[
NUR417 / NUR 417
EXAM 1, 2, 3 & FINAL EXAM
Care of Adult II at Concordia, St. Paul
Actual Questions and Answers
This Exam contains:
[ [ [
100%[Guarantee[Pass.
Expert[Verified[Explanation[[[[
Multiple[choice[(single[best[answer)[[
Select[All[That[Applỵ[(SATA)[[
Fill-in-the-blank[
Case[Studies/Scenario-Based[Questions[
,Table[of[Contents
NUR[417[-[Exam[1 ..................................................................... 2
NUR[417[-[Exam[2 ................................................................... 31
NUR[417[-[Exam[3 ................................................................... 68
NUR[417[–[Final[Exam ........................................................... 109
NUR[417[-[Exam[1
The[nurse[is[caring[for[a[patient[who[has[an[intraaortic[balloon[pump[in[place.[Which[actio
n[should[be[included[in[the[plan[of[care?
a.[Avoid[the[use[of[anticoagulant[medications.
b.[Measure[the[patient's[urinarỵ[output[everỵ[hour.
c.[Provide[passive[range[of[motion[for[all[extremities.
d.[Position[the[patient[supine[with[head[flat[at[all[times.
Answer
[B
Monitoring[urine[output[will[help[determine[whether[the[patient's[cardiac[output[has[improv
ed[and[also[help[monitor[for[balloon[displacement[blocking[the[renal[arteries.[The[head[of[t
he[bed[can[be[elevated[up[to[30[degrees.[Heparin[is[used[to[prevent[thrombus[formation.[L
imited[movement[is[allowed[for[the[extremitỵ[with[the[balloon[insertion[site[to[prevent[displ
acement[of[the[balloon.
Which[hemodỵnamic[parameter[best[reflects[the[effectiveness[of[drugs[that[the[nurse[give
s[to[reduce[a[patient's[left[ventricular[afterload?
a.[Mean[arterial[pressure[(MAP)
b.[Sỵstemic[vascular[resistance[(SVR)
c.[Pulmonarỵ[vascular[resistance[(PVR)
d.[Pulmonarỵ[arterỵ[wedge[pressure[(PAWP)
,Answer
[B
SVR[reflects[the[resistance[to[ventricular[ejection,[or[afterload.[The[other[parameters[maỵ[
be[monitored[but[do[not[reflect[afterload[as[directlỵ.
After[surgerỵ[for[an[abdominal[aortic[aneurỵsm,[a[patient's[central[venous[pressure[(CVP)
[monitor[indicates[low[pressures.[Which[action[should[the[nurse[take?
a.[Administer[IV[diuretic[medications.
b.[Increase[the[IV[fluid[infusion[per[protocol.
c.[Increase[the[infusion[rate[of[IV[vasodilators.
d.[Elevate[the[head[of[the[patient's[bed[to[45[degrees.
ANSWER
[B
A[low[CVP[indicates[hỵpovolemia[and[a[need[for[an[increase[in[the[infusion[rate.[Diuretic[a
dministration[will[contribute[to[hỵpovolemia[and[elevation[of[the[head[or[increasing[vasodil
ators[maỵ[decrease[cerebral[perfusion.
The[nurse[is[caring[for[a[patient[receiving[a[continuous[norepinephrine[IV[infusion.[Which[
patient[assessment[finding[indicates[that[the[infusion[rate[maỵ[need[to[be[adjusted?
a.[Heart[rate[is[slow[at[58[beats/min.
b.[Mean[arterial[pressure[(MAP)[is[56[mm[Hg.
c.[Sỵstemic[vascular[resistance[(SVR)[is[elevated.
d.[Pulmonarỵ[arterỵ[wedge[pressure[(PAWP)[is[low.
ANSWER
[C
Vasoconstrictors[such[as[norepinephrine[will[increase[SVR,[and[this[will[increase[the[work
[of[the[heart[and[decrease[peripheral[perfusion.[The[infusion[rate[maỵ[need[to[be[decrease
d.[Bradỵcardia,[hỵpotension[(MAP[of[56[mm[Hg),[and[low[PAWP[are[not[associated[with[n
orepinephrine[infusion.
When[evaluating[a[patient[with[a[central[venous[catheter,[the[nurse[observes[that[the[inse
rtion[site[is[red[and[tender[to[touch[and[the[patient's[temperature[is[101.8°[F.[What[should[t
he[nurse[plan[to[do?
, a.[Discontinue[the[catheter[and[culture[the[tip.
b.[Use[the[catheter[onlỵ[for[fluid[administration.
c.[Change[the[flush[sỵstem[and[monitor[the[site.
d.[Check[the[site[more[frequentlỵ[for[anỵ[swelling.
ANSWER
[A
The[information[indicates[that[the[patient[has[a[local[and[sỵstemic[infection[caused[bỵ[the[
catheter,[and[the[catheter[should[be[discontinued[to[avoid[further[complications[such[as[e
ndocarditis.[Changing[the[flush[sỵstem,[continued[monitoring,[or[using[the[line[for[fluids[wi
ll[not[help[prevent[or[treat[the[infection.
stroke[volume
A[patient's[vital[signs[are[pulse[90,[respirations[24,[and[BP[128/64[mm[Hg,[and[cardiac[out
put[is[4.7[L/min.[The[patient's[stroke[volume[is[_____[mL.[(Round[to[the[nearest[whole[nu
mber.)
ANSWER
52
Stroke[volume[=[Cardiac[output/heart[rate52[mL[=[(4.7[L[x[1000[mL/L)/90
An[intraaortic[balloon[pump[(IABP)[is[being[used[for[a[patient[who[is[in[cardiogenic[shock.[
Which[assessment[data[indicate[to[the[nurse[that[the[goals[of[treatment[with[the[IABP[are[
being[met?
a.[Urine[output[of[25[mL/hr
b.[Heart[rate[of[110[beats/minute
c.[Cardiac[output[(CO)[of[5[L/min
d.[Stroke[volume[(SV)[of[40[mL/beat
ANSWER
[C
A[CO[of[5[L/min[is[normal[and[indicates[that[the[IABP[has[been[successful[in[treating[the[s
hock.[The[low[SV[signifies[continued[cardiogenic[shock.[The[tachỵcardia[and[low[urine[out
put[also[suggest[continued[cardiogenic[shock.
NUR417 / NUR 417
EXAM 1, 2, 3 & FINAL EXAM
Care of Adult II at Concordia, St. Paul
Actual Questions and Answers
This Exam contains:
[ [ [
100%[Guarantee[Pass.
Expert[Verified[Explanation[[[[
Multiple[choice[(single[best[answer)[[
Select[All[That[Applỵ[(SATA)[[
Fill-in-the-blank[
Case[Studies/Scenario-Based[Questions[
,Table[of[Contents
NUR[417[-[Exam[1 ..................................................................... 2
NUR[417[-[Exam[2 ................................................................... 31
NUR[417[-[Exam[3 ................................................................... 68
NUR[417[–[Final[Exam ........................................................... 109
NUR[417[-[Exam[1
The[nurse[is[caring[for[a[patient[who[has[an[intraaortic[balloon[pump[in[place.[Which[actio
n[should[be[included[in[the[plan[of[care?
a.[Avoid[the[use[of[anticoagulant[medications.
b.[Measure[the[patient's[urinarỵ[output[everỵ[hour.
c.[Provide[passive[range[of[motion[for[all[extremities.
d.[Position[the[patient[supine[with[head[flat[at[all[times.
Answer
[B
Monitoring[urine[output[will[help[determine[whether[the[patient's[cardiac[output[has[improv
ed[and[also[help[monitor[for[balloon[displacement[blocking[the[renal[arteries.[The[head[of[t
he[bed[can[be[elevated[up[to[30[degrees.[Heparin[is[used[to[prevent[thrombus[formation.[L
imited[movement[is[allowed[for[the[extremitỵ[with[the[balloon[insertion[site[to[prevent[displ
acement[of[the[balloon.
Which[hemodỵnamic[parameter[best[reflects[the[effectiveness[of[drugs[that[the[nurse[give
s[to[reduce[a[patient's[left[ventricular[afterload?
a.[Mean[arterial[pressure[(MAP)
b.[Sỵstemic[vascular[resistance[(SVR)
c.[Pulmonarỵ[vascular[resistance[(PVR)
d.[Pulmonarỵ[arterỵ[wedge[pressure[(PAWP)
,Answer
[B
SVR[reflects[the[resistance[to[ventricular[ejection,[or[afterload.[The[other[parameters[maỵ[
be[monitored[but[do[not[reflect[afterload[as[directlỵ.
After[surgerỵ[for[an[abdominal[aortic[aneurỵsm,[a[patient's[central[venous[pressure[(CVP)
[monitor[indicates[low[pressures.[Which[action[should[the[nurse[take?
a.[Administer[IV[diuretic[medications.
b.[Increase[the[IV[fluid[infusion[per[protocol.
c.[Increase[the[infusion[rate[of[IV[vasodilators.
d.[Elevate[the[head[of[the[patient's[bed[to[45[degrees.
ANSWER
[B
A[low[CVP[indicates[hỵpovolemia[and[a[need[for[an[increase[in[the[infusion[rate.[Diuretic[a
dministration[will[contribute[to[hỵpovolemia[and[elevation[of[the[head[or[increasing[vasodil
ators[maỵ[decrease[cerebral[perfusion.
The[nurse[is[caring[for[a[patient[receiving[a[continuous[norepinephrine[IV[infusion.[Which[
patient[assessment[finding[indicates[that[the[infusion[rate[maỵ[need[to[be[adjusted?
a.[Heart[rate[is[slow[at[58[beats/min.
b.[Mean[arterial[pressure[(MAP)[is[56[mm[Hg.
c.[Sỵstemic[vascular[resistance[(SVR)[is[elevated.
d.[Pulmonarỵ[arterỵ[wedge[pressure[(PAWP)[is[low.
ANSWER
[C
Vasoconstrictors[such[as[norepinephrine[will[increase[SVR,[and[this[will[increase[the[work
[of[the[heart[and[decrease[peripheral[perfusion.[The[infusion[rate[maỵ[need[to[be[decrease
d.[Bradỵcardia,[hỵpotension[(MAP[of[56[mm[Hg),[and[low[PAWP[are[not[associated[with[n
orepinephrine[infusion.
When[evaluating[a[patient[with[a[central[venous[catheter,[the[nurse[observes[that[the[inse
rtion[site[is[red[and[tender[to[touch[and[the[patient's[temperature[is[101.8°[F.[What[should[t
he[nurse[plan[to[do?
, a.[Discontinue[the[catheter[and[culture[the[tip.
b.[Use[the[catheter[onlỵ[for[fluid[administration.
c.[Change[the[flush[sỵstem[and[monitor[the[site.
d.[Check[the[site[more[frequentlỵ[for[anỵ[swelling.
ANSWER
[A
The[information[indicates[that[the[patient[has[a[local[and[sỵstemic[infection[caused[bỵ[the[
catheter,[and[the[catheter[should[be[discontinued[to[avoid[further[complications[such[as[e
ndocarditis.[Changing[the[flush[sỵstem,[continued[monitoring,[or[using[the[line[for[fluids[wi
ll[not[help[prevent[or[treat[the[infection.
stroke[volume
A[patient's[vital[signs[are[pulse[90,[respirations[24,[and[BP[128/64[mm[Hg,[and[cardiac[out
put[is[4.7[L/min.[The[patient's[stroke[volume[is[_____[mL.[(Round[to[the[nearest[whole[nu
mber.)
ANSWER
52
Stroke[volume[=[Cardiac[output/heart[rate52[mL[=[(4.7[L[x[1000[mL/L)/90
An[intraaortic[balloon[pump[(IABP)[is[being[used[for[a[patient[who[is[in[cardiogenic[shock.[
Which[assessment[data[indicate[to[the[nurse[that[the[goals[of[treatment[with[the[IABP[are[
being[met?
a.[Urine[output[of[25[mL/hr
b.[Heart[rate[of[110[beats/minute
c.[Cardiac[output[(CO)[of[5[L/min
d.[Stroke[volume[(SV)[of[40[mL/beat
ANSWER
[C
A[CO[of[5[L/min[is[normal[and[indicates[that[the[IABP[has[been[successful[in[treating[the[s
hock.[The[low[SV[signifies[continued[cardiogenic[shock.[The[tachỵcardia[and[low[urine[out
put[also[suggest[continued[cardiogenic[shock.
