NSG 430 FINAL
EXAM
1. SATA: Risk factors for bacterial infection: -Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES)
I think its all the options
2. SATA: Treatment for lower extremity cellulitis, what orders do you expect?: -
-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
3. Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient
may be developing multiple organ dysfunction syndrome
a. The patient's serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
c. The patient's extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.:
a. The patient's serum creatinine level is elevated.
4. INR/PT levels doubled, what are you giving?: Fresh frozen plasma
5. A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10 scale) chest
pain with deep breathing. Which ordered PRN medication will be the most appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg:
c. Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is admitting a patient with chest pain suggests that the pain
is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
, NSG 430 FINAL
EXAM
d. The pain is reproducible when the patient raises the arms.:
b. The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for a patient who is being treated for bleeding
esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
c. Verify the position of the balloon every 4 hours.
d. Deflate the gastric balloon if the patient reports nausea.: b. Monitor the patient for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to the
emergency department (ED), the nurse obtains the
following information. Which finding is most important to report to the health care provider?: Patient states they regularly ta
warfarin (coumadin) regularly
9. During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical valve,
the nurse instructs the patient on the?:
- Need for frequent PTT/INR measurement; long term anticoagulants
10. Which assessment finding for a patient who has just been admitted with acute pyelonephritis is
most important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C):
b. Blood pressure 82/60 mm Hg
11. Decorticate posture: what would you question?: consent for the lumbar puncture
12. A patient with acute pancreatitis is reporting excessive thirst, excessive void- ing, and blurred vision. As
the nurse, what is the priority?: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with anemia?: Restlessness
14. The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient
about?: Colonoscopy
15. Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt
(TIPS) placed 3 months ago has been effective?
, NSG 430 FINAL
EXAM
a. Increased serum albumin level
b. Decreased indirect bilirubin level
c. Improved alertness and orientation
d. Fewer episodes of bleeding varices:
d. Fewer episodes of bleeding varices
16. What is an expected lab value for someone with SIADH?
a. The patient has a weight gain of 9 pounds.
b. The patient reports some dyspnea with activity.
c. The patient has a urine specific gravity of 1.025.
d. The patient has a serum sodium level of 115 mEq/L.: d. The patient has a serum sodium level of 115 mEq/L.
17. A 37-year-old female patient is hospitalized with acute kidney injury (AKI). Which information will be
most useful to the nurse in evaluating improvement in kidney function?
a. Urine volume
b. Creatinine level
c. Glomerular filtration rate (GFR)
d. Blood urea nitrogen (BUN) level: c. Glomerular filtration rate (GFR)
18. A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about?// known gastritis risk?
a. The amount of saturated fat in the diet
b. A family history of gastric or colon cancer
c. Use of nonsteroidal anti-inflammatory drugs
d. A history of a large recent weight gain or loss: c. Use of nonsteroidal anti-inflammatory drugs
19. Which information will a patient's glycosylated hemoglobin (A1C) result pro- vide to the nurse?
a. Fasting preprandial glucose levels
b. Glucose levels 2 hours after a meal
c. Glucose control over the past 90 days
d. Hypoglycemic episodes in the past 3 months: c. Glucose control over the past 90 days
20. Patient has partial-thickness burns, what indicates that fluid resuscitation has been effective?
//During the emergent phase of burn care, which assess-
EXAM
1. SATA: Risk factors for bacterial infection: -Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES)
I think its all the options
2. SATA: Treatment for lower extremity cellulitis, what orders do you expect?: -
-Vancomycin 1000mls
-Elevate the extremity
-Heat packs
3. Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient
may be developing multiple organ dysfunction syndrome
a. The patient's serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
c. The patient's extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.:
a. The patient's serum creatinine level is elevated.
4. INR/PT levels doubled, what are you giving?: Fresh frozen plasma
5. A patient recovering from heart surgery develops pericarditis and complains of level 6 (0 to 10 scale) chest
pain with deep breathing. Which ordered PRN medication will be the most appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg:
c. Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is admitting a patient with chest pain suggests that the pain
is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
, NSG 430 FINAL
EXAM
d. The pain is reproducible when the patient raises the arms.:
b. The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for a patient who is being treated for bleeding
esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
c. Verify the position of the balloon every 4 hours.
d. Deflate the gastric balloon if the patient reports nausea.: b. Monitor the patient for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to the
emergency department (ED), the nurse obtains the
following information. Which finding is most important to report to the health care provider?: Patient states they regularly ta
warfarin (coumadin) regularly
9. During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical valve,
the nurse instructs the patient on the?:
- Need for frequent PTT/INR measurement; long term anticoagulants
10. Which assessment finding for a patient who has just been admitted with acute pyelonephritis is
most important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C):
b. Blood pressure 82/60 mm Hg
11. Decorticate posture: what would you question?: consent for the lumbar puncture
12. A patient with acute pancreatitis is reporting excessive thirst, excessive void- ing, and blurred vision. As
the nurse, what is the priority?: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with anemia?: Restlessness
14. The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient
about?: Colonoscopy
15. Which finding indicates to the nurse that a patient's transjugular intrahepatic portosystemic shunt
(TIPS) placed 3 months ago has been effective?
, NSG 430 FINAL
EXAM
a. Increased serum albumin level
b. Decreased indirect bilirubin level
c. Improved alertness and orientation
d. Fewer episodes of bleeding varices:
d. Fewer episodes of bleeding varices
16. What is an expected lab value for someone with SIADH?
a. The patient has a weight gain of 9 pounds.
b. The patient reports some dyspnea with activity.
c. The patient has a urine specific gravity of 1.025.
d. The patient has a serum sodium level of 115 mEq/L.: d. The patient has a serum sodium level of 115 mEq/L.
17. A 37-year-old female patient is hospitalized with acute kidney injury (AKI). Which information will be
most useful to the nurse in evaluating improvement in kidney function?
a. Urine volume
b. Creatinine level
c. Glomerular filtration rate (GFR)
d. Blood urea nitrogen (BUN) level: c. Glomerular filtration rate (GFR)
18. A 50-year-old man vomiting blood-streaked fluid is admitted to the hospital with acute gastritis. To
determine possible risk factors for gastritis, the nurse will ask the patient about?// known gastritis risk?
a. The amount of saturated fat in the diet
b. A family history of gastric or colon cancer
c. Use of nonsteroidal anti-inflammatory drugs
d. A history of a large recent weight gain or loss: c. Use of nonsteroidal anti-inflammatory drugs
19. Which information will a patient's glycosylated hemoglobin (A1C) result pro- vide to the nurse?
a. Fasting preprandial glucose levels
b. Glucose levels 2 hours after a meal
c. Glucose control over the past 90 days
d. Hypoglycemic episodes in the past 3 months: c. Glucose control over the past 90 days
20. Patient has partial-thickness burns, what indicates that fluid resuscitation has been effective?
//During the emergent phase of burn care, which assess-
