a. “Hard candy can be used if I develop a dry mouth while
taking warfarin.”
b. “The warfarin will continue to break up the clot over
the next several months.”
c. “I should avoid anything rectally, such as enemas or
suppositories.”
d. “I will take this medication for about 1-2 months.”
