NSG 430 Exam 4 Questions and answers 2
b b b b b b b
026 update b
b SATA:bRiskbfactorsbforbbacterialbinfection-ANS>>-DiabetesbMellitusb(YES)
-Atopicbdermatitisb(YES)
-Moistureb(YES)
-Obesityb(YES)
-
Skinbneoplasmsb(YES)b I
thinkbitsballbtheboptions
b
SATA:bTreatmentbforblowerbextremitybcellulitis,bwhatbordersbdobyoubexpect?-ANS>>-
Vancomycinb1000mls
-Elevatebthebextremity
-Heatbpacks
Whichbdatabcollectedbbybthebnursebcaringbforbabpatientbwhobhasbcardiogenicbshockbindicatebthatbthebpati
entbmaybbebdevelopingbmultipleborganbdysfunctionbsyndrome
a. Thebpatient‘sbserumbcreatinineblevelbisbelevated.
b. Thebpatientbreportsbintermittentbchestbpressure.
c. Thebpatient‘sbextremitiesbarebcoolbandbpulsesbarebweak.
d. Thebpatientbhasbbilateralbcracklesbthroughoutblungbfields.-
ANS>>a.bThebpatient'sbserumbcreatinineblevelbisbelevated.
INR/PTblevelsbdoubled,bwhatbarebyoubgiving?-ANS>>Freshbfrozenbplasma
Abpatientbrecoveringbfrombheartbsurgerybdevelopsbpericarditisbandbcomplainsbofblevelb6b(0btob10bscale
)bchestbpainbwithbdeepbbreathing.bWhichborderedbPRNbmedicationbwillbbebthebmostbappropriatebforbthe
b nursebtobgive?
a. Fentanylb1bmgbIV
b. IVbmorphinebsulfateb4bmg
c. Oralbibuprofenb(Motrin)b600bmg
d. Oralbacetaminophenb(Tylenol)b650bmg-ANS>>c.bOralbibuprofenb(Motrin)b600bmg
Whichbassessmentbdatabcollectedbbybthebnursebwhobisbadmittingbabpatientbwithbchestbpainbsuggestsbt
hatbthebpainbisbcausedbbybanbacutebmyocardialbinfarctionb(AMI)?//bdiagnosisbforbmyocardialbinfarction
a. Thebpainbincreasesbwithbdeepbbreathing.
b. Thebpainbhasblastedblongerbthanb30bminutes
c. Thebpainbisbrelievedbafterbtakingbnitroglycerin.
, d. Thebpainbisbreproduciblebwhenbthebpatientbraisesbthebarms.-
ANS>>b.bThebpainbhasblastedblongerbthanb30bminutes
Whichbnursingbactionbwillbbebincludedbinbthebplanbofbcarebforbabpatientbwhobisbbeingbtreatedbforbbleedi
ngbesophagealbvaricesbwithbballoonbtamponade?
a. Instructbthebpatientbtobcoughbeverybhour.
b. Monitorbthebpatientbforbshortnessbofbbreath.
c. Verifybthebpositionbofbthebballoonbeveryb4bhours.
d. Deflatebthebgastricbballoonbifbthebpatientbreportsbnausea.-
ANS>>b.bMonitorbthebpatientbforbshortnessbofbbreath.
Whenbadmittingbab42-year-
oldbpatientbwithbabpossiblebbrainbinjurybafterbabcarbaccidentb(MVA)btobthebemergencybdepartmentb(ED),bt
hebnursebobtainsbthebfollowingbinformation.bWhichbfindingbisbmostbimportantbtobreportbtobthebhealthbcar
ebprovider?-ANS>>Patientbstatesbtheybregularlybtakebwarfarinb(coumadin)bregularly
Duringbdischargebteachingbwithbab68-year-
oldbpatientbwhobhadbabmitralbvalvebreplacementbwithbabmechanicalbvalve,bthebnursebinstructsbthebpatient
b onbthe?-ANS>>NeedbforbfrequentbPTT/INRbmeasurement;blongbtermbanticoagulants
Whichbassessmentbfindingbforbabpatientbwhobhasbjustbbeenbadmittedbwithbacutebpyelonephritisbisbmos
tbimportantbforbthebnursebtobreportbtobthebhealthbcarebprovider?
a. Flankbtendernessbtobpalpation
b. Bloodbpressureb82/60bmmbHg
c. Cloudybandbfoul-smellingburine
d. Temperatureb100.1Fb(57.8C)-ANS>>b.bBloodbpressureb82/60bmmbHg
Decorticatebposture:bwhatbwouldbyoubquestion?-ANS>>consentbforbtheblumbarbpuncture
Abpatientbwithbacutebpancreatitisbisbreportingbexcessivebthirst,bexcessivebvoiding,bandbblurredbvision.bA
sbthebnurse,bwhatbisbthebpriority?-ANS>>Checkingbthebpatient'sbbloodbglucose
Whatbarebearlybsignsbofbhypoxemiabwithbabpatientbwithbanemia?-ANS>>Restlessness
Thebnursebpreparingbforbthebannualbphysicalbexambofbab50-year-
oldbmanbwillbplanbtobteachbthebpatientbabout?-ANS>>Colonoscopy
Whichbfindingbindicatesbtobthebnursebthatbabpatient'sbtransjugularbintrahepaticbportosystemicbshuntb(TIP
S)bplacedb3bmonthsbagobhasbbeenbeffective?
a. Increasedbserumbalbuminblevel
b. Decreasedbindirectbbilirubinblevel
c. Improvedbalertnessbandborientation
d. Fewerbepisodesbofbbleedingbvarices-ANS>>d.bFewerbepisodesbofbbleedingbvarices
WhatbisbanbexpectedblabbvaluebforbsomeonebwithbSIADH?
a. Thebpatientbhasbabweightbgainbofb9bpounds.
b. Thebpatientbreportsbsomebdyspneabwithbactivity.
c. Thebpatientbhasbaburinebspecificbgravitybofb1.025.
b b b b b b b
026 update b
b SATA:bRiskbfactorsbforbbacterialbinfection-ANS>>-DiabetesbMellitusb(YES)
-Atopicbdermatitisb(YES)
-Moistureb(YES)
-Obesityb(YES)
-
Skinbneoplasmsb(YES)b I
thinkbitsballbtheboptions
b
SATA:bTreatmentbforblowerbextremitybcellulitis,bwhatbordersbdobyoubexpect?-ANS>>-
Vancomycinb1000mls
-Elevatebthebextremity
-Heatbpacks
Whichbdatabcollectedbbybthebnursebcaringbforbabpatientbwhobhasbcardiogenicbshockbindicatebthatbthebpati
entbmaybbebdevelopingbmultipleborganbdysfunctionbsyndrome
a. Thebpatient‘sbserumbcreatinineblevelbisbelevated.
b. Thebpatientbreportsbintermittentbchestbpressure.
c. Thebpatient‘sbextremitiesbarebcoolbandbpulsesbarebweak.
d. Thebpatientbhasbbilateralbcracklesbthroughoutblungbfields.-
ANS>>a.bThebpatient'sbserumbcreatinineblevelbisbelevated.
INR/PTblevelsbdoubled,bwhatbarebyoubgiving?-ANS>>Freshbfrozenbplasma
Abpatientbrecoveringbfrombheartbsurgerybdevelopsbpericarditisbandbcomplainsbofblevelb6b(0btob10bscale
)bchestbpainbwithbdeepbbreathing.bWhichborderedbPRNbmedicationbwillbbebthebmostbappropriatebforbthe
b nursebtobgive?
a. Fentanylb1bmgbIV
b. IVbmorphinebsulfateb4bmg
c. Oralbibuprofenb(Motrin)b600bmg
d. Oralbacetaminophenb(Tylenol)b650bmg-ANS>>c.bOralbibuprofenb(Motrin)b600bmg
Whichbassessmentbdatabcollectedbbybthebnursebwhobisbadmittingbabpatientbwithbchestbpainbsuggestsbt
hatbthebpainbisbcausedbbybanbacutebmyocardialbinfarctionb(AMI)?//bdiagnosisbforbmyocardialbinfarction
a. Thebpainbincreasesbwithbdeepbbreathing.
b. Thebpainbhasblastedblongerbthanb30bminutes
c. Thebpainbisbrelievedbafterbtakingbnitroglycerin.
, d. Thebpainbisbreproduciblebwhenbthebpatientbraisesbthebarms.-
ANS>>b.bThebpainbhasblastedblongerbthanb30bminutes
Whichbnursingbactionbwillbbebincludedbinbthebplanbofbcarebforbabpatientbwhobisbbeingbtreatedbforbbleedi
ngbesophagealbvaricesbwithbballoonbtamponade?
a. Instructbthebpatientbtobcoughbeverybhour.
b. Monitorbthebpatientbforbshortnessbofbbreath.
c. Verifybthebpositionbofbthebballoonbeveryb4bhours.
d. Deflatebthebgastricbballoonbifbthebpatientbreportsbnausea.-
ANS>>b.bMonitorbthebpatientbforbshortnessbofbbreath.
Whenbadmittingbab42-year-
oldbpatientbwithbabpossiblebbrainbinjurybafterbabcarbaccidentb(MVA)btobthebemergencybdepartmentb(ED),bt
hebnursebobtainsbthebfollowingbinformation.bWhichbfindingbisbmostbimportantbtobreportbtobthebhealthbcar
ebprovider?-ANS>>Patientbstatesbtheybregularlybtakebwarfarinb(coumadin)bregularly
Duringbdischargebteachingbwithbab68-year-
oldbpatientbwhobhadbabmitralbvalvebreplacementbwithbabmechanicalbvalve,bthebnursebinstructsbthebpatient
b onbthe?-ANS>>NeedbforbfrequentbPTT/INRbmeasurement;blongbtermbanticoagulants
Whichbassessmentbfindingbforbabpatientbwhobhasbjustbbeenbadmittedbwithbacutebpyelonephritisbisbmos
tbimportantbforbthebnursebtobreportbtobthebhealthbcarebprovider?
a. Flankbtendernessbtobpalpation
b. Bloodbpressureb82/60bmmbHg
c. Cloudybandbfoul-smellingburine
d. Temperatureb100.1Fb(57.8C)-ANS>>b.bBloodbpressureb82/60bmmbHg
Decorticatebposture:bwhatbwouldbyoubquestion?-ANS>>consentbforbtheblumbarbpuncture
Abpatientbwithbacutebpancreatitisbisbreportingbexcessivebthirst,bexcessivebvoiding,bandbblurredbvision.bA
sbthebnurse,bwhatbisbthebpriority?-ANS>>Checkingbthebpatient'sbbloodbglucose
Whatbarebearlybsignsbofbhypoxemiabwithbabpatientbwithbanemia?-ANS>>Restlessness
Thebnursebpreparingbforbthebannualbphysicalbexambofbab50-year-
oldbmanbwillbplanbtobteachbthebpatientbabout?-ANS>>Colonoscopy
Whichbfindingbindicatesbtobthebnursebthatbabpatient'sbtransjugularbintrahepaticbportosystemicbshuntb(TIP
S)bplacedb3bmonthsbagobhasbbeenbeffective?
a. Increasedbserumbalbuminblevel
b. Decreasedbindirectbbilirubinblevel
c. Improvedbalertnessbandborientation
d. Fewerbepisodesbofbbleedingbvarices-ANS>>d.bFewerbepisodesbofbbleedingbvarices
WhatbisbanbexpectedblabbvaluebforbsomeonebwithbSIADH?
a. Thebpatientbhasbabweightbgainbofb9bpounds.
b. Thebpatientbreportsbsomebdyspneabwithbactivity.
c. Thebpatientbhasbaburinebspecificbgravitybofb1.025.
