Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
SATA: Risk factors for bacterial infection
-Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES)
I think its all the options
SATA: Treatment for lower extremity cellulitis, what orders do you expect?
-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that
the patient may be developing multiple organ dysfunction syndrome
a. The patient‘s serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. The patient‘s extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.
a. The patient's serum creatinine level is elevated.
INR/PT levels doubled, what are you giving?
Fresh frozen plasma
A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10
scale) chest pain with deep breathing. Which ordered PRN medication will be the most
appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest pain suggests
that the pain is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial
infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
b. The pain has lasted longer than 30 minutes
Which nursing action will be included in the plan of care for a patient who is being treated for
bleeding esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. Verify the position of the balloon every 4 hours.
d.Deflate the gastric balloon if the patient reports nausea.
b. Monitor the patient for shortness of breath.
When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to
the emergency department (ED), the nurse obtains the following information. Which finding is
most important to report to the health care provider?
Patient states they regularly take warfarin (coumadin) regularly
During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a
mechanical valve, the nurse instructs the patient on the?
Need for frequent PTT/INR measurement; long term anticoagulants
Which assessment finding for a patient who has just been admitted with acute pyelonephritis is
most important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
SATA: Risk factors for bacterial infection
-Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES)
I think its all the options
SATA: Treatment for lower extremity cellulitis, what orders do you expect?
-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that
the patient may be developing multiple organ dysfunction syndrome
a. The patient‘s serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. The patient‘s extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.
a. The patient's serum creatinine level is elevated.
INR/PT levels doubled, what are you giving?
Fresh frozen plasma
A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10
scale) chest pain with deep breathing. Which ordered PRN medication will be the most
appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest pain suggests
that the pain is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial
infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
b. The pain has lasted longer than 30 minutes
Which nursing action will be included in the plan of care for a patient who is being treated for
bleeding esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
, Exam 4: NSG 430/ NSG430 (Latest Update) Adult
Health Nursing II Review | Questions & Answers| 100
out of 100 Grade A| 100% Correct Solutions (Verified
ELABORATIONS)- GCU
c. Verify the position of the balloon every 4 hours.
d.Deflate the gastric balloon if the patient reports nausea.
b. Monitor the patient for shortness of breath.
When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to
the emergency department (ED), the nurse obtains the following information. Which finding is
most important to report to the health care provider?
Patient states they regularly take warfarin (coumadin) regularly
During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a
mechanical valve, the nurse instructs the patient on the?
Need for frequent PTT/INR measurement; long term anticoagulants
Which assessment finding for a patient who has just been admitted with acute pyelonephritis is
most important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
