NUR 233 Practice Exam Questions and Correct Answers
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Course
NUR 233
Institution
NUR 233
The nurse in administering a sustained-release capsule to a new patient. The patient insists that he cannot swallow pills. What is the nurse's next best course of action? Ask the prescriber to change the order.
The nurse assesses a patient who has been hospitalized for 2 days. The patient has been...
NUR 233 Practice Exam Questions and
Correct Answers
The nurse in administering a sustained-release capsule to a new patient. The patient
insists that he cannot swallow pills. What is the nurse's next best course of action?
✅Ask the prescriber to change the order.
The nurse assesses a patient who has been hospitalized for 2 days. The patient has
been receiving normal saline IV at 100 mL/hr, has a nasogastric tube to low suction,
and is NPO. Which assessment finding would be a priority for the nurse to report to the
health care provider? ✅Gradually decreasing level of consciousness (LOC).
A patient at risk for hypernatremia is one who ✅Has impaired consciousness and
decreased thirst sensitivity
he nurse is caring for a patient with a diagnosis of hypernatremia. The following orders
are written on the client's chart. Which order should the nurse question? ✅Restrict oral
intake to 900 ml every 24 hrs
A nursing instructor asked a group of nursing students to discuss experiences with
charting assessment data. Which comment by the student indicates the need for further
teaching? ✅"My patient was really quiet and didn't say much, so I documented that he
acted depressed."
The nurse identifies the diagnosis of Ineffective Breathing Pattern related to inability to
maintain adequate rate and depth of respirations for a client with an acuterespiratory
problem resulting from lung disease. Which nursing intervention should be listed first on
the care plan? ✅Determine airway adequacy hourly and as needed.
The nurse is planning the care of a client diagnosed with pneumonia and writes a
problem of "impaired gas exchange." Which is an expected outcome for this problem?
✅Alert and oriented to person, place, time, and events.
Which client problems are appropriate for the nurse to include in the plan of care for the
client diagnosed with COPD? Select all that apply. ✅Impaired gas exchange, Inability
to tolerate temperature extremes, Activity intolerance, Inability to cope with changes in
roles, Alteration in nutrition.
The client diagnosed with a community-acquired pneumonia is being admitted to the
medical unit. Which nursing intervention has the highest priority? ✅Obtain a sputum
specimen for culture and sensitivity.
A client's pulse oximetry reading is 90%. What action should the nurse take first?
✅Move the sensor to another area.
, Implementation of nursing care for a patient with hyponatremia includes ✅Fluid
restriction
It is important for the nurse to assess for which clinical manifestation(s) in a patient who
has undergone a total thyroidectomy ✅Positive Chvostek's sign
A patient comes to the clinic complaining of frequent, watery stools for the past 2 days.
Which action should the nurse take first? ✅Check the patient's blood pressure.
IV potassium chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe
hypokalemia. Which action should the nurse take? ✅Infuse the KCl at a rate of 10
mEq/hour.
An older patient receiving iso-osmolar continuous tube feedings develops restlessness,
agitation, and weakness. Which laboratory result should the nurse report to the health
care provider immediately? ✅Na+ 154 mEq/L (154 mmol/L)
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL. What
prescribed action should the nurse take first? ✅Obtain cultures of the wound.
After receiving a change-of-shift report, which patient should the nurse assess first?
✅Rise in temp of a chemo patient
The nurse is caring for a client who has developed stage IV pressure ulcers on the left
trochanter and coccyx. Which collaborative problem has the highest priority? ✅Altered
nutrition.
When the patient is being examined for venous thromboembolism (VTE) in the calf,
what diagnostic test should the nurse expect to teach the patient about first? ✅Duplex
ultrasound
The nurse practitioner gives Mrs. Smith written instructions on her new medication and
provides one-on-one instruction regarding priority information on furosemide (Lasix).
Identify the correct teaching statements regarding furosemide. (Select all that apply)
✅You will need to monitor your blood pressure because this drug can lower your BP,
Furosemide (Lasix) can cause a low potassium level so you will want to increase your
dietary intake of foods high in potassium such as bananas, and You should change your
position slowly to avoid a sudden drop in blood pressure and dizziness when initially
standing from a lying or sitting position.
For a patient who has had right hip arthroplasty, which nursing action can the nurse
delegate to experienced unlicensed assistive personnel (UAP)? ✅Reposition the
patient every 1 to 2 hours
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