RNSG 2539 ACTUAL FINAL EXAM 2024/2025 LATEST UPDATE WITH 230 QUESTIONS AND VERIFIED CORRECT ANSWERS |ALREADY GRADED A+ |RNSG
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Course
RNSG 2539
Institution
RNSG 2539
RNSG 2539 ACTUAL FINAL EXAM 2024/2025
LATEST UPDATE WITH 230 QUESTIONS
AND VERIFIED CORRECT ANSWERS
|ALREADY GRADED A+ |RNSG
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted
to the acute medical unit. How should the nurse most likely explain the
pathophysi...
RNSG 2539 ACTUAL FINAL EXAM 2024/2025
LATEST UPDATE WITH 230 QUESTIONS
AND VERIFIED CORRECT ANSWERS
|ALREADY GRADED A+ |RNSG 2539 2025
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted
to the acute medical unit. How should the nurse most likely explain the
pathophysiology of this patient's health problem?
A) Toxins have accumulated and inflamed your pancreas
B) Bacteria likely migrated from your intestines and became lodged in your
pancreas
C) A virus that was likely already present in your body has begun to attack your
pancreatic cells
D) The enzymes that your pancreas produces have damaged the pancreas itself -
ANSWER-D) The enzymes that your pancreas produces have damaged the
pancreas itself
A patient's assessment and diagnostic testing are suggestive of acute pancreatitis.
When the nurse is performing the health interview, what assessment questions
address likely etiologic factors? Select all that apply.
A) How many alcoholic drinks do you typically consume in a week?
B) Have you ever been tested for diabetes?
,C) Have you ever been diagnosed with gall stones?
D) Would you say you eat a particularly high-fat diet?
E) Does anyone in your family have cystic fibrosis? - ANSWER-A) How many
alcoholic drinks do you typically consume in a week?
C) Have you ever been diagnosed with gallstones?
A nurse who provides care at a walk-in clinic assesses a wide range of individuals.
The nurse should identify which of the following patients as having the highest risk
for chronic pancreatitis.
A) A 45-year-old obese woman with a high fat diet
B) An 18-year-old man who is a weekend binge drinker
C) A 39-year old man with chronic alcoholism
D) A 51-year old-woman who smokes one- and one-half packs of cigarettes per
day - ANSWER-C) A 39-year old man with chronic alcoholism
A 37-year-old man presents to the ED complaining of N/V and severe abdominal
pain. The patient's abdomen is rigid and there is bruising to the patient's flank. The
patient's wife states that he was on a drinking binge for the past 2 days. The ED
nurse should assist in assessing the patient for what health problem?
A) Severe pancreatitis with possible peritonitis
B) Acute cholecystitis
C) Chronic pancreatitis
D) Acute appendicitis with possible perforation - ANSWER-A) Severe pancreatitis
with possible peritonitis
,A patient with chronic pancreatitis had a pancreatojejunostomy created 3 months
ago for the relief of pain and to restore drainage of pancreatic secretions. The
patient has come to the office for a routine appointment. The patient is frustrated
that the pain has not decreased. What is the most appropriate initial response by the
nurse?
A)The majority of patients who have a pancreatojejunostomy have their normal
digestion restored but do not achieve pain relief."
B) "Pain relief occurs within 6 months in most patients who undergo this
procedure, but some people experience a recurrence of their pain."
C) "Your physician will likely want to discuss the removal of your gallbladder to
achieve pain relief."
D) "You are probably not appropriately taking the medications for your
pancreatitis and pain, so we will need to discuss your medication regimen in
detail." - ANSWER-B) "Pain relief occurs by 6 months in most patients who
undergo this procedure, but some people experience a recurrence of their pain."
A patient is being discharged after a liver transplant and the nurse is performing
discharge education. When planning this patient's continuing care, the nurse should
prioritize which of the following risk diagnoses?
A) Risk for Infection Related to Immunosuppressant Use
B) Risk for Injury Related to Decreased Hemostasis
C) Risk for Unstable Blood Glucose Related to Impaired Gluconeogenesis
D) Risk for Contamination Related to Accumulation of Ammonia - ANSWER-A)
Risk for Infection Related to Immunosuppressant Use
A client who is scheduled for kidney transplantation surgery is assessed by the
nurse for risk factors of surgery. Which of the following findings increases the
client's risk of surgery? (Select all that apply.)
, A. Age older than 70 years
B. BMI of 41
C. Administering NPH insulin each morning
D. Past history of lymphoma
E. Blood pressure averaging 120/70 mm Hg - ANSWER-A. Age older than 70
years
B. BMI of 41
C. Administering NPH insulin each morning
D. Past history of lymphoma
The emergency nurse is admitting a patient experiencing a GI bleed who is
believed to be in the compensatory stage of shock. What assessment finding would
be most consistent with the early stage of compensation?
A) Increased urine output
B) Decreased heart rate
C) Hyperactive bowel sounds
D) Cool, clammy skin - ANSWER-D) Cool, clammy skin
The intensive care nurse is responsible for the care of a patient with shock. What
cardiac signs or symptoms would suggest to the nurse that the patient may be
experiencing acute organ dysfunction? Select all that apply.
A) Drop in systolic blood pressure of ≥40 mm Hg from baselines
B) Hypotension that responds to bolus fluid resuscitation
C) Exaggerated response to vasoactive medications
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