MSN 377 FINAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS GRADED A+
When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, which response
by the patient will the nurse expect to see?
a. Persistent skin tenting
b. Hot, flushed face and neck
c. Rapid, deep respirations
d. Bounding peripheral pulses - Answers c. Rapid, deep respirations
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which
information will the nurse monitor to evaluate the effectiveness of the prescribed calcium
gluconate IV?
a. Urine volume
b. Cardiac rhythm
c. Calcium level
d. Neurologic status - Answers b. Cardiac rhythm
A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin 60 mg
IV BID. The nurse will monitor for adverse effects of the medication by evaluating the patient's
a. Serum creatinine
b. Blood glucose
c. Urine osmolality
d. Serum potassium - Answers a. Serum creatinine
A 42-yr-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia,
and hyperkalemia. Which prescribed action should the nurse take first?
a. Insert urinary retention catheter
,b. Place the pt on a cardiac monitor
c. Administer epoetin alpha (Epogen, Procrit)
d. Give sodium polystyrene sulfonate (Kayexalate) - Answers b. Place the pt on a cardiac
monitor
A 62-yr-old female patient has been hospitalized for 4 days with acute kidney injury (AKI) caused
by dehydration. Which information will be most important for the nurse to report to the health
care provider?
a. Creatinine level is 3.0 mg/dL
b. UO over an 8 hr period is 2500 mL
c. BUN is 67 mg/dL
d. GFR < 30 mL/min/1.73 m2 - Answers b. UO over an 8 hr period is 2500 mL
On admission to the burn unit, a patient with an approximate 25% total body surface area (TBSA)
burn has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L,
and serum Na+ 135 mEq/L. Which of the following prescribed actions should be the nurse's
priority?
A. Monitoring urine output every 4 hours.
B. Continuing to monitor the laboratory results.
C. Increasing the rate of the ordered IV solution.
D. Typing and crossmatching for a blood transfusion. - Answers C. Increasing the rate of the
ordered IV solution.
Which intervention would the nurse implement first when doing a dressing change for a partial-
thickness burn wound on a patient's chest?
A. Apply sterile gauze dressing.
B. Document wound appearance.
C. Apply silver sulfadiazine cream.
D. Give IV morphine.
, E. Clean wound with saline-soaked gauze. - Answers D. Give IV morphine.
An employee spills industrial acid on both arms and legs at work. What action should the
occupational health nurse take first?
A. Remove all clothing to perform a skin assessment.
B. Apply an acidic solution to the affected area.
C. Flush the affected areas with copious amounts of saline solution.
D. Cover the affected area with dry, sterile dressings. - Answers C. Flush the affected areas with
copious amounts of saline
A patient with severe burns has crystalloid fluid replacement ordered using the Parkland
formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The
initial rate of administration is 1875 mL/hr. After the first 8 hours, what rate should the nurse
infuse the IV fluids?
A. 219 mL/hr
B. 938 mL/hr
C. 625 mL/hr
D. 1875 mL/hr - Answers B. 938 mL/hr
4ml x TBSA (%) x body weight (kg);
50% given in first eight hours;
50% given in next 16 hours.
A patient has just arrived in the emergency department after an electrical burn from exposure to
a high-voltage current. What is the priority nursing assessment?
A. Oral temperature
B. Extremity movement
C. Peripheral pulses
When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, which response
by the patient will the nurse expect to see?
a. Persistent skin tenting
b. Hot, flushed face and neck
c. Rapid, deep respirations
d. Bounding peripheral pulses - Answers c. Rapid, deep respirations
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which
information will the nurse monitor to evaluate the effectiveness of the prescribed calcium
gluconate IV?
a. Urine volume
b. Cardiac rhythm
c. Calcium level
d. Neurologic status - Answers b. Cardiac rhythm
A patient with diabetes who has bacterial pneumonia is being treated with IV gentamicin 60 mg
IV BID. The nurse will monitor for adverse effects of the medication by evaluating the patient's
a. Serum creatinine
b. Blood glucose
c. Urine osmolality
d. Serum potassium - Answers a. Serum creatinine
A 42-yr-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia,
and hyperkalemia. Which prescribed action should the nurse take first?
a. Insert urinary retention catheter
,b. Place the pt on a cardiac monitor
c. Administer epoetin alpha (Epogen, Procrit)
d. Give sodium polystyrene sulfonate (Kayexalate) - Answers b. Place the pt on a cardiac
monitor
A 62-yr-old female patient has been hospitalized for 4 days with acute kidney injury (AKI) caused
by dehydration. Which information will be most important for the nurse to report to the health
care provider?
a. Creatinine level is 3.0 mg/dL
b. UO over an 8 hr period is 2500 mL
c. BUN is 67 mg/dL
d. GFR < 30 mL/min/1.73 m2 - Answers b. UO over an 8 hr period is 2500 mL
On admission to the burn unit, a patient with an approximate 25% total body surface area (TBSA)
burn has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL, serum K+ 4.9 mEq/L,
and serum Na+ 135 mEq/L. Which of the following prescribed actions should be the nurse's
priority?
A. Monitoring urine output every 4 hours.
B. Continuing to monitor the laboratory results.
C. Increasing the rate of the ordered IV solution.
D. Typing and crossmatching for a blood transfusion. - Answers C. Increasing the rate of the
ordered IV solution.
Which intervention would the nurse implement first when doing a dressing change for a partial-
thickness burn wound on a patient's chest?
A. Apply sterile gauze dressing.
B. Document wound appearance.
C. Apply silver sulfadiazine cream.
D. Give IV morphine.
, E. Clean wound with saline-soaked gauze. - Answers D. Give IV morphine.
An employee spills industrial acid on both arms and legs at work. What action should the
occupational health nurse take first?
A. Remove all clothing to perform a skin assessment.
B. Apply an acidic solution to the affected area.
C. Flush the affected areas with copious amounts of saline solution.
D. Cover the affected area with dry, sterile dressings. - Answers C. Flush the affected areas with
copious amounts of saline
A patient with severe burns has crystalloid fluid replacement ordered using the Parkland
formula. The initial volume of fluid to be administered in the first 24 hours is 30,000 mL. The
initial rate of administration is 1875 mL/hr. After the first 8 hours, what rate should the nurse
infuse the IV fluids?
A. 219 mL/hr
B. 938 mL/hr
C. 625 mL/hr
D. 1875 mL/hr - Answers B. 938 mL/hr
4ml x TBSA (%) x body weight (kg);
50% given in first eight hours;
50% given in next 16 hours.
A patient has just arrived in the emergency department after an electrical burn from exposure to
a high-voltage current. What is the priority nursing assessment?
A. Oral temperature
B. Extremity movement
C. Peripheral pulses
