NSG 430 Exam 4 Questions and answers
2025\2026 update
SATA: Risk factors for bacterial infection-ANS>>-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?-ANS>>-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.
c. The patient‘s extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.-ANS>>a. The patient's serum creatinine
level is elevated.
INR/PT levels doubled, what are you giving?-ANS>>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-ANS>>c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest pain suggests
, d. The pain is reproducible when the patient raises the arms.-ANS>>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.
c. Verify the position of the balloon every 4 hours.
d.Deflate the gastric balloon if the patient reports nausea.-ANS>>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?-ANS>>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?-ANS>>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
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C)-ANS>>b. Blood pressure 82/60 mm Hg
Decorticate posture: what would you question?-ANS>>consent for the lumbar puncture
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision.
As the nurse, what is the priority?-ANS>>Checking the patient's blood glucose
What are early signs of hypoxemia with a patient with anemia?-ANS>>Restlessness
The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient
about?-ANS>>Colonoscopy
Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt
(TIPS) placed 3 months ago has been effective?
a. Increased serum albumin level
b. Decreased indirect bilirubin level
c. Improved alertness and orientation
2025\2026 update
SATA: Risk factors for bacterial infection-ANS>>-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?-ANS>>-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.
c. The patient‘s extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.-ANS>>a. The patient's serum creatinine
level is elevated.
INR/PT levels doubled, what are you giving?-ANS>>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-ANS>>c. Oral ibuprofen (Motrin) 600 mg
Which assessment data collected by the nurse who is admitting a patient with chest pain suggests
, d. The pain is reproducible when the patient raises the arms.-ANS>>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.
c. Verify the position of the balloon every 4 hours.
d.Deflate the gastric balloon if the patient reports nausea.-ANS>>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?-ANS>>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?-ANS>>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
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C)-ANS>>b. Blood pressure 82/60 mm Hg
Decorticate posture: what would you question?-ANS>>consent for the lumbar puncture
A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision.
As the nurse, what is the priority?-ANS>>Checking the patient's blood glucose
What are early signs of hypoxemia with a patient with anemia?-ANS>>Restlessness
The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient
about?-ANS>>Colonoscopy
Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt
(TIPS) placed 3 months ago has been effective?
a. Increased serum albumin level
b. Decreased indirect bilirubin level
c. Improved alertness and orientation
