NU455 Final Exam With
Complete Solution
A nurse is working on a respiratory unit understands that interventions that
will reduce android or pneumonia in patients who are mechanically
ventilated include: (SATA)
Frequent mouth care
Changing ventilator tubing daily
Use of long-term prophylactic antibiotics
Elevation of the head of the bed
Chest physiotherapy twice a day
Frequent deep endotracheal suctioning
Frequent mouth care
Elevation of the head of the bed
Which of the following side effects of frequent albuterol nebulizer's with the
nurse assessed for (select all that apply)
Lethargy
tachycardia
Bradypnea
agitation
,decreased urine output
tachycardia
agitation
A new postop patient who is mechanically ventilated has the following ABG
results:
pH = 7.19, PaO2 = 68, PaCO2 = 42, HCO3 = 24
Which nursing action should be done based on this?
Select all that apply
Request a repeat of the ABG
notify the physician
increase the O2 levels
assess lung fields
document as normal results
notify the physician
increase the O2 levels
assess lung fields
54 year-old male with EF 30% on telemetry unit recently received 120 mg IV
Lasix. The telemetry alarms for VTACH, what is your first action?
Notify MD
silence alarms it was probably artifact
,defibrillate immediately
cardiovert immediately
check the patient's potassium levels
check the patient
Check the patient
Tricuspid regurgitation is most closely related to which of the following
left sided heart failure
right sided heart failure
pulmonary hypertension
aortic stenosis
right sided heart failure
A patient returns from the Cath Lab with a right femoral small dressing that
is saturated in blood. What is your first priority?
Notify MD
apply pressure to site and monitor bleeding
obtain full set of vitals
prep patient to be transferred to the ICU
prepare one unit of packed red blood cells
apply pressure to site and monitor bleeding
A patient with HF is more likely to exhibit these symptoms select all that
, apply
pulmonary edema
low cardiac output
high ejection fraction
frequent hospitalizations
pulmonary edema
low cardiac output
Frequent hospitalizations
A patient with multivessel coronary artery disease is complaining of chest
pain. Vitals are temp 98.4 BP 88/52 HR 102 RR 20 O2 Sat 92% RA. What
treatment would you avoid?
Providing supplementary O2
IV morphine
nitroglycerin sublingual
percutaneous coronary intervention
nitroglycerin sublingual
The 48 year old woman is one week post gastrectomy. She's experiencing
weakness diaphoresis tachycardia headache and nervousness 1 to 2 hours
after eating. Which of the following is the primary physiologic reason for the
symptoms?
Hypoglycemia
Complete Solution
A nurse is working on a respiratory unit understands that interventions that
will reduce android or pneumonia in patients who are mechanically
ventilated include: (SATA)
Frequent mouth care
Changing ventilator tubing daily
Use of long-term prophylactic antibiotics
Elevation of the head of the bed
Chest physiotherapy twice a day
Frequent deep endotracheal suctioning
Frequent mouth care
Elevation of the head of the bed
Which of the following side effects of frequent albuterol nebulizer's with the
nurse assessed for (select all that apply)
Lethargy
tachycardia
Bradypnea
agitation
,decreased urine output
tachycardia
agitation
A new postop patient who is mechanically ventilated has the following ABG
results:
pH = 7.19, PaO2 = 68, PaCO2 = 42, HCO3 = 24
Which nursing action should be done based on this?
Select all that apply
Request a repeat of the ABG
notify the physician
increase the O2 levels
assess lung fields
document as normal results
notify the physician
increase the O2 levels
assess lung fields
54 year-old male with EF 30% on telemetry unit recently received 120 mg IV
Lasix. The telemetry alarms for VTACH, what is your first action?
Notify MD
silence alarms it was probably artifact
,defibrillate immediately
cardiovert immediately
check the patient's potassium levels
check the patient
Check the patient
Tricuspid regurgitation is most closely related to which of the following
left sided heart failure
right sided heart failure
pulmonary hypertension
aortic stenosis
right sided heart failure
A patient returns from the Cath Lab with a right femoral small dressing that
is saturated in blood. What is your first priority?
Notify MD
apply pressure to site and monitor bleeding
obtain full set of vitals
prep patient to be transferred to the ICU
prepare one unit of packed red blood cells
apply pressure to site and monitor bleeding
A patient with HF is more likely to exhibit these symptoms select all that
, apply
pulmonary edema
low cardiac output
high ejection fraction
frequent hospitalizations
pulmonary edema
low cardiac output
Frequent hospitalizations
A patient with multivessel coronary artery disease is complaining of chest
pain. Vitals are temp 98.4 BP 88/52 HR 102 RR 20 O2 Sat 92% RA. What
treatment would you avoid?
Providing supplementary O2
IV morphine
nitroglycerin sublingual
percutaneous coronary intervention
nitroglycerin sublingual
The 48 year old woman is one week post gastrectomy. She's experiencing
weakness diaphoresis tachycardia headache and nervousness 1 to 2 hours
after eating. Which of the following is the primary physiologic reason for the
symptoms?
Hypoglycemia
