NR 324 EXAM 3 QUESTIONS WITH CORRECT
VERIFIED ANSWERS LATEST UPDATE
(2025/2026) GUARANTEED PASS
The nurse notes that a client with sinus rhythm has a premature
ventricular contraction that falls on the T wave of the preceding beat. The
client's rhythm suddenly changes to one with no P waves, no definable QRS
complexes, and coarse wavy lines of varying amplitude. How should the
nurse correctly interpret this rhythm?
1. Asystole
2. Atrial fibrillation
3. Ventricular fibrillation
4. Ventricular tachycardia - ANS ✓3. Ventricular fibrillation
When developing a mechanically ventilated client's plan of care for
prevention of ventilator-associated pneumonia (VAP), the nurse should
include which measures in the plan? Select all that apply.
1. Suction the oral cavity whenever needed.
2. Apply topical antibiotics to the oral cavity.
3. Change the ventilator circuit tubing every 2 hours.
4. Maintain the client in a supine position at all times.
5. Practice frequent oral hygiene, including teeth brushing.
6. Practice meticulous hand hygiene, and wear gloves when suctioning or
handling the endotracheal tube. - ANS ✓1. Suction the oral cavity whenever
needed.
5. Practice frequent oral hygiene, including teeth brushing.
6. Practice meticulous hand hygiene, and wear gloves when suctioning or
handling the endotracheal tube.
The nurse should report which assessment finding to the health care
provider (HCP) before initiating thrombolytic therapy in a client with
pulmonary embolism?
1. Adventitious breath sounds
2. Temperature of 99.4° F orally
3. Blood pressure of 198/110 mm Hg
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4. Respiratory rate of 28 breaths/minute - ANS ✓3. Blood pressure of
198/110 mm Hg
Which should the nurse do when setting up an arterial line?
1. Tighten all tubing connections.
2. Use macrodrop intravenous tubing.
3. Level the transducer to the ventricle.
4. Raise the height of the normal saline infusion to prevent backup. - ANS
✓1. Tighten all tubing connections.
During the early postoperative period, a client who has undergone a
cataract extraction complains of nausea and severe eye pain over the
operative site. What should be the initial nursing action?
1. Call the health care provider (HCP).
2. Reassure the client that this is normal.
3. Turn the client onto his or her operative side.
4. Administer the prescribed pain medication and antiemetic. - ANS ✓1. Call
the health care provider (HCP).
The nurse recognizes that which arterial blood gas value indicates
impending hypoxemic respiratory failure?
1. Pao2 65 mm Hg
2. Paco2 70 mm Hg
3. Pao2 55 mm Hg
4. Paco2 60 mm Hg - ANS ✓3. Pao2 55 mm Hg
The client sustains a contusion of the eyeball following a traumatic injury
with a blunt object. Which intervention should be initiated immediately?
1. Apply ice to the affected eye.
2. Irrigate the eye with cool water.
3. Notify the health care provider (HCP).
4. Accompany the client to the emergency department. - ANS ✓1. Apply ice to
the affected eye.
A client develops an anaphylactic reaction after receiving morphine sulfate.
The nurse should plan to institute which actions? Select all that apply.
1. Administer oxygen.
2. Quickly assess the client's respiratory status.
3. Document the event, interventions, and client's response.
4. Leave the client briefly to contact a health care provider.
5. Keep the client supine regardless of the blood pressure readings.
NR 324
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