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2024 NUR 155 FINAL REVIEW EXAM WITH CORRECT ANSWERS
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2024 NUR 155 FINAL REVIEW EXAM WITH CORRECT ANSWERS
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2024 NUR 155 FINAL REVIEWEXAM WITH CORRECT ANSWERS
A nurse is evaluating a patients understanding of proper treatment of
hypoglycemia. Which of the following measures indicates effective teaching?
Select all that apply.
A. "I will drink 120 mL of orange juice"
B. "I could eat 2 soft boiled eggs with 2 saltine crackers"
C. "I will take a 4 mg Glucose tablet"
D. "I will drink a regular 150 mL of Coca Cola"
E. "I should keep Lifesavers or other hard candies with me at all times" -
CORRECT-ANSWERSA. I will drink 120 mL of orange juice
D. I will drink a regular 150 mL of Coca Cola
When considering patient teaching about glargine insulin (Lantus), the nurse
should include which of the following information?
A. Glargine peaks in 4-6 hours to control glucose levels in between meals
B. This insulin is designed to provide a basal rate of insulin for 24 hours
C. Glargine will treat acute spikes in your glucose levels
D. Glargine may be given IV in an emergent situation to lower blood sugar
rapidly - CORRECT-ANSWERSB. This insulin is designed to provide a basal
rate of insulin for 24 hours
a patient presents with diarrhea x3 days. the nurse understanding acid/base
imbalance the patient would be at risk for, anticipates administering which of
the following medications?
a. IV sodium bicarbonate
b. IV albumin
c. IV 3% sodium chloride
d. IV lactated ringers - CORRECT-ANSWERSa. IV sodium bicarbonate
the nurse is caring for a patient with a potassium level of 5.8 mEq/L. which of
the following medication orders would the nurse question at this time?
a. kayexalate 15g PO QID
b. 10 units regular insulin IV push and 25 grams Dextrose IV push
c. 10 mEq potassium IV at 10 mEq/hr
,d. 20 mg Lasix IV push - CORRECT-ANSWERSc. 10 mEq potassium IV at 10
mEq/hr
a patient has a serum sodium level of 110 mEq/L. the nurse would anticipate
an order for which of the following IV fluids?
a. 3% sodium chloride
b. 0.45% sodium chloride
c. D5 0.4% sodium chloride
d. D5W - CORRECT-ANSWERSa. 3% sodium chloride
which of the following symptoms would you assess in a patient experiencing
hypervolemia?
a. BP 88/56
b. BP 146/92
c. jugular vein distension
d. weak pulses
e. weight loss
f. crackles upon ling auscultation - CORRECT-ANSWERSb. BP 146/92
c. jugular vein distension
f. crackles upon ling auscultation
a patient has an order to receive D5% Lactated Ringers. once infused this
solution will what?
a. replenish hydration in the cells
b. provide electrolytes in the blood
c. maintain fluid in the vascular space
d. supply energy for the cells
e. dispense fluid in the interstitial tissues - CORRECT-ANSWERSb. provide
electrolytes in the blood
c. maintain fluid in the vascular space
d. supply energy for the cells
58 year old hispanic male passed out at home while working in his garden.
his wife took him to the er. his labs are as follows:
skin is hot and flushed, mucous membranes dry
T- 99.3
HR- 108
B/P- 92/60
RR- 22
which data would be most helpful at this time?
, a. intake and output
b. hematocrit
c. time of last meal
d. pain level - CORRECT-ANSWERShematocrit
a patient admitted with inflammatory bowel disease asks the nurse for help
with menu selections. which menu selection is most likely the best choice for
this patient?
a. scrambled eggs, white toast with jelly and apple juice
b. raisin bran with whole milk
c. yogurt with granola and orange juice
d. cereal bar with sweet tea - CORRECT-ANSWERSa. scrambled eggs, white
toast with jelly and apple juice
the nurse is evaluating a client who has been receiving medical intervention
for a diagnosis of chrons disease. which expected outcome is most important
for this client?
a. performs skin care
b. gains a half pound per week
c. exercises 30 min 3x week
d. tolerates oral fluids - CORRECT-ANSWERSb. gains a half pound per week
the capsule endoscopy results show a picture of the following. which
inflammatory disease process is depicted?
(picture of narrow tube with polyps on the inside)
a. ulcerative colitis
b. irritable bowel syndrome
c. crohn's disease
d. peptic ulcer disease - CORRECT-ANSWERSc. chron's disease
the nurse is administering a TB skin test to a client who has possibly been
exposed to another patient with active TB. which statement best describes
the need for the client to receive a chest x-ray instead of skin testing?
a. the clients first skin test indicates a purple flat area at the site of injection
b. the clients second skin test indicates a red area measuring 4mm
c. the clients previous skin test was read as positive
d. the client has never shown a reaction to the TB skin test medication -
CORRECT-ANSWERSc. the clients previous skin test was read as positive
the nurse is caring for a patient who had undergone an exploratory
laparotomy. which of the following post-op findings should the nurse report
to the physician immediately?
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