NUR 185 TEST 1 HONDROS EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Nurse admits patient to med surg unit. Resp rate of 38. Patient using
chest muscles to breathe, pulse ox of 87 on room air, pink frothy
sputum. What intervention would you implement first? - ANSWER -
>O2 at 2 Liters/Min
Caring for pt. who is intubated and receiving mechanical ventilation.
What action by the nurse would decrease the patient's incidence of
developing ventilator associated pneumonia? - ANSWER - >Put head of
bed at 30-45 degrees.
The nurse is administering acetylcysteine (muca-mist) as nebulizer
treatment to patient. Which should the nurse have available for
adverse effect on the patient? - ANSWER - >Suction equipment
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3
(acid), Co2-50 Bicarb-28, PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - ANSWER -
>Apply O2 and give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check
first? - ANSWER - >COPD patient with resp rate of 30, O2 of 87 and on 3
Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s
wife was not at hosp. when this occurred. Wife appears angry and
states "What have you all done to him?" What would be your response
as a nurse? - ANSWER - >Explain to the patient why the patient had to
, be intubated, continue to update patient's wife on condition and plan
of care, I'm sorry that you walked in on him like that, I understand this
must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs:
BUN-95 (high), Creatinine of 9.2, Potassium of 6.0 (high). What are you
going to do - ANSWER - >Give Kexolate, prepare the patient a central
line for dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - ANSWER - >Instill
non-prescription eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday.
Patient up in chair stating he feels good. Pain is 3/10. Resp. 16, pulse is
75, bp is 110/78. Pulse ox 88 reading is after incentive spirometer.
What actions would you take at this time? - ANSWER - >Move pulse ox
to another finger on the other hand and recheck.
Vancomycin - ANSWER - >Nephrotoxic (meaning it can really damage
the kidney's) and Ototoxic (temp. hearing loss) Can be given IV, orally,
or via enema. pharmacy is usually involved with this medication.
Lomotil - ANSWER - >mix of 2 different drugs (atropine-can dry up fluids
or for bradycardia & diphenoxylate can raise the BP/HR and lower the
urinary output). Monitor BP and HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on
them. Which to report potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? -
ANSWER - >HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's
the use I am just going to die anyway?" What is your response? -
ANSWER - >Ask the patient to tell you more about these feelings.
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Nurse admits patient to med surg unit. Resp rate of 38. Patient using
chest muscles to breathe, pulse ox of 87 on room air, pink frothy
sputum. What intervention would you implement first? - ANSWER -
>O2 at 2 Liters/Min
Caring for pt. who is intubated and receiving mechanical ventilation.
What action by the nurse would decrease the patient's incidence of
developing ventilator associated pneumonia? - ANSWER - >Put head of
bed at 30-45 degrees.
The nurse is administering acetylcysteine (muca-mist) as nebulizer
treatment to patient. Which should the nurse have available for
adverse effect on the patient? - ANSWER - >Suction equipment
Patient coming in with SOB and resp. rate of 32. ABG results PH 7.3
(acid), Co2-50 Bicarb-28, PO2-70
Resp. Acidosis, what orders do you anticipate carrying out? - ANSWER -
>Apply O2 and give med-neb treatment.
You have 4 patients in a long term care facility. Which would you check
first? - ANSWER - >COPD patient with resp rate of 30, O2 of 87 and on 3
Liters of O2 complaining of dyspnea.
Caring for newly intubated patient getting mechanical ventilation. Pt.'s
wife was not at hosp. when this occurred. Wife appears angry and
states "What have you all done to him?" What would be your response
as a nurse? - ANSWER - >Explain to the patient why the patient had to
, be intubated, continue to update patient's wife on condition and plan
of care, I'm sorry that you walked in on him like that, I understand this
must have been very frightening.
Patient has SOB, edema in legs and face and has the following labs:
BUN-95 (high), Creatinine of 9.2, Potassium of 6.0 (high). What are you
going to do - ANSWER - >Give Kexolate, prepare the patient a central
line for dialysis. Cardiac monitoring.
Working with a UAP, what task can be delegated? - ANSWER - >Instill
non-prescription eye drops in patient's eyes.
Nurse is caring for patient who had total knee replacement yesterday.
Patient up in chair stating he feels good. Pain is 3/10. Resp. 16, pulse is
75, bp is 110/78. Pulse ox 88 reading is after incentive spirometer.
What actions would you take at this time? - ANSWER - >Move pulse ox
to another finger on the other hand and recheck.
Vancomycin - ANSWER - >Nephrotoxic (meaning it can really damage
the kidney's) and Ototoxic (temp. hearing loss) Can be given IV, orally,
or via enema. pharmacy is usually involved with this medication.
Lomotil - ANSWER - >mix of 2 different drugs (atropine-can dry up fluids
or for bradycardia & diphenoxylate can raise the BP/HR and lower the
urinary output). Monitor BP and HR. Monitor urinary output.
Caring for patient with hx of diarrhea. Weight loss, bloating, run labs on
them. Which to report potassium-5.1 WBC 10.8 Sodium 146 Hgb-9.1. ? -
ANSWER - >HgB
Patient with dx of colorectal cx. Colostomy tomorrow. Pt. says "What's
the use I am just going to die anyway?" What is your response? -
ANSWER - >Ask the patient to tell you more about these feelings.
