Nur 445 Final Exam Questions And Answers

NUR 445 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
The nurse is reviewing the record of a client with a diagnosis of
cirrhosis and notes that there is documentation of the presence of
asterixis. How should the nurse assess for its presence?

1. Dorsiflex the client's foot.
2. Measure the abdominal girth.
3. Ask the client to extend the arms.
4. Instruct the client to lean forward.
3. Ask the client to extend the arms.
The nurse is reviewing the laboratory results for a client with
cirrhosis and notes that the ammonia level is 85 mcg/dL (51
mcmol/L). Which dietary selection does the nurse suggest to the
client?

1. Roast pork
2. Cheese omelet
3. Pasta with sauce
4. Tuna fish sandwich
3. Pasta with sauce
A client is admitted to the emergency department with chest pain
that is consistent with myocardial infarction based on elevated
troponin levels. Heart sounds are normal. The nurse should alert the
primary health care provider because the vital sign changes and
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, NUR 445 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
client assessment are most consistent with which complication?
Refer to chart.
Client's Chart
Time: 11:00 a.m. 11:15 a.m. 11:30 a.m. 11:45 a.m.
Pulse: 92 beats/min 96 beats/min 104 beats/min 118 beats/min
Respiratory rate: 24 breaths/min 26 breaths/min 28 breaths/min 32
breaths/min
Blood pressure: 140/88 mm Hg 128/82 mm Hg 104/68 mm Hg 88/58
mm Hg

1. Cardiogenic shock
2. Cardiac tamponade
3. Pulmonary embolism
4. Dissecting thoracic aortic aneurysm
1. Cardiogenic shock
A client in sinus bradycardia, with a heart rate of 45 beats per
minute and blood pressure of 82/60 mm Hg, reports dizziness.
Which intervention should the nurse anticipate will be prescribed?

1. Administer digoxin.
2. Defibrillate the client.
3. Continue to monitor the client.
4. Prepare for transcutaneous pacing.

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, NUR 445 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
4. Prepare for transcutaneous pacing.
The nurse in a medical unit is caring for a client with heart failure.
The client suddenly develops extreme dyspnea, tachycardia, and
lung crackles. The nurse immediately asks another nurse to contact
the primary health care provider and prepares to implement which
priority interventions? Select all that apply.

1. Administering oxygen
2. Inserting a Foley catheter
3. Administering furosemide
4. Administering morphine sulfate intravenously
5. Transporting the client to the coronary care unit
6. Placing the client in a low-Fowler's side-lying position
1, 2, 3, 4
A client with myocardial infarction suddenly becomes tachycardic,
shows signs of air hunger, and begins coughing frothy, pink-tinged
sputum. Which finding would the nurse anticipate when
auscultating the client's breath sounds?

1. Stridor
2. Crackles
3. Scattered rhonchi
4. Diminished breath sounds

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, NUR 445 FINAL EXAM LATEST
QUESTIONS AND
ANSWERS 2026 - 2027
2. Crackles

Note: Pulmonary HTN, edema
A client with myocardial infarction is developing cardiogenic shock.
What condition should the nurse carefully assess the client for?

1. Pulsus paradoxus
2. Ventricular dysrhythmias
3. Rising diastolic blood pressure
4. Falling central venous pressure
2. Ventricular dysrhythmias
A client who had cardiac surgery 24 hours ago has had a urine
output averaging 20 mL/hr for 2 hours. The client received a single
bolus of 500 mL of intravenous fluid. Urine output for the
subsequent hour was 25 mL. Daily laboratory results indicate that
the blood urea nitrogen level is 45 mg/dL (16 mmol/L) and the
serum creatinine level is 2.2 mg/dL (194 mcmol/L). On the basis of
these findings, the nurse would anticipate that the client is at risk for
which problem?

1. Hypovolemia
2. Acute kidney injury


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