PN 1 Nursing Exam Final 204 Updated Questions with Answers, Exams of Nursing

Download PN 1 Nursing Exam Final 204 Updated Questions with Answers and more Exams Nursing in PDF only on Docsity! PN 1 Nursing Exam Final 204 Updated Questions with Answers 1. Dopamine is ordered at 5mcg/min the client weighs 150lb. The pharmacy prepares an IV bag containing 400mg of dopamine in 500ml of D5W. How much should be administered per hour? 0.38mL/hr or round to 0.4mL 2. When caring for a patient with hyponatremia what actions will the nurse anticipate taking? Infuse solution of 0.5 dextrose and 0.45 normal saline 3. A nurse caring for a client with stress incontinence the nurse knows which effect could have led to this condition? Loss of muscle tone 4. The nurse is caring for a client who has a kidney transplant the client asks the nurse what would happen when his body realizes that the kidney is not his, what is the nurse best response? The immune system will try to destroy the kidney if we don’t suppress it. 5. The nurse assess the pt. IV solution has infiltrated into the tissues. What action should the nurse take first? Stop the infusion immediately 6. Pressure ulcers primarily form as a result of? Poor nutrition 7. A client is informed that a tricyclic antidepressant is going to help control his chronic pain the nurse would expect the physician to prescribe which of the following? Amitriptyline 8. The nurse gathers data: B/P 90/54, Pulse 114BPM, RR 20. What should the nurse suspect? Hypovolemic shock 9. What actions is most important to teach the client who is at risk for hypernatremia? *answer* 10. Arterial blood levels are obtained for the client if the client results are 7.51, CO2 44, hCO3 32. The client is exhibiting which of the following acid base imbalances? *answer* 11. A school aged child has sustained a fractured femur. When assessing the location of the break the area that could cause the most concern is? Epiphyseal plate 12. Which instruction is the most accurate for the nurse to give a client who has a patient controlled analgesic device after the abdominal surgery? Push the button as the pain begins. Before the pain is at its worst. 13. The nurse would expect that the client diagnosed with Arthritis would be prescribed which of the following medications? Naproxen 14. A client’s father would be undergoing palliative surgery the client daughter asks what this mean What is the nurse best response? The surgery will relieve the symptoms but will not cure your father. 15. The client is admitted with MRSA of the wound what type of infection control precautions should be used for this client? Contact isolation 16. The nurse is assigned to care for the following four clients who has the potential for having pain. Which client is most likely not to be treated adequately for this problem? A client with watery diarrhea for two days. On examination the client has dry skin, delayed skin turgor and hypotension. What is the most likely nursing diagnosis? Deficit of fluid volume. 25. A nurse is reviewing a metabolic laboratory report for a is a follow: Sodium 142, Potassium 3.5, Ca 8.5, Chl 98 which of the following electrolyte disturbances should the nurse report? *They all look good to me, review this question* 26. The nurse Is preparing to admit a patient with urge incontinence in writing a nurse plan the nurse writes intervention that targets which manifestation? Inability to empty the bladder 27. The nurse Is discussing interventions to decrease a client isolation while on airborne precautions which statement by the nurse requires the charge nurse to intervene? *answer* 28. A nurse is teaching a client who has a prescription for ibuprofen for hip pain which of the following instructions should the nurse include in the teaching? Take medication with food 29. A primary prevention tool used for colon cancer is? Occult blood test 30. Client c/o SOB in a respiratory distress the results of his arterial blood gases are PH 7.30, PaCO2 52 HCO3 23, P 80= Respiratory acidosis 31. Dopamine at 21.7mg in 251 mL at 17mcg/kg/hr. pt weighs 38kg. What flow rate should the nurse set pump. Round to the nearest whole number. *answer* 32. In examining a peripheral IV site the nurse notices a red streak along the length of the vein. The vein feels hard what should nurse do? Remove the catheter 33. An 8-month-old infant is hospitalized with severe diarrhea the nurse knows that the mayor problem associated with sever diarrhea? Electrolyte and fluid loss 34. To promote respiratory function in the immobilized client. The nurse should do which of the following? Encourage the use of incentive spirometer 35. A client is demonstrating signs of inflammatory response the nurse would assess which of the following? SATA. Heat, Erythema, Pain 36. The nurse is concerned the client will experience delayed wound healing when which the following is assessed SATA? Poor appetite, age of 85, prescribed steroids 37. Why must the nurse always ask the client his or her own pain level after taking vital signs? To determine whether the pain level is influencing the B/P and HR’ 38. A client is prescribed alendronate for osteoporosis which statement indicates that the client understands the teaching about the drug? I should take this drug with a full glass of water 39. A client with a fractured left in pain the nurse understands that the client is experiencing which kind of pain? Somatic pain 40. A client is having an operation which assessment finding concern the nurse the most SATA: Ca 12, HR 110BPM, BP 90/40 41. Jan is a 70 yr old, retired nurse who is interested in non-drug mind body therapies self- manage and alternative strategies to deal with joint discomfort for rheumatoid arthritis? Music therapy, distraction techniques, meditation, prayer, hypnosis, guided imagery, relaxation techniques and pet therapy 56. A nurse in a delivery room is assisting with the delivery of a newborn at the delivery the nurse prepares to prevent heat loss in the newborn resulting from evaporation by which of the following? Drying the infant with a warm blanket 57. The priority nursing intervention for a patient suspected to be hypothermic would be too? Remove wet clothing 58. A nurse assessing a patient who is reporting pain despite getting pain medication the nurse can best assess the intensity of the pain of the patient by which of the following? A pain scale can help the client measure the amount of pain he has and intensity 59. Which collaboration interventions would help prevent, paralytic ileus in a patient who underwent a right embolectomy for colon cancer? Keep the person NPO until bowel sounds return 60. The nurse is working on a plan of care with her client which includes turning and posturing and adequate positioning to help the client maintain intact skin integrity. The nurse helps the client realize that this breaks the chain of infection by interrupting which link? *Answer* 61. The nurse is caring for a client diagnosed with irritable bowel syndrome who is experiencing diarrhea, what would you give him? *Answer* ( Immodium) educated guess 62. An hour after receiving ibuprofen for right hip pain the patient states that his pain is 10/10 on the pain scale which action should the nurse take? Call the provider 63. A nurse has administered Tylenol to a child who temp 102. The nurse should also take which action? Remove access clothing and blankets 64. A home health nurse is reviewing a patient medication list of an older adult client who reports falling couple of times over the past week which of the following medications should the nurse suspect the client is taking? Alprazolam 65. A patient hospitalized in a long-term rehab facility is mobile and requires mechanical ventilation with trach she has a pressure area on her coccyx measuring 5cm by 3cm. The area is covered with 100% eschar? Stage 4 66. A male client with terminal illness is unconscious his wife states she wants him to be a full code. His sister who is dual power of attorney and the healthcare proxy insists that his status should not be do not resuscitate? Power of attorney (Sister) 67. Nurse instructing a client on ways to prevent UTI’s SATA? Drink eight glasses of water, urinate before and after sex, drink cranberry juice 68. Nurse administers Tylenol 325 mg and codeine orally to a patient c/o severe headache when should the nurse come back and assess the patients pain? 15-30 minutes after 69. A client diagnosed with arthritis should be instructed to avoid the use of NSAIDS because which of the following prescribed medications? Warfarin 70. Which client is at greater risk for dehydration? Older adult with cognitive impairment 71. Measles precaution… Contact 72. To assess intensity of a clients, pain the nurse could ask the patient to do which of the following? Rate pain on a scale of 0-10. 73. Client demonstrates dizziness and light headiness upon standing. Vitals signs 116/64 Pulse 62, B/P 94/58. What is the patient experiencing? ortostatic hypotension 74. Older adult receives hospice care as a result of hesitation to the brain his bone cancer has progressed to an advance stage why might the client fail to request pain medication as needed? Cannot communicate 75. Which assessment finding caused for concern in client who has taken 4 grams of Tylenol to relive his back pain? *Answer* 78. A nurse is working at night and caring for several clients at risk for falls which of the following actions should the nurse take? *Answer* 79. Which task may not be delegated by the preoperative nurse to the CAN? Blood pressure 80. Calculate the IV with DF: Dosage calc 81. Client is taking medication to treatment osteoarthritis symptoms the nurse should instruct the client to watch for and report which of the following adverse reactions? Black stools 82. The nurse obtains this information when assessing a 74 yr old patient in an outpatient clinic which findings is the highest priority when the nurse is planning are for this patient. Falls