NR 341 Exam 1 Questions With Complete Solutions
A client came to the ER reporting chest pain. The provider
suspects an MI. While waiting for a troponin level report, the
client asks what this test will show. Which of the following
explanations should the nurse provide the client? Correct
Answers Troponin is a heart muscle protein that appears in the
blood stream when there is damage to the heart
A client has acute respiratory failure. The nurse should monitor
the client for which manifestations of the following conditions
Correct Answers ?
A client is admitted to the emergency room with a respiratory
rate of 7/min, arterial blood gas revels pH 7.22, PaCO2 62
mmHg, base excess -2, PaO2 78 mmHgm SAT 80%, HCO3 26
mEq/L. Which of the following is the correct analysis of this
ABG? Correct Answers Respiratory acidosis
A client was admitted with ARDS. Which assessment finding
will be of the most concern to the health care team? Correct
Answers Client's chest x-ray shows opacity
A nurse is admitting a client who has acute heart failure
following an MI. The nurse recognizes that which of the
following prescriptions by the provider requires clarification?
Correct Answers 0.9% normal saline at 50mL/hour continuous
A nurse is assessing a client and determine that he is in the
compensatory stage of shock. Which of the following findings
should support this conclusion? Correct Answers Confusion
, A nurse is assessing a client who has left femoral cardiac
angiograph. Identify where the nurse will palpate to identify the
most distal pulse on the affected side Correct Answers On top
of the foot around the joint area in front of the left leeg
A nurse is caring for a client who has an endotracheal tube and
is receiving mechanical ventilation. Which of the following
interventions should the nurse take to reduce the risk for
ventilator-associated pneumonia? Correct Answers Rinse the
client's mouth with an antimicrobial (chlorhexidine) solution
every 4 hours
A nurse is caring for a client who is at risk for shock. Which of
the following findings is the earliest indication that this
complication is developing? Correct Answers Narrowing pulse
pressure
A nurse is caring for a client who is experiencing anaphylactic
shock in response to the administration of penicillin. Which of
the following medications should the nurse administer first?
Correct Answers Epinephrine
A nurse is caring for a client who is in the compensatory stage
of shock. Which of the following findings should the nurse
expect? Correct Answers BP 115/68 mmHg
A nurse is evaluating a central venous pressure of a client who
has sustained multiple traumas. Which of the following low
CVP pressure should the nurse make? Correct Answers
Hypovolemia
A client came to the ER reporting chest pain. The provider
suspects an MI. While waiting for a troponin level report, the
client asks what this test will show. Which of the following
explanations should the nurse provide the client? Correct
Answers Troponin is a heart muscle protein that appears in the
blood stream when there is damage to the heart
A client has acute respiratory failure. The nurse should monitor
the client for which manifestations of the following conditions
Correct Answers ?
A client is admitted to the emergency room with a respiratory
rate of 7/min, arterial blood gas revels pH 7.22, PaCO2 62
mmHg, base excess -2, PaO2 78 mmHgm SAT 80%, HCO3 26
mEq/L. Which of the following is the correct analysis of this
ABG? Correct Answers Respiratory acidosis
A client was admitted with ARDS. Which assessment finding
will be of the most concern to the health care team? Correct
Answers Client's chest x-ray shows opacity
A nurse is admitting a client who has acute heart failure
following an MI. The nurse recognizes that which of the
following prescriptions by the provider requires clarification?
Correct Answers 0.9% normal saline at 50mL/hour continuous
A nurse is assessing a client and determine that he is in the
compensatory stage of shock. Which of the following findings
should support this conclusion? Correct Answers Confusion
, A nurse is assessing a client who has left femoral cardiac
angiograph. Identify where the nurse will palpate to identify the
most distal pulse on the affected side Correct Answers On top
of the foot around the joint area in front of the left leeg
A nurse is caring for a client who has an endotracheal tube and
is receiving mechanical ventilation. Which of the following
interventions should the nurse take to reduce the risk for
ventilator-associated pneumonia? Correct Answers Rinse the
client's mouth with an antimicrobial (chlorhexidine) solution
every 4 hours
A nurse is caring for a client who is at risk for shock. Which of
the following findings is the earliest indication that this
complication is developing? Correct Answers Narrowing pulse
pressure
A nurse is caring for a client who is experiencing anaphylactic
shock in response to the administration of penicillin. Which of
the following medications should the nurse administer first?
Correct Answers Epinephrine
A nurse is caring for a client who is in the compensatory stage
of shock. Which of the following findings should the nurse
expect? Correct Answers BP 115/68 mmHg
A nurse is evaluating a central venous pressure of a client who
has sustained multiple traumas. Which of the following low
CVP pressure should the nurse make? Correct Answers
Hypovolemia
