NR 342 Exam 1: Complex Review

  • NR 342 Exam 1: Complex Review
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Institution Exam: Quiz, Midterm, Final Exam
Contributor Amanda
  1. Question: Patient is prescribed digoxin (Lanoxin) and furosemide (Lasix). It is most important for the nurse to assess which value before administration of these medications?
  2. Question: The nurse cares for a patient with asthma who uses an albuterol metered-dose inhaler. The nurse is most concerned if the patient makes which of the following statements?
  3. Question: A nurse is suctioning an endotracheal tube of a client who is on a ventilator. The client’s heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take? (O2 is declining)
  4. Question: A nurse is caring for an older client who has left sided heart failure. Which of the following assessment findings should the nurse expect?
  5. Question: A nurse is caring for a client who has pneumonia and a prescription of oxygen therapy 5 L via nasal cannula. Which of the following actions should the nurse take?
  6. Question: A nurse in the emergency department is caring for a client who has pulmonary edema, reports dyspnea and appears anxious. The client’s blood pressure is 108/79 and his apical pulse is 112. Which of the following interventions is the nurse’s priority?
  7. Question: A nurse in collecting medication history from a client who is scheduled to have cardiac catheterization. Which of the following medications taken by the client interacts with contrast material and places the client at risk for acute kidney injury?
  8. Question: A nurse is caring for a client who develops a ventricular fib rhythm. The client is unresponsive, pulseless, & apneic. Which of the following actions is the nurse’s priority?
  9. Question: A nurse is caring for a client with a history of asthma who recently had surgery. The nurse suspects the client may be in acute respiratory failure with rr 32 Oxygen 88 pain 8/10 (Could not find this on quizlet)
  10. Question: A nurse is caring for a client who experienced a lacerated spleen and bed rest for several days. The nurse auscultate decreased breath sounds in the lower lobes of both lungs. The nurse should realize this is most likely an indication of which of the following conditions?
  11. Question: A nurse is caring for a client who has acute respiratory distress syndrome (ARDs) and requires mechanical ventilation. The client receives a prescription for Pancuronium. The nurse recognizes that this medication is for which of the following purposes?
  12. Question: A nurse is assessing a client who has fluid overload. Which of the following findings should the nurse expect?
  13. Question: A nurse is caring for a client who is scheduled for an arthroplasty. The nurse asks the client if he understands the procedure and that is being performed. Which of the following statements by the client indicates an understanding of the procedure?
  14. Question: Nurse is preparing to administer Verapamil IV bolus to a client who is having cardiac dysrhythmias. For which of the following adverse effects should the nurse monitor when giving this medication?
  15. Question: A nurse planning to administer digoxin to a client with heart failure. Which of the following lab results is the priority for the nurse to review prior to administering this medication?
  16. Question: A nurse is creating a teaching plan for a client who has thrombocytopenia. Which of the following instructions should the nurse include? Select all that apply
  17. Question: The nurse is caring for a client who has heart failure and asthma. The nurse reviews the provider's orders and recognizes that clarification is needed for which of the following medications?
  18. Question: A nurse is caring for a client who is unconscious and has a breathing pattern characterized by alternating periods of hyperventilation and apnea. The nurse should document that the client has:
  19. Question: A nurse in an urgent care center caring for a client who is having an acute asthmic exacerbation. Which of the following actions is the nurse’s highest priority?
  20. Question: A nurse is reviewing an EKG strip for a client who has prolonged vomiting. Which of the following abnormalities on the client’s EKG should the nurse interpret as a sign of hypokalemia?
  21. Question: A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving diuretic therapy. THe nurse reviews the client’s serum potassium level results and discovers the client’s potassium level is 3.2 mEq/L. Which of the following actions should the nurse take?
  22. Question: A nurse is caring for a client who has an acute respiratory failure. The nurse should monitor the client for which of the following manifestations of this condition? SELECT ALL THAT APPLY.
  23. Question: A nurse is preparing to administer dextrose 150 mL to infuse over 3 hours. 10 gtts/mL. What should the manual IV infusion be set to?
  24. Question: A nurse in a provider's office reviewing lab results for a client who takes furosemide (Lasix) for hypertension. The nurse notices the client's potassium level is 3.3 mEq/L. The nurse should monitor the client for which of the following complications?
  25. Question: A nurse is assessing a client who has fluid volume deficit. THe nurse should expect which of the following findings?
  26. Question: A nurse is caring for a client who has just developed a pulmonary embolism. Which of the following medications should the nurse anticipate administering?
  27. Question: A nurse is caring for a client in the emergency department who has shortness of breath and lung pain. The client takes birth control pills and smokes. Her heart rate is 110/min, respiratory rate 40/min, and blood pressure 140/80 mmHg. Her arterial blood gasses are pH 7.50, PaCO2 29 mmHg, PaO2 60 mmHg, HCO3 20 mEq/L, and SaO2 86%. Which of the following is the priority nursing intervention?
  28. Question: A nurse is caring for a client who develops pulmonary embolism.Which of the following interventions should the nurse implement first?
  29. Question: A nurse is caring for a client who is post op whose shallow respirations of 9/min. Which of the following acid-base imbalances should the nurse identify the patient as being at risk for developing initially?
  30. Question: A nurse is caring for a client who has heart failure and a new prescription for furosemide (lasix). Which of the following laboratory values should the nurse review before administering furosemide?
  31. Question: A nurse is caring for a client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (D5W) over 2 hr by IV intermittent bolus. The nurse should set the IV pump to deliver how many mL/hr?
  32. Question: A nurse is caring for a client who is dying of cancer. She has a prescription for opioid pain medication s PRN. The nurse is concerned that administering a dose of pain medication might hasten the client’s death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?
  33. Question: A nurse is caring for a client who has heart failure tab math question
  34. Question: A client is planning to perform a nasotracheal suction for a client who has COPD and an artificial airway. Which of the following actions should the nurse take?
  35. Question: A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?
  36. Question: A nurse in a provider’s office is assessing an older client whose son reports that the client has been sick with respiratory illness for the past 6 days. Which of the following assessment findings is a manifestation of pneumonia in the older adult client?
  37. Question: Client is admitted to the emergency department for RR 7 ABG of 7.2 Co2 68, PO2 78 HCO3 26. (could not find any links)
  38. Question: A nurse is providing instruction to a new nurse about caring for clients who are receiving diuretic therapy to treat heart failure. The nurse should explain which of the following medications puts the clients at risk for both hyperkalemia and hyponatremia.
  39. Question: A nurse is caring for a client who has DVT heparin math
  40. A nurse is caring for a client who has asthma and is taking fluticasone. The nurse should monitor the client for which of the following adverse effects?
  41. Question: A nurse is caring for a group of clients. Which of the following clients should the nurse identify as having an increased risk of aspiration while eating? (select all that apply)
  42. Question: A nurse is reviewing the ABGs 7.30 48 23
  43. Question: A nurse is assessing a client who is 2 days postoperative and auscultates bilateral breath sounds, but absent breath sounds in the bases. The nurse should suspect which of the following postoperative complications?
  44. Question: A nurse is teaching a client who has COPD about ways to facilitate eating. Which of the following statements indicates a need for further teaching?
  45. Question: A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
  46. Question: A nurse is caring for a client who is at risk for falls what precautions will you have
  47. Question: A nurse is preparing to administer TPN?
  48. Question: The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate?
  49. Question: A nurse is assessing a client who has left-sided heart failure. Which of the following findings should the nurse expect?
  50. Question: A nurse in a provider's office assessing a client who reports dyspnea and fatigue. Physical assessment reveals tachycardia weak peripheral pulses. The nurse should recognize these findings as manifestations of which of the following conditions?
  51. Question: A nurse is planning discharge of a client who has sleep apnea and requires bi-level positive airway pressure (BiPAP) at night. The nurse should plan to consult with which of the following health care team members to help educate the client?
  52. Question: A nurse is providing discharge instructions for a client who has congestive heart failure. Which of the following statements by the client indicates to the nurse that the teaching was effective?
  53. Question: A nurse is caring for an older client who has a terminal illness & is ventilator-dependent. The client is alert and oriented and he wants to discontinue the ventilator. The nurse should be aware that continued treatment against the client's wishes is a violation of which of the following ethical principles?
  54. Question: A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin given is given due to which of the following actions of the medication?
  55. Question: A nurse is assessing a client who is receiving dopamine IV to treat left ventricular failure. Which of the following findings should indicate to the nurse that the medication is having a therapeutic effect?
  56. Question: A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?
  57. Question: A nurse is admitting a client who is having exacerbation of asthma. When reviewing the provider's orders, the nurse recognizes that clarification is needed for which of the following medications?
  58. Question: The nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
  59. Question: A nurse is caring for a client who has multiple long bone fractures caused by a motorvehicle crash that happened 24 hr ago. The client tells the nurse he is short of breath and experiencing chest pain. The nurse should assess the client further for which of the following potential complications?
  60. Question: A nurse is teaching a client who has asthma about using a beclomethasone inhaler along with an albuterol inhaler. Which of the following instructions should the nurse include about the beclomethasone inhaler? A nurse is providing teaching to a client who has asthma and new prescriptions of steroid what teaching are you going to give?
  61. Question:  A hospice nurse is caring for a client who has terminal cancer and is taking morphine client reports he had an increase in the dose of morphine what’s happening (could not find on quizlet)
  62. Question: A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous infusion. The client asks how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?
  63. Question: Patient developed chest pain while walking that did not resolve after resting. What diagnosis would you consider? (could not find on quizlet)
  64. Question: A patient has experienced shortness of breath after eating a salty diet for the last week. She has a history of CHF. What do her lungs sound like? (could not find on quizlet)
  65. Question: A nurse is providing discharge teaching to a client who has asthma and a new prescription for fluconazole. Which of the following adverse effects should the nurse instruct the client to report to the provider?
  66. Question: A nurse is caring for a client who is post-op following abdominal surgery the surgeon initially prescribes a clear liquid diet. Which of the following items should the nurse include on the clients lunch tray?
  67. Question: A nurse is caring for a client who has a new diagnosis for myasthenia gravis. Which of the following manifestations does the client have?
  68. Question: A nurse is assessing a client who has developed atelectasis postoperative. Which of the following should the nurse consider?
  69. Question: A nurse is caring for four clients who have drainage tubes. Which of the following clients should have hypokalemia?
  70. Question: A nurse is assessing a client immediately after the provider removed the clients endotracheal tube. The nurse should report which sign immediately if experienced by the client?
  71. Question: A nurse is caring for a client who is receiving total parenteral nutrition (TPN) via a peripherally inserted central catheter (PICC) line. When assessing the client, the nurse notes that the client’s arm seems swollen above the PICC insertion site. Which of the following actions should the nurse take first?
  72. Question: A nurse is assessing a client who has right ventricular failure. Which of the following findings should the nurse expect?
  73. Question: A nurse is caring for a client with a ventricular pacemaker who is on EKG monitoring. The nurse understands that the pacemaker is functioning properly when which of the following appears on the monitor strip?

 

 

Instituition / Term
Term Year 2022
Institution Exam: Quiz, Midterm, Final Exam
Contributor Amanda
 

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