NURS 3000 FINAL EXAM QUESTIONS AND VERIFIED
DETAILED ANSWERS
When interpreting waveforms of a client's electrocardiogram, which of the following
findings will the nurse want to investigate further?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds - ANSWER QRS interval of 0.14 second
A client is admitted to the emergency department with a head injury and is determined
to be unconscious, unresponsive to painful stimuli. The priority concern for the nurse
when trying to enhance cerebral blood flow for this client is a. Arterial blood pressure b.
Arterial blood gas results c. Respiratory rate d. Level of consciousness - ANWER
Respiratory rate
The nurse is obtaining a health history from a client with a prosthetic mitral valve who is
exhibiting symptoms of infective endocarditis. Which of the following questions by the
nurse is most appropriate?
a. "Have you recently received any vaccinations?"
b. "Have you had an heart attack?"
c. "Have you recently seen the dentist?"
d. "Is there a history of endocarditis in your family?" - QUESTION "Have you seen the
dentist recently?"
Some specific findings during the nurse's assessment related to the client with acute
pericarditis would need to be communicated to the health care provider immediately.
Which of the following best describes one of them?
a. BP 146/86
b. JVD to the jaw
,c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep inspiration - ANSWER b. Jugular vein distension
(JVD) to the level of the jaw
The nurse is interpreting an ECG strip to identify if there is a delay in impulse conduction
through the atria. Which of the following components of an ECG strip should the nurse
interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval - ANSWER P wave
The client is admitted to the emergency department with burns of the face and chest
due to a house fire. Which of the following should the nurse do first?
a. Administer the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine size and depth of burn
d. Administer the ordered opioid pain medications ANSWER Auscultate the client's lung
sounds
The nurse is caring for a client who has had recent cardiac surgery and now develops
pericarditis, which presents with symptoms of chest pain, rating 6 (0-10 scale) with
deep inspiration. Which of the following PRN medications ordered would the nurse
administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO - ANSWER Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends administering a 30mL/kg bolus of crystalloid IV
fluids for the treatment of:
, a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure - ANSWER Hypotension
The nurse is caring for a patient with diabetic ketoacidosis. The following arterial blood
gas analysis indicates what kind of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18 - ANSWER pH 7.28, PaCO2 58, HCO-3 38
The nurse is caring for a client after an incisional cholecystectomy for cholelithiasis.
Which of the following actions is priority for the nurse to institute?
a. Ambulate the evening of the operative day
b. Turn, cough, and deep breath every 2 hours
c. Instructing the client about low-fat food choices
d. Do leg exercises hourly while awake - ANSWER Client teaching about low-fat food
selections
For a client with a diagnosis of infective endocarditis (IE) which of the following findings
would be the priority to notify the health care provider?
a. Janeway's lesions to the palms
b. Temperature of 38.1 degrees celcius - ANSWER Janeway's lesions to the palms
Name each element of Virchow's Triad and give one possible example of each that might
result in a venous thrombosis. - REVIEW 1. Venous stasis: immobility for long time
period
2. Endothelial injury: trauma, surgery of abdomen or pelvis
DETAILED ANSWERS
When interpreting waveforms of a client's electrocardiogram, which of the following
findings will the nurse want to investigate further?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds - ANSWER QRS interval of 0.14 second
A client is admitted to the emergency department with a head injury and is determined
to be unconscious, unresponsive to painful stimuli. The priority concern for the nurse
when trying to enhance cerebral blood flow for this client is a. Arterial blood pressure b.
Arterial blood gas results c. Respiratory rate d. Level of consciousness - ANWER
Respiratory rate
The nurse is obtaining a health history from a client with a prosthetic mitral valve who is
exhibiting symptoms of infective endocarditis. Which of the following questions by the
nurse is most appropriate?
a. "Have you recently received any vaccinations?"
b. "Have you had an heart attack?"
c. "Have you recently seen the dentist?"
d. "Is there a history of endocarditis in your family?" - QUESTION "Have you seen the
dentist recently?"
Some specific findings during the nurse's assessment related to the client with acute
pericarditis would need to be communicated to the health care provider immediately.
Which of the following best describes one of them?
a. BP 146/86
b. JVD to the jaw
,c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep inspiration - ANSWER b. Jugular vein distension
(JVD) to the level of the jaw
The nurse is interpreting an ECG strip to identify if there is a delay in impulse conduction
through the atria. Which of the following components of an ECG strip should the nurse
interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval - ANSWER P wave
The client is admitted to the emergency department with burns of the face and chest
due to a house fire. Which of the following should the nurse do first?
a. Administer the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine size and depth of burn
d. Administer the ordered opioid pain medications ANSWER Auscultate the client's lung
sounds
The nurse is caring for a client who has had recent cardiac surgery and now develops
pericarditis, which presents with symptoms of chest pain, rating 6 (0-10 scale) with
deep inspiration. Which of the following PRN medications ordered would the nurse
administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO - ANSWER Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends administering a 30mL/kg bolus of crystalloid IV
fluids for the treatment of:
, a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure - ANSWER Hypotension
The nurse is caring for a patient with diabetic ketoacidosis. The following arterial blood
gas analysis indicates what kind of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18 - ANSWER pH 7.28, PaCO2 58, HCO-3 38
The nurse is caring for a client after an incisional cholecystectomy for cholelithiasis.
Which of the following actions is priority for the nurse to institute?
a. Ambulate the evening of the operative day
b. Turn, cough, and deep breath every 2 hours
c. Instructing the client about low-fat food choices
d. Do leg exercises hourly while awake - ANSWER Client teaching about low-fat food
selections
For a client with a diagnosis of infective endocarditis (IE) which of the following findings
would be the priority to notify the health care provider?
a. Janeway's lesions to the palms
b. Temperature of 38.1 degrees celcius - ANSWER Janeway's lesions to the palms
Name each element of Virchow's Triad and give one possible example of each that might
result in a venous thrombosis. - REVIEW 1. Venous stasis: immobility for long time
period
2. Endothelial injury: trauma, surgery of abdomen or pelvis
