FINAL EXAMINATION — ORIGINAL
PRACTICE EXAMINATION 220
MULTIPLE-CHOICE QUESTIONS WITH
ANSWERS AND RATIONALES| NEWEST
UPDATED () COMPLETE APPROVED
FULL REVISED NUR 2502 FINAL EXAM|
CURRENTLY EVALUATED
,NUR2755: Multidimensional Care IV Final Exam Key Topics & Clinical
Calculations
What is neurogenic shock classified as?
An imbalance of sympathetic and parasympathetic stimulation.
What assessment finding should the nurse anticipate with increased
parasympathetic activity?
Bradycardia.
What assessment finding led the nurse to suspect a stroke in a client?
Asymmetry of the face.
What is the nurse's priority action for a client with cirrhosis and an
intestinal obstruction?
Administer PRN order of vitamin K.
What additional assessment finding would the nurse assess for in a
client with pneumothorax?
Decreased chest expansion on involved side.
How will the surgical team prevent complications from hypothermia in
a frail older adult?
Perform close monitoring of the client's temperature, administer
warmed intravenous fluids, have a thermal warming blanket on hand,
and increase the temperature in the operating room.
, How should the nurse interpret ventricular tachycardia in a client with
electrical burns?
The heart rhythm is directly related to the electrical burn.
What assessment finding prompts the nurse to call the surgeon after
surgery?
Constant pain and abdominal distention.
Which crystalloid fluid is commonly used to treat hypovolemic shock?
Lactated Ringer's.
What principle will guide the nurse's care planning during dopamine
administration?
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 is the likely condition of a client with a neck injury and low
blood pressure?
Neurogenic shock.
What preliminary conclusion can be drawn from a client with normal
blood pressure but increased heart rate and cold, clammy skin?
The client is in the compensatory stage of shock.