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NURS 231 Pathophysiology Exam with Questions and Answers Right ventricular failure is commonly characterized by each of the following changes except: ANSWER Pulmonary edema Left ventricular failure is commonly characterized by each of the following except: ANSWER Liver congestion Which pharmacologic treatment of heart failure has a mechanism of action characterized by excretion of fluid, reducing preload: ANSWER diuretic The laboratory test that measures the volume of red cells in...

NURS 231 Midterm Exam with Questions and Verified Answers A patient is being treated with non-invasive positive pressure ventilation for acute exacerbation of COPD. Which of the following is NOT a nursing responsibility? a) Monitor the patient's respiratory rate and SPO2 b) Monitor for skin breakdown around mask and straps c) provide adequate nutrition d) ensure correct placement of endotracheal tube ANSWER d) ensure correct placement of endotracheal tube * it's noninvasive so d...

NURS 231 Final Exam with Questions and Answers What does SPEAK UP stand for? ANSWER S: Speak up, ask if you do not know P: Pay Attention E: Educate A: Ask trusted family/friends to advocate K: Know your meds and why U: Use clinic/hospital well researched P: Participate in treatment decisions Define the domains of learning: Cognitive, Affective, and Psychomotor ANSWER Cognitive: Intellect, knowledge you know or don't know Affective: Emotions and feelings Psychomotor: Fine and G...

NURS 231 Exam with Questions and Verified Answers The nurse is reviewing the medical record of a client with PE. What priority does the nurse set after reviewing the blood gas result below? pH 7.46, PaCO2 30, HCO3 26, PaO2 62 a) Have the client breathe rapidly and deeply b) Apply oxygen c) Collaborate with the provider to increase the pH d) Administer sodium bicarbonate ANSWER b) Apply oxygen *Hypoxemia is present, demonstrated by PaO2 below 80. Supplemental O2 is needed to improve ti...

NURS 231 Exam Review with Questions and Verified Answers The nurse understands that ventricular fibrillation is a common cause of death after myocardial infarction (MI). Which drug should be readily available to treat ventricular fibrillation? A. Propranolol [Inderal] B. Atropine C. Adenosine D. Amiodarone [Cordarone] ANSWER D. Amiodarone [Cordarone] *The priority treatment of ventricular fibrillation involves defibrillation, followed by intravenous (IV) amiodarone infusion for 24 to ...

NURS 231 Exam 3 with Questions and Answers A 26-year-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient's symptoms? a. "What type of foods do you eat?" b. "Is it possible that you are pregnant?" c. "Can you tell me more about the pain?" d. "What is your usual elimination pattern?" ANSWER c. "Can you tell me more about the pain?" A complete description...

NURS 231 Exam 1 with Questions and Answers The new nurse comes across a theory that states that leadership is most effective when adjusted to fit a specific situation. What type of leadership style is this? Democratic Autocratic Transformational Situational ANSWER ANS: D The nurse knows that the difference between transformational leadership and servant leadership is that... Transformational leadership does not include the opinions of all individuals whereas servant leadership doe...

NURG 633 Pharm Module 6 Exam with Questions and Answers Which aspect should be regularly monitored in asthma patients? A) Frequency of SABA use B) Duration of medication use C) Age of the patient D) Type of inhaler used ANSWER Frequency of SABA use Which of the following is a common side effect of beta 2 receptor agonists? A) Constipation B) Tachycardia C) Drowsiness D) Dry skin ANSWER Tachycardia What is the primary action of xanthine derivatives like theophylline? A) Bronch...

NUR2243 Exam 3 with Questions and Answers A violation of integrity is when ANSWER Words don't match actions; not giving meds when promised, talking about pt behind their back An example of a nurse in an informal leadership role is ANSWER Nurse volunteering in the community A nurse is performing an independent intervention when ANSWER Providing emotional support When teaching a patient, the nurse knows including the family promotes the best outcomes and empowers the pt and their...

NUR2243 Chapter 24 Exam with Questions and Answers A patient is having pulmonary-function studies performed. The patient performs a spirometry test, revealing an FEV1/FVC ratio of 60%. How should the nurse interpret this assessment finding? A) Strong exercise tolerance B) Exhalation volume is normal C) Respiratory infection D) Obstructive lung disease ANSWER Ans: D Feedback: Spirometry is used to evaluate airflow obstruction, which is determined by the ratio of forced expiration v...

NUR2243 Chapter 23 Exam with Questions and Answers While planning a patients care, the nurse identifies nursing actions to minimize the patients pleuritic pain. Which intervention should the nurse include in the plan of care? A) Avoid actions that will cause the patient to breathe deeply. B) Ambulate the patient at least three times daily. C) Arrange for a soft-textured diet and increased fluid intake. D) Encourage the patient to speak as little as possible ANSWER Ans: A Feedback: ...

NUR635 Midterm Review Exam with Questions and Answers A patient returns to the office 6 weeks after initiating TLCs and has lab work showing LDL of 135. The next step is to: a. Modify TLCs b. d/c TLCs c. Prescribe lovastatin d. Prescribe a fibrate ANSWER c. Prescribe lovastatin The nurse believes the patient has a firm understanding of her Coumadin teaching when she verbalizes: a. I should take my medication with grapefruit juice b. If I have a fever, I should not take my medication...

NUR 2243 Final Exam with Questions and Answers The nurse is caring for a client with an acute burn injury. Which action should the nurse take to prevent infection by autocontamination? a. Use a disposable blood pressure cuff to avoid sharing with other clients. b. Change gloves between wound care on different parts of the clients body. c. Use the closed method of burn wound management for all wound care. d. Advocate for proper and consistent handwashing by all members ...

NUR 2243 Exam with Questions and Verified Answers A nurse cares for several clients on a neurologic unit. Which prescription for a client should direct the nurse to ensure that an informed consent has been obtained before the test or procedure? a. Sensation measurement via the pinprick method b. Computed tomography of the cranial vault c. Lumbar puncture for cerebrospinal fluid sampling d. Venipuncture for autoantibody analysis ANSWER ANS: C A lumbar puncture is an invasive procedure wi...

Nur 2243 Exam with Questions and Answers What would you expect to see in your patient after a successful paracentesis? ANSWER Improved Breathing: Decreased abdominal pressure makes it easier to breathe. Decreased Weight: From the removal of ascites fluid. Decreased Abdominal Girth/Distention. Risk for Hypotension: From the large fluid shift. Monitor blood pressure closely! What is Hepatorenal Syndrome? ANSWER A deadly complication where the patient develops sudden kidney failure (rena...

NUR 2243 Exam 1 with Questions and Answers The nurse is teaching a client with chronic kidney disease (CKD) about the sodium restriction needed in the diet to prevent edema and hypertension. Which statement by the client indicates more teaching is needed? a. I am thrilled that I can continue to eat fast food. b. I will cut out bacon with my eggs every morning. c. My cooking style will change by not adding salt. d. I will probably lose weight by cutting out potato chips. ANSWER ANS: A Fa...

NUR 2243 Chapter 20 Exam with Questions and Answers A patient has been diagnosed with heart failure that has not yet responded to treatment. What breath sound should the nurse expect to assess on auscultation? A) Expiratory wheezes B) Inspiratory wheezes C) Rhonchi D) Crackles ANSWER Ans: D Feedback: Crackles reflect underlying inflammation or congestion and are often present in such conditions as pneumonia, bronchitis, and congestive heart failure. Rhonchi and wheezes are associa...

NUR 635 Pharm Final Exam with Questions and Answers What is the treatment for PUD? ANSWER 1. Check for H Pylori 2. First line triple tx: PPI (Omeprazole), amoxicillin AND clarithromycin 3. If they cannot tolerate all three prescribe clarithromycin for 5 days then amoxicillin for 5 days- Step approach What is the step approach for GERD patients? ANSWER 1. start them on a PPI omeprazole 2 x daily for 4-8 wks 1. First step therapy for GERD: Pepcid H2blocker twice a day - When using th...

NUR 635 Final Review Exam with Questions and Answers When is the highest risk for teratogenic risk in pregnancy ANSWER First trimester 5 year old has gray teeth ANSWER Tetracycline Older adult, routine visit, on highly protein bound drug (like warfarin), what are you concerned about? ANSWER Serum albumin level Son here, concerned, father had total hip, in pain, son is adamant that he gets demerol (meperidine) what do you tell him ANSWER Education and morphine Patient is wheezi...

NUR 633 Exam with Questions and Answers Dopaminergics are used in the treatment of what neurologic condition? Alzheimer's disease Psychosis Attention deficit disorder Parkinson's disease ANSWER Parkinson's disease Lamotrigine (Lamictal) has a black box warning stating that patients should watch for the development of______. Congestive heart failure Life-threatening rashes Photosensitivity Anaphylaxis ANSWER Life-threatening rashes Which of the following should be ch...