DETAILED ANSWERS|LATEST
___ are the second most common bacterial disease and most common bacterial infection in
women - ANSWER UTIs
How do you define complementary and alternative therapies? - ANSWER group of
diverse medical and health care systems, practice, and products that are generally not
considered part of conventional medicine
what is the most important in prevention of past common form of AKI, prerenal AKI? -
ANSWER promptly treat hypovolemia
untreated AKI often leads to kidney damage (intrarenal)
What fluid is initially given for volume replacement in most types of shock? -
ANSWER crystalloids
normal saline or lactated ringer's
What is the first line of treatment for anaphylactic shock? - ANSWER Remove source
epinephrine 1:1000
What is the first thing to do for any shock? - ANSWER administer oxygen
1
,A pt is hospitalized for acute respiratory failure. While assessing the patient at shift change
you note his SpO2 has changed form 96% to 84% on room air. First line of treatment is? -
ANSWER administer oxygen
nasal cannula 2L
you administer oxygen 2L nasal cannula and the SpO2 is 88%. What would you do next? -
ANSWER administer more oxygen 4L
if does not respond up to 6L nasal cannula and then consider a mask
cardinal symptoms for hypercapnic respiratory failure include ___&___ -
ANSWER dyspnea, headache
a pt is admitted with a DVT in the right leg. you have the following orders. what would you
do first?
a. IV 0.9 NS at 75cc/hr
b. heparin infusion
c. obtain PT/PTT
d. coumadin 10mg PO - ANSWER c
A patient who is postoperative following repair of an Abdominal Aortic Aneurysm (AAA) has
been receiving IV fluids at 125ml/hr continuously for the last 12hr. Urine output for the last 4
hours has been 60ml, 42ml, 28ml, and 20ml, respectively. What is the priority action that the
nurse should take?
2
,a. Monitor for a couple more hours
b. Contact the physician and report the urine output
c. Send blood for electrolytes, BUN, creatinine
d. Decrease the rate of the infusion to prevent blood leakage at the suture line -
ANSWER b
A patient with AKI has a 24-hour fluid output of 250ml emesis and 150ml of urine. The total
fluid replacement for the next day is __________ml.
a. 950
b. 1400
c. 1000
d. 200 - ANSWER c
A CKD patient is on a fluid restriction of 1,200mL/day.
From 7AM-7PM shift the patient drank 16 ounces of water and 8 ounces of tea. What
amount can the nurse give the client from 7PM to 7AM shift?
a. 480
b. 600
3
, c. 492
d. 500 - ANSWER a
While caring for a patient with respiratory disease, the nurse observes that the patient's
SaO2 drops from 94% to 85% when the patient ambulates in the hall. The nurse determines
that:
a. supplemental oxygen should be used when the patient exercises
b. arterial blood gas determinations should be done to verify the SaO2
c. this finding is a normal response to activity and the patient should continue to be
monitored
d. the oximetry probe should be moved form the finger to the earlobe for an accurate SaO2
during activity - ANSWER a
A 77-year-old patient with pneumonia has a fever of 101.2°F (38.5° C), a nonproductive
cough, and an oxygen saturation of 89%. The patient is very weak and needs assistance to
get out of bed. The highest priority nursing diagnosis for the patient is
a. hyperthermia related to infectious illness
b. ineffective airway clearance related to thick secretions
c. impaired transfer ability related to weakness
d. impaired gas exchange related to respiratory congestion - ANSWER d
4
___ are the second most common bacterial disease and most common bacterial infection in
women - ANSWER UTIs
How do you define complementary and alternative therapies? - ANSWER group of
diverse medical and health care systems, practice, and products that are generally not
considered part of conventional medicine
what is the most important in prevention of past common form of AKI, prerenal AKI? -
ANSWER promptly treat hypovolemia
untreated AKI often leads to kidney damage (intrarenal)
What fluid is initially given for volume replacement in most types of shock? -
ANSWER crystalloids
normal saline or lactated ringer's
What is the first line of treatment for anaphylactic shock? - ANSWER Remove source
epinephrine 1:1000
What is the first thing to do for any shock? - ANSWER administer oxygen
1
,A pt is hospitalized for acute respiratory failure. While assessing the patient at shift change
you note his SpO2 has changed form 96% to 84% on room air. First line of treatment is? -
ANSWER administer oxygen
nasal cannula 2L
you administer oxygen 2L nasal cannula and the SpO2 is 88%. What would you do next? -
ANSWER administer more oxygen 4L
if does not respond up to 6L nasal cannula and then consider a mask
cardinal symptoms for hypercapnic respiratory failure include ___&___ -
ANSWER dyspnea, headache
a pt is admitted with a DVT in the right leg. you have the following orders. what would you
do first?
a. IV 0.9 NS at 75cc/hr
b. heparin infusion
c. obtain PT/PTT
d. coumadin 10mg PO - ANSWER c
A patient who is postoperative following repair of an Abdominal Aortic Aneurysm (AAA) has
been receiving IV fluids at 125ml/hr continuously for the last 12hr. Urine output for the last 4
hours has been 60ml, 42ml, 28ml, and 20ml, respectively. What is the priority action that the
nurse should take?
2
,a. Monitor for a couple more hours
b. Contact the physician and report the urine output
c. Send blood for electrolytes, BUN, creatinine
d. Decrease the rate of the infusion to prevent blood leakage at the suture line -
ANSWER b
A patient with AKI has a 24-hour fluid output of 250ml emesis and 150ml of urine. The total
fluid replacement for the next day is __________ml.
a. 950
b. 1400
c. 1000
d. 200 - ANSWER c
A CKD patient is on a fluid restriction of 1,200mL/day.
From 7AM-7PM shift the patient drank 16 ounces of water and 8 ounces of tea. What
amount can the nurse give the client from 7PM to 7AM shift?
a. 480
b. 600
3
, c. 492
d. 500 - ANSWER a
While caring for a patient with respiratory disease, the nurse observes that the patient's
SaO2 drops from 94% to 85% when the patient ambulates in the hall. The nurse determines
that:
a. supplemental oxygen should be used when the patient exercises
b. arterial blood gas determinations should be done to verify the SaO2
c. this finding is a normal response to activity and the patient should continue to be
monitored
d. the oximetry probe should be moved form the finger to the earlobe for an accurate SaO2
during activity - ANSWER a
A 77-year-old patient with pneumonia has a fever of 101.2°F (38.5° C), a nonproductive
cough, and an oxygen saturation of 89%. The patient is very weak and needs assistance to
get out of bed. The highest priority nursing diagnosis for the patient is
a. hyperthermia related to infectious illness
b. ineffective airway clearance related to thick secretions
c. impaired transfer ability related to weakness
d. impaired gas exchange related to respiratory congestion - ANSWER d
4
