NUR 3112 - FINAL PRACTICE QUESTIONS
WITH 100% CORRECT ANSWERS.
1 of 49
Term
what vitals would indicate the compensatory stage of shock?
HR 111, BP 81/40
HR 158, BP 68/20
HR 108, BP 98/65
HR 135, BP 79/43
Give this one a try later!
, c) HR 108, BP 98/65 a) increased preload
c) BP 70/40, RR 38 c) decreased PT
Don't know?
2 of 49
Term
the triage nurse is working in the ED. which client should be
assessed first?
a) the 15 year old whose dad thinks the child's leg is broken
b) the 62 year old who is diaphoretic and clutching his chest
c) the 29 year old who cut his hand with a hunting knife
d) the 50 year old who is complaining of a headache and seeing
spots
Give this one a try later!
d) being aware of the b) the 62 year old who is
hospital's emergency diaphoretic and clutching his
response plan chest
d) use ointments and perfume in a) oozing blood from
the affected area the intravenous catheter
site
Don't know?
, 3 of 49
Definition
a) auscultate for the presence of bilateral breath sounds
b) observe the chest for symmetrical movement with ventilation
c) use an end-tidal CO2 monitor to check for tube placement in the
trachea
d) obtain a STAT portable chest x-ray to check tube placement
Give this one a try later!
the nurse is caring for a patient with cirrhosis. which of the following diagnoses
would be the highest priority?
a) imbalanced nutrition: less than body requirements
b) impaired skin integrity related to ascites and pruritis
c) excess fluid volume related to portal hypertension and hyperaldosteronism
d) ineffective breathing pattern related to decreased lung volume
the nurse is taking care of a patient who was just emergency intubated
due to respiratory distress. to verify correct endotracheal tube placement,
what needs to occur? (SATA)
a) auscultate for the presence of bilateral breath sounds
b) observe the chest for symmetrical movement with ventilation
c) use an end-tidal CO2 monitor to check for tube placement in the trachea
d) obtain a STAT portable chest x-ray to check tube placement
e) raise the head of the bed to 30 degrees
the nurse is admitting a patient who has acute transplant rejection. which of these
already admitted patients would be the most appropriate roommate?
a) a patient who is recovering from anaphylactic shock after a bee sting
b) a patient with second degree burns
c) a patient with a graft-versus-host transplant rejection after a recent bone
, marrow transplant
d) a patient with viral pneumonia
the nurse is taking care of a patient with full-thickness burns and may be
developing disseminated intravascular coagulation (DIC). what clinical
manifestation supports a diagnosis of DIC?
a) oozing blood from the intravenous catheter site
b) sudden onset of chest pain and frothy sputum
c) foul smelling concentrated urine
d) reddened and inflamed catheter site
Don't know?
4 of 49
Term
in the work setting, what is the primary responsibility for the nurse in
preparation for disaster management?
a) being aware of the signs and symptoms of potential agents
of bioterrorism
b) being aware of what and how to report to the CDC
c) making ethical decisions regarding exposing self to potentially
lethal substances
d) being aware of the hospital's emergency response plan
Give this one a try later!
b) the 62 year old who is d) ineffective breathing pattern
diaphoretic and clutching his chest related to decreased lung volume
WITH 100% CORRECT ANSWERS.
1 of 49
Term
what vitals would indicate the compensatory stage of shock?
HR 111, BP 81/40
HR 158, BP 68/20
HR 108, BP 98/65
HR 135, BP 79/43
Give this one a try later!
, c) HR 108, BP 98/65 a) increased preload
c) BP 70/40, RR 38 c) decreased PT
Don't know?
2 of 49
Term
the triage nurse is working in the ED. which client should be
assessed first?
a) the 15 year old whose dad thinks the child's leg is broken
b) the 62 year old who is diaphoretic and clutching his chest
c) the 29 year old who cut his hand with a hunting knife
d) the 50 year old who is complaining of a headache and seeing
spots
Give this one a try later!
d) being aware of the b) the 62 year old who is
hospital's emergency diaphoretic and clutching his
response plan chest
d) use ointments and perfume in a) oozing blood from
the affected area the intravenous catheter
site
Don't know?
, 3 of 49
Definition
a) auscultate for the presence of bilateral breath sounds
b) observe the chest for symmetrical movement with ventilation
c) use an end-tidal CO2 monitor to check for tube placement in the
trachea
d) obtain a STAT portable chest x-ray to check tube placement
Give this one a try later!
the nurse is caring for a patient with cirrhosis. which of the following diagnoses
would be the highest priority?
a) imbalanced nutrition: less than body requirements
b) impaired skin integrity related to ascites and pruritis
c) excess fluid volume related to portal hypertension and hyperaldosteronism
d) ineffective breathing pattern related to decreased lung volume
the nurse is taking care of a patient who was just emergency intubated
due to respiratory distress. to verify correct endotracheal tube placement,
what needs to occur? (SATA)
a) auscultate for the presence of bilateral breath sounds
b) observe the chest for symmetrical movement with ventilation
c) use an end-tidal CO2 monitor to check for tube placement in the trachea
d) obtain a STAT portable chest x-ray to check tube placement
e) raise the head of the bed to 30 degrees
the nurse is admitting a patient who has acute transplant rejection. which of these
already admitted patients would be the most appropriate roommate?
a) a patient who is recovering from anaphylactic shock after a bee sting
b) a patient with second degree burns
c) a patient with a graft-versus-host transplant rejection after a recent bone
, marrow transplant
d) a patient with viral pneumonia
the nurse is taking care of a patient with full-thickness burns and may be
developing disseminated intravascular coagulation (DIC). what clinical
manifestation supports a diagnosis of DIC?
a) oozing blood from the intravenous catheter site
b) sudden onset of chest pain and frothy sputum
c) foul smelling concentrated urine
d) reddened and inflamed catheter site
Don't know?
4 of 49
Term
in the work setting, what is the primary responsibility for the nurse in
preparation for disaster management?
a) being aware of the signs and symptoms of potential agents
of bioterrorism
b) being aware of what and how to report to the CDC
c) making ethical decisions regarding exposing self to potentially
lethal substances
d) being aware of the hospital's emergency response plan
Give this one a try later!
b) the 62 year old who is d) ineffective breathing pattern
diaphoretic and clutching his chest related to decreased lung volume
