CCBC NURN 153 LATEST
FINAL EXAM
A patient with peptic ulcer disease (PUD) is suddenly complaining of
sharp, upper abdominal pain referring back to their shoulder. The
patients abdomen is distended and board-like. Vital signs are as follows:
T: 99.3, HR: 142, RR: 22, BP: 122/78. Which of the following should
the nurse do next?
A. Administer prescribed Oxycodone/Acetaminophen (Percocet) 5/325
mg PO
B. Assess the patients bowel sounds
C. Contact the MD with findings
D. Prepare the patient for a blood transfusion - ANSWERS-C. Contact
the MD with findings
The nurse is caring for a patient post-op day 1 from laparoscopic
cholecystectomy. The nurse understands the patient may be experiencing
complications from the procedure if they assess which of the following?
A. Pain in the chest and shoulders
B. T-tube that has drained 200 mL of green drainage over the past 24
hours
C. Right lower extremity that is red and swollen
D. JP drain that is collecting serosanguineous fluid - ANSWERS-C.
Right lower extremity that is red and swollen
END OF
PAGE 1
, CCBC NURN 153 LATEST
FINAL EXAM
a patient is diagnosed w hypertension. when looking at the patients
history the healthcare provider anticipates the patient will report which
of the following?
a. i have not notices any significant changes in my health
b. every once in a while i wake up at night covered in sweat
c. sometimes i get pain in my lower legs when i take my daily walk
d. im starting to get out of breath when i go up a flight of stairs -
ANSWERS-a. i have not notices any significant changes in my health
the nurse is administering a TB skin test to a client who has possibly
been exposed to another patient with active TB. which statement best
describes the need for the client to receive a chest x-ray instead of skin
testing?
a. the clients first skin test indicates a purple flat area at the site of
injection
b. the clients second skin test indicates a red area measuring 4mm
c. the clients previous skin test was read as positive
d. the client has never shown a reaction to the TB skin test medication -
ANSWERS-c. the clients previous skin test was read as positive
END OF
PAGE 2
FINAL EXAM
A patient with peptic ulcer disease (PUD) is suddenly complaining of
sharp, upper abdominal pain referring back to their shoulder. The
patients abdomen is distended and board-like. Vital signs are as follows:
T: 99.3, HR: 142, RR: 22, BP: 122/78. Which of the following should
the nurse do next?
A. Administer prescribed Oxycodone/Acetaminophen (Percocet) 5/325
mg PO
B. Assess the patients bowel sounds
C. Contact the MD with findings
D. Prepare the patient for a blood transfusion - ANSWERS-C. Contact
the MD with findings
The nurse is caring for a patient post-op day 1 from laparoscopic
cholecystectomy. The nurse understands the patient may be experiencing
complications from the procedure if they assess which of the following?
A. Pain in the chest and shoulders
B. T-tube that has drained 200 mL of green drainage over the past 24
hours
C. Right lower extremity that is red and swollen
D. JP drain that is collecting serosanguineous fluid - ANSWERS-C.
Right lower extremity that is red and swollen
END OF
PAGE 1
, CCBC NURN 153 LATEST
FINAL EXAM
a patient is diagnosed w hypertension. when looking at the patients
history the healthcare provider anticipates the patient will report which
of the following?
a. i have not notices any significant changes in my health
b. every once in a while i wake up at night covered in sweat
c. sometimes i get pain in my lower legs when i take my daily walk
d. im starting to get out of breath when i go up a flight of stairs -
ANSWERS-a. i have not notices any significant changes in my health
the nurse is administering a TB skin test to a client who has possibly
been exposed to another patient with active TB. which statement best
describes the need for the client to receive a chest x-ray instead of skin
testing?
a. the clients first skin test indicates a purple flat area at the site of
injection
b. the clients second skin test indicates a red area measuring 4mm
c. the clients previous skin test was read as positive
d. the client has never shown a reaction to the TB skin test medication -
ANSWERS-c. the clients previous skin test was read as positive
END OF
PAGE 2
