NURS 221 EXAM 3 NEWEST 2024 ACTUAL
EXAM 2 VERSIONS (VERSION A AND B)
COMPLETE 210 QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
The nurse identifies the nursing diagnosis of
Ineffective Peripheral Tissue Perfusion as being
appropriate for a patient with septicemia. Which
intervention will address this patient's health
problem?
A. Monitor for cyanosis.
B. Monitor heart rate every hour.
C. Assess temperature every four hours.
D. Monitor pupil reactions every eight hours. -
....ANSWER...A. Monitor for cyanosis.
,An older adult patient is recovering in the intensive
care unit (ICU) from septicemia. Which intervention
will help prevent further infection for this patient?
A. Provide oral and skin care
B. Implement sterile wound care
C. Encourage turn, cough, and deep breathe every
shift.
D. Place the Foley drainage on the bed at the
patient's feet - ....ANSWER...A. Provide oral and skin
care
A patient is prescribed epinephrine for the
prevention of anaphylactic shock. The patient states,
"I thought shock was about heart failure." Which
response by the nurse is most appropriate?
A. "There are many kinds of shock that also include
infection, nervous system damage, and loss of
blood."
,B. "Heart failure is the most serious kind of shock;
others include infection, kidney failure, and loss of
blood."
C. "There are many kinds of shock: heart failure,
nervous system damage, loss of blood, and
respiratory failure."
D. "Allergic response is the most fatal type of shock;
other types involve loss of blood, heart failure, and
liver failure." - ....ANSWER...A. "There are many kinds
of shock that also include infection, nervous system
damage, and loss of blood."
An older adult patient is experiencing hypovolemic
shock. Which is the priority intervention for this
patient?
A. Assessing the cause of bleeding
B. Providing replacement of volume
C. Establishing invasive cardiac monitoring
D. Administering analgesics for control of pain -
....ANSWER...C. Establishing invasive cardiac
monitoring
, The nurse has just completed the assessment of a
patient admitted with a gunshot wound to the
femoral artery. Which is the priority nursing
diagnosis for this patient?
A. Ineffective Coping
B. Deficient Fluid Volume
C. Decreased Cardiac Output
D. Ineffective Airway Clearance - ....ANSWER...C.
Decreased Cardiac Output
The nurse is administering albumin 5% to a patient in
shock. Which nursing action is appropriate when
assessing this patient?
A. Auscultate breath sounds for crackles
B. Auscultate breath sounds for hyperresonance
C. Auscultate breath sounds for inspiratory stridor
D. Auscultate for an absence of breath sounds in the
lower lobes - ....ANSWER...A. Auscultate breath
sounds for crackles
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