N480 Final Exam Questions With Correct
Answers
A |nurse |is |suctioning |the |endotracheal |tube |of |a |client |who |is |on |a |ventilator. |The |client's |
heart |rate |increases |from |86/min |to |110/min |and |becomes |irregular. |The |nurse |should |know |
that |the |client |requires |- |CORRECT |ANSWER✔✔-preoxygenation |prior |to |suctioning
After |surgery |for |an |abdominal |aortic |aneurysm, |a |patient's |central |venous |pressure |(CVP) |
monitor |indicates |low |pressures. |Which |action |should |the |nurse |take? |- |CORRECT |
ANSWER✔✔-Increase |the |IV |fluid |infusion |per |protocol
A |nurse |is |orienting |a |newly |licensed |nurse |on |the |purpose |of |administering |vecuronium |to |a |
client |who |has |acute |respiratory |distress |syndrome |(ARDS). |Which |of |the |following |statements
|by |the |newly |licensed |nurse |indicates |understanding |of |the |teaching? |- |CORRECT |
ANSWER✔✔-This |medication |is |given |to |facilitate |ventilation
A |patient |who |is |recovering |from |an |acute |myocardial |infarction |(AMI) |asks |the |nurse |when |
sexual |intercourse |can |be |resumed. |Which |response |by |the |nurse |is |best? |- |CORRECT |
ANSWER✔✔-Sexual |activity |uses |about |as |much |energy |as |climbing |two |flights |of |stairs
A |nurse |is |caring |for |a |client |who |came |to |the |ED |reporting |chest |pain. |The |provider |suspects |
a |myocardial |infarction. |While |waiting |for |the |troponin |levels |report, |the |client |asks |what |this |
blood |test |will |show. |Which |of |the |following |explanations |should |the |nurse |provide |the |client?
|- |CORRECT |ANSWER✔✔-Troponin |is |a |heart |muscle |protein |that |appears |in |the |bloodstream |
when |there |is |damage |to |the |heart
A |nurse |is |caring |for |a |client |who |reports |a |new |onset |of |severe |chest |pain. |Which |of |the |
following |actions |should |the |nurse |take |to |determine |if |the |client |is |experiencing |a |myocardial |
infarction? |- |CORRECT |ANSWER✔✔-Perform |a |12-lead |ECG
,The |nurse |assesses |a |client |with |dyspnea, |decreased |breath |sounds, |tracheal |deviation, |and |
pulse |oximetry |reading |of |86%. |What |is |the |nurse's |interpretation |of |these |findings? |- |
CORRECT |ANSWER✔✔-Tension |pneumothorax
What |action |by |a |new |intensive |care |unit |staff |nurse |would |indicate |that |the |nurse |educator's |
teaching |about |arterial |pressure |monitoring |has |been |effective? |- |CORRECT |ANSWER✔✔-
Positions |the |zero-reference |stopcock |line |level |with |the |phlebostatic |axis
A |nurse |is |caring |for |a |client |who |is |receiving |heparin |by |continuous |IV |fusion. |Which |of |the |
following |meds |should |the |nurse |plan |to |administer |in |the |event |of |an |overdose? |- |CORRECT |
ANSWER✔✔-Protamine |sulfate
Which |finding |by |the |nurse |caring |for |a |patient |with |a |right |radial |arterial |line |indicates |a |need
|for |the |nurse |to |take |immediate |action? |- |CORRECT |ANSWER✔✔-The |right |hand |feels |cooler |
than |the |left |hand
Which |statement |by |the |nurse |when |explaining |the |purpose |of |positive |end |expiratory |
pressure |(PEEP) |to |the |patient's |caregiver |is |accurate? |- |CORRECT |ANSWER✔✔-PEEP |prevents |
the |lung |air |sacs |from |collapsing |during |exhalation
A |nurse |is |planning |the |discharge |of |the |client |who |has |sleep |apnea |and |requires |bi-level |
positive |airway |pressure |(BIPAP) |at |night. |The |nurse |should |plan |to |consult |with |which |of |the |
following |health |care |team |members |to |help |educate |the |client? |- |CORRECT |ANSWER✔✔-
Respiratory |therapist
A |nurse |is |caring |for |a |76 |yr |old |client |who |has |a |recently |placed |central |venous |catheter |and |
reports |hearing |a |gurgling |sound |on |the |side |of |the |catheter |insertion. |Which |of |the |following |
complications |should |the |nurse |suspect? |- |CORRECT |ANSWER✔✔-Catheter |migration
The |patient |is |admitted |with |acute |coronary |syndrome |(ACS). |The |ECG |shows |ST-segment |
depression |and |T-wave |inversion. |What |should |the |nurse |know |that |this |indicates? |- |CORRECT |
ANSWER✔✔-Myocardial |ischemia
, The |nursing |student |is |asked |to |demonstrate |the |Allen |test |on |a |fellow |student. |Which |of |the |
following |best |describes |the |Allen |test? |- |CORRECT |ANSWER✔✔-Test |used |to |determine |
patency |of |the |radial |and |ulnar |arteries
A |nurse |is |caring |for |a |client |with |a |ventricular |pacemaker |who |is |on |ECG |monitoring. |The |
nurse |understands
that |the |pacemaker |is |functioning |properly |when |which |of |the |following |appears |on |the |
monitor |strip? |- |CORRECT |ANSWER✔✔-Pacemaker |spikes |before |each |QRS |complex
A |client |who |has |a |history |of |myocardial |infarction |(MI) |is |prescribed |aspirin |325mg. |The |nurse
|recognizes |that |the |aspirin |is |given |due |to |which |of |the |following |actions |of |the |medication? |-
|CORRECT |ANSWER✔✔-Antiplatelet |aggregate
A |patient |whose |heart |monitor |shows |sinus |tachycardia, |rate |132, |is |apneic, |and |has |no |
palpable |pulses. |What |actions |should |the |nurse |take |next? |- |CORRECT |ANSWER✔✔-Start |CPR
A |nurse |is |caring |for |a |client |who |has |been |receiving |oxygen |therapy |for |several |days. |When |
assessing |the |client, |the |nurse |should |identify |which |of |the |following |findings |as |an |indication |
of |an |adverse |effect |of |oxygen |therapy |- |CORRECT |ANSWER✔✔-Cracks |in |oral |mucous |
membranes
The |nurse |is |caring |for |a |postoperative |patient |who |has |a |chest |tube |connected |to |suction |and
|a |water |seal |drainage |system. |Which |of |the |following |indicates |to |the |nurse |that |the |chest |
tube |is |functioning |properly? |- |CORRECT |ANSWER✔✔-Fluctuation |of |the |fluid |level |within |the |
water |seal |chamber
A |recently |admitted |36 |year |old |patient |who |has |sustained |multiple |traumas |develops |a |low |
CVP |pressure. |Which |of |the |following |interpretations |will |alert |the |nurse |of |this |change? |- |
CORRECT |ANSWER✔✔-Hypovolemia
Answers
A |nurse |is |suctioning |the |endotracheal |tube |of |a |client |who |is |on |a |ventilator. |The |client's |
heart |rate |increases |from |86/min |to |110/min |and |becomes |irregular. |The |nurse |should |know |
that |the |client |requires |- |CORRECT |ANSWER✔✔-preoxygenation |prior |to |suctioning
After |surgery |for |an |abdominal |aortic |aneurysm, |a |patient's |central |venous |pressure |(CVP) |
monitor |indicates |low |pressures. |Which |action |should |the |nurse |take? |- |CORRECT |
ANSWER✔✔-Increase |the |IV |fluid |infusion |per |protocol
A |nurse |is |orienting |a |newly |licensed |nurse |on |the |purpose |of |administering |vecuronium |to |a |
client |who |has |acute |respiratory |distress |syndrome |(ARDS). |Which |of |the |following |statements
|by |the |newly |licensed |nurse |indicates |understanding |of |the |teaching? |- |CORRECT |
ANSWER✔✔-This |medication |is |given |to |facilitate |ventilation
A |patient |who |is |recovering |from |an |acute |myocardial |infarction |(AMI) |asks |the |nurse |when |
sexual |intercourse |can |be |resumed. |Which |response |by |the |nurse |is |best? |- |CORRECT |
ANSWER✔✔-Sexual |activity |uses |about |as |much |energy |as |climbing |two |flights |of |stairs
A |nurse |is |caring |for |a |client |who |came |to |the |ED |reporting |chest |pain. |The |provider |suspects |
a |myocardial |infarction. |While |waiting |for |the |troponin |levels |report, |the |client |asks |what |this |
blood |test |will |show. |Which |of |the |following |explanations |should |the |nurse |provide |the |client?
|- |CORRECT |ANSWER✔✔-Troponin |is |a |heart |muscle |protein |that |appears |in |the |bloodstream |
when |there |is |damage |to |the |heart
A |nurse |is |caring |for |a |client |who |reports |a |new |onset |of |severe |chest |pain. |Which |of |the |
following |actions |should |the |nurse |take |to |determine |if |the |client |is |experiencing |a |myocardial |
infarction? |- |CORRECT |ANSWER✔✔-Perform |a |12-lead |ECG
,The |nurse |assesses |a |client |with |dyspnea, |decreased |breath |sounds, |tracheal |deviation, |and |
pulse |oximetry |reading |of |86%. |What |is |the |nurse's |interpretation |of |these |findings? |- |
CORRECT |ANSWER✔✔-Tension |pneumothorax
What |action |by |a |new |intensive |care |unit |staff |nurse |would |indicate |that |the |nurse |educator's |
teaching |about |arterial |pressure |monitoring |has |been |effective? |- |CORRECT |ANSWER✔✔-
Positions |the |zero-reference |stopcock |line |level |with |the |phlebostatic |axis
A |nurse |is |caring |for |a |client |who |is |receiving |heparin |by |continuous |IV |fusion. |Which |of |the |
following |meds |should |the |nurse |plan |to |administer |in |the |event |of |an |overdose? |- |CORRECT |
ANSWER✔✔-Protamine |sulfate
Which |finding |by |the |nurse |caring |for |a |patient |with |a |right |radial |arterial |line |indicates |a |need
|for |the |nurse |to |take |immediate |action? |- |CORRECT |ANSWER✔✔-The |right |hand |feels |cooler |
than |the |left |hand
Which |statement |by |the |nurse |when |explaining |the |purpose |of |positive |end |expiratory |
pressure |(PEEP) |to |the |patient's |caregiver |is |accurate? |- |CORRECT |ANSWER✔✔-PEEP |prevents |
the |lung |air |sacs |from |collapsing |during |exhalation
A |nurse |is |planning |the |discharge |of |the |client |who |has |sleep |apnea |and |requires |bi-level |
positive |airway |pressure |(BIPAP) |at |night. |The |nurse |should |plan |to |consult |with |which |of |the |
following |health |care |team |members |to |help |educate |the |client? |- |CORRECT |ANSWER✔✔-
Respiratory |therapist
A |nurse |is |caring |for |a |76 |yr |old |client |who |has |a |recently |placed |central |venous |catheter |and |
reports |hearing |a |gurgling |sound |on |the |side |of |the |catheter |insertion. |Which |of |the |following |
complications |should |the |nurse |suspect? |- |CORRECT |ANSWER✔✔-Catheter |migration
The |patient |is |admitted |with |acute |coronary |syndrome |(ACS). |The |ECG |shows |ST-segment |
depression |and |T-wave |inversion. |What |should |the |nurse |know |that |this |indicates? |- |CORRECT |
ANSWER✔✔-Myocardial |ischemia
, The |nursing |student |is |asked |to |demonstrate |the |Allen |test |on |a |fellow |student. |Which |of |the |
following |best |describes |the |Allen |test? |- |CORRECT |ANSWER✔✔-Test |used |to |determine |
patency |of |the |radial |and |ulnar |arteries
A |nurse |is |caring |for |a |client |with |a |ventricular |pacemaker |who |is |on |ECG |monitoring. |The |
nurse |understands
that |the |pacemaker |is |functioning |properly |when |which |of |the |following |appears |on |the |
monitor |strip? |- |CORRECT |ANSWER✔✔-Pacemaker |spikes |before |each |QRS |complex
A |client |who |has |a |history |of |myocardial |infarction |(MI) |is |prescribed |aspirin |325mg. |The |nurse
|recognizes |that |the |aspirin |is |given |due |to |which |of |the |following |actions |of |the |medication? |-
|CORRECT |ANSWER✔✔-Antiplatelet |aggregate
A |patient |whose |heart |monitor |shows |sinus |tachycardia, |rate |132, |is |apneic, |and |has |no |
palpable |pulses. |What |actions |should |the |nurse |take |next? |- |CORRECT |ANSWER✔✔-Start |CPR
A |nurse |is |caring |for |a |client |who |has |been |receiving |oxygen |therapy |for |several |days. |When |
assessing |the |client, |the |nurse |should |identify |which |of |the |following |findings |as |an |indication |
of |an |adverse |effect |of |oxygen |therapy |- |CORRECT |ANSWER✔✔-Cracks |in |oral |mucous |
membranes
The |nurse |is |caring |for |a |postoperative |patient |who |has |a |chest |tube |connected |to |suction |and
|a |water |seal |drainage |system. |Which |of |the |following |indicates |to |the |nurse |that |the |chest |
tube |is |functioning |properly? |- |CORRECT |ANSWER✔✔-Fluctuation |of |the |fluid |level |within |the |
water |seal |chamber
A |recently |admitted |36 |year |old |patient |who |has |sustained |multiple |traumas |develops |a |low |
CVP |pressure. |Which |of |the |following |interpretations |will |alert |the |nurse |of |this |change? |- |
CORRECT |ANSWER✔✔-Hypovolemia
