NURS 316 FINAL EXAM QUESTIONS AND CORRECT
VERIFIED ANSWERS (COMPLETE SOLUTIONS, GRADED
A+)
The patient has arrived in the short stay unit for an infusion of
tositumomab with 131 tositumomab (Bexxar). Before beginning the
infusion, the nurse assesses the patient's vital signs and finds the patient
has a temperature of 101.5ºF/38.6 C, What is the nurse's priority action?
a) starting the infusion and inform the physician
b) holding the infusion until patient is afebrile
c) notifying the physician
d) treating the fever before beginning therapy
D
The client is to receive fluoxetine hydrochloride oral solution 40 mg po
every day. The medication is available as fluoxetine hydrochloride oral
solution 20 mg per 5 mL. How many milliliters of medication would the
client receive?
a) 15
b) 20
c) 5
d) 10
D
The client is to receive theophylline elixir 120 mg po twice a day. The
medication is available as theophylline elixir 80 mg per 15 mL. How many
milliliters of medication would the client receive?
a) 25
b) 20
c) 22.5
d) 27.5
,C
The client is to receive ranitidine hydrochloride 150 mg bid via
nasogastric tube. The medication is available as ranitidine hydrochloride
15 mg per milliliter. How many milliliters does the nurse need to
administer?
a) 10
b) 20
c) 5
d) 15
A
The client is to receive cimetidine 300 mg po every 6 hours. The
medication is available as cimetidine 300 mg per 5 mL. How many
teaspoons should the nurse instruct the client to take?
a) 1
b) 1 1/2
c) 1/2
d) 2
A
The client is to receive clonidine 600 mcg po daily. The medication is
available as clonidine 0.2 mg per tablet. How many tablets should the
client receive daily?
a) 3
b) 2
c) 1/2
d) 1
A
The nurse admits a patient to the constant care unit with a high digoxin
level of 11 ng/mL (Cdn 27.45 nmol.L) and a high serum potassium level of
5.2 mEq/L (Cdn 5.2mmol/L). Digoxin immune Fab is administered. The
next day, the patient's digoxin level remains elevated. What action does
the nurse anticipate?
,a) administer a reduced dosage of digoxin
b) notify the health care provider of the elevated level
c) continue to monitor the patient's digoxin level daily
d) administer digoxin immune Fab again
C
A health care provider was asked by a client, "Why do my hands turn blue
when I drive my car in the winter without gloves?" Which of the following
is the best response?
a) "We better order a CT scan. It might be due to a blood clot in your
radial artery."
b) "This sounds like an inflammation in the lining of your veins. You need
to take some NSAIDs."
c) "Nothing to worry about. We all develop this as we age."
d) "Your arteries in your hands/fingers are going into spasm, which
decreases blood flow and circulating oxygen."
D
Which of the following individuals is suffering the effects of acute
coronary syndrome (ACS)?
a) A client who sometimes experiences chest pain when climbing stairs
b) A client whose most recent ECG indicates that silent myocardial
ischemia has occurred
c) A client who has recently been diagnosed with variant (vasospastic)
angina
d) A client who occasionally experiences persistent and severe chest pain
when at rest
D
A client asks why he has not had major heart damage since his cardiac
catheterization revealed he has 98% blockage of the right coronary artery.
The nurse's best response is:
Question options:
a) "You have small channels between some of your arteries, so you can
get blood from a patent artery to one severely blocked."
, b) "You are just a lucky person since most people would have had a
massive heart attack by now."
c) "You must have been taking a blood thinner for a long time."
d) "With this amount of blockage, your red blood cells get through the
vessel one-by-one and supply oxygen to the muscle."
A
At the cellular level, cardiac muscle cells respond to an increase in
ventricular volume to the point of overload by: Select all that apply.
Select 2 correct answer(s)
Question options:
a) Thickening of the individual myocytes
b) Elongating the cardiac muscle cells
c) Decreasing the ventricular wall thickness
d) Symmetrically widening and lengthening the hypertrophy
e) Replicating the myofibrils
B, C
Which of the following diagnostic/assessment findings would been seen in
a client with worsening mitral valve stenosis? Select all that apply.
a) Sharp elevation in left atrial pressure
b) Low-pitched diastolic murmur that is increasing in duration
c) Decreased cardiac output
d) Severe elevation in left ventricular end-diastolic pressure
e) Left ventricle increases its stroke volume
A, B, C
An IV drug abuser has been diagnosed with infective endocarditis. He is in
the emergency department reporting increasing shortness of breath,
rapid breathing, chest pain that worsens with breathing, and coughing up
blood. The health care provider recognizes this may be caused by:
Question options:
a) Infarction of the tissue surrounding the endocardium of the heart
b) Vegetative emboli traveling in the blood stream to the lungs
c) Micro-emboli being developed in the carotids by Staphylococcus
VERIFIED ANSWERS (COMPLETE SOLUTIONS, GRADED
A+)
The patient has arrived in the short stay unit for an infusion of
tositumomab with 131 tositumomab (Bexxar). Before beginning the
infusion, the nurse assesses the patient's vital signs and finds the patient
has a temperature of 101.5ºF/38.6 C, What is the nurse's priority action?
a) starting the infusion and inform the physician
b) holding the infusion until patient is afebrile
c) notifying the physician
d) treating the fever before beginning therapy
D
The client is to receive fluoxetine hydrochloride oral solution 40 mg po
every day. The medication is available as fluoxetine hydrochloride oral
solution 20 mg per 5 mL. How many milliliters of medication would the
client receive?
a) 15
b) 20
c) 5
d) 10
D
The client is to receive theophylline elixir 120 mg po twice a day. The
medication is available as theophylline elixir 80 mg per 15 mL. How many
milliliters of medication would the client receive?
a) 25
b) 20
c) 22.5
d) 27.5
,C
The client is to receive ranitidine hydrochloride 150 mg bid via
nasogastric tube. The medication is available as ranitidine hydrochloride
15 mg per milliliter. How many milliliters does the nurse need to
administer?
a) 10
b) 20
c) 5
d) 15
A
The client is to receive cimetidine 300 mg po every 6 hours. The
medication is available as cimetidine 300 mg per 5 mL. How many
teaspoons should the nurse instruct the client to take?
a) 1
b) 1 1/2
c) 1/2
d) 2
A
The client is to receive clonidine 600 mcg po daily. The medication is
available as clonidine 0.2 mg per tablet. How many tablets should the
client receive daily?
a) 3
b) 2
c) 1/2
d) 1
A
The nurse admits a patient to the constant care unit with a high digoxin
level of 11 ng/mL (Cdn 27.45 nmol.L) and a high serum potassium level of
5.2 mEq/L (Cdn 5.2mmol/L). Digoxin immune Fab is administered. The
next day, the patient's digoxin level remains elevated. What action does
the nurse anticipate?
,a) administer a reduced dosage of digoxin
b) notify the health care provider of the elevated level
c) continue to monitor the patient's digoxin level daily
d) administer digoxin immune Fab again
C
A health care provider was asked by a client, "Why do my hands turn blue
when I drive my car in the winter without gloves?" Which of the following
is the best response?
a) "We better order a CT scan. It might be due to a blood clot in your
radial artery."
b) "This sounds like an inflammation in the lining of your veins. You need
to take some NSAIDs."
c) "Nothing to worry about. We all develop this as we age."
d) "Your arteries in your hands/fingers are going into spasm, which
decreases blood flow and circulating oxygen."
D
Which of the following individuals is suffering the effects of acute
coronary syndrome (ACS)?
a) A client who sometimes experiences chest pain when climbing stairs
b) A client whose most recent ECG indicates that silent myocardial
ischemia has occurred
c) A client who has recently been diagnosed with variant (vasospastic)
angina
d) A client who occasionally experiences persistent and severe chest pain
when at rest
D
A client asks why he has not had major heart damage since his cardiac
catheterization revealed he has 98% blockage of the right coronary artery.
The nurse's best response is:
Question options:
a) "You have small channels between some of your arteries, so you can
get blood from a patent artery to one severely blocked."
, b) "You are just a lucky person since most people would have had a
massive heart attack by now."
c) "You must have been taking a blood thinner for a long time."
d) "With this amount of blockage, your red blood cells get through the
vessel one-by-one and supply oxygen to the muscle."
A
At the cellular level, cardiac muscle cells respond to an increase in
ventricular volume to the point of overload by: Select all that apply.
Select 2 correct answer(s)
Question options:
a) Thickening of the individual myocytes
b) Elongating the cardiac muscle cells
c) Decreasing the ventricular wall thickness
d) Symmetrically widening and lengthening the hypertrophy
e) Replicating the myofibrils
B, C
Which of the following diagnostic/assessment findings would been seen in
a client with worsening mitral valve stenosis? Select all that apply.
a) Sharp elevation in left atrial pressure
b) Low-pitched diastolic murmur that is increasing in duration
c) Decreased cardiac output
d) Severe elevation in left ventricular end-diastolic pressure
e) Left ventricle increases its stroke volume
A, B, C
An IV drug abuser has been diagnosed with infective endocarditis. He is in
the emergency department reporting increasing shortness of breath,
rapid breathing, chest pain that worsens with breathing, and coughing up
blood. The health care provider recognizes this may be caused by:
Question options:
a) Infarction of the tissue surrounding the endocardium of the heart
b) Vegetative emboli traveling in the blood stream to the lungs
c) Micro-emboli being developed in the carotids by Staphylococcus
