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Nurs 3000 Final Exam – Questions With Objective
Solutions
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Terms in this set (98)
When analyzing the waveforms of a QRS interval of 0.14 second
client's electrocardiogram (ECG), the
nurse will need to investigate further
upon assessing which of the following
findings?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds
Unconsciousness without response to Respiratory rate
painful stimuli is assessed in a client
with a head injury who has been
admitted to the emergency
department. To promote cerebral
blood flow in the client, initially what is
the most important for the nurse to
monitor?
a. Arterial blood pressure
b. Arterial blood gas results
c. Respiratory rate
d. Level of consciousness
,A nurse is obtaining a health history "Have you been to the dentist lately?"
from a client with a prosthetic mitral
valve who has symptoms of infective
endocarditis (IE). Which of the
following questions by the nurse is
best?
a. "Have you had any recent
immunizations?"
b. "Do you have a history of heart
attack?"
c. "Have you been to the dentist
lately?"
d. "Do you have a family history of
endocarditis?"
Which of the following assessment b. Jugular vein distension (JVD) to the level of the jaw
data obtained by the nurse when
assessing a client with acute
pericarditis should be reported
immediately to the health care
provider?
a. Blood pressure (BP) of 146/86
b. Jugular vein distension (JVD) to the
level of the jaw
c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep
inspiration
The nurse is interpreting an ECG strip P wave
to determine whether there is a delay
in impulse conduction through the
atria. Which of the following
components of an ECG strip should
the nurse interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval
,Which of the following actions should Auscultate the client's lung sounds
the nurse take first when a client
arrives in the emergency department
with facial and chest burns caused by
a house fire?
a. Infuse the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine the extent and depth of
the burns
d. Administer the ordered opioid pain
medications
The nurse is caring for a client who Ibuprofen 800mg PO
has had recent cardiac surgery and
develops pericarditis, with symptoms
of chest pain at a level 6 (0-10 scale)
when inhaling deeply. Which of the
following prescribed PRN medications
should the nurse administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends Hypotension
administeing a 30mL/kg bolus of
crystalloid IV fluids to treat:
a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure
The nurse is caring for a patient with pH 7.28, PaCO2 58, HCO-3 38
diabetic ketoacidosis. Which arterial
blood gas analysis is consistent with
this type of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18
, The nurse is caring for a client Client education about low-fat food choices
following an incisional
cholecystectomy for cholelithiasis.
Which of the following actions is
priority for the nurse to implement?
a. Ambulate the evening of the
operative day
b. Turn, cough, and deep breath every
2 hours
c. Client education about low-fat food
choices
d. Perform leg exercises hourly while
awake
Which of the following findings in a Janeways lesions on the palms
client with infective endocarditis (IE) is
the most important for the nurse to
communicate to the health care
provider?
a. Janeways lesions on the palms
b. Temperature of 38.1 degrees celcius
Name each factor that is a part of 1. Venous stasis: prolonged immobility
Virchow's Triad and provide one 2. Endothelial injury: trauma, surgery of abdomen or
example for each factor that could pelvis
lead to a venous thrombosis. 3. Hypercoagulability of blood: malnutrition or
dehydration
Nurs 3000 Final Exam – Questions With Objective
Solutions
Save
Terms in this set (98)
When analyzing the waveforms of a QRS interval of 0.14 second
client's electrocardiogram (ECG), the
nurse will need to investigate further
upon assessing which of the following
findings?
a. A P-R interval of 0.18 seconds
b. A QRS interval of 0.14 seconds
c. Q-T interval of 0.34 seconds
d. T wave of 0.16 seconds
Unconsciousness without response to Respiratory rate
painful stimuli is assessed in a client
with a head injury who has been
admitted to the emergency
department. To promote cerebral
blood flow in the client, initially what is
the most important for the nurse to
monitor?
a. Arterial blood pressure
b. Arterial blood gas results
c. Respiratory rate
d. Level of consciousness
,A nurse is obtaining a health history "Have you been to the dentist lately?"
from a client with a prosthetic mitral
valve who has symptoms of infective
endocarditis (IE). Which of the
following questions by the nurse is
best?
a. "Have you had any recent
immunizations?"
b. "Do you have a history of heart
attack?"
c. "Have you been to the dentist
lately?"
d. "Do you have a family history of
endocarditis?"
Which of the following assessment b. Jugular vein distension (JVD) to the level of the jaw
data obtained by the nurse when
assessing a client with acute
pericarditis should be reported
immediately to the health care
provider?
a. Blood pressure (BP) of 146/86
b. Jugular vein distension (JVD) to the
level of the jaw
c. Pulsus paradoxus 8 mm Hg
d. Level 6 (0-10) chest pain with deep
inspiration
The nurse is interpreting an ECG strip P wave
to determine whether there is a delay
in impulse conduction through the
atria. Which of the following
components of an ECG strip should
the nurse interpret?
a. QRS complex
b. QT interval
c. P wave
d. PR interval
,Which of the following actions should Auscultate the client's lung sounds
the nurse take first when a client
arrives in the emergency department
with facial and chest burns caused by
a house fire?
a. Infuse the ordered IV solution
b. Auscultate the client's lung sounds
c. Determine the extent and depth of
the burns
d. Administer the ordered opioid pain
medications
The nurse is caring for a client who Ibuprofen 800mg PO
has had recent cardiac surgery and
develops pericarditis, with symptoms
of chest pain at a level 6 (0-10 scale)
when inhaling deeply. Which of the
following prescribed PRN medications
should the nurse administer?
a. Acetaminophen 650mg PO
b. Fentanyl 2mg IV
c. Morphine sulphate 6mg IV
d. Ibuprofen 800mg PO
The 1-hour sepsis bundle recommends Hypotension
administeing a 30mL/kg bolus of
crystalloid IV fluids to treat:
a. Dehydration
b. Hypoxemia
c. Hypotension
d. Renal failure
The nurse is caring for a patient with pH 7.28, PaCO2 58, HCO-3 38
diabetic ketoacidosis. Which arterial
blood gas analysis is consistent with
this type of condition?
a. pH 7.28, PaCO2 58, HCO-3 38
b. ph 7.51, PaCO2 51, HCO-3 37
c. pH 7.49, PaCO2 32, HCO-3 22
d. pH 7.21, PaCO2 28, HCO-3 18
, The nurse is caring for a client Client education about low-fat food choices
following an incisional
cholecystectomy for cholelithiasis.
Which of the following actions is
priority for the nurse to implement?
a. Ambulate the evening of the
operative day
b. Turn, cough, and deep breath every
2 hours
c. Client education about low-fat food
choices
d. Perform leg exercises hourly while
awake
Which of the following findings in a Janeways lesions on the palms
client with infective endocarditis (IE) is
the most important for the nurse to
communicate to the health care
provider?
a. Janeways lesions on the palms
b. Temperature of 38.1 degrees celcius
Name each factor that is a part of 1. Venous stasis: prolonged immobility
Virchow's Triad and provide one 2. Endothelial injury: trauma, surgery of abdomen or
example for each factor that could pelvis
lead to a venous thrombosis. 3. Hypercoagulability of blood: malnutrition or
dehydration
