NU 214 EXAM 3 Test Questions With Complete Solutions
A 198-lb patient is to receive a dobutamine infusion at 5
mcg/kg/min. The label on theinfusion bag states: dobutamine
250 mg in 250 mL of normal saline. When setting theinfusion
pump, the nurse will set the infusion rate at how many milliliters
per hour? Correct Answers 27
A 78-kg patient with septic shock has a pulse rate of 120
beats/min with low central venouspressure and pulmonary artery
wedge pressure. Urine output has been 30 mL/hr for the past
3hours. Which order by the health care provider should the
nurse question?
a. Administer furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
c. Give hydrocortisone (Solu-Cortef) 100 mg IV.
d. Titrate norepinephrine to keep systolic blood pressure (BP)
above 90 mm Hg Correct Answers a. Administer furosemide
(Lasix) 40 mg IV.
A nurse is assessing a patient who is receiving a nitroprusside
infusion to treat cardiogenic shock. Which finding indicates that
the drug is effective?
a. No new heart murmurs
b. Decreased troponin level
c. Warm, pink, and dry skin
d. Blood pressure of 92/40 mm Hg Correct Answers c. Warm,
pink, and dry skin
,A nurse is caring for a patient who has burns of the ears, head,
neck, and right arm and hand. The nurse should place the patient
in which position?
a. Place the right arm and hand flexed in a position of comfort.
b. Elevate the right arm and hand on pillows and extend the
fingers.
c. Assist the patient to a supine position with a small pillow
under the head.
d. Position the patient in a side-lying position with rolled towel
under the neck. Correct Answers b. Elevate the right arm and
hand on pillows and extend the fingers.
A nurse is caring for a patient whose hemodynamic monitoring
indicates a blood pressure of92/54 mm Hg, a pulse of 64
beats/min, and an elevated pulmonary artery wedge
pressure(PAWP). Which intervention ordered by the health care
provider should the nurse question?
a. Elevate head of bed to 30 degrees.
b. Infuse normal saline at 250 mL/hr.
c. Hold nitroprusside if systolic BP is less than 90 mm Hg.
d. Titrate dobutamine to keep systolic BP is greater than 90 mm
Hg. Correct Answers b. Infuse normal saline at 250 mL/hr.
A patient arrives in the emergency department with facial and
chest burns caused by a housefire. Which action should the
nurse take first?
a. Auscultate the patient's lung sounds.
b. Determine the extent and depth of the burns.
c. Give the prescribed hydromorphone (Dilaudid).
d. Infuse the prescribed lactated Ringer's solution. Correct
Answers a. Auscultate the patient's lung sounds.
, A patient has just arrived in the emergency department after an
electrical burn from exposureto a high-voltage current. What is
the priority nursing assessment?
a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light Correct Answers c. Extremity
movement
A patient is admitted to the burn unit with burns to the head,
face, and hands. Initially, wheezes are heard, but an hour later,
the lung sounds are decreased and no wheezes are audible. What
is the best action for the nurse to take?
a. Encourage the patient to cough and auscultate the lungs again.
b. Notify the health care provider and prepare for endotracheal
intubation.
c. Document the results and continue to monitor the patient's
respiratory rate.
d. Reposition the patient in high-Fowler's position and reassess
breath sounds. Correct Answers b. Notify the health care
provider and prepare for endotracheal intubation.
A patient who has burns n the arms, legs, , and chest from a
house fire has become agitated and restless 8 hours after being
admitted to the hospital. Which action should the nurse take
first?
A. Stay at the bedside and reassure the patient
B. Administer the ordered morphine sulphate IV
C. Assess orientation and level of consciousness
A 198-lb patient is to receive a dobutamine infusion at 5
mcg/kg/min. The label on theinfusion bag states: dobutamine
250 mg in 250 mL of normal saline. When setting theinfusion
pump, the nurse will set the infusion rate at how many milliliters
per hour? Correct Answers 27
A 78-kg patient with septic shock has a pulse rate of 120
beats/min with low central venouspressure and pulmonary artery
wedge pressure. Urine output has been 30 mL/hr for the past
3hours. Which order by the health care provider should the
nurse question?
a. Administer furosemide (Lasix) 40 mg IV.
b. Increase normal saline infusion to 250 mL/hr.
c. Give hydrocortisone (Solu-Cortef) 100 mg IV.
d. Titrate norepinephrine to keep systolic blood pressure (BP)
above 90 mm Hg Correct Answers a. Administer furosemide
(Lasix) 40 mg IV.
A nurse is assessing a patient who is receiving a nitroprusside
infusion to treat cardiogenic shock. Which finding indicates that
the drug is effective?
a. No new heart murmurs
b. Decreased troponin level
c. Warm, pink, and dry skin
d. Blood pressure of 92/40 mm Hg Correct Answers c. Warm,
pink, and dry skin
,A nurse is caring for a patient who has burns of the ears, head,
neck, and right arm and hand. The nurse should place the patient
in which position?
a. Place the right arm and hand flexed in a position of comfort.
b. Elevate the right arm and hand on pillows and extend the
fingers.
c. Assist the patient to a supine position with a small pillow
under the head.
d. Position the patient in a side-lying position with rolled towel
under the neck. Correct Answers b. Elevate the right arm and
hand on pillows and extend the fingers.
A nurse is caring for a patient whose hemodynamic monitoring
indicates a blood pressure of92/54 mm Hg, a pulse of 64
beats/min, and an elevated pulmonary artery wedge
pressure(PAWP). Which intervention ordered by the health care
provider should the nurse question?
a. Elevate head of bed to 30 degrees.
b. Infuse normal saline at 250 mL/hr.
c. Hold nitroprusside if systolic BP is less than 90 mm Hg.
d. Titrate dobutamine to keep systolic BP is greater than 90 mm
Hg. Correct Answers b. Infuse normal saline at 250 mL/hr.
A patient arrives in the emergency department with facial and
chest burns caused by a housefire. Which action should the
nurse take first?
a. Auscultate the patient's lung sounds.
b. Determine the extent and depth of the burns.
c. Give the prescribed hydromorphone (Dilaudid).
d. Infuse the prescribed lactated Ringer's solution. Correct
Answers a. Auscultate the patient's lung sounds.
, A patient has just arrived in the emergency department after an
electrical burn from exposureto a high-voltage current. What is
the priority nursing assessment?
a. Oral temperature
b. Peripheral pulses
c. Extremity movement
d. Pupil reaction to light Correct Answers c. Extremity
movement
A patient is admitted to the burn unit with burns to the head,
face, and hands. Initially, wheezes are heard, but an hour later,
the lung sounds are decreased and no wheezes are audible. What
is the best action for the nurse to take?
a. Encourage the patient to cough and auscultate the lungs again.
b. Notify the health care provider and prepare for endotracheal
intubation.
c. Document the results and continue to monitor the patient's
respiratory rate.
d. Reposition the patient in high-Fowler's position and reassess
breath sounds. Correct Answers b. Notify the health care
provider and prepare for endotracheal intubation.
A patient who has burns n the arms, legs, , and chest from a
house fire has become agitated and restless 8 hours after being
admitted to the hospital. Which action should the nurse take
first?
A. Stay at the bedside and reassure the patient
B. Administer the ordered morphine sulphate IV
C. Assess orientation and level of consciousness
