NUR 305 Exam 1 Testbank. Newest
Edition 2025-2026. Questions &
Correct Answers. Graded A
A nurse student is changing the dressing and performing care around a T-
tube drain. Which of the following actions by the student should warrant
intervention by the clinical instructor?
A. Cleaning around the drain per agency protocol
B. Using sterile technique to empty the drain
C. Placing a new sterile gauze under the drain
D. Securing the drain's safety pin to the sheets. - ANSD
A PACU nurse is caring for multiple postoperatuve clients who are at risk
for shock. Which of the following lab values necessitate that the nurse
contact the PCP?
A. Sodium: 150 mEq/L (150 mmol/L)
B. Creatinine: 0.9 mg/dL (68.6 mcmol/L)
C. White blood cell count: 11,000/mm3 (11 × 109/L)
D. Lactate: 54 mg/dL (6 mmol/L) - ANSD
A postoperative client is receiving dopamine for the treatment of shock.
Which of the following assessment findings necessitate that the nurse
contacts the PCP immediately?
A. Blood pressure of 98/68 mm Hg
,B. Report of chest heaviness
C. Urine output of 32 mL/hr
D. Pedal pulses 1+/4+ bilaterally - ANSB
A postoperative patient has the following orders:
IV LR @ 125 ml/hr
NG to Low cont suction
Replace NG output every 4hrs with NS over 4hrs
Morphine sulfate 2mg IV push Q1 PRN
NPO
Up in chair at night
At 1600 te=he nurse measures NG output from 1200 to be 200ml. What is
the patient's total IV rate for the next 4 hrs? - ANS175 ml/hr
A postoperative patient is not comfortable with the antiembolic stockings
and asks the nurse to remove them. What is the best response by the
nurse?
A. Let me call the surgeon to see if you really need them
B. To prevent blood clots, you need them a few more hours
C. Okay, we can remove them since you are stable now
D. No, you have to use those for 24hrs after surgery - ANSB
Administer pain med ___ minutes before a scheduled activity - ANS30-45
Anaphylaxis distributive shock - ANS- Extreme type of allergic reaction
- Occurs within seconds to minutes after exposure
,- Widespread loss of blood vessel tone with decreased BP/ CO
Antidote for benzodiazepines - ANSFlumazenil (Romazicon)
Antidote for Coumadin (Warfarin) - ANSVitamin K
Antidote for heparin - ANSprotamine sulfate
Antidote for opioids - ANSNaloxone (narcan)
Assessment parameters for treating hypovolemic shock - ANS- Pulse
- BP/pulse pressure
- RR
- SpO2
- LOC
- urine output
- skin color
EVERY 15 MIN
Autologous blood donation - ANSBlood donation made by the surgical
patient weeks prior
- Eliminates transfusion rx
- Reduces bloodborne disease risk
Blood glucose levels for shock - ANSMaintain between 110-150
, Blood product type for septic shock patient with poor clotting and
hemorrhage - ANSPlatelets
Blood products and shock - ANS- Used when shock is caused by
hemorrhage
- PRBCs
- Plasma
Cardiac depression, FVD, shock, hemorrhage, effects of drugs s/s -
ANSLow BP
Low pulse pressure
Abnormal heart sounds
tachycardia
bradycardia
snoring
stridor
Cardiogenic shock - ANS- Inability of the heart to pump blood resulting in
severe decrease in CO
- Dx when >40% ventricular mass is damaged
- Causes: L ventricular MI, papillary muscle rupture, ventricular septal
rupture, cardiomyopathy, acute myocarditis, cardiac valve disease,
dysrhythmias
Cardiovascular complications - ANS- Anaphylaxis
- Anemia
- Disseminated intravascular coagulation (DIC)
Edition 2025-2026. Questions &
Correct Answers. Graded A
A nurse student is changing the dressing and performing care around a T-
tube drain. Which of the following actions by the student should warrant
intervention by the clinical instructor?
A. Cleaning around the drain per agency protocol
B. Using sterile technique to empty the drain
C. Placing a new sterile gauze under the drain
D. Securing the drain's safety pin to the sheets. - ANSD
A PACU nurse is caring for multiple postoperatuve clients who are at risk
for shock. Which of the following lab values necessitate that the nurse
contact the PCP?
A. Sodium: 150 mEq/L (150 mmol/L)
B. Creatinine: 0.9 mg/dL (68.6 mcmol/L)
C. White blood cell count: 11,000/mm3 (11 × 109/L)
D. Lactate: 54 mg/dL (6 mmol/L) - ANSD
A postoperative client is receiving dopamine for the treatment of shock.
Which of the following assessment findings necessitate that the nurse
contacts the PCP immediately?
A. Blood pressure of 98/68 mm Hg
,B. Report of chest heaviness
C. Urine output of 32 mL/hr
D. Pedal pulses 1+/4+ bilaterally - ANSB
A postoperative patient has the following orders:
IV LR @ 125 ml/hr
NG to Low cont suction
Replace NG output every 4hrs with NS over 4hrs
Morphine sulfate 2mg IV push Q1 PRN
NPO
Up in chair at night
At 1600 te=he nurse measures NG output from 1200 to be 200ml. What is
the patient's total IV rate for the next 4 hrs? - ANS175 ml/hr
A postoperative patient is not comfortable with the antiembolic stockings
and asks the nurse to remove them. What is the best response by the
nurse?
A. Let me call the surgeon to see if you really need them
B. To prevent blood clots, you need them a few more hours
C. Okay, we can remove them since you are stable now
D. No, you have to use those for 24hrs after surgery - ANSB
Administer pain med ___ minutes before a scheduled activity - ANS30-45
Anaphylaxis distributive shock - ANS- Extreme type of allergic reaction
- Occurs within seconds to minutes after exposure
,- Widespread loss of blood vessel tone with decreased BP/ CO
Antidote for benzodiazepines - ANSFlumazenil (Romazicon)
Antidote for Coumadin (Warfarin) - ANSVitamin K
Antidote for heparin - ANSprotamine sulfate
Antidote for opioids - ANSNaloxone (narcan)
Assessment parameters for treating hypovolemic shock - ANS- Pulse
- BP/pulse pressure
- RR
- SpO2
- LOC
- urine output
- skin color
EVERY 15 MIN
Autologous blood donation - ANSBlood donation made by the surgical
patient weeks prior
- Eliminates transfusion rx
- Reduces bloodborne disease risk
Blood glucose levels for shock - ANSMaintain between 110-150
, Blood product type for septic shock patient with poor clotting and
hemorrhage - ANSPlatelets
Blood products and shock - ANS- Used when shock is caused by
hemorrhage
- PRBCs
- Plasma
Cardiac depression, FVD, shock, hemorrhage, effects of drugs s/s -
ANSLow BP
Low pulse pressure
Abnormal heart sounds
tachycardia
bradycardia
snoring
stridor
Cardiogenic shock - ANS- Inability of the heart to pump blood resulting in
severe decrease in CO
- Dx when >40% ventricular mass is damaged
- Causes: L ventricular MI, papillary muscle rupture, ventricular septal
rupture, cardiomyopathy, acute myocarditis, cardiac valve disease,
dysrhythmias
Cardiovascular complications - ANS- Anaphylaxis
- Anemia
- Disseminated intravascular coagulation (DIC)
