NUR 112 - EXAM 1 QUESTIONS WITH
COMPLETE SOLUTIONS
A 17 year old pt with a leg fracture is sched. for
surgery. She reports that she is living w/a friend
and is an emancipated minor. She has a statement
from the court for verification. Which intervention
is most appropriate?
a. witness the permit after consent is obtained by
the surgeon
b. call a parent or legal guardian to sign the permit,
since the pt is under 18
c. obtain verbal consent, since written consent is
not necessary for emancipated minors
d. investigate your states nurse practice act r/t
emancipated minors and informed consent Correct
Answers a
A 59 year old man is sched. for herniorrhaphy in 2
days. During the preop evaluation he reports that
he takes ginkgo daily. What is the priority
intervention?
a. inform the surgeon, since since the procedure
may need to be resched,
b. notify the anesthesia care provider, since this
herb interferes with anesthetics
c. ask the pt if he has noticed any side effects from
taking this herbal supplement
,d. tell the pt to continue to take the herbal
supplement up to the day before surgery Correct
Answers a
A 70 kg postoperative pt has an average urine
output of 25 ml/hour during the first 8 hours. the
priority nursing intervention given this assessment
would be to
a. preform a straight catheterization to measure
the amount of urine in the bladder.
b. notify the physician and anticipate obtaining
blood work to evaluate renal function.
c. continue to monitor the pt bc this is a normal
finding during this time period.
d. evaluate the pts fluid volume status since
surgery and obtain a bladder ultrasound Correct
Answers d
A adolescent pt has the following lab results: pH
7.3, PaCO2 60, HCO3 25, PaO2 90. Which of the
following actions should the nurse anticipate?
a. administering albuterol (ventolin) aersol
b. increasing the adolescents IV fluids
c. preparing sodium bicarbonate infusion
d. encouraging adolescent to breathe into a paper
bag Correct Answers a
A charge nurse is leading a staff education about
caring for a pt who has hypocalcemia. Which of the
,following statements by a staff nurse indicates the
need for further teaching.
a. "I should monitor for hand spasms during B/P
cuff inflation. "
b. "Pt who have a Vit D deficiency are at risk."
c. "Pt who have hypocalcemia are at risk for
pathologic fractures."
d. "I should implement seizure precautions for a pt
with hypocalcemia." Correct Answers c
A client diagnosed with acute heart failure is
prescribed furosemide (Lasix) daily. During the
client's morning assessment, he tells the nurse
that he is "feeling weak in the legs." Which of the
following should the nurse take first?
a. Withhold the furosemide
b. Review the daily laboratory results
c. Notify the primary care provider of the client's
symptoms
d. Provide an adequate breakfast for the client
Correct Answers b
A client is admitted with isotonic dehydration
following 2 days of vomiting and diarrhea. Which of
the following laboratory results should indicate to
the nurse that the client has responded to fluid
therapy?
a. BUN 26 mg/dl
b. Serum sodium 138 mEq/L
, c. Hct 56%
d. Urine specific gravity 1.035 Correct Answers b
A client with heart failure is admitted following 3
days of vomiting. he is currently taking 40 mg of
furosemide (Lasix) and 0.125 mg of dignxin
(Lanoxin) daily. the nurse suspects hypokalemia.
Which of the following should the nurse anticipate
administering?
a. Sodium polystyrene sulfonate (Kayexalate)
30g/day
b. Normal saline with 40 mEq/L potassium at
100ml/hr
c. Digoxin 0.125 mg/day
d. Lactated Ringer's solution at 100 ml/hr Correct
Answers b
A nurse has administered midazolam (Versed) IV
bolus to a pt before a procedure. The pts BP is
86/40 and pulse is 134/min. Which of the following
is an appropriate action by the nurse?
a. administer naloxone (Narcan) IV
b. administer morphine IV
c. administer 0l9% sodium chloride IV bolus
d. administer atropine IV Correct Answers c
A nurse in a provider's office is collecting data from
the mother of a 1 year old child. The pt states that
her child is old enough for potty training. Following
an education session by the nurse, the pt now
COMPLETE SOLUTIONS
A 17 year old pt with a leg fracture is sched. for
surgery. She reports that she is living w/a friend
and is an emancipated minor. She has a statement
from the court for verification. Which intervention
is most appropriate?
a. witness the permit after consent is obtained by
the surgeon
b. call a parent or legal guardian to sign the permit,
since the pt is under 18
c. obtain verbal consent, since written consent is
not necessary for emancipated minors
d. investigate your states nurse practice act r/t
emancipated minors and informed consent Correct
Answers a
A 59 year old man is sched. for herniorrhaphy in 2
days. During the preop evaluation he reports that
he takes ginkgo daily. What is the priority
intervention?
a. inform the surgeon, since since the procedure
may need to be resched,
b. notify the anesthesia care provider, since this
herb interferes with anesthetics
c. ask the pt if he has noticed any side effects from
taking this herbal supplement
,d. tell the pt to continue to take the herbal
supplement up to the day before surgery Correct
Answers a
A 70 kg postoperative pt has an average urine
output of 25 ml/hour during the first 8 hours. the
priority nursing intervention given this assessment
would be to
a. preform a straight catheterization to measure
the amount of urine in the bladder.
b. notify the physician and anticipate obtaining
blood work to evaluate renal function.
c. continue to monitor the pt bc this is a normal
finding during this time period.
d. evaluate the pts fluid volume status since
surgery and obtain a bladder ultrasound Correct
Answers d
A adolescent pt has the following lab results: pH
7.3, PaCO2 60, HCO3 25, PaO2 90. Which of the
following actions should the nurse anticipate?
a. administering albuterol (ventolin) aersol
b. increasing the adolescents IV fluids
c. preparing sodium bicarbonate infusion
d. encouraging adolescent to breathe into a paper
bag Correct Answers a
A charge nurse is leading a staff education about
caring for a pt who has hypocalcemia. Which of the
,following statements by a staff nurse indicates the
need for further teaching.
a. "I should monitor for hand spasms during B/P
cuff inflation. "
b. "Pt who have a Vit D deficiency are at risk."
c. "Pt who have hypocalcemia are at risk for
pathologic fractures."
d. "I should implement seizure precautions for a pt
with hypocalcemia." Correct Answers c
A client diagnosed with acute heart failure is
prescribed furosemide (Lasix) daily. During the
client's morning assessment, he tells the nurse
that he is "feeling weak in the legs." Which of the
following should the nurse take first?
a. Withhold the furosemide
b. Review the daily laboratory results
c. Notify the primary care provider of the client's
symptoms
d. Provide an adequate breakfast for the client
Correct Answers b
A client is admitted with isotonic dehydration
following 2 days of vomiting and diarrhea. Which of
the following laboratory results should indicate to
the nurse that the client has responded to fluid
therapy?
a. BUN 26 mg/dl
b. Serum sodium 138 mEq/L
, c. Hct 56%
d. Urine specific gravity 1.035 Correct Answers b
A client with heart failure is admitted following 3
days of vomiting. he is currently taking 40 mg of
furosemide (Lasix) and 0.125 mg of dignxin
(Lanoxin) daily. the nurse suspects hypokalemia.
Which of the following should the nurse anticipate
administering?
a. Sodium polystyrene sulfonate (Kayexalate)
30g/day
b. Normal saline with 40 mEq/L potassium at
100ml/hr
c. Digoxin 0.125 mg/day
d. Lactated Ringer's solution at 100 ml/hr Correct
Answers b
A nurse has administered midazolam (Versed) IV
bolus to a pt before a procedure. The pts BP is
86/40 and pulse is 134/min. Which of the following
is an appropriate action by the nurse?
a. administer naloxone (Narcan) IV
b. administer morphine IV
c. administer 0l9% sodium chloride IV bolus
d. administer atropine IV Correct Answers c
A nurse in a provider's office is collecting data from
the mother of a 1 year old child. The pt states that
her child is old enough for potty training. Following
an education session by the nurse, the pt now
