N320 Final Exam Review Questions with
complete solutions
Which exercises are appropriate for the nurse to recommend to a COPD patient?
Select all that apply.
- Diaphragmatic breathing
- Pursed-lip breathing
- Increase home oxygen as needed to decrease dyspnea
- Starting walking 5 minutes a day and increase slowly - ANSWER- -
Diaphragmatic breathing
- Pursed-lip breathing
- Starting walking 5 minutes a day and increase slowly
Which patient should the nurse see first?
- A patient with COPD who presents with a fever and crackles in the lung bases
with a pulse ox of 91%
- A patient 2 day post-op hip replacement complaining of severe pain in leg calf
and reports "not feeling well".
- A patient reporting chest pain due to walking the halls was relieved by a NTG
tablet
- A patient receiving chemotherapy has a platelet count of 145,000 - ANSWER- - A
patient 2 day post-op hip replacement complaining of severe pain in leg calf and
reports "not feeling well".
Which tests can the nurse anticipate will be ordered for the patient admitted with
chest pain and dyspnea? Select all that apply.
- Troponin
- D-Dimer
- Electrolytes
,- Albumin - ANSWER- - Troponin
- D-Dimer
- Electrolytes
A patient admitted with DVT is started on heparin therapy and the PTT shows a
value of 60 with a control of 30. Based upon these results, which action should
the nurse take next?
- Discontinue the Heparin drip
- Notify the physician
- Prepare to administer Protamine Sulfate
- Continue to monitor the patient - ANSWER- - Continue to monitor the patient
Which assessment findings would the nurse most likely expect to find in a patient
experiencing left-sided heart failure?
- Distended neck veins and bounding pulse
- Hepatosplenomegaly and nausea
- Crackles and dyspnea
- Pallor, fatigue and tachycardia - ANSWER- - Crackles and dyspnea
Which action is appropriate for the nurse to take for a patient who returns from a
cardiac catheterization?
- Keep the extremity bent at 45 degrees and dangling
- Check the color and temperature of the extremity
- Change the pressure dressing
- Keep the patient NPO for 6-8 hours to avoid aspiration. - ANSWER- - Check the
color and temperature of the extremity
Which are modifiable risk factors for coronary artery disease? Select all that
apply.
- 60 years of age
- Smokes 1/2 pack of cigarettes a day
- Walks 1 mile each day
- LDL cholesterol is 190. - ANSWER- - Smokes 1/2 pack of cigarettes a day
- LDL cholesterol is 190.
Which nursing diagnosis is priority for a patient post cardiac catheterization?
, - Risk for altered nutrition
- Risk for Infection
- Risk for altered fluid and electroyte imbalance
- Risk for Impaired Tissue Perfusion - ANSWER- - Risk for Impaired Tissue
Perfusion
Which actions are appropriate by the nurse when a patient receiving
chemotherapy presents with neutropenia? Select all that apply.
- Good handwashing
- Monitor temperature
- Restrict fresh fruits
- Monitor pulse ox - ANSWER- - Good handwashing
- Monitor temperature
- Restrict fresh fruits
Which statement from a patient who is scheduled to undergo a bone marrow
biopsy requires immediate action by the nurse?
- "I am allergic to iodine and get a rash and shortness of breath."
- "Since I have renal disease, I am scheduled for dialysis the day before the
biopsy."
- "My migraines have been acting up so I took my Motrin to deal with the pain."
- "I am taking Cipro for treatment of my urinary tract infection." - ANSWER- - "My
migraines have been acting up so I took my Motrin to deal with the pain."
Which condition requires the nurse to educate the patient on steps to prevent
vasoconstriction?
- Fuid Volume Deficit
- Beurger's Disease
- Hypernatremia
- Raynaud's Disease - ANSWER- - Raynaud's Disease
Which nursing diagnosis is most appropriate for the nurse to address in a patient
with primary polycythemia?
- Fluid Volume Deficit
- Fatigue
- Ineffective Breathing Patterns
- Risk for Infection - ANSWER- - Fluid Volume Deficit
complete solutions
Which exercises are appropriate for the nurse to recommend to a COPD patient?
Select all that apply.
- Diaphragmatic breathing
- Pursed-lip breathing
- Increase home oxygen as needed to decrease dyspnea
- Starting walking 5 minutes a day and increase slowly - ANSWER- -
Diaphragmatic breathing
- Pursed-lip breathing
- Starting walking 5 minutes a day and increase slowly
Which patient should the nurse see first?
- A patient with COPD who presents with a fever and crackles in the lung bases
with a pulse ox of 91%
- A patient 2 day post-op hip replacement complaining of severe pain in leg calf
and reports "not feeling well".
- A patient reporting chest pain due to walking the halls was relieved by a NTG
tablet
- A patient receiving chemotherapy has a platelet count of 145,000 - ANSWER- - A
patient 2 day post-op hip replacement complaining of severe pain in leg calf and
reports "not feeling well".
Which tests can the nurse anticipate will be ordered for the patient admitted with
chest pain and dyspnea? Select all that apply.
- Troponin
- D-Dimer
- Electrolytes
,- Albumin - ANSWER- - Troponin
- D-Dimer
- Electrolytes
A patient admitted with DVT is started on heparin therapy and the PTT shows a
value of 60 with a control of 30. Based upon these results, which action should
the nurse take next?
- Discontinue the Heparin drip
- Notify the physician
- Prepare to administer Protamine Sulfate
- Continue to monitor the patient - ANSWER- - Continue to monitor the patient
Which assessment findings would the nurse most likely expect to find in a patient
experiencing left-sided heart failure?
- Distended neck veins and bounding pulse
- Hepatosplenomegaly and nausea
- Crackles and dyspnea
- Pallor, fatigue and tachycardia - ANSWER- - Crackles and dyspnea
Which action is appropriate for the nurse to take for a patient who returns from a
cardiac catheterization?
- Keep the extremity bent at 45 degrees and dangling
- Check the color and temperature of the extremity
- Change the pressure dressing
- Keep the patient NPO for 6-8 hours to avoid aspiration. - ANSWER- - Check the
color and temperature of the extremity
Which are modifiable risk factors for coronary artery disease? Select all that
apply.
- 60 years of age
- Smokes 1/2 pack of cigarettes a day
- Walks 1 mile each day
- LDL cholesterol is 190. - ANSWER- - Smokes 1/2 pack of cigarettes a day
- LDL cholesterol is 190.
Which nursing diagnosis is priority for a patient post cardiac catheterization?
, - Risk for altered nutrition
- Risk for Infection
- Risk for altered fluid and electroyte imbalance
- Risk for Impaired Tissue Perfusion - ANSWER- - Risk for Impaired Tissue
Perfusion
Which actions are appropriate by the nurse when a patient receiving
chemotherapy presents with neutropenia? Select all that apply.
- Good handwashing
- Monitor temperature
- Restrict fresh fruits
- Monitor pulse ox - ANSWER- - Good handwashing
- Monitor temperature
- Restrict fresh fruits
Which statement from a patient who is scheduled to undergo a bone marrow
biopsy requires immediate action by the nurse?
- "I am allergic to iodine and get a rash and shortness of breath."
- "Since I have renal disease, I am scheduled for dialysis the day before the
biopsy."
- "My migraines have been acting up so I took my Motrin to deal with the pain."
- "I am taking Cipro for treatment of my urinary tract infection." - ANSWER- - "My
migraines have been acting up so I took my Motrin to deal with the pain."
Which condition requires the nurse to educate the patient on steps to prevent
vasoconstriction?
- Fuid Volume Deficit
- Beurger's Disease
- Hypernatremia
- Raynaud's Disease - ANSWER- - Raynaud's Disease
Which nursing diagnosis is most appropriate for the nurse to address in a patient
with primary polycythemia?
- Fluid Volume Deficit
- Fatigue
- Ineffective Breathing Patterns
- Risk for Infection - ANSWER- - Fluid Volume Deficit
