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Exam (elaborations)

NSG 4800 ALL COMPS | 207 Questions and Correct Answers | New Update | Graded A+

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NSG 4800 ALL COMPS | 207 Questions and Correct Answers | New Update | Graded A+

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ALL COMPS
1. The nurse working in the ED has received the following prescriptions for a newly
admitted client, which prescriptions should the nurse implement FIRST?:
Initiate IV sodium and potassium for a client admitted with diarrhea and dehydration who
has a serum _____________level of 2.9.
- Potassium
2. A nurse is caring for a male client who has a deep partial thickness and a full thickness
burn to 45 % of the lower body, it would be a PRIORITY for the nurse to notify the
provider if the client has: A _________output of 45 ml over the past two hours.
- Urinary
3. The nurse is assessing clients at the scene of a mass casualty disaster and is prioritizing
care based on the disaster triage tag system which of the following clients should be
transported to the health care facility FIRST?
The client who has multiple compound fractures and is reporting ________ pain
- Chest
4. The charge nurse in the ED is reviewing the care provided for recently admitted clients;
which of the following reflects implementation of an accepted standard of care?: Placing
the client who has suspected Haemophilus influenza on ____________precautions
- Droplet
5. The nurse is working on a crisis hotline speaking with a client who states “I just took an
entire bottle of amitriptyline” which of the following responses should the nurse
INITIALLY make to the client?: I’m glad you called, and I want to send an
____________to help you
- Ambulance
6. The nurse is monitoring a client following a thoracentesis would be a priority for the
nurse to notify the primary health care provider if the client develops: A
_____________that has increased from 95 to 110BPM
- Heart rate
7. A nurse is caring for a client receiving chemotherapy, the client is not eating well but
denies any nausea or vomiting which of the following would be best for the nurse to
suggest to the client?: ___________, green beans and cottage cheese

, - Chicken
8. Which med should be given for the pt in Vtach? (Rhythm strip)
- Amiodarone




9. The nurse is talking with a client who has MS what would need follow up by nurse?:
______ showers
- Hot
10. A nurse is assessing a patient who had a colostomy created 6 hours ago. The stoma
appears dark red dry and flaccid with a small amount of mucous drained in the bag.
which action would be priority for the nurse to make?: Call the _____
- Provider
11. Lumbar surgery w/ headache and clear drainage: __________ the head of the bed
- Lower
12. An adverse effect of magnesium sulfate is a _______ of 10.
- Respiratory Rate
13. Health fair screening: Scoliosis screening___________ for ages 10-14.
- Annually
14. The pt taking antacids is at risk for which acid-base imbalance?
- Metabolic Alkalosis
15. The pt w/ an NG tube is at risk for which acid-base imbalance?
- Metabolic Alkalosis
16. Which finding in the kidney transplant pt requires f/u?: Temp ___________.
- Increase
17. Bipolar pt: set clear _____________and limits.
- Boundaries
18. TPN: Only given through central line, only hang ________ if out - NOT D50
- D10
19. Catheter question further teaching: Inflate the balloon as soon as you see __________.

, - Urine
20. LPN delegation: LPN can _____________teaching.
- Reinforce
21. Which pt is at greatest risk for colorectal cancer?: 55 y/o male w/ Crohn'swho's
__________ has polyposis. (not the 23 y/o smoker)
- Father
22. Mom is Rh ____________: Give rubella vaccine after delivery.
- Negative
23. Hepatic encephalopathy when to call provider: UO of 450mL in 24 hours- should be at
least _______mL in 24 hours.
- 720
24. Hearing aid teaching: Do not clean w/ alcohol wipes, use on ___________setting to
avoid feedback.
- Lowest
25. Which situation should an incident report be completed for?: Visitor ________ in the
cafeteria.
- Falls
26. Therapeutic effect of desmopressin: UO _________ from 2,500mL to 1,200mL.
- Decrease
27. What should the RN do after a pt has had a bronchoscopy? Assess for
______________(bloody sputum).
- Hemoptysis
28. Pain/redness at IV site what should RN do next?: Take that IV out, put a new one in at a
___________ site.
- Different
29. Received a pt in PACU from endoscopy, what should the RN do after identifying the
pt?: Assess _________ sounds or assess vital signs.
- Breath
30. Fiberglass cast w/ crutches: Apply _____ (NOT resume normal activity as long as I use
my crutches).
- Ice

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