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NR341 Final Exam – Questions & Correct Answers (A+)
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NR341 Final Exam – Questions & Correct Answers (A+)
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NR341 Final Exam – Questions & Correct Answers (A+)A hospice nurse who has become close to a terminally ill patient is presented
in the home when the patient dies and feels saddened and tearful as the family
members begin to cry. Which action should the nurse take at this time?
Right Ans - Cry along with the patient's family members
The son of a dying patient tells the nurse, "Mother doesn't respond any more
when I visit, I don't think she knows that I am here". Which response by the
nurse is appropriate? Right Ans - "Withdrawal can be a normal response in
the process of dying."
A patient who was involved in a motor vehicle crash has had a tracheostomy
placed to allow for mechanical ventilation. How should the nurse interpret the
following arterial blood gas results: pH 7.48, paO2 32 mmHG, and HCO3 25
mEq/L? Right Ans - Respiratory Alkalosis
An older adult patient receiving iso-osmolar continuous enteral nutrition
develops restlessness, agitation, and weakness. Which laboratory result
should the nurse report to the health care provider immediately? Right Ans
- Na 154 mEq/L (154 mmo/L)
A patient undergoing an emergency appendectomy has been using St. Johns
wart to prevent depression. Which complication should the nurse expect in
the post anesthesia care unit? Right Ans - Increased anesthesia recovery
time
A patient who takes a diuretic and a B-blocker to control blood pressure is
scheduled for breast reconstruction surgery. Which patient information is
most important to communicate to the health care provider before surgery?
Right Ans - Serum potassium 3.2 mEq/L
While in the holding area, a patient revels to the nurse that his father had a
high fever immediately after surgery. What action by the nurse is a priority?
Right Ans - Alert the anesthesia care provider of the family member's reaction
to surgery.
A patient in surgery receives a neuromuscular blocking agent as an adjunct to
general anesthesia. Which in the post anesthesia care unit (PACU). What
, assessment finding is most important for the nurse to report? Right Ans -
Weak chest movement
A patient who has begun to awaken after 30 minutes in the post anesthesia
care unit (PACU) is restless and shouting at the nurse. The patient's oxygen
saturation is 96%, and recent laboratory results are all normal. Which action
by the nurse is most appropriate? Right Ans - Assess for bladder distension
A patient who is just waking up after having hip replacement surgery is
agitated and confused. Which action should the nurse take first? Right Ans
- Check the oxygen (O2) saturation
On admission to the burn unit, a patient with an approximate 25% total body
surface area (TBSA) burn has the following initial laboratory results: Hct 58%,
Hgb 18.2 mg/dL (172 d/L), Serum K+ 4.9 mEq/L (4.8 mmol/L and serum Na+
1345 mEq/L (135 mmo/L). Which of the following prescribed actions should
be the nurse's priority? Right Ans - Increasing the rate of the ordered IV
solution
A patient with severe burns has crystalloid fluid replacement ordered using
the Parkland formula. The initial volume of fluid to be given in the first 24 hrs.
Is 30,000 mL. The initial rate of administration is 1875, L/hr. After the first 8
hours, what rate should the nurse infuse the IV fluids? Right Ans - 938
mL/hr.
A patient arrives in the emergency department with facial and chest burns
caused by a house fire. Which actions should the nurse take first? Right Ans
- Auscultate for breath sounds
Which nursing action is a priority for a patient who has suffered a burn injury
while working on an electrical power line? Right Ans - Stabilize the cervical
spine
The nurse is caring for a patient who has a right-sided chest tube after a right
lower lobectomy. Which nursing action can the nurse delegate to the
unlicensed assistive personnel (UAP)? Right Ans - document the amount of
drainage every 8 hours.
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