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NURS 4614 AH Final Exam | Verified Questions and
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A client with Chr0nic 0bstructive pulm0nary disease (C0PD) has devel0ped
sec0ndary p0lycythemia Vera. When assessing f0r this c0nditi0n the nurse sh0uld
0bserve f0r which 0f the f0ll0wing?
a. Pall0r and cyan0sis
b. Dyspnea 0n elxerti0n
c. A decrease 0n
hemat0crit
d. An elevated
hem0gl0bin
During a c0de (a cardiac arrest) the physician 0rders epinephrine 1mg IV, the nurse
administers the medicati0n quickly. The nurse is preparing t0 give the sec0nd d0se
0f epinephrine but d0es n0t remember h0w many minutes t0 wait between d0ses.
The student nurse just reviewed the ACLS alg0rithms and remain the nurse t0
wait:
a. 5-6
minutes b. 3-
5 minutes
c. 0nly 3 minutes
d. 1-2 minutes
The nurse witnesses a client begin t0 experience a t0nic-cl0nic seizure and l0ss 0f
c0nsci0usness. What acti0n w0uld the nurse take first?
a.Tum the client's head t0 the side t0 prevent aspirati0n.
b. Prepare t0 intubate the client immediately.
c. Start fluids via large-b0re catheter.
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d. Insert a padded t0ngue blade int0 the m0uth.
A patient is admitted t0 the emergency department with p0ssible diabetic ket0
acid0sis, which 0f the f0ll0wing lab0rat0ry values w0uld be the m0st supp0rtive 0f
this diagn0sis?
a. Urine negative f0r
gluc0se b. L0w
Bicarb0nate level
c. L0w creatinine
d. pH 7.45
The nurse is aware that 0ne 0f the earliest signs 0f hyp0xia/respirat0ry distress is:
a. Patient has l0w bl00d pressure
b. Patient has a change in level 0f c0nsci0usness
c. Patient has an 02 sat 0f 98%
d. Patient appears calm and c00perative
The ambulance is bringing a patient that was trapped in a h0use fire. Up0n arrival
t0 the emergency r00m, the trauma team assesses the patient, and visualize partial
thickness burns t0 the anteri0r chest and abd0men, p0steri0r upper and l0wer back,
and circumferential burns t0 the entire 0f the upper extremities. What is the
percent t0tal b0dy surface area burned f0r this patient? 54%
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NURS 4614 AH Final Exam | Verified Questions and
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A 24 year 0ld female patient arrives t0 the emergency r00m after being exp0sed t0 a
chemical at her w0rk. Up0n assessment, the nurse 0bserves partial thickness burns
t0 the anteri0r surface 0f
bilateral upper and l0wer legs, genital area, and abd0men. The Patient weights
275lbs. What is the h0urly rate (mL/Hr) 0f fluid the patient will need within the
first 3 h0urs? 875 mL/hr
When assessing a client with pernici0us anemia which 0f the f0ll0wing questi0ns
sh0uld the nurse ask?
a. “D0 y0u have a s0res 0n y0ur lips and t0ngue?”
b. “D0 y0u have tingling 0r numbness t0 y0ur hands 0r feet?”
c. “Have y0u ever had a bl00d transfusi0n in the past”
d. “Are y0u having black st00ls”
A client is receiving the Amin0-glyc0side antibi0tic Garamycin (Gentamycin) f0r
gram negative sepsis. In additi0n t0 a peak and thr0ugh levels what 0ther lab
values sh0uld be m0nit0red when giving this medicati0n?
a. BUN and creatinine
b. S0dium and p0tassium
c. Amylase and lipase
d. Hem0gl0bin and hemat0crit
The patient with acute renal failure tells the nurse “My fingers and t0es are
twitching and tingling, what is causing this?” What resp0nse by the nurse
w0uld be c0rrect?
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a. It is caused by a l0w calcium level
b. It is caused by metab0lic acid0sis
c. It is caused by a high BUN and Creatinine
d. It is caused by a high level 0f p0tassium
While assessing a patient inv0lved in a maj0r trauma, the nurse 0bserves the
patient is n0t able t0 0pen his eyes, is n0t able t0 verbalize, and n0t able t0 m0ve
extremities. The nurse understands the patients Glasg0w c0ma scale based 0n
assessment at this time is:
a. 15
b. 0
c. 1
2 d.
3
The nurse is administering fluids intraven0usly as prescribed t0 a patient wh0
sustained superficial partial thickness burn injuries 0f the back and legs. In
evaluating the adequacy 0f fluid resuscitati0n, the nurse understands that which
0f the f0ll0wing w0uld pr0vide the m0st reliable indicat0r f0r determining the
adequacy 0f fluid replacement?
a. Urine 0utput
b. Parkland status
c. Mental status
d. Vital signs
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NURS 4614 AH Final Exam | Verified Questions and
100% Correct Answers
A client with Chr0nic 0bstructive pulm0nary disease (C0PD) has devel0ped
sec0ndary p0lycythemia Vera. When assessing f0r this c0nditi0n the nurse sh0uld
0bserve f0r which 0f the f0ll0wing?
a. Pall0r and cyan0sis
b. Dyspnea 0n elxerti0n
c. A decrease 0n
hemat0crit
d. An elevated
hem0gl0bin
During a c0de (a cardiac arrest) the physician 0rders epinephrine 1mg IV, the nurse
administers the medicati0n quickly. The nurse is preparing t0 give the sec0nd d0se
0f epinephrine but d0es n0t remember h0w many minutes t0 wait between d0ses.
The student nurse just reviewed the ACLS alg0rithms and remain the nurse t0
wait:
a. 5-6
minutes b. 3-
5 minutes
c. 0nly 3 minutes
d. 1-2 minutes
The nurse witnesses a client begin t0 experience a t0nic-cl0nic seizure and l0ss 0f
c0nsci0usness. What acti0n w0uld the nurse take first?
a.Tum the client's head t0 the side t0 prevent aspirati0n.
b. Prepare t0 intubate the client immediately.
c. Start fluids via large-b0re catheter.
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NURS 4614 AH Final Exam | Verified Questions and
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d. Insert a padded t0ngue blade int0 the m0uth.
A patient is admitted t0 the emergency department with p0ssible diabetic ket0
acid0sis, which 0f the f0ll0wing lab0rat0ry values w0uld be the m0st supp0rtive 0f
this diagn0sis?
a. Urine negative f0r
gluc0se b. L0w
Bicarb0nate level
c. L0w creatinine
d. pH 7.45
The nurse is aware that 0ne 0f the earliest signs 0f hyp0xia/respirat0ry distress is:
a. Patient has l0w bl00d pressure
b. Patient has a change in level 0f c0nsci0usness
c. Patient has an 02 sat 0f 98%
d. Patient appears calm and c00perative
The ambulance is bringing a patient that was trapped in a h0use fire. Up0n arrival
t0 the emergency r00m, the trauma team assesses the patient, and visualize partial
thickness burns t0 the anteri0r chest and abd0men, p0steri0r upper and l0wer back,
and circumferential burns t0 the entire 0f the upper extremities. What is the
percent t0tal b0dy surface area burned f0r this patient? 54%
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NURS 4614 AH Final Exam | Verified Questions and
100% Correct Answers
A 24 year 0ld female patient arrives t0 the emergency r00m after being exp0sed t0 a
chemical at her w0rk. Up0n assessment, the nurse 0bserves partial thickness burns
t0 the anteri0r surface 0f
bilateral upper and l0wer legs, genital area, and abd0men. The Patient weights
275lbs. What is the h0urly rate (mL/Hr) 0f fluid the patient will need within the
first 3 h0urs? 875 mL/hr
When assessing a client with pernici0us anemia which 0f the f0ll0wing questi0ns
sh0uld the nurse ask?
a. “D0 y0u have a s0res 0n y0ur lips and t0ngue?”
b. “D0 y0u have tingling 0r numbness t0 y0ur hands 0r feet?”
c. “Have y0u ever had a bl00d transfusi0n in the past”
d. “Are y0u having black st00ls”
A client is receiving the Amin0-glyc0side antibi0tic Garamycin (Gentamycin) f0r
gram negative sepsis. In additi0n t0 a peak and thr0ugh levels what 0ther lab
values sh0uld be m0nit0red when giving this medicati0n?
a. BUN and creatinine
b. S0dium and p0tassium
c. Amylase and lipase
d. Hem0gl0bin and hemat0crit
The patient with acute renal failure tells the nurse “My fingers and t0es are
twitching and tingling, what is causing this?” What resp0nse by the nurse
w0uld be c0rrect?
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NURS 4614 AH Final Exam | Verified Questions and
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a. It is caused by a l0w calcium level
b. It is caused by metab0lic acid0sis
c. It is caused by a high BUN and Creatinine
d. It is caused by a high level 0f p0tassium
While assessing a patient inv0lved in a maj0r trauma, the nurse 0bserves the
patient is n0t able t0 0pen his eyes, is n0t able t0 verbalize, and n0t able t0 m0ve
extremities. The nurse understands the patients Glasg0w c0ma scale based 0n
assessment at this time is:
a. 15
b. 0
c. 1
2 d.
3
The nurse is administering fluids intraven0usly as prescribed t0 a patient wh0
sustained superficial partial thickness burn injuries 0f the back and legs. In
evaluating the adequacy 0f fluid resuscitati0n, the nurse understands that which
0f the f0ll0wing w0uld pr0vide the m0st reliable indicat0r f0r determining the
adequacy 0f fluid replacement?
a. Urine 0utput
b. Parkland status
c. Mental status
d. Vital signs
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