Nsg 323 Final Practice Test
- 1.After change of shift, you are assigned to care for the following patients. Which patient should you assess first?
- A.
A 60-year old patient on a ventilator for whom a sterile sputum specimen must be sent to the lab
- B.
A 55-year old with COPD and a pulse oximetry reading from the previous shift of 90% saturation
- C.
. A 70-year old with pneumonia who needs to be started on intravenous (IV) antibiotics
- D.
A 50-year old with asthma who complains of shortness of breath after using a bronchodilator
- 2.An experienced LPN, under the supervision of the team leader RN, is providing nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN? Select all that apply.
- A.
Auscultate breath sounds
- B.
Administer medications via metered-dose inhaler (MDI)
- C.
Complete in-depth admission assessment
- D.
Initiate the nursing care plan
- E.
Evaluate the patient’s technique for using MDI’s
- 3.pH 7.6 PaCO2 53 HCO3- 38
- A.
Metabolic Acidosis
- B.
Metabolic Alkalosis
- C.
Respiratory Acidosis
- D.
Respiratory Alkalosis
- 4.PH 7.17 PaCO2 48 HCO3- 36
- A.
Respiratory Alkalosis
- B.
Metabolic Acidosis
- C.
Respiratory Acidosis
- D.
Metabolic Alkalosis
- 5.Nurse Channing is caring for four clients and is preparing to do his initial rounds. Which client should the nurse assess first?
- A.
A client with diabetes being discharged today.
- B.
A 35-year-old male with tracheostomy and copious secretions.
- C.
A teenager scheduled for physical therapy this morning.
- D.
A 78-year-old female client with pressure ulcer that needs dressing change.
- 6.You are providing care for a patient with recently diagnosed asthma. Which key points would you be sure to include in your teaching plan for this patient? (Select all that apply)
- A.
Avoid potential environmental asthma triggers such as smoke
- B.
Use the inhaler 30 minutes before exercising to prevent bronchospasm
- C.
Wash all bedding in cold water to reduce and destroy dust mites.
- D.
Be sure to get at least 8 hours of rest and sleep every night.
- E.
Avoid foods prepared with monosodium glutamate (MSG)
- 7.You have obtained the following assessment information about a 3-year old who has just returned to the pediatric unit after having a tonsillectomy. Which finding requires the most immediate follow-up?
- A.
Frequent swallowing
- B.
Hypotonic bowel sounds
- C.
Complaints of a sore throat
- D.
Heart rate of 112 beats/min
- 8.Which of the following treatment goals is best for the client with status asthmatics?
- A.
Avoiding intubation
- B.
Determining the cause of the attack
- C.
Improving exercise tolerance
- D.
Reducing secretions
- 9.The healthcare provider is admitting a patient with a diagnosis of iron-deficiency anemia. The patient's skin and conjunctiva are pale, the tongue is smooth and red, and there are sores on the corners of the mouth. Which additional assessment finding will the healthcare provider identify as related to the iron-deficiency anemia?
- A.
Spoon-shaped nails
- B.
Paresthesias
- C.
Bradycardia
- D.
Jaundice
- 10.Which of the following blood tests is most indicative of cardiac damage?
- A.
C-reactive protien
- B.
Complete blood count
- C.
Troponin I
- D.
Creatine kinase
- 11.What is the primary reason for administering morphine to a client with myocardial infarction?
- A.
To sedate the client
- B.
To decrease the client’s pain
- C.
To decrease the client’s anxiety
- D.
To decrease oxygen demand on the client’s heart
- 12.The client is diagnosed w Type 1 diabetes has an A1C of 8.1%. Which interpretation should the nurse make based on this result
- A.
This result is below normal levels
- B.
This result is within acceptable levels
- C.
This result is above recommended levels
- D.
This result is dangerously high
- 13.The client received 10 units of Humulin R, a fast acting insulin, at 0700. At the 1030 the unlicensed assistive personnel (UAP) tells the nurse the client has a headache and is really acting “funny.” Which intervention should the nurse implement first?
- A.
Instruct the UAP to obtain blood glucose
- B.
Have patient drink a glass of orange juice
- C.
Go to clients room and asses the client for hypoglycemia
- D.
Prepare to administer 1 ampule of 50% dextrose intravenously
- 14.A 36 year old male is newly diagnosed with Type 2 diabetes. Which of the following treatments do you expect the patient to be started on initially?
- A.
Diet and exercise regime
- B.
Metformin BID by mouth
- C.
Regular insulin subcutaneous
- D.
None, monitoring at this time is sufficient enough
- 15.A family member asks the nurse to explain the purpose of hospice care. Which of the following is the best response? Hospice care:
- A.
Is appropriate when the patient desires to intentionally end his life
- B.
Focuses on minimizing the disease process as rapidly as possible
- C.
Focuses on symptom management for patients not responding to treatment
- D.
Is holistic care for patients dying or debilitated and not expected to improve
- 16.When taking a health history, the nurse screens for manifestations suggestive of Diabetes Type I. Which of the following manifestations are considered the primary manifestations of Diabetes Type I and would be most suggestive and require follow-up investigation?
- A.
Excessive intake of calories, rapid weight gain, and difficulty losing weight
- B.
An increase in three areas: thirst, intake of fluids, and hunger
- C.
Poor circulation, wound healing, and leg ulcers,
- D.
Lack of energy, weight gain, and depression
- 17.A patient with nasogastric suctioning is experiencing diarrhea. The patient is ordered a morning dose of Lasix 20mg IV. Patient’s potassium level is 3.0. What is your next nursing intervention?
- A.
Hold the dose of Lasix and notify the doctor for further orders
- B.
Administered the Lasix and notify the doctor for further orders
- C.
Turn off the nasogastric suctioning and administered a laxative
- D.
No intervention is need the potassium level is within normal range
- 18.A patient has a potassium level of 2.0. What would you expect to be ordered for this patient?
- A.
Potassium 30 meq IV push
- B.
Infusion of Potassium intravenously
- C.
An oral supplement of potassium
- D.
Intramuscular injection of Potassium
- 19.A patient with a potassium level of 2.1 has been taking Lasix daily. What medication will the patient most likely be switched to?
- A.
Spironolactone
- B.
None the patient will likely stay on the Lasix
- C.
Hydrochlorothiazide
- D.
Bumetanide
- 20.A patient is being discharged home on Hydrochlorothiazide (HCTZ) for treatment of hypertension. Which of the following statements by the patient indicates they understood your discharge teaching about this medication?
- A.
I understand a dry cough is a common side effect with this medication.
- B.
I will monitor my glucose levels closely because this medication may mask symptoms of hypoglycemia.
- C.
I will make sure I consume foods high in potassium.
- D.
I will only take this medication if my blood pressure is high.
- 21.Which of the following patients is not a candidate for a beta blocker medication?
- A.
A 25 year old female with migraines.
- B.
A 45 year old male with angina.
- C.
A 39 year old female with asthma.
- D.
A 55 year old male with a history of two heart attacks.
- 22.Which patient(s) are most at risk for developing coronary artery disease? Select-all-that-apply:
- A.
A 25 year old patient who exercises 3 times per week for 30 minutes a day and has a history of cervical cancer.
- B.
A 35 year old male with a BMI of 30 and reports smoking 2 packs of cigarettes a day.
- C.
A 45 year old female that reports her father died at the age of 42 from a myocardial infarction.
- D.
A 29 year old that has type I diabetes.
- 23.A patient reports during a routine check-up that he is experiencing chest pain and shortness of breath while performing activities. He states the pain goes away when he rests. This is known as:
- A.
Unstable angina
- B.
Variant angina
- C.
Stable angina
- D.
Prinzmetal angina
- 24.You're providing education to a patient who will be undergoing a heart catheterization. Which statement by the patient requires you to re-educate the patient about this procedure?
- A.
“The brachial artery is most commonly used for this procedure.”
- B.
“A dye is injected into the coronary arteries to assess for blockages."
- C.
“Not all patients who have a heart catheterization will need a stent placement.” I
- D.
“I will not be completely asleep and will be able to breathe on my own during the procedure.”
- 25.A patient calls the cardiac clinic you are working at and reports that they have taken 3 sublingual doses of Nitroglycerin as prescribed for chest pain, but the chest pain is not relieved. What do you educate the patient to do next?
- A.
Take another dose of Nitroglycerin in 5 minutes.
- B.
Call 911 immediately
- C.
Lie down and rest to see if that helps with relieving the pain
- D.
Take two doses of Nitroglycerin in 5 minutes
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