NUR 2755 MULTIDIMENSIONAL CARE IV
EXAM 2 COMPREHENSIVE EXAMINATION
TEST WITH CORRECT ANSWERS
◉ What is neurogenic shock classified as? Answer: An imbalance of
sympathetic and parasympathetic stimulation.
◉ What assessment finding indicates a stroke? Answer: Asymmetry
of the face.
◉ What is the nurse's priority action for a client with cirrhosis and
intestinal obstruction? Answer: Administer PRN order of vitamin K.
◉ What additional assessment finding is expected with a
pneumothorax? Answer: Decreased chest expansion on the involved
side.
◉ How can the surgical team prevent hypothermia complications in a
frail older adult? Answer: Perform close monitoring of the client's
temperature, administer warmed IV fluids, have a thermal warming
blanket on hand, and increase the operating room temperature.
◉ What does ventricular tachycardia indicate in a client with
electrical burns? Answer: The heart rhythm is directly related to the
electrical burn.
, ◉ What assessment finding prompts a nurse to call the surgeon after
surgery? Answer: Constant pain and abdominal distention.
◉ Which crystalloid fluid is commonly used to treat hypovolemic
shock? Answer: Lactated Ringer's.
◉ What principle guides care planning during dopamine
administration? Answer: The drug should be administered through a
central venous line, the drug dose should be tapered down once vital
signs improve, and the infusion rate should be titrated for a mean
arterial pressure (MAP) of 65.
◉ What condition is a client with a neck injury likely experiencing?
Answer: Neurogenic shock.
◉ What preliminary conclusion can be drawn from a client with
normal blood pressure but increased heart rate and cold, clammy
skin? Answer: The client is in the compensatory stage of shock.
◉ What complication should be monitored for in a client receiving
dobutamine? Answer: Tachyarrhythmias.
◉ What complication of norepinephrine requires physician
notification? Answer: Peripheral ischemia.
EXAM 2 COMPREHENSIVE EXAMINATION
TEST WITH CORRECT ANSWERS
◉ What is neurogenic shock classified as? Answer: An imbalance of
sympathetic and parasympathetic stimulation.
◉ What assessment finding indicates a stroke? Answer: Asymmetry
of the face.
◉ What is the nurse's priority action for a client with cirrhosis and
intestinal obstruction? Answer: Administer PRN order of vitamin K.
◉ What additional assessment finding is expected with a
pneumothorax? Answer: Decreased chest expansion on the involved
side.
◉ How can the surgical team prevent hypothermia complications in a
frail older adult? Answer: Perform close monitoring of the client's
temperature, administer warmed IV fluids, have a thermal warming
blanket on hand, and increase the operating room temperature.
◉ What does ventricular tachycardia indicate in a client with
electrical burns? Answer: The heart rhythm is directly related to the
electrical burn.
, ◉ What assessment finding prompts a nurse to call the surgeon after
surgery? Answer: Constant pain and abdominal distention.
◉ Which crystalloid fluid is commonly used to treat hypovolemic
shock? Answer: Lactated Ringer's.
◉ What principle guides care planning during dopamine
administration? Answer: The drug should be administered through a
central venous line, the drug dose should be tapered down once vital
signs improve, and the infusion rate should be titrated for a mean
arterial pressure (MAP) of 65.
◉ What condition is a client with a neck injury likely experiencing?
Answer: Neurogenic shock.
◉ What preliminary conclusion can be drawn from a client with
normal blood pressure but increased heart rate and cold, clammy
skin? Answer: The client is in the compensatory stage of shock.
◉ What complication should be monitored for in a client receiving
dobutamine? Answer: Tachyarrhythmias.
◉ What complication of norepinephrine requires physician
notification? Answer: Peripheral ischemia.
