NUR 198 FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
An older adult comes in with new onset of confusion. What should you do first? - correct
answer ✔✔ Rule out physiological possibilities then test for delirium
Chronic Condition - correct answer ✔✔ Diseases that can be treated but not cured, prolonged
and progressive
Safety risks for visually impaired older adults - correct answer ✔✔
Physiological changes in Older Adults - correct answer ✔✔
Which medication do you administer for a potassium of 5.8? - correct answer ✔✔ Sodium
polystyrene
Acid/Base imbalance that causes flu-like symptoms with hyperactive reflexes and a new onset of
confusion - correct answer ✔✔ Metabolic alkalosis
Complications of potassium imbalance - correct answer ✔✔ Arrhthymias
First symptom of acidosis - correct answer ✔✔ hyperventilation
How to prevent edema in extremities post-op - correct answer ✔✔ elevation
Role of the circulating nurse - correct answer ✔✔ Document and time out
,Post-Op teaching should include - correct answer ✔✔ Teaching about leg exercises, IS, Deep
Breathing, TED hose, ambulation
Best nutrient to promote wound healing post-operatively - correct answer ✔✔ protein
Appropriate med for low-moderate pain - correct answer ✔✔ Nonpharm methods and/or
nonopioids
Major side effect of opioids - correct answer ✔✔ respiratory depression
Pain medication modalities during the post-op phase - correct answer ✔✔ PCA, nerve blocks
Pain Scales - correct answer ✔✔ FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is having vomiting and severe diarrhea -
correct answer ✔✔ potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28 - correct answer ✔✔ Fever, Oxygenation, and Productive cough
, For each finding, click to specify if the finding is associated OR not associated with COPD -
correct answer ✔✔ associated: occupation, pulse oximeter at 87%, 50-pack smoking history,
productive cough, clubbing in fingers, ABG CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status - correct answer ✔✔ 1. treat the pneumonia
For each finding, click to specify if the finding is associated OR not associated with COPD -
correct answer ✔✔ associated: iv methylprednisolone, administer po acetaminophen for fever,
encourage flutter valve or acapella use, encourage pursed lip breathing, monitor wbc.
What should the nurse teach the client before discharge about the treatment plan? Select all
that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the prednisone.
-Can continue flutter valve or acapella at least 3-4 times daily.
-Increase oxygen level to 5-6 L/minute whenever short of breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking. - correct answer ✔✔ - continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times daily
WITH COMPLETE SOLUTIONS
An older adult comes in with new onset of confusion. What should you do first? - correct
answer ✔✔ Rule out physiological possibilities then test for delirium
Chronic Condition - correct answer ✔✔ Diseases that can be treated but not cured, prolonged
and progressive
Safety risks for visually impaired older adults - correct answer ✔✔
Physiological changes in Older Adults - correct answer ✔✔
Which medication do you administer for a potassium of 5.8? - correct answer ✔✔ Sodium
polystyrene
Acid/Base imbalance that causes flu-like symptoms with hyperactive reflexes and a new onset of
confusion - correct answer ✔✔ Metabolic alkalosis
Complications of potassium imbalance - correct answer ✔✔ Arrhthymias
First symptom of acidosis - correct answer ✔✔ hyperventilation
How to prevent edema in extremities post-op - correct answer ✔✔ elevation
Role of the circulating nurse - correct answer ✔✔ Document and time out
,Post-Op teaching should include - correct answer ✔✔ Teaching about leg exercises, IS, Deep
Breathing, TED hose, ambulation
Best nutrient to promote wound healing post-operatively - correct answer ✔✔ protein
Appropriate med for low-moderate pain - correct answer ✔✔ Nonpharm methods and/or
nonopioids
Major side effect of opioids - correct answer ✔✔ respiratory depression
Pain medication modalities during the post-op phase - correct answer ✔✔ PCA, nerve blocks
Pain Scales - correct answer ✔✔ FACES, number, non-verbal cues
Electrolyte that should be monitored when a patient is having vomiting and severe diarrhea -
correct answer ✔✔ potassium
Which 3 assessment findings that are most significant?
□Temperature 101.4 F (38.5 C)
□Pulse 98
□BP 140/72
□Pulse oximetry 85%
□Poor appetite
□ABG pCO2 51
□Productive cough of purulent sputum
□ABG HCO3 28 - correct answer ✔✔ Fever, Oxygenation, and Productive cough
, For each finding, click to specify if the finding is associated OR not associated with COPD -
correct answer ✔✔ associated: occupation, pulse oximeter at 87%, 50-pack smoking history,
productive cough, clubbing in fingers, ABG CO2 of 51
Whats the top priority with our patient?
-reduce temperature
-improve CO2
-evaluate nutritional status/ food intake
-treat the pneumonia
-assess readiness to stop smoking
-address vaccination status - correct answer ✔✔ 1. treat the pneumonia
For each finding, click to specify if the finding is associated OR not associated with COPD -
correct answer ✔✔ associated: iv methylprednisolone, administer po acetaminophen for fever,
encourage flutter valve or acapella use, encourage pursed lip breathing, monitor wbc.
What should the nurse teach the client before discharge about the treatment plan? Select all
that apply.
-Continue to increase fluid intake.
-If feeling better (no SOB or fever), can stop taking the prednisone.
-Can continue flutter valve or acapella at least 3-4 times daily.
-Increase oxygen level to 5-6 L/minute whenever short of breath.
-Obtain pneumococcal and flu vaccine at next provider visit.
-Eat smaller, more frequent high-calorie, high-protein meals.
-Avoid all exercise for at least 3 months.
-Consider strategies to stop smoking. - correct answer ✔✔ - continue to increase fluid intake
-can continue flutter valve or acapella at least 3-4 times daily
