NURS 3305 - FINAL EXAM | QUESTIONS AND ANSWERS
| 2026 UPDATE WITH COMPLETE SOLUTION
Fluid in the lungs sounds like Answer - crackles
Ausculation of the heart placement Answer - APEToMan
aortic
pulmonic
erb's point
tricuspic
mitral
Physiologic and system changes during the dying process Answer - all body
systems slow down
Which patient is of highest priority
a. tracheal edema after extubation
b. emphysema, O2 88% and tachypneic
c. heart failure, +4 pitting edema and irregular HR
d. meningitis, temp 40 and pain 7/10 Answer - a. tracheal edema after
extubation
Indications of over-hydration Answer - crackles in the lungs
edema
,bounding pulses
hypertension
intake > output
tachycardia
increased body weight
How to prevent DVTs Answer - apply SCDs
encourage ambulation
elevate legs in bed
apply compression stockings
encourage the patient to change positions in bed
ensure the patient has a DVT prophylaxis med ordered
Progression of pressure injuries Answer - stage 1: "non-blanching"
stage 2: surface
stage 3: penetrating surface
deep tissue injury
How to prevent pneumonia Answer - incentive spirometry
make sure the pt is awake enough before giving anything PO
encouraging coughing and deep breathing (CDB)
encourage ambulation
keep pain under control
Things to check when infusing blood Answer - verify IV is 20g or larger
transfuse with NS only
, use blood tubing
verify blood with 2nd person
remain with the patient for the first 15 minutes
describe s/s the patient should report
start the infusion within 30 minutes of receiving the blood
complete the infusion within 4 hours
You are admitting a patient who flew in from Madagascar yesterday and is
complaining of leg pain and shortness of breath. What do you do first? Answer
- assess ABCs
In order to maintain restraints Answer - active order: type, time applied,
reason
assess at least q2h: circulation, ongoing need for restraint, patient's need for
food/hydration and toileting
Ways to break sterile technique Answer - a sterile item goes over the 1 inch
border
a non-sterile item touches inside the 1 inch border
you turn your back on the sterile field
those present don't wear masks
something wet goes through the sterile field
you touch a non-sterile item with sterile gloves
Your patient voices discouragement regarding all the different kinds of pills
they are being discharged with. What would be the best response? Answer -
"what are you most concerned about with your medications?"
| 2026 UPDATE WITH COMPLETE SOLUTION
Fluid in the lungs sounds like Answer - crackles
Ausculation of the heart placement Answer - APEToMan
aortic
pulmonic
erb's point
tricuspic
mitral
Physiologic and system changes during the dying process Answer - all body
systems slow down
Which patient is of highest priority
a. tracheal edema after extubation
b. emphysema, O2 88% and tachypneic
c. heart failure, +4 pitting edema and irregular HR
d. meningitis, temp 40 and pain 7/10 Answer - a. tracheal edema after
extubation
Indications of over-hydration Answer - crackles in the lungs
edema
,bounding pulses
hypertension
intake > output
tachycardia
increased body weight
How to prevent DVTs Answer - apply SCDs
encourage ambulation
elevate legs in bed
apply compression stockings
encourage the patient to change positions in bed
ensure the patient has a DVT prophylaxis med ordered
Progression of pressure injuries Answer - stage 1: "non-blanching"
stage 2: surface
stage 3: penetrating surface
deep tissue injury
How to prevent pneumonia Answer - incentive spirometry
make sure the pt is awake enough before giving anything PO
encouraging coughing and deep breathing (CDB)
encourage ambulation
keep pain under control
Things to check when infusing blood Answer - verify IV is 20g or larger
transfuse with NS only
, use blood tubing
verify blood with 2nd person
remain with the patient for the first 15 minutes
describe s/s the patient should report
start the infusion within 30 minutes of receiving the blood
complete the infusion within 4 hours
You are admitting a patient who flew in from Madagascar yesterday and is
complaining of leg pain and shortness of breath. What do you do first? Answer
- assess ABCs
In order to maintain restraints Answer - active order: type, time applied,
reason
assess at least q2h: circulation, ongoing need for restraint, patient's need for
food/hydration and toileting
Ways to break sterile technique Answer - a sterile item goes over the 1 inch
border
a non-sterile item touches inside the 1 inch border
you turn your back on the sterile field
those present don't wear masks
something wet goes through the sterile field
you touch a non-sterile item with sterile gloves
Your patient voices discouragement regarding all the different kinds of pills
they are being discharged with. What would be the best response? Answer -
"what are you most concerned about with your medications?"
