NUR 445 EXAM 1
NUR 445 EXAM 1 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+/ARIZONA COLLEGE OF
NURSING
The nurse administered intravenous bumetanide to a client being treated for heart failure.
Which outcome indicates that the medication has achieved the expected effect?
1. Cough becomes productive of frothy pink sputum.
2. Urine output increases from 10 mL/hr to greater than 50 mL hourly.
3. The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to 3.1 mmol/L).
4. B-type natriuretic peptide (BNP) factor increases from 200 to 262 ng/mL (200 to 262 mcg/L).
2. Urine output increases from 10 mL/hr to greater than 50 mL hourly.
Intravenous heparin therapy is prescribed for a client with atrial fibrillation. While implementing
this prescription, the nurse ensures that which medication is available on the nursing unit?
1. Vitamin K
2. Protamine sulfate
3. Potassium chloride
4. Aminocaproic acid
2. Protamine sulfate
A patient is being discharged after having an upper GI endoscopy this morning. What
instructions should the nurse provide? (Select all that apply.)
1. "Do not eat anything for at least 8 hours."
A+ TEST BANK 1
, NUR 445 EXAM 1
2. "Call the healthcare provider's office if you have any difficulty swallowing that is more serious
than a minor sore throat."
3. "You should expect your stools to be darker in color and sticky for the next few days."
4. "You may experience belching and a bloated feeling for a few hours after you get home."
5. "Call the healthcare provider's office if you have any fever." –
Correct Answer :Answer: 2, 4, 5
A patient presents to the emergency department with complaints of fatigue. Testing reveals
anemia secondary to a gastrointestinal bleed. The patient says, "How could that be true? I have
never seen blood in my stools." What is the nurse's best response? (Select all that apply.)
1. "You must just have not noticed it."
2. "Sometimes the blood is occult, which means you can't see it."
3. "The blood may have made your stools black, not red."
4. "The stools have to be tested to determine if blood is present."
5. "If your stools are dark and sticky, it may be due to the presence of blood."
Answer: 2, 3, 5 –
Correct Answer :Answer: 2, 3, 5
A 45-year-old man is diagnosed with a duodenal ulcer. He asks, "Now that I have an ulcer, what
comes next?" What is the nurse's best response?
1. "Most peptic ulcers heal with medical treatment."
2. "People who have gastric ulcers have to accept that they will have pain when they eat."
3. "Early surgery is usually advised, especially for duodenal ulcers."
4. "If ulcers are untreated, cancer of the stomach will develop." –
Correct Answer :Answer: 1
A+ TEST BANK 2
, NUR 445 EXAM 1
A patient who has history of ulcerative colitis has been hospitalized for repair of a fractured
humerus. A combination of which findings would prompt the nurse to collaborate with the
healthcare provider regarding a transfer to the ICU? (Select all that apply.)
1. The patient vomits coffee-ground material.
2. The patient's BUN drops.
3. The patient's stool is hemoccult positive.
4. The patient is tachycardic.
5. The patient is hypotensive. –
Correct Answer :Answer: 1, 3, 4
A patient who has a history of esophageal varices is vomiting blood. Which initial intervention
does the nurse anticipate?
1. Administration of an antiemetic
2. Endotracheal intubation
3. Laboratory analysis of the emesis
4. STAT chest x-ray –
Correct Answer :Answer: 2
A patient has been diagnosed with a bowel obstruction. Which nursing intervention is indicated?
1. Rapid initiation of parenteral feeding
2. STAT soapsuds enema
3. Insertion of a nasogastric tube
4. Digital evacuation of stool mass –
A+ TEST BANK 3
, NUR 445 EXAM 1
Correct Answer :Answer: 3
A patient has developed intraabdominal hypertension (IAH). The nurse monitors for findings
associated with which complication?
1. Bacterial translocation
2. Increased peristalsis
3. Increased production of mucus
4. Decreased production of carbon dioxide –
Correct Answer :Answer: 1
A patient has been diagnosed with mild intraabdominal hypertension (IAH). Which intervention
is indicated?
1. Position the patient with head flat in bed.
2. Discourage any activity that will increase pressure, such as coughing or breathing deeply.
3. Restrict fluids.
4. Encourage use of incentive spirometry. –
Correct Answer :Answer: 4
A patient presents in the emergency department and reports taking an intentional overdose of
acetaminophen 3 days earlier. The patient says, "I thought it would kill me, but I just got sick."
What assessment finding would corroborate this patient's report?
1. The patient is vomiting.
2. The patient has circumoral cyanosis.
3. The patient's ALT and AST enzymes are elevated.
4. The patient's BUN is elevated. –
Correct Answer :Answer: 3
A+ TEST BANK 4
NUR 445 EXAM 1 2025 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+/ARIZONA COLLEGE OF
NURSING
The nurse administered intravenous bumetanide to a client being treated for heart failure.
Which outcome indicates that the medication has achieved the expected effect?
1. Cough becomes productive of frothy pink sputum.
2. Urine output increases from 10 mL/hr to greater than 50 mL hourly.
3. The serum potassium level changes from 3.8 to 3.1 mEq/L (3.8 to 3.1 mmol/L).
4. B-type natriuretic peptide (BNP) factor increases from 200 to 262 ng/mL (200 to 262 mcg/L).
2. Urine output increases from 10 mL/hr to greater than 50 mL hourly.
Intravenous heparin therapy is prescribed for a client with atrial fibrillation. While implementing
this prescription, the nurse ensures that which medication is available on the nursing unit?
1. Vitamin K
2. Protamine sulfate
3. Potassium chloride
4. Aminocaproic acid
2. Protamine sulfate
A patient is being discharged after having an upper GI endoscopy this morning. What
instructions should the nurse provide? (Select all that apply.)
1. "Do not eat anything for at least 8 hours."
A+ TEST BANK 1
, NUR 445 EXAM 1
2. "Call the healthcare provider's office if you have any difficulty swallowing that is more serious
than a minor sore throat."
3. "You should expect your stools to be darker in color and sticky for the next few days."
4. "You may experience belching and a bloated feeling for a few hours after you get home."
5. "Call the healthcare provider's office if you have any fever." –
Correct Answer :Answer: 2, 4, 5
A patient presents to the emergency department with complaints of fatigue. Testing reveals
anemia secondary to a gastrointestinal bleed. The patient says, "How could that be true? I have
never seen blood in my stools." What is the nurse's best response? (Select all that apply.)
1. "You must just have not noticed it."
2. "Sometimes the blood is occult, which means you can't see it."
3. "The blood may have made your stools black, not red."
4. "The stools have to be tested to determine if blood is present."
5. "If your stools are dark and sticky, it may be due to the presence of blood."
Answer: 2, 3, 5 –
Correct Answer :Answer: 2, 3, 5
A 45-year-old man is diagnosed with a duodenal ulcer. He asks, "Now that I have an ulcer, what
comes next?" What is the nurse's best response?
1. "Most peptic ulcers heal with medical treatment."
2. "People who have gastric ulcers have to accept that they will have pain when they eat."
3. "Early surgery is usually advised, especially for duodenal ulcers."
4. "If ulcers are untreated, cancer of the stomach will develop." –
Correct Answer :Answer: 1
A+ TEST BANK 2
, NUR 445 EXAM 1
A patient who has history of ulcerative colitis has been hospitalized for repair of a fractured
humerus. A combination of which findings would prompt the nurse to collaborate with the
healthcare provider regarding a transfer to the ICU? (Select all that apply.)
1. The patient vomits coffee-ground material.
2. The patient's BUN drops.
3. The patient's stool is hemoccult positive.
4. The patient is tachycardic.
5. The patient is hypotensive. –
Correct Answer :Answer: 1, 3, 4
A patient who has a history of esophageal varices is vomiting blood. Which initial intervention
does the nurse anticipate?
1. Administration of an antiemetic
2. Endotracheal intubation
3. Laboratory analysis of the emesis
4. STAT chest x-ray –
Correct Answer :Answer: 2
A patient has been diagnosed with a bowel obstruction. Which nursing intervention is indicated?
1. Rapid initiation of parenteral feeding
2. STAT soapsuds enema
3. Insertion of a nasogastric tube
4. Digital evacuation of stool mass –
A+ TEST BANK 3
, NUR 445 EXAM 1
Correct Answer :Answer: 3
A patient has developed intraabdominal hypertension (IAH). The nurse monitors for findings
associated with which complication?
1. Bacterial translocation
2. Increased peristalsis
3. Increased production of mucus
4. Decreased production of carbon dioxide –
Correct Answer :Answer: 1
A patient has been diagnosed with mild intraabdominal hypertension (IAH). Which intervention
is indicated?
1. Position the patient with head flat in bed.
2. Discourage any activity that will increase pressure, such as coughing or breathing deeply.
3. Restrict fluids.
4. Encourage use of incentive spirometry. –
Correct Answer :Answer: 4
A patient presents in the emergency department and reports taking an intentional overdose of
acetaminophen 3 days earlier. The patient says, "I thought it would kill me, but I just got sick."
What assessment finding would corroborate this patient's report?
1. The patient is vomiting.
2. The patient has circumoral cyanosis.
3. The patient's ALT and AST enzymes are elevated.
4. The patient's BUN is elevated. –
Correct Answer :Answer: 3
A+ TEST BANK 4
