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2024 NSG 6001 FINAL PRACTICE EXAM QUESTIONS WITH ANSWERS
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2024 NSG 6001 FINAL PRACTICE EXAM QUESTIONS WITH ANSWERS
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2024 NSG 6001 FINAL PRACTICEEXAM QUESTIONS WITH ANSWERS
Which of the following is a normal ABI?
A. 56
B. 87
C. 1.0
D. 24 - CORRECT-ANSWERSC. 1.0.
Rationale: A normal ankle-brachial index (ABI) is 1.0 to 1.29. All other options
represent problematic findings.
Which of the following peripheral vascular diseases is not known to have a
hereditary component?
A. Lymphadenopathy
B. Raynaud disease
C. Abdominal aortic aneurysm
D. PAD - CORRECT-ANSWERSB. Raynaud disease.
Rationale: Raynaud disease has an unknown etiology.
When assessing the lower extremities, it is critical that the examiner
A. starts at the feet.
B. compares side to side.
C. evaluates the venous system and then the arterial system.
D. starts at the femoral area - CORRECT-ANSWERSB
The six Ps of an acute arterial occlusion include
A. polythermia.
B. popliteal edema.
C. pain.
D. polycythemia - CORRECT-ANSWERSC. pain.
Rationale: The six "Ps" are pain, poikilothermia, paresthesia, paralysis, pallor,
and pulselessness.
A history of smoking has an extremely significant role in the development of
which of the following?
A. Venous insufficiency
B. DVT
C. PAD
,D. Raynaud disease - CORRECT-ANSWERSC. PAD.
Rationale: Smoking is one of the most devastating risk factors for peripheral
arterial disease (PAD).
During history taking, a patient reports cramping in his calf when walking a
few blocks. He states that it goes away when he sits down for a few minutes.
How would the nurse document this symptom?
A. Intermittent claudication
B. Rest pain
C. Poikilothermia
D. Venous stasis - CORRECT-ANSWERSA. Intermittent claudication.
Rationale: Intermittent claudication is the appropriate terminology when a
patient has pain that comes on with activity or exercise and goes away with
rest.
A patient reports swelling in her ankles. How would the nurse proceed with
physical examination?
A. Have the patient elevate her feet to better visualize her ankles. B.
Measure her ankles at their widest point.
C. Evaluate further for the brown hyperpigmentation associated with venous
insufficiency.
D. Press the fingers in the edematous area evaluating for a remaining
indentation after the nurse removes his or her fingers - CORRECT-ANSWERSD
While evaluating the inguinal lymph nodes of a patient, the nurse palpates a
1-cm (about ½-in.) soft and freely movable node. What action should the
nurse take next?
A. Nothing—this finding is normal. B. Refer this patient to a specialist. C.
Immediately check the patient's dorsalis pedis pulse.
D. Refer the patient for immediate management of a life-threatening
condition - CORRECT-ANSWERSA
A patient with diabetes mellitus who closely monitors and controls her blood
glucose level is very interested in preventing complications of her illness.
The nurse would emphasize the following consideration in patient teaching:
A. How to count calories
B. How to assess her feet daily
C. What are good carbohydrates D. The signs of venous insufficiency -
CORRECT-ANSWERSB
Rationale: Meticulous foot care is essential for patients with diabetes to
prevent complications of ulcers.
,1. A nurse caring for a patient with chronic obstructive pulmonary disease
(COPD) knows that hypoxia may occur in patients with respiratory problems.
What are signs of this serious condition?
Select all answers that apply.
A. Dyspnea
B .Hypotension
C. Small pulse pressure
D. Decreased respiratory rate
E. Pallor
F. Increased pulse rate - CORRECT-ANSWERS1. a, c, e, f. If a problem exists
in ventilation, respiration, or perfusion, hypoxia may occur. Hypoxia is a
condition in which an inadequate amount of oxygen is available to cells. The
most common symptoms of hypoxia are dyspnea (difficulty breathing), an
elevated blood pressure with a small pulse pressure, increased respiratory
and pulse rates, pallor, and cyanosis.
2. A nurse is suctioning the nasopharyngeal airway of a patient to maintain a
patent airway. For which condition would the nurse anticipate the need for a
nasal trumpet?
A. The patient vomits during suctioning.
B. The secretions appear to be stomach contents.
C. The catheter touches an unsterile surface.
D. Epistaxis is noted with continued suctioning. - CORRECT-ANSWERS. d.
When epistaxis is noted with continued suctioning, the nurse should notify
the physician and anticipate the need for a nasal trumpet. The nasal trumpet
will protect the nasal mucosa from further trauma related to suctioning.
3. A nurse is inserting an oropharyngeal airway for a patient who vomits
when it is inserted. Which action would be the first that should be taken by
the nurse related to this occurrence?
A. Quickly position the patient on his or her side.
B. Put on disposable gloves and remove the oral airway.
C. Check that the airway is the appropriate size for the patient.
D. Put on sterile gloves and suction the airway. - CORRECT-ANSWERSa. When
a patient vomits upon insertion of an oropharyngeal airway, the nurse should
immediately position the patient on his or her side to prevent aspiration,
remove the oral airway, and suction the mouth if needed
4. A nurse is choosing a catheter to use to suction a patient's endotracheal
tube via an open system. On which variable would the nurse base the size of
the catheter to use?
, A. The age of the patient
B. The size of the endotracheal tube
C. The type of secretions to be suctioned
D. The height and weight of the patient - CORRECT-ANSWERS. b. The nurse
would base the size of the suctioning catheter on the size of the
endotracheal tube. The external diameter of the suction catheter should not
exceed half of the internal diameter of the endotracheal tube. Larger
catheters can contribute to trauma and hypoxemia.
5. A nurse is caring for a 16-year-old male patient who has been hospitalized
for an acute asthma exacerbation. Which testing methods might the nurse
use to measure the patient's oxygen saturation? Select all that apply.
A. Thoracentesis
B. Spirometry
C. Pulse oximetry
D. Peak expiratory flow rate
E. Diffusion capacity
F. Maximal respiratory pressure - CORRECT-ANSWERSb, c, d.
Spirometers are used to monitor the health status of patients with
respiratory disorders, such as asthma.
Pulse oximetry is used to obtain baseline information about the patient's
oxygen saturation level and is also performed for patients with asthma,
along with PEFR to monitor airflow. These three tests may be administered
by the nurse.
Diffusion capacity estimates the patient's ability to absorb alveolar gases
and determines if a gas exchange problem exists. Maximal respiratory
pressures help evaluate neuromuscular causes of respiratory dysfunction.
Both tests are usually performed by a respiratory therapist. The physician or
other advanced practice professional can perform a thoracentesis at the
bedside with the nurse assisting, or in the radiology department.
6. A patient with COPD is unable to perform activities of daily living (ADLs)
without becoming exhausted. Which nursing diagnosis best describes this
alteration in oxygenation as the etiology?
A. Decreased Cardiac Output related to difficulty breathing
B. Impaired Gas Exchange related to use of bronchodilators
C. Fatigue related to impaired oxygen transport system
D. Ineffective Airway Clearance related to fatigue - CORRECT-ANSWERSc.
Fatigue related to an impaired oxygen transport system is an example of a
nursing diagnosis with alteration in oxygenation as the etiology or cause of
other problems. Ineffective Airway Clearance, Decreased Cardiac Output and
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