Nursing 130 Exam 3 2024/25 Questions And Answers
The purpose of parathyroid hormone is to
A) increase the blood level of calcium
B) maintain the calcium in the bone
C) Increase calcium excretion in the glomerulus
D) Increases phosphate - ANS - increase the blood level of calcium
Nursing interventions for a patient on prednisone would include
Limiting carbohydrates in the diet
Prophylactic use of antibiotics
Placing the patient on Neutropenic precautions
Regularly scheduled accuchecks - ANS - Regularly scheduled accuchecks
Match the medication to its action/class. - ANS - -Etanercept (Enbrel) Binds to TNF
-Infliximab (Remicade) TNF antibody
-Rituximab (Rituxan) Destroys B-Lymphocytes
-Abatacept (Orencia) Inhibits the action of T-Lymphocytes
Osteoclasts form new bone matrix.
True/False - ANS - False
Which of the following diagnostic tests would you expect to diagnose a patient with osteoporosis?
Serum Calcium level
CT scan
MRI
X-ray
DEXA scan - ANS - DEXA scan
At what stage in the fracture healing process is it safe to discontinue a cast?
Fracture Hematoma has formed.
Granulation tissue has formed
Callus formation has occurred.
Ossification has begun.
Consolidation is complete.
Remodeling is seen on the xray. - ANS - Ossification has begun.
Which of the following signs and symptoms are seen in compartment syndrome? Choose all that apply.
Pain
Numbness & tingling
Pulselessness
Drainage from the wound
Increased blood pressure
Pallor
Warmth and redness
Inability to move - ANS - Pain
Numbness & tingling
Pulselessness
Pallor
,Nursing 130 Exam 3 2024/25 Questions And Answers
Inability to move
Which of the following meals would be appropriate for a trauma patient healing from musculoskeletal injuries?
Toast, grape jelly, yogurt and cream of wheat
Scrambled eggs, sausage, yogurt, bran muffin and milk.
Oatmeal with raisins, banana, and yogurt
Cheerios, french toast, bacon and orange juice. - ANS - Scrambled eggs, sausage, yogurt, bran muffin and milk.
Which of the following medication would be appropriate to use with a sliding scale with meals?
Lantus
NPH
Levemir
Apidra - ANS - Apidra
A patient taking methotrexate and Enbrel for rheumatoid arthritis comes to the clinic complaining of shortness of
breath with activity. The vital signs are as follows: HR 120, RR 24, BP 100/55, T 98.9, sats 98% on room air. The
physician orders lab work with the following results: WBC 3.4, Hgb 7.6, platelets 125, Na 140, K 3.4, Creatinine 0.9.
Which of the following statements is true?
The patient is experiencing injection site reactions from the Enbrel.
The patient likely has an infection.
The patient is experiencing bone marrow suppression from the methotrexate.
Further testing should be done to evaluate the shortness of breath. - ANS - The patient is experiencing bone
marrow suppression from the methotrexate.
A patient is being seen in the healthcare clinic for routine monitoring. The patient denies any complaints at this
time. The patient has a history of atrial fibrillation for which they are on warfarin , HTN, osteoarthritis and a recent
bout of gout. The nurse practitioner reviews the patient's laboratory work and notes the INR is 4.5. Which of the
following interventions is appropriate at this time?
Administer vitamin K
Administer fresh frozen plasma
Ask the patient about recent treatment of gout, specifically allopurinol.
Take the vital signs to see if the patient is experiencing and blood loss. - ANS - Ask the patient about recent
treatment of gout, specifically allopurinol.
When evaluating an abnormal calcium, which of the following labs should also be considered? Choose all that
apply.
Potassium
Correct! Albumin
Sodium
WBC
Hgb
Phosphorus - ANS - Phosphorus
A patient was given Novolog at 0800 and 1200 to cover meals. In addition, the patient was given NPH insulin at
0800. At what times is the patient most likely to experience hypoglycemic episodes?
0900
1100
, Nursing 130 Exam 3 2024/25 Questions And Answers
1400
1600 - ANS - 1400
When caring for a patient with an external fixator on the left lower extremity due to a tibia fracture, the nurse's
priority interventions would include...
Encouraging weight bearing on the affected extremity
Regularly scheduled accuchecks.
Making sure there are no knots in the rope and the weights are hanging freely.
Checking the dorsalis pedis pulse. - ANS - Checking the dorsalis pedis pulse.
A patient is brought in with a displaced distal humerus fracture. The nurse should assess for which of the following
complications?
Pain
Radial nerve injury
Compartment Syndrome
DVT - ANS - Radial nerve injury
A patient with a distal right femur fracture complains of pain 10/10 to the affected leg. The patient received 2 mg
of dilaudid IVP within the last hour. The patient is also complaining of abdominal pain from constipation. Which of
the following is a priority assessment?
Bowel sounds
Lung sounds
Right femoral pulse
Right pedal pulse - ANS - Right pedal pulse
A 13 year old patient with an ankle sprain from a soccer injury is brought in by her parents. The patient is
complaining of pain with any movement. Which of the following medications would be expected?
Morphine 1 mg IVP
Dilaudid 0.5 mg IVP
Norco 7.5 mg/325 mg PO
Ibuprofen 400 mg PO - ANS - Ibuprofen 400 mg PO
The purpose of an inferior vena cava filter is to...
prevent a deep vein thrombosis
Prevent a pulmonary embolism
Prevent a stroke
Prevent a clot from traveling - ANS - Prevent a pulmonary embolism
A patient is brought in by ambulance from a motor vehicle crash. The patient was a passenger in a car that was T-
Boned on the passenger side. The patient has right rib fractures on rib 3, 4, and 5; non-displaced right tibia and
fibia fractures; and an unstable pelvic fracture. The nurse should...
Assess lung sounds
Make the patient NPO & check BP
Assist placing a posterior mold on the leg
Place a foley catheter. - ANS - Make the patient NPO & check BP
What is an appropriate technique for the nurse to implement when starting a peripheral IV?
The purpose of parathyroid hormone is to
A) increase the blood level of calcium
B) maintain the calcium in the bone
C) Increase calcium excretion in the glomerulus
D) Increases phosphate - ANS - increase the blood level of calcium
Nursing interventions for a patient on prednisone would include
Limiting carbohydrates in the diet
Prophylactic use of antibiotics
Placing the patient on Neutropenic precautions
Regularly scheduled accuchecks - ANS - Regularly scheduled accuchecks
Match the medication to its action/class. - ANS - -Etanercept (Enbrel) Binds to TNF
-Infliximab (Remicade) TNF antibody
-Rituximab (Rituxan) Destroys B-Lymphocytes
-Abatacept (Orencia) Inhibits the action of T-Lymphocytes
Osteoclasts form new bone matrix.
True/False - ANS - False
Which of the following diagnostic tests would you expect to diagnose a patient with osteoporosis?
Serum Calcium level
CT scan
MRI
X-ray
DEXA scan - ANS - DEXA scan
At what stage in the fracture healing process is it safe to discontinue a cast?
Fracture Hematoma has formed.
Granulation tissue has formed
Callus formation has occurred.
Ossification has begun.
Consolidation is complete.
Remodeling is seen on the xray. - ANS - Ossification has begun.
Which of the following signs and symptoms are seen in compartment syndrome? Choose all that apply.
Pain
Numbness & tingling
Pulselessness
Drainage from the wound
Increased blood pressure
Pallor
Warmth and redness
Inability to move - ANS - Pain
Numbness & tingling
Pulselessness
Pallor
,Nursing 130 Exam 3 2024/25 Questions And Answers
Inability to move
Which of the following meals would be appropriate for a trauma patient healing from musculoskeletal injuries?
Toast, grape jelly, yogurt and cream of wheat
Scrambled eggs, sausage, yogurt, bran muffin and milk.
Oatmeal with raisins, banana, and yogurt
Cheerios, french toast, bacon and orange juice. - ANS - Scrambled eggs, sausage, yogurt, bran muffin and milk.
Which of the following medication would be appropriate to use with a sliding scale with meals?
Lantus
NPH
Levemir
Apidra - ANS - Apidra
A patient taking methotrexate and Enbrel for rheumatoid arthritis comes to the clinic complaining of shortness of
breath with activity. The vital signs are as follows: HR 120, RR 24, BP 100/55, T 98.9, sats 98% on room air. The
physician orders lab work with the following results: WBC 3.4, Hgb 7.6, platelets 125, Na 140, K 3.4, Creatinine 0.9.
Which of the following statements is true?
The patient is experiencing injection site reactions from the Enbrel.
The patient likely has an infection.
The patient is experiencing bone marrow suppression from the methotrexate.
Further testing should be done to evaluate the shortness of breath. - ANS - The patient is experiencing bone
marrow suppression from the methotrexate.
A patient is being seen in the healthcare clinic for routine monitoring. The patient denies any complaints at this
time. The patient has a history of atrial fibrillation for which they are on warfarin , HTN, osteoarthritis and a recent
bout of gout. The nurse practitioner reviews the patient's laboratory work and notes the INR is 4.5. Which of the
following interventions is appropriate at this time?
Administer vitamin K
Administer fresh frozen plasma
Ask the patient about recent treatment of gout, specifically allopurinol.
Take the vital signs to see if the patient is experiencing and blood loss. - ANS - Ask the patient about recent
treatment of gout, specifically allopurinol.
When evaluating an abnormal calcium, which of the following labs should also be considered? Choose all that
apply.
Potassium
Correct! Albumin
Sodium
WBC
Hgb
Phosphorus - ANS - Phosphorus
A patient was given Novolog at 0800 and 1200 to cover meals. In addition, the patient was given NPH insulin at
0800. At what times is the patient most likely to experience hypoglycemic episodes?
0900
1100
, Nursing 130 Exam 3 2024/25 Questions And Answers
1400
1600 - ANS - 1400
When caring for a patient with an external fixator on the left lower extremity due to a tibia fracture, the nurse's
priority interventions would include...
Encouraging weight bearing on the affected extremity
Regularly scheduled accuchecks.
Making sure there are no knots in the rope and the weights are hanging freely.
Checking the dorsalis pedis pulse. - ANS - Checking the dorsalis pedis pulse.
A patient is brought in with a displaced distal humerus fracture. The nurse should assess for which of the following
complications?
Pain
Radial nerve injury
Compartment Syndrome
DVT - ANS - Radial nerve injury
A patient with a distal right femur fracture complains of pain 10/10 to the affected leg. The patient received 2 mg
of dilaudid IVP within the last hour. The patient is also complaining of abdominal pain from constipation. Which of
the following is a priority assessment?
Bowel sounds
Lung sounds
Right femoral pulse
Right pedal pulse - ANS - Right pedal pulse
A 13 year old patient with an ankle sprain from a soccer injury is brought in by her parents. The patient is
complaining of pain with any movement. Which of the following medications would be expected?
Morphine 1 mg IVP
Dilaudid 0.5 mg IVP
Norco 7.5 mg/325 mg PO
Ibuprofen 400 mg PO - ANS - Ibuprofen 400 mg PO
The purpose of an inferior vena cava filter is to...
prevent a deep vein thrombosis
Prevent a pulmonary embolism
Prevent a stroke
Prevent a clot from traveling - ANS - Prevent a pulmonary embolism
A patient is brought in by ambulance from a motor vehicle crash. The patient was a passenger in a car that was T-
Boned on the passenger side. The patient has right rib fractures on rib 3, 4, and 5; non-displaced right tibia and
fibia fractures; and an unstable pelvic fracture. The nurse should...
Assess lung sounds
Make the patient NPO & check BP
Assist placing a posterior mold on the leg
Place a foley catheter. - ANS - Make the patient NPO & check BP
What is an appropriate technique for the nurse to implement when starting a peripheral IV?
