Exam 2: NUR160 / NUR 160 (Latest 2023/
2024) Fundamental Concepts of Practical
Nursing II Exam Review | Questions and
Verified Answers| Grade A| Hondros College
Q: How to read an ABG
Answer:
- Determine if values are high, low, or normal
- Draw the appropriate arrows next to each value
- Decide if two values are the same, or if two values are apposite (same=metabolic,
opposite=respiratory) - Look at only Ph, if low acidosis, if high alkalosis
Q: UTI signs and symptoms
Answer:
Burning, frequency, urgency, foul smell, sediment, abdominal pain, chills, fever, darkness,
confusion
Q: Hypovolemic Shock sign sand symptoms
Answer:
decreased BP, Increased HR, restlessness, decreased urine output
Q: normal urine output
Answer:
15mL/kidney/hr, so 30mL/hour, 200mL per 8 hrs. if 40mL < call MD
Q: Nursing Interventions for hypovolemic shock
Answer:
monitor vitals, behavior, output, assess pt, notify MD, raise legs, push fluids, give meds as
prescribed, pt may need O2 and they may need to be tipped on head
Q: evisceration
Answer:
when an organ is sticking up out of a wound that has opened
Q: Dehiscense
Answer:
When a wound has opened up, most often d/t force (cough)
Q: What to do for dehiscense
Answer:
put pillow on abdomen when coughing, semi-high fowler’s, cover with sterile, moist dressing
and notify MD
Q: Pain meds
Answer:
start low, go slow
Q: Physiological signs of pain
Answer:
Red, sweating,crying, irritated, fetal position
Q: How to help with pt pain
Answer:
try non- pharmacological interventions first, when nothing works-ask someone else, go through
chain of command
Q: at risk for urinary retention
Answer:
post-surgical, men with large prostates, TBI, stroke, paralyzed
Q: Nursing interventions for urinary retention
Answer:
i&o, push fluids, run water, stick hands in warm water, bladder scan-see how much is in there (if
at or more than 200, call someone), pt will need straight cath at that point, when straight cathed,
if you get to 1000, clamp it off and go back later.
Q: DVT signs and symptoms
Answer:
unilateral swelling, redness, hot, painful, pulseless, cannot move toes or very little, pale below
where clot is
Exam 2: NUR160 / NUR 160 (Latest 2023/
2024) Fundamental Concepts of Practical
Nursing II Exam Review | Questions and
Verified Answers| Already Graded A|
Hondros College
Q: patient with bowel resection: Midline incision w/ sutures, predict and manage potential
complications:
Answer:
place patient is semi-fowlers with knees slightly bent
to prevent dehiscence
Q: head to toe assessment
Answer:
do not palpate the carotid pulse bilaterally at the same time
may cause patient to pass out
Q: patient is post op,patient states that something they felt something pop, what does that
indicate?
Answer:
dehiscence, this was caused by forceful coughing
Q: patient with bilateral lung crackles-upon inspiration, notice coughing doesn’t clear crackles.
what is the cause of the crackles?
Answer:
fluid on the lungs
Q: Patient with metabolic acidosis: Patient wants to know what contributed to that diagnosis?
Answer:
Patient had too much diarrhea last week which caused an imbalance HCO3 is Bicarbonate,
which is also a buffer – this loss occurs during diarrhea
Q: Notice a patient with midline incision coughing forcibly. What should the patient be
educated to do?
Answer:
Splint the incision, place a pillow over the abdomen (nursing intervention)
Q: Patient education on a patient with Diabetes: Which statement by the patient indicates an
understanding of the teaching?
Answer:
“I would wipe away the first drop of blood”
Q: Risk factors for developing cardiovascular disease:
Answer:
Family history
Age
Sedentary lifestyle
Smoking
Q: Patient is on Coumadin: Tell patient to: