NURS 241 Exam 1 Test Questions and
Correct Answers
Quiz Q: 1. The nurse is taking care of a new admission patient with known
schizophrenia who has been having diarrhea for 3 days from a new medication
regimen. The patient is restless agitated and has twitching in their face and hands. The
patient states "They can't go on like this". Put the following nursing interventions in order
or prioritization: ✅a. Assess that the patient is safe and free from imminent danger
including suicidal ideation
b. Assess patient vital signs, intake and output, and basic neurological orientation
c. Assess lab values including magnesium and sodium
d. Notify the provider of findings
e. Start IV fluids of 0.9 NS with 20 mEq K
(THESE ARE ALREADY IN THE CORRECT ORDER)
Quiz Q: The nurse is taking care of the patient with acute paranoid schizophrenia.
Which of the following medication orders is the most correct? ✅a. Haldol
deconate/haloperidol 0.15 mg IM x 1 for acute psychosis
b. Haldol deconate/haloperidol 15 mg IM x 1 for acute psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12 hours
d. Haldol deconate/haloperidol 150 mg orally every 12 hours
Quiz Q: 1. Which of the following predisposing factors are most prevalent in the
development of psychosis? ✅>>a. White/Caucasion ethnicity
b. High income
>>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the most likely fluid imbalance. ✅a. Hgb 13.2
yesterday. 10.1 today; urine specific gravity 1.001
>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the client with schizophrenia who has current
visual hallucinations of seeing bats in the room. Which of the following statements
indicate that the nurse understands therapeutic communication techniques for the
situation. Select all that apply. ✅a. "I'm sure it will get better when your meds kick in"
>>b. "So what you are saying is that you are seeing small flying animals"
c. "Let's see what's on TV"
,>>d. "I am not seeing bats in the activity room"
>>e. "I will just sit here quietly with you. If you want to talk about it, that's ok."
Quiz Q: 1. Which of the following nursing interventions would the nurse perform for the
client with psychosis/schizophrenia? Select all that apply. ✅>>a. Assess home
medications and current doses, and verify proper administration/dosing with patient
>>b. Assess labs including electrolytes and any substance abuse toxicity reports
>>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out injury
Quiz Q: 1. Which of the following best represents accurate, prioritized, initial nursing
assessment of the client with psychosis who has fasciculation's (muscle twitching) of the
arms and legs? ✅a. Assess medication hx, intake and output, and birth hx
b. Assess mental health hx, electrolytes and heart tones
>>c. Assess medication hx, electrolytes, and cranial nerves
d. Assess mental health hx, BUN/creatinine, general appearance
Quiz Q: 1. Which interventions should you anticipate for a patient with isotonic
dehydration? ✅a. 0.45% NS
>>b. 0.9% NS
c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old unconscious patient with a fever, saline lock IV
site, and orders for 1000 mL tube feeding q 24 hours. Does the data from this case
point to FVD or FVE? ✅a. Neither fluid volume deficit or excess
>>b. Fluid volume deficit
c. Fluid volume excess
Quiz Q: 1. Which assessment finding best indicates that fluid resuscitation therapy for
the patient with hypertonic dehydration has achieved the desired effect? ✅a. Serum
osmolality has changed from 375m/Osmol/kg to 400m/Osmol/kg
>>b. Serum osmolality has changed from 375m/Osmol/kg to 300m/Osmol/kg
c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient receiving regular insulin. Which of the
following paent statements indicates a need for further teaching? The patient will be self
administering a dose at 0800. ✅"I will watch for signs of hypoglycemia at 2000"
" I will watch for signs of hypoglycemia at 0830"
>>"I will watch for signs of hypoglycemia at 1100"
"I will watch for signs of hypoglycemia at 1800"
Table 2 in the Gosmanov Article
, (know peak, onset, and duration) ✅
Quiz Q: The nurse knows that which of the following are the best medication
interventions for DKA? Pick the correct medications in the correctly priorized order.
✅Insulin 100 units subcutaneously for loading then titrated IV insulin infusion to
maintain stable blood sugars, potential potassium replacement
Insulin 5 units subcutaneously for loading then titrated IV insulin infusion to maintain
stable blood sugars, potential potassium replacement
Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain
stable blood sugars, potential magnesium replacement
>>Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain
stable blood sugars, potential potassium replacement
Quiz Q: Match the following nursing interventions as correct or incorrect nursing
interventions for DKA. ✅>>0.9% NS at 100 mL/hour (good rate)
>>Recheck Glucose every hour and PRN (timely!)
Recheck glucose every 6-12 hours
0.9% NS at 350 mL/hour
>>Drop glucose slowly to avoid complications such as changes in ICP
Drop glucose as fast as possible to avoid complications such as changes in ICP
Quiz Q: Which of the following patient statements indicates the need for more education
regarding diabetic ketoacidosis (DKA)? ✅>> "My body is making at least a little insulin"
"When I go home, I need to check my blood sugar every day, and maybe more
frequently when I am stressed or super busy"
"If my family says my breath smells funny, I should check my blood sugar"
>> "I need to watch for flushed skin, dry mouth, and weight gain to know when my blood
sugar is elevated"
Quiz Q: Which of the following best represents the symptoms the nurse should assess
for and prioritize with diabetic ketoacidosis (DKA). ✅>>Blood sugar 650, confusion,
vision changes
Blood sugar 650, fluid volume excess, vision changes
Blood sugar 65, confusion, nausea, vomiting
Blood sugar 65, nausea and vomiting, agitation
Correct Answers
Quiz Q: 1. The nurse is taking care of a new admission patient with known
schizophrenia who has been having diarrhea for 3 days from a new medication
regimen. The patient is restless agitated and has twitching in their face and hands. The
patient states "They can't go on like this". Put the following nursing interventions in order
or prioritization: ✅a. Assess that the patient is safe and free from imminent danger
including suicidal ideation
b. Assess patient vital signs, intake and output, and basic neurological orientation
c. Assess lab values including magnesium and sodium
d. Notify the provider of findings
e. Start IV fluids of 0.9 NS with 20 mEq K
(THESE ARE ALREADY IN THE CORRECT ORDER)
Quiz Q: The nurse is taking care of the patient with acute paranoid schizophrenia.
Which of the following medication orders is the most correct? ✅a. Haldol
deconate/haloperidol 0.15 mg IM x 1 for acute psychosis
b. Haldol deconate/haloperidol 15 mg IM x 1 for acute psychosis
>>c. Haldol deconate/haloperidol 1.5 mg orally every 12 hours
d. Haldol deconate/haloperidol 150 mg orally every 12 hours
Quiz Q: 1. Which of the following predisposing factors are most prevalent in the
development of psychosis? ✅>>a. White/Caucasion ethnicity
b. High income
>>c. Substance Abuse
d. Age 65+
>>e. Encephalitis and/or other infections
Quiz Q: 1. Match the lab profile with the most likely fluid imbalance. ✅a. Hgb 13.2
yesterday. 10.1 today; urine specific gravity 1.001
>>(Fluid volume excess)
b. Na 148; Hct 40% yesterday, 49% today; serum osmolality 308
>>(Fluid volume deficit)
c. BUN 45; Cr 0.7
>>(Fluid Volume Deficit)
Quiz Q: 1. The nurse is taking care of the client with schizophrenia who has current
visual hallucinations of seeing bats in the room. Which of the following statements
indicate that the nurse understands therapeutic communication techniques for the
situation. Select all that apply. ✅a. "I'm sure it will get better when your meds kick in"
>>b. "So what you are saying is that you are seeing small flying animals"
c. "Let's see what's on TV"
,>>d. "I am not seeing bats in the activity room"
>>e. "I will just sit here quietly with you. If you want to talk about it, that's ok."
Quiz Q: 1. Which of the following nursing interventions would the nurse perform for the
client with psychosis/schizophrenia? Select all that apply. ✅>>a. Assess home
medications and current doses, and verify proper administration/dosing with patient
>>b. Assess labs including electrolytes and any substance abuse toxicity reports
>>c. Look for S/sx of suicidal ideation, thoughts, or plans.
>>d. Assess any available MRI or CT scans to rule out injury
Quiz Q: 1. Which of the following best represents accurate, prioritized, initial nursing
assessment of the client with psychosis who has fasciculation's (muscle twitching) of the
arms and legs? ✅a. Assess medication hx, intake and output, and birth hx
b. Assess mental health hx, electrolytes and heart tones
>>c. Assess medication hx, electrolytes, and cranial nerves
d. Assess mental health hx, BUN/creatinine, general appearance
Quiz Q: 1. Which interventions should you anticipate for a patient with isotonic
dehydration? ✅a. 0.45% NS
>>b. 0.9% NS
c. Dextrose 10% in water
d. Dextrose 5% in water
Quiz Q: 1. Your patient is a 67 year old unconscious patient with a fever, saline lock IV
site, and orders for 1000 mL tube feeding q 24 hours. Does the data from this case
point to FVD or FVE? ✅a. Neither fluid volume deficit or excess
>>b. Fluid volume deficit
c. Fluid volume excess
Quiz Q: 1. Which assessment finding best indicates that fluid resuscitation therapy for
the patient with hypertonic dehydration has achieved the desired effect? ✅a. Serum
osmolality has changed from 375m/Osmol/kg to 400m/Osmol/kg
>>b. Serum osmolality has changed from 375m/Osmol/kg to 300m/Osmol/kg
c. Pulse ox shows oxygen sat of 95%
d. Peripheral pulses changed from 1+ to 3+
e. Neck veins slightly distended at 30 degrees
Quiz Q: The nurse is teaching the patient receiving regular insulin. Which of the
following paent statements indicates a need for further teaching? The patient will be self
administering a dose at 0800. ✅"I will watch for signs of hypoglycemia at 2000"
" I will watch for signs of hypoglycemia at 0830"
>>"I will watch for signs of hypoglycemia at 1100"
"I will watch for signs of hypoglycemia at 1800"
Table 2 in the Gosmanov Article
, (know peak, onset, and duration) ✅
Quiz Q: The nurse knows that which of the following are the best medication
interventions for DKA? Pick the correct medications in the correctly priorized order.
✅Insulin 100 units subcutaneously for loading then titrated IV insulin infusion to
maintain stable blood sugars, potential potassium replacement
Insulin 5 units subcutaneously for loading then titrated IV insulin infusion to maintain
stable blood sugars, potential potassium replacement
Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain
stable blood sugars, potential magnesium replacement
>>Titrated IV infusion to gain control then switch to subcutaneous insulin to maintain
stable blood sugars, potential potassium replacement
Quiz Q: Match the following nursing interventions as correct or incorrect nursing
interventions for DKA. ✅>>0.9% NS at 100 mL/hour (good rate)
>>Recheck Glucose every hour and PRN (timely!)
Recheck glucose every 6-12 hours
0.9% NS at 350 mL/hour
>>Drop glucose slowly to avoid complications such as changes in ICP
Drop glucose as fast as possible to avoid complications such as changes in ICP
Quiz Q: Which of the following patient statements indicates the need for more education
regarding diabetic ketoacidosis (DKA)? ✅>> "My body is making at least a little insulin"
"When I go home, I need to check my blood sugar every day, and maybe more
frequently when I am stressed or super busy"
"If my family says my breath smells funny, I should check my blood sugar"
>> "I need to watch for flushed skin, dry mouth, and weight gain to know when my blood
sugar is elevated"
Quiz Q: Which of the following best represents the symptoms the nurse should assess
for and prioritize with diabetic ketoacidosis (DKA). ✅>>Blood sugar 650, confusion,
vision changes
Blood sugar 650, fluid volume excess, vision changes
Blood sugar 65, confusion, nausea, vomiting
Blood sugar 65, nausea and vomiting, agitation
