NU-404 Exam #3 questions With Complete Solutions
2 month old infant, report which? a. split S2 heart sound
b. apical HR of 140
c. oxygen sat of 97%
d. femoral pulse 3+, brachial pulse 2+ Correct Answers a
with inspiration may hear split s2 normally, need to listen both
times
4 clients with renal trauma, which requires immediate treatment
a. thrombus in renal artery or vein
b. nonexpanding hematoma and superficial lacerations
c. client with injuries of the renal after or vein with controlled
bleeding
d. lacerations 1.2 cm deep, but not involving the collecting
system Correct Answers a
6 month old infant in clinic with 167 HR, O2 98, RR 65. Gets
tired with feedings, 2 ounces every 2 minutes
a. peripheral pulses
b. bowel sounds
c. auscultate for heart murmur
d. attempt to bottle feed Correct Answers c
A client is brought to the emergency department with abdominal
trauma following an automobile accident. The vital signs are as
follows: heart rate, 132 bpm; respirations, 28 breaths/min; blood
pressure, 84/58 mm Hg; temperature, 97.0°F (36.1°C); and
oxygen saturation 89% on room air. Which prescription should
the nurse implement first?
,Select one:
a.
Administer 1 L 0.9% normal saline IV.
b.
Draw a complete blood count (CBC) with hematocrit and
hemoglobin.
c.
Obtain an abdominal x-ray.
d.
Insert an indwelling urinary catheter. Correct Answers a
A nurse anticipates that the conservative treatment of a client
with acute cholecystitis will include:
Select one:
a.
A bland diet
b.
The administration of anticholinergic medication.
c.
Place the client in a supine position with the head of bed flat.
d.
The administration of a laxative to clear the bowel. Correct
Answers b
,A nurse caring for a woman with preeclampsia should monitor
for which complications associated with preeclampsia?
SELECT ALL THAT APPLY.
a.
Abruption
b.
Hyperbilirubinemia
c.
Nonreassuring fetal status
d.
Eclampsia
e.
Gestational diabetes Correct Answers a, b, c, d
A nurse in an emergency department is caring for a client who
has diabetic ketoacidosis (DKA) and a blood glucose level of
925 mg/dL. The nurse should anticipate which of the following
prescriptions from the provider?
Select one:
a.
Oral hypoglycemic medications
b.
0.9% sodium chloride IV bolus
c.
Dextrose 5% in 0.45% sodium chloride
d.
Glucocorticoid medications Correct Answers b
A nurse in an emergency department is preparing to administer
alteplase accelerated therapy to a client who is having a
, myocardial infarction. Which of the following actions should the
nurse plan to take? (Select all that apply.)
a.
Administer the medication within 30 min of the client's arrival
to the department.
b.
Tell the client that the purpose of the medication is to keep a
new clot from forming.
c.
Assess the client for back pain.
d.
Administer a 15 mg IV bolus.
e.
Reconstitute the medication with sterile water. Correct Answers
a,c,d,e
A nurse is administering an IM injection to a client who has
hepatitis C. Before placing the syringe and needle in a puncture-
resistant container, which of the following actions should the
nurse take?
Select one:
a.
Recap the needle.
b.
Place the cap on the bedside table and slide the needle into the
cap.
2 month old infant, report which? a. split S2 heart sound
b. apical HR of 140
c. oxygen sat of 97%
d. femoral pulse 3+, brachial pulse 2+ Correct Answers a
with inspiration may hear split s2 normally, need to listen both
times
4 clients with renal trauma, which requires immediate treatment
a. thrombus in renal artery or vein
b. nonexpanding hematoma and superficial lacerations
c. client with injuries of the renal after or vein with controlled
bleeding
d. lacerations 1.2 cm deep, but not involving the collecting
system Correct Answers a
6 month old infant in clinic with 167 HR, O2 98, RR 65. Gets
tired with feedings, 2 ounces every 2 minutes
a. peripheral pulses
b. bowel sounds
c. auscultate for heart murmur
d. attempt to bottle feed Correct Answers c
A client is brought to the emergency department with abdominal
trauma following an automobile accident. The vital signs are as
follows: heart rate, 132 bpm; respirations, 28 breaths/min; blood
pressure, 84/58 mm Hg; temperature, 97.0°F (36.1°C); and
oxygen saturation 89% on room air. Which prescription should
the nurse implement first?
,Select one:
a.
Administer 1 L 0.9% normal saline IV.
b.
Draw a complete blood count (CBC) with hematocrit and
hemoglobin.
c.
Obtain an abdominal x-ray.
d.
Insert an indwelling urinary catheter. Correct Answers a
A nurse anticipates that the conservative treatment of a client
with acute cholecystitis will include:
Select one:
a.
A bland diet
b.
The administration of anticholinergic medication.
c.
Place the client in a supine position with the head of bed flat.
d.
The administration of a laxative to clear the bowel. Correct
Answers b
,A nurse caring for a woman with preeclampsia should monitor
for which complications associated with preeclampsia?
SELECT ALL THAT APPLY.
a.
Abruption
b.
Hyperbilirubinemia
c.
Nonreassuring fetal status
d.
Eclampsia
e.
Gestational diabetes Correct Answers a, b, c, d
A nurse in an emergency department is caring for a client who
has diabetic ketoacidosis (DKA) and a blood glucose level of
925 mg/dL. The nurse should anticipate which of the following
prescriptions from the provider?
Select one:
a.
Oral hypoglycemic medications
b.
0.9% sodium chloride IV bolus
c.
Dextrose 5% in 0.45% sodium chloride
d.
Glucocorticoid medications Correct Answers b
A nurse in an emergency department is preparing to administer
alteplase accelerated therapy to a client who is having a
, myocardial infarction. Which of the following actions should the
nurse plan to take? (Select all that apply.)
a.
Administer the medication within 30 min of the client's arrival
to the department.
b.
Tell the client that the purpose of the medication is to keep a
new clot from forming.
c.
Assess the client for back pain.
d.
Administer a 15 mg IV bolus.
e.
Reconstitute the medication with sterile water. Correct Answers
a,c,d,e
A nurse is administering an IM injection to a client who has
hepatitis C. Before placing the syringe and needle in a puncture-
resistant container, which of the following actions should the
nurse take?
Select one:
a.
Recap the needle.
b.
Place the cap on the bedside table and slide the needle into the
cap.
