NURS 405 Exam One Questions With
Correct Answers
The |nurse |is |preparing |to |administer |a |blood |transfusion |to |a |patient. |Which |means |of |
identification |does |the |RN |use |to |ensure |the |blood |is |administered |to |the |correct |patient?
compare |name |and |ID |tag |number |on |the |blood |product |tag |with |the |patient's |ID |band
The |nurse |observes |a |patient |with |AB |negative |blood |type |receiving |a |transfusion |of |type |O |
negative |packed |RBCs. |What |action |does |the |nurse |take |first?
assess |and |record |the |client's |vital |signs
You |are |the |charge |nurse |and |the |student |asked |the |universal |donor |blood |type. |Which |is |it?
Type |O-
Which |of |the |following |medications |should |patients |who |require |transfusion |therapy |receive |if
|they |are |at |risk |for |transfusion |associated |circulatory |overload?
diuretics
An |ABO |acute |hemolytic |reaction |includes |which |of |the |following?
occurs |in |the |first |15 |minutes |of |transfusion
The |nurse |is |assessing |a |patient |with |a |history |of |heart |failure |who |is |receiving |a |unit |of |
packed |RBCs. |resp |rate |is |32 |breaths/min |and |BP |is |140/90. |Which |action |does |the |nurse |
take?
slow |the |rate |of |the |transfusion
A |nurse |is |preparing |to |administer |packed |RBCs |for |a |patient |with |severe |anemia. |what |action |
will |prevent |acute |hemolytic |reaction
obtain |help |from |another |nurse |to |confirm |correct |patient |and |blood |product
A |nurse |is |transfusing |packed |RBCs |for |a |patient |with |anemia |due |to |chemotherapy. |the |
patient |reports |a |sudden |headache |and |chills. |temperature |spike |of |2°. |notify |the |physician |
and |do |all |of |the |following |except:
, infuse |dextrose |5% |in |water |through |the |IV
DO |stop |the |infusion, |remove |tubing |from |patients |IV, |and |obtain |a |urine |specimen
Calculate |stroke |volume |given |these |criteria: |HR |83, |BP |102/66, |CVP |11, |PCWP |16, |CO |5L/min
60mL |(CO= |SV |x |HR. |remember |to |convert |L |to |mL |when |necessary!!)
If |stroke |volume |decreases, |cardiac |output |can |be |maintained |if |the |...
heart |rate |increases
The |best |definition |of |preload |is
the |amount |of |tension |on |the |ventricular |walls |at |end |diastole
The |resistance |against |which |the |ventricles |pump |blood |is |known |as
afterload
Normal |adult |cardiac |output
5-8L/min
A |patient |is |prescribed |lovastatin |for |hyperlipidemia. |What |should |the |nurse |instruct |this |
patient |about |the |medication?
promptly |report |muscle |pain |or |tenderness |to |the |physician
the |S1 |heart |sound |indicates |what
the |closure |of |the |mitral |and |tricuspid |valves
A |patient |presents |with |chest |pain |after |shoveling |snow. |the |nurse |explains |that |in |most |cases,
|angina |pectoris |is |due |to
atherosclerosis
The |nurse |is |assessing |heart |sounds |of |a |patient |scheduled |for |mitral |valve |replacement |
surgery. |which |sounds |should |the |nurse |expect |to |auscultate?
diastolic |murmur |at |the |apex
Cardiac |tamponade |is |a |medical |emergency. |signs |and |symptoms |include |muffled |heart |
sounds, |falling |arterial |pressure, |rising |venous |pressure. |you |also |remember |that |cardiac |
tamponade |includes |all |of |the |following |except
hypertension |(DOES |include |pulsus |paradoxus, |hypotension, |and |tachycardia)
Correct Answers
The |nurse |is |preparing |to |administer |a |blood |transfusion |to |a |patient. |Which |means |of |
identification |does |the |RN |use |to |ensure |the |blood |is |administered |to |the |correct |patient?
compare |name |and |ID |tag |number |on |the |blood |product |tag |with |the |patient's |ID |band
The |nurse |observes |a |patient |with |AB |negative |blood |type |receiving |a |transfusion |of |type |O |
negative |packed |RBCs. |What |action |does |the |nurse |take |first?
assess |and |record |the |client's |vital |signs
You |are |the |charge |nurse |and |the |student |asked |the |universal |donor |blood |type. |Which |is |it?
Type |O-
Which |of |the |following |medications |should |patients |who |require |transfusion |therapy |receive |if
|they |are |at |risk |for |transfusion |associated |circulatory |overload?
diuretics
An |ABO |acute |hemolytic |reaction |includes |which |of |the |following?
occurs |in |the |first |15 |minutes |of |transfusion
The |nurse |is |assessing |a |patient |with |a |history |of |heart |failure |who |is |receiving |a |unit |of |
packed |RBCs. |resp |rate |is |32 |breaths/min |and |BP |is |140/90. |Which |action |does |the |nurse |
take?
slow |the |rate |of |the |transfusion
A |nurse |is |preparing |to |administer |packed |RBCs |for |a |patient |with |severe |anemia. |what |action |
will |prevent |acute |hemolytic |reaction
obtain |help |from |another |nurse |to |confirm |correct |patient |and |blood |product
A |nurse |is |transfusing |packed |RBCs |for |a |patient |with |anemia |due |to |chemotherapy. |the |
patient |reports |a |sudden |headache |and |chills. |temperature |spike |of |2°. |notify |the |physician |
and |do |all |of |the |following |except:
, infuse |dextrose |5% |in |water |through |the |IV
DO |stop |the |infusion, |remove |tubing |from |patients |IV, |and |obtain |a |urine |specimen
Calculate |stroke |volume |given |these |criteria: |HR |83, |BP |102/66, |CVP |11, |PCWP |16, |CO |5L/min
60mL |(CO= |SV |x |HR. |remember |to |convert |L |to |mL |when |necessary!!)
If |stroke |volume |decreases, |cardiac |output |can |be |maintained |if |the |...
heart |rate |increases
The |best |definition |of |preload |is
the |amount |of |tension |on |the |ventricular |walls |at |end |diastole
The |resistance |against |which |the |ventricles |pump |blood |is |known |as
afterload
Normal |adult |cardiac |output
5-8L/min
A |patient |is |prescribed |lovastatin |for |hyperlipidemia. |What |should |the |nurse |instruct |this |
patient |about |the |medication?
promptly |report |muscle |pain |or |tenderness |to |the |physician
the |S1 |heart |sound |indicates |what
the |closure |of |the |mitral |and |tricuspid |valves
A |patient |presents |with |chest |pain |after |shoveling |snow. |the |nurse |explains |that |in |most |cases,
|angina |pectoris |is |due |to
atherosclerosis
The |nurse |is |assessing |heart |sounds |of |a |patient |scheduled |for |mitral |valve |replacement |
surgery. |which |sounds |should |the |nurse |expect |to |auscultate?
diastolic |murmur |at |the |apex
Cardiac |tamponade |is |a |medical |emergency. |signs |and |symptoms |include |muffled |heart |
sounds, |falling |arterial |pressure, |rising |venous |pressure. |you |also |remember |that |cardiac |
tamponade |includes |all |of |the |following |except
hypertension |(DOES |include |pulsus |paradoxus, |hypotension, |and |tachycardia)
