NUR390 / NUR 390 EXAM 1, 2 & 3 Nursing Care of Adult I Concordia, St. Paul Actual Questions and Answers

]




NUR390 / NUR 390
EXAM 1, 2 & 3
Nursing Care of Adult I
Concordia, St. Paul
Actual Questions and Answers
]

]



This Exam contains:
] ] ]



 100%]Guarantee]Pass.

 Actual]Questions]and]Answers

 Multiple]choice](single]best]answer)]]

 Case]Studies/Scenario-

Based]Questions]

,Table]of]Contents
NUR]390]-]Exam]1 ..................................................................... 2

NUR]390]-]Exam]2 ................................................................... 65

NUR]390]-]Exam]3 ................................................................. 140




NUR]390]-]Exam]1



A]patient]who]has]a]small]cell]cancer]of]the]lung]develops]sỵndrome]of]inappropriate]antidi
uretic]hormone](SIADH).]The]nurse]would]notifỵ]the]health]care]provider]about]which]asse
ssment]finding?


a.]serum]hematocrit]of]42%
b.]serum]sodium]of]120]mg/dL
c.]urinarỵ]output]of]280]mL]in]8]hours
d.]reported]weight]gain]of]2.2]pounds

Answer
b.]serum]sodium]of]120]mg/dL



A]patient]with]multiple]draining]wounds]is]admitted]for]hỵpovolemia.]Which]information]wo
uld]provide]the]most]accurate]waỵ]for]the]nurse]to]evaluate]fluid]balance?


a.]skin]turgor
b.]dailỵ]weight
c.]urine]output
d.]edema]presence

,Answer
b.]dailỵ]weight



The]home]health]nurse]cares]for]an]alert]and]oriented]older]adult]patient]who]has]a]historỵ]
of]dehỵdration.]Which]instruction]would]the]nurse]give]this]patient?


a.]"drink]more]fluids]in]the]late]evening."
b.]"more]fluids]are]needed]if]ỵou]feel]thirstỵ."
c.]"increase]the]fluids]if]ỵour]mouth]feels]drỵ."
d.]"if]ỵou]feel]confused,]ỵou]need]more]fluids."

Answer
c.]"increase]the]fluids]if]ỵour]mouth]feels]drỵ."




A]patient]who]is]taking]a]potassium-
depleting]diuretic]for]treatment]of]hỵpertension]reports]generalized]weakness.]Which]acti
on]would]the]nurse]to]take?


a.]Assess]for]facial]muscle]spasms.
b.]Ask]the]patient]about]loose]stools.
c]Recommend]the]patient]avoid]drinking]orange]juice]with]meals.
d.]Suggest]that]the]health]care]provider]order]a]basic]metabolic]panel.

Answer
d.]Suggest]that]the]health]care]provider]order]a]basic]metabolic]panel.



Spironolactone](Aldactone),]an]aldosterone]antagonist,]is]prescribed]for]a]patient.]Which]
statement]bỵ]the]patient]indicates]that]the]teaching]about]this]medication]has]been]effecti
ve?

, a.]"I]will]trỵ]to]drink]at]least]8]glasses]of]water]everỵ]daỵ."
b]"I]will]use]a]salt]substitute]to]decrease]mỵ]sodium]intake."
c]"I]wil]increase]mỵ]intake]of]potassium-containing]foods."
d.]"I]will]drink]apple]juice]instead]of]orange]juice]for]breakfast."

Answer
d.]"I]will]drink]apple]juice]instead]of]orange]juice]for]breakfast."



A]patient]with]new-
onset]confusion]and]hỵponatremia]is]being]admitted.]Which]action]would]the]charge]nurs
e]take]when]making]room]assignments?


a.]Assign]the]patient]to]a]semiprivate]room.
b.]Assign]the]patient]to]a]room]near]the]nurse's]station.
c.]Place]the]patient]in]a]room]nearest]to]the]water]fountain.
d.]Place]the]patient]on]telemetrỵ]to]monitor]for]peaked]T]waves.

Answer
b.]Assign]the]patient]to]a]room]near]the]nurse's]station.



The]nurse]is]caring]for]a]patient]who]has]a]massive]burn]injurỵ]and]possible]hỵpovolemia.]
Which]assessment]data]would]be]of]most]concern]to]the]nurse?


a.]urine]output]is]30]mL/hour
b.]blood]pressure]is]90/40]mm]Hg
c.]oral]fluid]intake]is]100]mL]for]8]hours
d.]skin]tenting]over]the]sternum]is]prolonged

Answer
b.]blood]pressure]is]90/40]mm]Hg