NURS 480
EXAM 2
SP 1 WALL SA AM
Questions and Correct Answers from
The Exam
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
Question Analysis
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is reviewing laboratory Educator Multiple PT 45 seconds Key 100.0% N/A
results of a client who has atrial Choice
fibrillation and is taking warfarin. Hgb 16 g/dL Distractor 0.0% N/A
For which of the following results
should the nurse notify the Hct 44% Distractor 0.0% N/A
provider?
Platelets 190,000/mm3 Distractor 0.0% N/A
A nurse is monitoring a client who Educator Multiple The P wave falls before the Key 93.3% 0.20
is on telemetry. Which of the Choice QRS complex.
following findings on the ECG
strip should the nurse recognize The T wave is in the inverted Distractor 0.0% N/A
as normal sinus rhythm? position.
The P-R interval measures Distractor 0.0% N/A
0.22 seconds.
The QRS duration is 0.20 Distractor 6.7% -0.20
seconds.
A nurse is caring for a client who Educator Multiple Furosemide Key 96.7% -0.18
has heart failure and a potassium Choice
level of 2.4 mEq/L. The nurse Nitroglycerin Distractor 0.0% N/A
should identify which of the
following medications as the Metoprolol Distractor 0.0% N/A
cause of the client’s low
potassium level?
Spironolactone Distractor 3.3% 0.18
A nurse is reviewing the Educator Multiple Sodium polystyrene Key 96.7% 0.39
laboratory report of a client and Choice
identifies a serum potassium Lactulose Distractor 3.3% -0.39
level of 6.8 mEq/L. Which of the
following medications should the Sevelamer Distractor 0.0% N/A
nurse plan to administer?
Darbepoetin alfa Distractor 0.0% N/A
A nurse is preparing to administer Educator Fill in the 125 Key 80.0% 0.24
40 mEq of potassium chloride in Blank
45% sodium chloride (NaCl) 500 Numeric
mL IV to infuse 10 mEq/hr. The
nurse should set the IV pump to
deliver how many mL/hr? (Round
the answer to the nearest whole
number. Use a leading zero if it
applies. Do not use a trailing
zero.)
Created on:05/01/2024 Page 10
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTE D
A nurse is caring for a client who Educator Multiple Pulse deficit between the Key 96.7% -0.05
has pericarditis and reports Choice apical and radial pulses
feeling a new onset of
palpitations and shortness of Different blood pressures in Distractor 3.3% 0.05
breath. Which of the following the upper limbs.
assessments should indicate to
the nurse that the client may Differences between oral and Distractor 0.0% N/A
have developed atrial fibrillation? axillary temperatures.
Differences in upper and lower Distractor 0.0% N/A
lung sounds.
A client suffering from chest Educator Fill in the 40 Key 76.7% 0.36
discomfort and shortness of Blank
breath is brought to the Numeric
emergency department due to
acute angina pectoris. The
healthcare provider orders IV
nitroglycerin (Nitroglycerin) 75 mg
in 500 mL of 5% Dextrose Water
at 100 mcg/min. The nurse will
set the pump at which rate
(mL/hr)?? Fill in the blank and
write your answer using a whole
number.
Admission vital signs for a client Educator Multiple BP: 180/68 mm Hg, HR: 56 Key 100.0% N/A
who has a brain injury are the Choice bmp, Cheyne-stokes
following: Blood pressure (B/P) respirations
128/68 mmHg; Heart Rate (HR)
110 beats/min; Respiratory Rate BP: 130/78 mm Hg, HR: 95 Distractor 0.0% N/A
(RR) 26 breaths/min. Which set bmp, Cheyne-stokes
of vital signs, if taken 1 hour later, respirations
will be of most concern to the
nurse? BP: 148/78 mm Hg, Hr: 112 Distractor 0.0% N/A
bmp, irregular respirations 28
breaths/min
BP: 110/70 mm Hg, HR: 59 Distractor 0.0% N/A
bmp, irregular respirations 13
breaths/min
A 70-yr-old female client with Educator Multiple Check the respiratory rate Key 66.7% 0.60
left-sided hemiparesis arrives by Choice and effort.
ambulance to the emergency
department. Which action would Take the patients blood Distractor 0.0% N/A
the nurse take first? pressure.
Assess the Glasgow Coma Distractor 6.7% -0.49
Scale score.
Send the patient for a Distractor 26.7% -0.36
computed tomography (CT)
scan.
Created on:05/01/2024 Page 11
EXAM 2
SP 1 WALL SA AM
Questions and Correct Answers from
The Exam
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
Question Analysis
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is reviewing laboratory Educator Multiple PT 45 seconds Key 100.0% N/A
results of a client who has atrial Choice
fibrillation and is taking warfarin. Hgb 16 g/dL Distractor 0.0% N/A
For which of the following results
should the nurse notify the Hct 44% Distractor 0.0% N/A
provider?
Platelets 190,000/mm3 Distractor 0.0% N/A
A nurse is monitoring a client who Educator Multiple The P wave falls before the Key 93.3% 0.20
is on telemetry. Which of the Choice QRS complex.
following findings on the ECG
strip should the nurse recognize The T wave is in the inverted Distractor 0.0% N/A
as normal sinus rhythm? position.
The P-R interval measures Distractor 0.0% N/A
0.22 seconds.
The QRS duration is 0.20 Distractor 6.7% -0.20
seconds.
A nurse is caring for a client who Educator Multiple Furosemide Key 96.7% -0.18
has heart failure and a potassium Choice
level of 2.4 mEq/L. The nurse Nitroglycerin Distractor 0.0% N/A
should identify which of the
following medications as the Metoprolol Distractor 0.0% N/A
cause of the client’s low
potassium level?
Spironolactone Distractor 3.3% 0.18
A nurse is reviewing the Educator Multiple Sodium polystyrene Key 96.7% 0.39
laboratory report of a client and Choice
identifies a serum potassium Lactulose Distractor 3.3% -0.39
level of 6.8 mEq/L. Which of the
following medications should the Sevelamer Distractor 0.0% N/A
nurse plan to administer?
Darbepoetin alfa Distractor 0.0% N/A
A nurse is preparing to administer Educator Fill in the 125 Key 80.0% 0.24
40 mEq of potassium chloride in Blank
45% sodium chloride (NaCl) 500 Numeric
mL IV to infuse 10 mEq/hr. The
nurse should set the IV pump to
deliver how many mL/hr? (Round
the answer to the nearest whole
number. Use a leading zero if it
applies. Do not use a trailing
zero.)
Created on:05/01/2024 Page 10
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTE D
A nurse is caring for a client who Educator Multiple Pulse deficit between the Key 96.7% -0.05
has pericarditis and reports Choice apical and radial pulses
feeling a new onset of
palpitations and shortness of Different blood pressures in Distractor 3.3% 0.05
breath. Which of the following the upper limbs.
assessments should indicate to
the nurse that the client may Differences between oral and Distractor 0.0% N/A
have developed atrial fibrillation? axillary temperatures.
Differences in upper and lower Distractor 0.0% N/A
lung sounds.
A client suffering from chest Educator Fill in the 40 Key 76.7% 0.36
discomfort and shortness of Blank
breath is brought to the Numeric
emergency department due to
acute angina pectoris. The
healthcare provider orders IV
nitroglycerin (Nitroglycerin) 75 mg
in 500 mL of 5% Dextrose Water
at 100 mcg/min. The nurse will
set the pump at which rate
(mL/hr)?? Fill in the blank and
write your answer using a whole
number.
Admission vital signs for a client Educator Multiple BP: 180/68 mm Hg, HR: 56 Key 100.0% N/A
who has a brain injury are the Choice bmp, Cheyne-stokes
following: Blood pressure (B/P) respirations
128/68 mmHg; Heart Rate (HR)
110 beats/min; Respiratory Rate BP: 130/78 mm Hg, HR: 95 Distractor 0.0% N/A
(RR) 26 breaths/min. Which set bmp, Cheyne-stokes
of vital signs, if taken 1 hour later, respirations
will be of most concern to the
nurse? BP: 148/78 mm Hg, Hr: 112 Distractor 0.0% N/A
bmp, irregular respirations 28
breaths/min
BP: 110/70 mm Hg, HR: 59 Distractor 0.0% N/A
bmp, irregular respirations 13
breaths/min
A 70-yr-old female client with Educator Multiple Check the respiratory rate Key 66.7% 0.60
left-sided hemiparesis arrives by Choice and effort.
ambulance to the emergency
department. Which action would Take the patients blood Distractor 0.0% N/A
the nurse take first? pressure.
Assess the Glasgow Coma Distractor 6.7% -0.49
Scale score.
Send the patient for a Distractor 26.7% -0.36
computed tomography (CT)
scan.
Created on:05/01/2024 Page 11
