NUR 2755 COMPREHENSIVE EXAMS QUESTIONS
AND ANSWERS SET A+
✔✔What additional assessment finding is expected in a client with pneumothorax? -
✔✔Decreased chest expansion on involved side.
✔✔How can the surgical team prevent hypothermia complications in a frail older adult
client? - ✔✔-Perform close monitoring of the client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
✔✔What does ventricular tachycardia indicate in a client with electrical burns? - ✔✔The
heart rhythm is directly related to the electrical burn.
✔✔What assessment finding prompts a nurse to call the surgeon post-surgery? -
✔✔Constant pain and abdominal distention.
✔✔Which crystalloid fluid is commonly used to treat hypovolemic shock? - ✔✔Lactated
Ringer's.
✔✔What principle guides care planning for a client receiving dopamine? - ✔✔-The drug
should be administered through a central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure (MAP) of 65.
✔✔What condition is likely for a client with a neck injury and low blood pressure? -
✔✔Neurogenic shock.
✔✔The nurse in the ICU is admitting a 57-year-old with a diagnosis of possible septic
shock. The nurse's
, assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel
sounds, and cold, clammy skin. The nurse's analysis of these data should lead to what
preliminary conclusion? - ✔✔The client is in the compensatory stage of shock
✔✔What complication should be monitored in a client receiving dobutamine? -
✔✔Tachyarrhythmias.
✔✔What complication of norepinephrine requires physician notification? - ✔✔Peripheral
ischemia.
✔✔What is the first action for a client with suspected septic shock and low blood
pressure? - ✔✔Begin rapid administration of 30 mL/kg crystalloid for hypotension.
✔✔What physiological response is indicated by cool, pale skin and decreased urine
output in shock? - ✔✔Sympathetic nervous system response resulting in shunting of
blood to vital organs.
✔✔What medication should be administered first for a client with a peanut allergy? -
✔✔Intramuscular epinephrine.
✔✔What intervention should be prioritized for a client in hypovolemic shock after a
gastrointestinal bleed? - ✔✔Prepare for blood transfusion.
✔✔What intervention should be prioritized for a client in compensatory shock? -
✔✔Initiating intravenous fluid therapy and supplemental oxygen.
✔✔What action should the nurse take for a client with septic shock and low MAP
despite fluid resuscitation? - ✔✔Administer a vasopressor such as norepinephrine.
✔✔What is the priority nursing action for a client reporting sexual assault? - ✔✔Provide
a safe environment and assess for immediate needs.
✔✔What warming method is most effective for a client submerged in cold water? -
✔✔Active internal rewarming using warm IV fluids.
✔✔What is the priority action for a client with suspected opioid overdose? - ✔✔Initiate
IV access and prepare to administer naloxone.
✔✔What is the first action for a client found unconscious with tricyclic antidepressants?
- ✔✔Provide airway support and cardiac monitoring.
AND ANSWERS SET A+
✔✔What additional assessment finding is expected in a client with pneumothorax? -
✔✔Decreased chest expansion on involved side.
✔✔How can the surgical team prevent hypothermia complications in a frail older adult
client? - ✔✔-Perform close monitoring of the client's temperature,
-administer warmed intravenous fluids,
-have a thermal warming blanket on hand,
-increase the temperature in the operating room.
✔✔What does ventricular tachycardia indicate in a client with electrical burns? - ✔✔The
heart rhythm is directly related to the electrical burn.
✔✔What assessment finding prompts a nurse to call the surgeon post-surgery? -
✔✔Constant pain and abdominal distention.
✔✔Which crystalloid fluid is commonly used to treat hypovolemic shock? - ✔✔Lactated
Ringer's.
✔✔What principle guides care planning for a client receiving dopamine? - ✔✔-The drug
should be administered through a central venous line,
-the drug dose should be tapered down once vital signs improve,
-the infusion rate should be titrated for a mean arterial pressure (MAP) of 65.
✔✔What condition is likely for a client with a neck injury and low blood pressure? -
✔✔Neurogenic shock.
✔✔The nurse in the ICU is admitting a 57-year-old with a diagnosis of possible septic
shock. The nurse's
, assessment reveals that the client has a normal blood pressure, increased heart rate,
decreased bowel
sounds, and cold, clammy skin. The nurse's analysis of these data should lead to what
preliminary conclusion? - ✔✔The client is in the compensatory stage of shock
✔✔What complication should be monitored in a client receiving dobutamine? -
✔✔Tachyarrhythmias.
✔✔What complication of norepinephrine requires physician notification? - ✔✔Peripheral
ischemia.
✔✔What is the first action for a client with suspected septic shock and low blood
pressure? - ✔✔Begin rapid administration of 30 mL/kg crystalloid for hypotension.
✔✔What physiological response is indicated by cool, pale skin and decreased urine
output in shock? - ✔✔Sympathetic nervous system response resulting in shunting of
blood to vital organs.
✔✔What medication should be administered first for a client with a peanut allergy? -
✔✔Intramuscular epinephrine.
✔✔What intervention should be prioritized for a client in hypovolemic shock after a
gastrointestinal bleed? - ✔✔Prepare for blood transfusion.
✔✔What intervention should be prioritized for a client in compensatory shock? -
✔✔Initiating intravenous fluid therapy and supplemental oxygen.
✔✔What action should the nurse take for a client with septic shock and low MAP
despite fluid resuscitation? - ✔✔Administer a vasopressor such as norepinephrine.
✔✔What is the priority nursing action for a client reporting sexual assault? - ✔✔Provide
a safe environment and assess for immediate needs.
✔✔What warming method is most effective for a client submerged in cold water? -
✔✔Active internal rewarming using warm IV fluids.
✔✔What is the priority action for a client with suspected opioid overdose? - ✔✔Initiate
IV access and prepare to administer naloxone.
✔✔What is the first action for a client found unconscious with tricyclic antidepressants?
- ✔✔Provide airway support and cardiac monitoring.
