Download NUR210 Nursing Exam Review: Questions and Answers for Practice and more Exams Nursing in PDF only on Docsity!
Exam 1: NUR210/ NUR 210 (New 2024/ 2025
Update) Transition to Practice-Capstone
Review | Questions and Verified Answers|
100% Correct| A Grade – Fortis
QUESTION
A patient who had surgery yesterday had the following vital sign changes from yesterday to 1000 this morning. Which change is the most important to assess? Answer:
- Blood pressure decreased from 135/88 to 102/ Hypotension could be an indicator that patient is going into hypovolemic shock, which surgery patients are at high risk for
QUESTION
1 gram in 250 mL is to infuse over 120 minutes. What should the pump be set to in mL/hr? Answer:
- 250 mL/2 hours = 125 mL/hr
QUESTION
A patient is post parathyroidectomy (2 days ago). The patient is irritable, has tingling and numbness in face and ears, potassium is 3.2, Sodium is 138, Calcium was normal (didn't write level for some reason). Which of these would be an appropriate lunch tray? Answer:
- BLT sandwich and fries
- Grilled cheese sandwich, collard greens, yogurt
- Hamburger, peas, and whole grain rice
- H/d (no idea what this is I forgot I'm sorry), carrots, and fried tomatoes
QUESTION
An infant is placed on diuretic therapy. Which method would you use to assess urine output Answer: Weigh wet diapers
QUESTION
Order = 1200 u/hr Available = 25000 u in 500 mL. What rate should the infusion be started at? Answer: 200 u/hr / 25000 u * 500 mL = 24 mL/hr
QUESTION
Which ABG result represents COPD? Answer: pH: 7.32, O2: 85%, CO2: 57, HCO3: 26 Looking for respiratory acidosis
QUESTION
A patients lab values are taken once: BP: 114/64, HR: 110, RR: 14, Temp: 101.2, O2 92% 2L The patient becomes restless, and the labs are taken again: BP: 90/58, HR: 124, RR: 22, Temp: 101.4, O2 90% on 2L Which lab value is the nurse most concerned with?
Answer:
- Iron 90
- Hgb 10
- RBC 6.5 million
- WBC 4800
QUESTION
A patient is semi-conscious (I think that's what it says), has a dry swollen tongue, temp 99.3 (I think), and urine specific gravity 1.020. What would you expect the patient's sodium level to be (something like that—pick the HIGHEST sodium level per Benita Answer: 165
QUESTION
A patient is in the Oliguric stage of AKD. Urine output has been 350 mL for 18 hours. Answer:
- Continue to monitor patient Continue to monitor as low urine output is expected during the Oliguric phase
QUESTION
First Degree burns Answer: Erythema , blanching, pain
QUESTION
Superficial burns
Answer: partial thickness, area is red no blisters are present
QUESTION
Full thickness burns Answer: pale, dry, leathery skin, painless due to nerve destruction
QUESTION
Deep Partial thickness burns Answer: erythema, swelling, blisters
QUESTION
Hypovolemia Answer: LOW BLOOD PRESSURE
QUESTION
Bone Marrow- Taken from the illiac crest Answer: Advise patient that they must lay on their side for an extended amount of time. With any biopsy think of the potential for infection
QUESTION
A patient has CKD. Which findings would you expect?
QUESTION
A patient with a history of renal impairment is given a medication that is excreted through the kidneys. How would you assess for an adverse reaction Answer:
QUESTION
Which condition correlates to the following ABG results? pH: 7. O2: 98% CO2: 28 HC03: 22 Answer:
- Anxiety-induced Hyperventilation Respiratory Alkalosis, so Anxiety-induced Hyperventilation
QUESTION
A patient is on 15 different medications. What is the nurse's priority? Answer:
QUESTION
Dobutamine is running at 16 mL/hr. The patient weighs 187 lbs. Available is 800 mg in Answer:
QUESTION
Which lab value is the most important for the nurse to report? Answer:
- Increased troponin Increased troponin could indicate an acute MI
QUESTION
Dopamine 5 mcg/kg/min 105 kg 800 mg in 250 mL. How many mL/hr? Answer: 5 mcg105 kgmin/800000 mcg * 250 mL x 60 =10 mL/hr
QUESTION
Which of these should the nurse include in a teaching plan for someone prescribed Hydrochlorothiazide? Answer:
- Take this medication at the same time everyday
QUESTION
Magnesium is given via IV. Which S/S would indicate the Magnesium level is too high? Answer:
- Diminished deep tendon reflexes
- Tall T waves
- Decreased ST elevation
- Positive Trousseaus sign
- No tachycardia? (I wrote no tachy for short not sure exactly what this was sorry
QUESTION
Which assessment data indicated there is a complication associated with a patient's chronic pain treatment? Answer:
- Decreased appetite, thirst, and oral intake This is a side-effect on many pain medications
QUESTION
Which lab should be monitored if a patient is taking Simvastatin? Answer:
- Liver enzymes Statin medications can be toxic to the liver
QUESTION
Which statement by the patient shows that the teaching of their medication Captopril was effective? Answer: I should take this medication 20-60 minutes before a meal. Ace Inhibitor medications should be taken on an empty stomach to aid absorption
QUESTION
A patient with hypertension has been diagnosed with Atrial Fibrillation. Which medication should be prescribed to prevent complications? Answer:
- Warfarin Patients with A-Fib are more likely to throw lots of small clots. Therefore, Warfarin should be prescribed to help with the prevention of clot formation
QUESTION
PH 7.35- 7.
Answer: (under 7.35 is acidic over 7.45 is alkalotic)
QUESTION
PACo2 35- 45 Answer: (under 35 is alkalotic over 45 is acidic)
QUESTION
HCO3 22- 26
Answer: (under 22 is acidic over 26 is alkalotic) (Kidneys)
QUESTION
Hyperventilating patient is having respiratory alkalosis Answer: patients may feel they are suffocating
QUESTION
Kidney dysfunction- Respiratory acidosis Answer:
QUESTION
End Stage Renal Disease Answer: Restrict Sodium
QUESTION
Parathyroidectomy- Patient complaining of numbness and tingling in ears due to Answer: hypocalcemia Foods that contain calcium: Cheese, collards, milk and soy milk, rhubarb, sardines, tofu, yogurt
QUESTION
Celiac Disease Answer: GI issue may be prescribed magnesia IV
QUESTION
Hypomagnesia symptoms Answer: Diminished tendon reflexes
QUESTION
Med reconciliation
Answer: allows the doctor to look for duplicate meds
QUESTION
Chronic Pain- pain longer than 6 months. If a patient has a loss of appetite and will not drink Answer: Remember it can be due to narcotics. Narcotics makes the GI sluggish. (Examples of Narcotics- oxycodone, hydrocodone, hydromorphone, methadone, fentanyl etc
QUESTION
MYOCARDIAL INFARCTION (MI)
Answer: EKG will have- ST Elevation. T wave may be inverted, Abnormal Q wave EKG lab tracing for MI - Elevated Troponin levels, increase in CKMB LDH
QUESTION
Peripheral Vascular Disease (PVC) Answer: Good perfusion is lost in the lower limbs. May have ulcers and open areas of skin. Educate the patient to Never cross legs, avoid standing for extended periods, wear compression stockings, elevate legs above the heart!
QUESTION
Pericarditis Answer:
the rate is about 300 prepare to defibrillate
QUESTION
For supraventricular tachycardia Answer: have patient bare down, cough
QUESTION
PVC
Answer: QRS complex is wide, Check Potassium, Hypokalemia in PVC
QUESTION
Dehydration in infants Answer: Weigh the diaper to determine urine output
QUESTION
Rheumatic fever Answer: ask parent has the child had strep throat or any throat condition in the past beta hemolytic streptococcal
QUESTION
Captopril
Answer: take 1 hour before meals. The medication can mask signs of hypoglycemia
QUESTION
Simvastatin Answer: Monitor Liver Enzyme
QUESTION
Hydrochlorothiazide Answer: Diuretic take during the day preferably at the same time of day. To reduce falls at night and interfering with sleep at night.
QUESTION
kidney Stones Answer: most are uric acid. Foods people should avoid with kidney stones: Organ meats, alcohol, red meat, meat-based gravies, sardines, scallops, pork, shellfish, anchovies. Urine should be filtered and sent to the lab to verify stone
QUESTION
Peritoneal Dialysis Answer:
Answer: Take on empty stomach, Pregnant women cannot take. Urine may turn red or deep brown, Use with caution in clients with impaired kidney function. Steven Johnson Syndrome- Wide spread lesions, skin, mucous membrane notify provider if fever or sore throat
QUESTION
Prednisone Answer: hyperglycemia and hypokalemia can occur, monitor glucose and serum potassium levels. No Live Vaccines (MMR, Influenza Varicella). Never stop this med abruptly, it can cause renal insufficiency. Adverse effects weight gain puffy face Cushing, can increase the potency of aspirin. Phenytoin and rifampin decrease the effect of prednisone
QUESTION
Guaifenesin Answer: ask dr if the patient is pregnant, do not take it if you have a stomach ulcer, it may make it worse. Used for colds COPD cystic fibrosis asthma tb and pneumonia. Do not use it in children under 6. Breaking up mucous makes it easier for mucus to clear airway by coughing it u
QUESTION
Nitro Answer: used for MI take one pill after second pill call 911, Typically if someone complains of chest pain if pain goes away after holding their breath its typically respiratory or muscular. If pain persists even when holding breath it's cardiac.
QUESTION
S/N
Answer: Hold Metformin if procedure has iodine for 24 hours. Notify physician restart med after 48 hours
QUESTION
Digoxin Answer: 0.5-2.
QUESTION
PT
Answer: 11 - 12. if patient is longer than 30 seconds and INR is greater than 3. initiate bleeding precautions
QUESTION
PTT
Answer: 30 - 40 sec
QUESTION
Troponin Answer:
