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Exam (elaborations)

NUR 225 Exam 1 Test Questions and Correct Answers

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  • Course
  • NUR 225
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  • NUR 225

Where is the blood flow altered when a patient has a tricuspid valve problem? A. Vena cava and right atrium B. Left atrium and left ventricle C. Right atrium and right ventricle D. Right ventricle and pulmonary artery C. Right atrium and right ventricle *tri before you bi Which of the following ...

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  • September 8, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 225
  • NUR 225
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NUR 225 Exam 1 Test Questions and
Correct Answers
Where is the blood flow altered when a patient has a tricuspid valve problem?

A. Vena cava and right atrium
B. Left atrium and left ventricle
C. Right atrium and right ventricle
D. Right ventricle and pulmonary artery ✅C. Right atrium and right ventricle

*tri before you bi

Which of the following choices contains 2 assessment findings the nurse would expect
to see in clients with chronic hypoxic changes?

A. Nasal flaring and cyanotic nailbeds
B. AP/LAT diameter 1:2 and pulse ox 94%
C. Barrel chest and finger clubbing
D. Restlessness and sluggish capillary refill ✅C. Barrel chest and finger clubbing

*patients with chronic hypoxic changes could have COPD or anemia and symptoms like
fatigue, lethargy, club fingers, barrel chest, PND, activity intolerance, and orthopnea
(breathlessness relieved by sitting or standing)

What is the formula for finding cardiac output (CO)?

A. CO = SV x HR
B. CO = SV / HR
C. CO = EF / HR
D. CO= EF x HR ✅A. CO = SV x HR

The RN has received their client assignment for the day-shift at 0800. After making the
initial rounds and assessing the clients, which client would the RN need to assess and
develop a plan of care for first?

A. A client who is ambulatory
B. A client scheduled for physical therapy at 0900
C. A client who just had an appendectomy and has requested pain medication twice
D. A client, who has a fever, is diaphoretic (sweating), and restless ✅D. A client, who
has a fever, is diaphoretic (sweating), and restless

*Restlessness is NEVER a good sign

The best method of oxygen administration for a client with COPD:

, A. Nasal Cannula
B. Venturi mask
C. Simple face mask
D. Non rebreather mask ✅B. Venturi mask

*Venturi masks are best for COPD patients because you can specifically titrate the % of
oxygen you want to administer

A male patient is admitted to the healthcare facility for treatment of COPD. Which
nursing diagnosis is most important for this patient?

A. Activity intolerance due to fatigue
B. Anxiety related to actual threat to health status
C. Risk for infection related to retained secretions
D. Impaired gas exchange related to airflow obstruction ✅D. Impaired gas exchange
related to airflow obstruction

*ABCs!!!

The nurse is caring for a client who had back surgery 2 days ago. The client is hesitant
to move around because of fear of pain. The initial shift assessment reveals diminished
lung sounds, shallow breathing, and oxygen saturation of 90%. The nurse knows these
assessment findings are most likely the result of:

A. Postoperative pneumonia
B. Pleural friction rub
C. History of smoking
D. Atelectasis (collapse of the lung) ✅D. Atelectasis (collapse of the lung)

*Although they are immobile, there are no signs of infection in the question and the
assessment findings point more towards some issue with the lungs such as atelectasis
(partial or total lung collapse)

The nurse caring for a previously healthy client with pneumonia. An expected client
outcome is, "The client will maintain adequate oxygenation within 6 hours." Which
outcome criterion indicated the goal is met?

A. Client taking antibiotic as ordered
B. Client identifies signs and symptoms of recurrence of infection
C. Client coughing and deep breathing every 1 hour
D. Client no longer requires supplemental oxygenation within 24 hours ✅D. Client no
longer requires supplemental oxygenation within 24 hours

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