Final Exam: NUR2349/ NUR 2349 (New 2022/ 2023) Professional Nursing I / PN I Exam | Questions and Verified Answers | 100% Correct| Grade A – Rasmussen
Final Exam: NUR2349/ NUR 2349 (New
2022/ 2023) Professional Nursing I / PN I
Exam | Questions and Verified Answers |
100% Correct| Grade A – Rasmussen
QUESTION
What kind of pain gives the “pins and needles” feeling?
Answer:
Neuropathic
QUESTION
What statement by the mother of an 8-month-old patient makes the nurse know that the mother
understands safety for her child?
Answer:
My loved to play with his crib gym, but I took it away from him.
QUESTION
Patient with CHF, usually on a diuretic. Sodium 142, Potassium 2.5, Calcium
8.5, and Chloride 98. What is wrong with these lab values?
Answer:
Hypokalemia
QUESTION
While manning the first aid station at a child’s sporting event in the heat of summer. What should
you have handy?
Answer:
Water, and fan.
QUESTION
SPICESS framework is used for the routine assessment of older adults in the hospital. What
factors does it address?
Answer:
Incontinence, confusion, sleep disorders
QUESTION
A spectator at a little league game in the summer has fainted. His skin is flushed and hot to the
touch. What would you do?
Answer:
Pull him into the shade and wet his clothing with water.
QUESTION
You have a pt with osteoporosis, what is the false statement about osteo- porosis?
Answer:
It is inherited due to intolerance to milk.
QUESTION
You’re volunteering, and someone says “why are senior citizens always complaining about body
temperature?”
Answer:
Slowed metabolic rate
QUESTION
You’re helping someone to the toilet, and they are having difficulty with a bowel movement.
What should you do?
Answer:
Provide privacy
QUESTION
You have a pt admitted through the ER due to heat stroke. What do you put in their plan of care?
Answer:
QUESTION
Patient has respiratory distress, deteriorating mental status, bronchial spasms, and developing
laryngeal edema, what do these signs mean?
Answer:
Stung by bee
QUESTION
VS temp 98, 4 hours later temp is 103.2, all other VS are still the same. What should you do?
Answer:
Ask pt if they have had anything warm to drink.
QUESTION
What would cause someone to have a impaired thermoregulation?
Answer:
Some- one who is working out
QUESTION
It’s hot and humid out, who is at risk the most for heat related illnesses?-
Answer:
Older adults
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Patient has pain, given morphine 2mg. Still at 8/10 pain, but vitals are 145/85, RR of 18, pulse 90. What is the next action before transfer from PACU?
Examine transfer orders.
Patient on morphine complains of constipation. How do you help this patient, diet-wise? (SATA)
High fiber, water, MiraLAX
Post op patient, how do we decrease post op complications options? (SATA)
q2h deep breath, assess drainage from surgical site, and take vitals
Patient has an indwelling catheter, what do you put in their care plan?
Foley care
A patient in the hospital, she has poor healing leg ulcers. Nutritional history is important because what?
Wound healing and infection prevention are negatively effected by poor nutrition.
An agitated patient is trying to crawl over the bed rails, what should you do?
Provide comfort measures.
A patient is complaining about severe abdominal pain. What kind of pain is this?
Visceral
A patient who has terminal cancer is receiving around the clock medications. When giving care, they are still having pain, what kind of pain is this?
Breakthru pain
If a patient is allergic to a medication and states it causes nausea, vomiting, and dizziness. How do you document this information?
Client states they experience N/V and dizziness with “this” med.
A friend who rarely experiences pain, but when she does, she calls the doctor. You realize that pain is important when the client states they have pain because of what?
It is a protective system
A patient with kidney stones, what do you do with their urine?
Strain their urine.
A senile patient who is incontinent, and daughter asks why her father is peeing himself?
They loose sphincter control.
A pt who has an IV states he has pain at the insertion site. After assessment, you see erythema, and it is warm and hard. What do you do? (SATA)
Discontinue infusion, move catheter, document assessment and nursing actions taken, and evaluate response.
Patient who has fractures, is given opioids. How do you prevent constipation?
Eat fiber and take in fluids.
7.38 ph pco2 40 po2 94 co3 26
Normal
How to change Celsius to Fahrenheit?
C x 1.8 + 32 = F
F – 32 / 1.8 = C
What does CO2 bind to in the body? (carbon monoxide poisoning)
Hemoglobin
Patient is terminally ill and unconscious, spouse says full code but they are not the durable power of attorney. The sister who is POA says DNR. Who is the legal person that can make decisions?
The sister
kilos and mics per kilo per minute (kg to mcg?) Not sure what was meant by this
Use your dimensional analysis for this question
A new grad nurse has a chronic pain patient. What is said by the new grad nurse that causes the preceptor to become concerned?
I will observe for any indicators that the pt is exaggerating their pain.
Body temp of 93.2 is called….
hypothermic
While working on a certain unit, your friend calls and says oh my neighbor is on that unit, how are they? If you give them information about their neighbor, what is that a violation of?
HIPAA
What is incorrect when talking about body mechanics?
My line of gravity should fall outside of my base of support.
A nurse prepares to prevent the loss of heat of a newborn resulting from convection by the following interventions:
Close the door
A patient has abdominal pain that started 5 hours ago with diarrhea. What kind of pain is this?
Acute
Organ donation, what is the principle that everyone is equal for this?
Justice
I & Os know how to add these up
1 oz = 30mL
What do you expect to find in patient with hypocalcemia and hyperphosphatemia? (SATA)
Trousso’s sign, fractures, and cardiac arrhythmias
What kind of pain gives the “pins and needles” feeling?
Neuropathic
What statement by the mother of an 8-month-old patient makes the nurse know that the mother understands safety for her child?
My loved to play with his crib gym, but I took it away from him.
Patient with CHF, usually on a diuretic. Sodium 142, Potassium 2.5, Calcium 8.5, and Chloride 98. What is wrong with these lab values?
Hypokalemia
While manning the first aid station at a child’s sporting event in the heat of summer. What should you have handy?
Water, and fan.
SPICESS framework is used for the routine assessment of older adults in the hospital. What factors does it address?
Incontinence, confusion, sleep disorders
A spectator at a little league game in the summer has fainted. His skin is flushed and hot to the touch. What would you do?
Pull him into the shade and wet his clothing with water.
You have a pt with osteoporosis, what is the false statement about osteoporosis?
It is inherited due to intolerance to milk.
You’re volunteering, and someone says “why are senior citizens always complaining about body temperature?”
Slowed metabolic rate
You’re helping someone to the toilet, and they are having difficulty with a bowel movement. What should you do?
Provide privacy
You have a pt admitted through the ER due to heat stroke. What do you put in their plan of care?
Patient has respiratory distress, deteriorating mental status, bronchial spasms, and developing laryngeal edema, what do these signs mean?
Stung by bee
VS temp 98, 4 hours later temp is 103.2, all other VS are still the same. What should you do?
Ask pt if they have had anything warm to drink.
What would cause someone to have a impaired thermoregulation?
Someone who is working out
It’s hot and humid out, who is at risk the most for heat related illnesses?
Older adults
You have a patient who had a kidney replacement operation one week ago, temp is 101, tenderness over transplant, BP is high, serum creatinine is rising, and urine output is decreasing. New kidney is enlarged on XRAY, what medication treatment do we put the patient on?
Increased immunosuppressive therapy
Which option listed causes pressure ulcers?
Tissue ischemia
You have a pt who has ulcerative colitis and has an ileostomy. The patient states, “I will irrigate my stoma every morning.” Is this good or not?
NO!
Pt is one day post-op from a sigmoid colon resection. He has dark reddish-brown drainage from abdominal incision. What intervention should you take?
Circle with sharpie and date and time it.
Grade 2 frost bite is evidenced by
Blisters that are filled with clear and milky fluid
At the fair, you are treating someone with heat stroke and needs to be cooled down. You need to prevent shivering, because it causes what?
Increase in temperature
You are in the clinic and you have telephone messages from four clients who requested info. Who should you refer to social services first?
I ran out of money and had to use my spouse’s prescription medication.
How can you detect fluid overload in your patient?
Lung sounds
A pt who fell on their knee. How would you determine if there is radiation of the pain?
Does the pain move to another area from your knee?
Frost bite treatment includes?
Rapid rewarming water bath to preserve tissue.
Pt has temp of 96.8, what does their temp mean?
Normal
The nurse is caring for someone who has partially compensated respiratory alkalosis. What will their blood gases look like?
Look for alkalosis blood… pH 7.49 …. this is your answer
Pt who is at risk impaired tissue integrity. What intervention will promote skin integrity? (SATA)
Keep skin clean and dry, protein diet, moisturize dry skin, use gel pad on chair
What electrolyte imbalance is this? Respiratory muscle weakness, shallow Respers
Hypokalemia
You have a patient with osteoarthritis (OA), pt is obese. What is the best rationale to encourage them to lose weight?
Excess weight causes degeneration of hip and knee joints
The nurse is caring for several patients. Which infection control measure will you implement?
Wear a gown when contact of body fluids is anticipated
You have someone on airborne precautions. What do you do with the door?
Close the door
When picking out what is missing from the diet of a patient with osteomalasia, what would you do?
24 hour diet journal
You are calling the doctor about a patient with exacerbated asthma, what is the correct SBAR statement?
All parts of the SBAR; Situation, Background, Assessment, and Recommendation
During a sterile procedure, what can the nurse touch after donning sterile gloves?
Anything within the inner wrapping of the sterile field
You’re teaching about heat related illnesses. What would you recommend?
Limit your activities during the hottest time of the day.
The nurse is removing PPE. What gets removed first?
Gloves
Your patient is going to surgery. What lab values will you report to the surgeon? (SATA)
Blood sugar 289, potassium of 2.9, white count 17,000, and creatinine of 3.3
The nurse is taking a health history of a pt with lower back pain for 10 months. How do you catorgize this pain?
Non cancer pain
The nurse is teaching an older adult client who has debilitating RA about home health safety. What should they suggest?
Handrails in the bathroom and hallways for safe ambulation.
If intact skin becomes cut and loses integrity, what is this called?
Portal of entry
The nurse knows all the common predisposing conditions that promotes hypothermia, except which?
Hyperthyroidism
In a patient with an elevated temperature, what is the quickest and safest way to bring their temp down is what?
Take off blankets and excess clothing
Over the past 24 hours your patient’s temp has spiked from 98.8 to 101.6, after a head-to-toe, pulse of 88, RR 24 132/78 lungs clear, dark urine. Who do you call?
The hospitalist
You have somoene on neutropenic procautions, when talking to them about fruits and vegetables can they have?
Canned pears, cooked corn NO RAW FOOD
The nurse provides discharge teaching to someone with Chron’s disease. What makes the nurse know that the patient doesn’t understand their teaching?
I need to increase the fiber in my diet.
While getting report from the previous shift, the nurse says “this pt is a drug seeker, hates change, on the call light constantly asking for more pain meds.” What is the most appropriate question for you to ask the patient about their pain?
Help me understand how the pain is affected you right now
A child pt is coughing vigorously after they have aspirated something. Which action should the nurse take first?
Encourage them to keep coughing
What is the longest acting immunity?
Natural active
You are assessing pain in a 4 year old child using the Wong-Baker faces rating scale. You are watching the child’s facial expression. How will you know when to intervene?
When the child’s expression changes when you point a certain face on the scale.
What event is the beginning of the intra-operative phase of surgery?
When they arrive at the OR doors
Alleviating factors to a client’s pain. The nurse should ask the client to do the following?
What works for you?
A pt is on transmission based precautions. The nurse should place the highest priority on which of the following in order to enhance meeting psychosocial needs?
Diversional activities
Psychosocial needs of an immobile patient, what will you do?
Lets dicuss the routine to see if there are any changes we can make.
Physiologic responses to pain
Diaphoresis, tachycardia
What influences your body temperature?
Age, exercise, menstrual cycle
What is the best way to assess the core body temperature?
Rectal themometer
Who is the best person….
The patient.
While turning a pt, you noticed their coccyx is reddened. What action is most effective for controlling pain?
Provide pain meds when pain begins.
What age group has difficulty with thermoregulation?
Older adult clients
HIPAA
clients have rights to ammend their health care records
Who has the greatest risk for impaired urinary emlimination?
Severe dehydration
Which nursing action reflects the QSEN competency of patient centered care?
Respect their preferences about treatment options, include them in decisions about dietary choices
Which of following interventions would you use for someone who has a fever?
Ice pack on neck, axilla, groin, promote fluids
Which is not a consideration when planning care for pre-op of an older adult client?
Decreased risk for dehydration
What sort of pain management task can you delegate to a CNA to do?
Reposition, or back massage
The circulating nurse in an OR acts as an advocate for the patients how?
Keeping the OR door closed at all times
Which statement about med/surg concept of immunity is acurate?
Artificial active is gained by vaccination
What pain barriers does the older adult patient have?
Don’t like to report pain.
You have a pt that on day one is fine, but on day two is confused, what should you first think of?
UTI
You’re sponging a patient with a high temp and they start to shiver, what should you do?
Stop
What kind of immunity occurs when antibodies are created in another human or animal?
Passive
What age group has difficulty with thermoregulation?
Older adult clients
Physiologic responses to pain
Diaphoresis, tachycardia
What influences your body temperature?
The nurse is removing PPE. What gets removed first?
Gloves
You have a pt admitted through the ER due to heat stroke. What do you put in their plan of care?
O2 mask, give them oxygen
sources;
https://www.gcu.edu/
https://yaveni.com/
https://www.rasmussen.edu/