NRSG 337 Exam 2 Questions And Correc
A cmain cnursing cfunction cin cgroup ctherapy cis cto:
cHelp cclients cgive cand creceive cfeedback cin cthe cgroup.
cEncourage cclients cto cbring cup ctheir cconcerns.
cFacilitate cgroup cinteraction camong cthe cmembers.
cRemind cclients cto caddress ctheir ccomments cto cthe cgroup. c- cCORRECT cANS✔✔C
Post-op cDay c4; cpurulent cdrainage con cdressing; cincision cred cand cswollen
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔B
Post-op cDay c0; cIncision cslightly cedematous cand cwarm, cno cdrainage, cmild cpain; cTemp c98.8
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔A
Post-op cDay c3; cTemp c101.5; cMalaise
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔B
What cis ca ccharacteristic cof cchronic cinflammation?
c
, The cnurse chas cattended ca cstaff ceducation cprogram cabout cinfection ccontrol cguidelines. cWhich c
cthe cnurse cwould cindicate ca ccorrect cunderstanding cof cthe cprogram?
"I cwill cwear ca cparticulate crespirator cmask c(N95) cwhen cfeeding ca cclient cwith cinfluenza."
"I cwill cwear ca csurgical cmask cwhen cchecking cthe cpulse cof ca cclient cwith cpulmonary ctuberculosis
"I cshould cwear ca cprotective cgown cwhen centering cthe croom cof ca cclient cwith cmeningococcal cme
"I cshould cwear cclean cgloves cwhen cbathing ca cclient cwith catopic cdermatitis c(eczema) cwho chas c
cANS✔✔D
A cpatient cis cadmitted cwith csepsis. cSkin cis ccool cand cpale, ccapillary crefill cis cprolonged, cand cpul
cintervention cshould cbe cthe cpriority caction cby cthe chealthcare cprovider?
Establish cvascular caccess
Calculate cthe cmean carterial cpressure
Take ca ccomplete cset cof cvital csigns
Draw cblood cfor ca ccomplete cblood ccount c- cCORRECT cANS✔✔A c(rationale: cthe cassessment cd
cpatient chas cimpaired ccirculation cand cperfusion: ccool cpale cskin, cdelayed ccap crefill, cweak cand c
cconcerning cdata cto cknow caction cis cneeded cto cpreserve ccirculation. cA cfull cset cof cvitals cwill cde
cand cthen cget cthe cfull cset cof cvitals cat cwhich ctime cyou'll cbe cable cto ccalculate cthe cmean carteria
cis calso cof clower cpriority cbased con cA-B-C.)
The chealthcare cprovider cis ccaring cfor ca cpatient cwho chas cseptic cshock. cWhich cof cthe cfollowing
cprovider cadminister cto cthe cpatient cfirst?
IV cfluids cto cincrease cintravascular cvolume.
Vasopressors cto cincrease cblood cpressure.
Corticosteroids cto creduce cinflammation.
Antibiotics cto ctreat cthe cunderlying cinfection. c- cCORRECT cANS✔✔A c(rationale: csupports ccircult
ctried cbefore cvasopressors cor ccorticosteroids; cantibiotics care cimportant cbut cwill cbe cirrelevant cif
ccirculation care cnot ceffective)
A cpatient cwho cis cin cseptic cshock chas cthe cfollowing cclinical csigns: cHeart crate c120, cblood cpress
c20mL/hr. cAfter cadministering can cIV cfluid cbolus, cwhich cof cthese csigns cif cnoted cby cthe chealthca
cindication cof cimproved cperfusion? c
Right catrial cpressure cincreases
Systolic cblood cpressure cincreases cto c85 c
Urine coutput cincreases cto c30mL/hour c
Heart crate cdrops cto c100 c- cCORRECT cANS✔✔C c(rationale: cA, cB, cand cD cindicate cthere cis ceith
cspace cor cmore cvasoconstriction chas coccurred cbut cthey care cnot cindicators cthat ctissue cis cbeing
cperfusion cto cthe ckidneys cis cbetter cand cis ccorrect).
To cevaluate cthe ceffectiveness cof cthe cpantoprazole c(Protonix) cordered cfor ca cpatient cwith csystem
csyndrome c(SIRS), cwhich cassessment cwill cthe cnurse cperform?
Auscultate cbowel csounds.
Ask cthe cpatient cabout cnausea.
Check cstools cfor coccult cblood. c
Palpate cfor cabdominal ctenderness. c- cCORRECT cANS✔✔C c(rationale: cwe cgive cPPIs csuch cas c
culcers; cif cthey cwere cto coccur, cthe cpatient cwould clikely chave coccult cblood cin chis/her cstools)
The cnurse cis ccaring cfor ca cpatient cwho cis cbeing ctreated cwith cisoniazid c(INH) cfor ctuberculosis c(
cassessment cfindings cwould cbe cof cmost cconcern?
Reports cof cfatigue cwith cexercise
Positive cTB cskin ctest c
A cmain cnursing cfunction cin cgroup ctherapy cis cto:
cHelp cclients cgive cand creceive cfeedback cin cthe cgroup.
cEncourage cclients cto cbring cup ctheir cconcerns.
cFacilitate cgroup cinteraction camong cthe cmembers.
cRemind cclients cto caddress ctheir ccomments cto cthe cgroup. c- cCORRECT cANS✔✔C
Post-op cDay c4; cpurulent cdrainage con cdressing; cincision cred cand cswollen
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔B
Post-op cDay c0; cIncision cslightly cedematous cand cwarm, cno cdrainage, cmild cpain; cTemp c98.8
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔A
Post-op cDay c3; cTemp c101.5; cMalaise
Inflammation
Infection crelated cinflammation
Uncertain c- cCORRECT cANS✔✔B
What cis ca ccharacteristic cof cchronic cinflammation?
c
, The cnurse chas cattended ca cstaff ceducation cprogram cabout cinfection ccontrol cguidelines. cWhich c
cthe cnurse cwould cindicate ca ccorrect cunderstanding cof cthe cprogram?
"I cwill cwear ca cparticulate crespirator cmask c(N95) cwhen cfeeding ca cclient cwith cinfluenza."
"I cwill cwear ca csurgical cmask cwhen cchecking cthe cpulse cof ca cclient cwith cpulmonary ctuberculosis
"I cshould cwear ca cprotective cgown cwhen centering cthe croom cof ca cclient cwith cmeningococcal cme
"I cshould cwear cclean cgloves cwhen cbathing ca cclient cwith catopic cdermatitis c(eczema) cwho chas c
cANS✔✔D
A cpatient cis cadmitted cwith csepsis. cSkin cis ccool cand cpale, ccapillary crefill cis cprolonged, cand cpul
cintervention cshould cbe cthe cpriority caction cby cthe chealthcare cprovider?
Establish cvascular caccess
Calculate cthe cmean carterial cpressure
Take ca ccomplete cset cof cvital csigns
Draw cblood cfor ca ccomplete cblood ccount c- cCORRECT cANS✔✔A c(rationale: cthe cassessment cd
cpatient chas cimpaired ccirculation cand cperfusion: ccool cpale cskin, cdelayed ccap crefill, cweak cand c
cconcerning cdata cto cknow caction cis cneeded cto cpreserve ccirculation. cA cfull cset cof cvitals cwill cde
cand cthen cget cthe cfull cset cof cvitals cat cwhich ctime cyou'll cbe cable cto ccalculate cthe cmean carteria
cis calso cof clower cpriority cbased con cA-B-C.)
The chealthcare cprovider cis ccaring cfor ca cpatient cwho chas cseptic cshock. cWhich cof cthe cfollowing
cprovider cadminister cto cthe cpatient cfirst?
IV cfluids cto cincrease cintravascular cvolume.
Vasopressors cto cincrease cblood cpressure.
Corticosteroids cto creduce cinflammation.
Antibiotics cto ctreat cthe cunderlying cinfection. c- cCORRECT cANS✔✔A c(rationale: csupports ccircult
ctried cbefore cvasopressors cor ccorticosteroids; cantibiotics care cimportant cbut cwill cbe cirrelevant cif
ccirculation care cnot ceffective)
A cpatient cwho cis cin cseptic cshock chas cthe cfollowing cclinical csigns: cHeart crate c120, cblood cpress
c20mL/hr. cAfter cadministering can cIV cfluid cbolus, cwhich cof cthese csigns cif cnoted cby cthe chealthca
cindication cof cimproved cperfusion? c
Right catrial cpressure cincreases
Systolic cblood cpressure cincreases cto c85 c
Urine coutput cincreases cto c30mL/hour c
Heart crate cdrops cto c100 c- cCORRECT cANS✔✔C c(rationale: cA, cB, cand cD cindicate cthere cis ceith
cspace cor cmore cvasoconstriction chas coccurred cbut cthey care cnot cindicators cthat ctissue cis cbeing
cperfusion cto cthe ckidneys cis cbetter cand cis ccorrect).
To cevaluate cthe ceffectiveness cof cthe cpantoprazole c(Protonix) cordered cfor ca cpatient cwith csystem
csyndrome c(SIRS), cwhich cassessment cwill cthe cnurse cperform?
Auscultate cbowel csounds.
Ask cthe cpatient cabout cnausea.
Check cstools cfor coccult cblood. c
Palpate cfor cabdominal ctenderness. c- cCORRECT cANS✔✔C c(rationale: cwe cgive cPPIs csuch cas c
culcers; cif cthey cwere cto coccur, cthe cpatient cwould clikely chave coccult cblood cin chis/her cstools)
The cnurse cis ccaring cfor ca cpatient cwho cis cbeing ctreated cwith cisoniazid c(INH) cfor ctuberculosis c(
cassessment cfindings cwould cbe cof cmost cconcern?
Reports cof cfatigue cwith cexercise
Positive cTB cskin ctest c
