ACTUAL EXAM QUESTIONS AND 100

NUR 242 Exam 1 LATEST UPDATE -

ACTUAL EXAM QUESTIONS AND 100%

VERIFIED CORRECT ANSWERS GUARANTEED

A+

A biopsy is what type of procedure? - CORRECT ANSWER: Diagnostic

A patient has received 10 mg of Morphine via IV 20 minutes ago and is noticeably groggy. The physician requests you witness the signature of his informed consent. How

would you, as a patient advocate, proceed? - CORRECT ANSWER: Informed consent

should be received before patient is given any preop analgesics to ensure a clear state of mind.

Side note: A nurse is not responsible for clarification of risks or procedure explanation.

A nurse can witness signature.

A pt asks you why what he eats has anything to do with wound healing. What is your

response? - CORRECT ANSWER: Successful healing of pressure injuries depends on

adequate intake of calories protein, vitamins, minerals and water.

A pt goes to the ER for swelling and pain in her right calf. The PT states that it occurred after she accidentally cut herself. Based on her symptoms, what skin condition might

the nurse suspect the patient has? - CORRECT ANSWER: Cellulitis.

Cellulitis is inflammation of the skin and subq tissue.

A pt is receiving a blood transfusion and breaks out in hives. What is the nurses first

step? - CORRECT ANSWER: Immediately stop the the transfusion and start normal

saline

A pt presents with muscle weakness, trouble walking, and a beefy red tongue. Based on these symptoms, what might we conclude the patient will be diagnosed with? -

CORRECT ANSWER: B-12 Deficiency

A pt's health history states that they are on corticosteroids. The PACU nurse that this

increases the risk of what? - CORRECT ANSWER: wound dehiscence

After a procedure, a pt's vitals signs are the following:

BP: 90/50

RR: 26

HR: 110

O2: 88% 1 / 2

What is this a potential sign of?

A.Infection

• Heavy blood loss

C. These vitals are to be expected after a procedure - CORRECT ANSWER: B

After a procedure, what should the nurse assess immediately? - CORRECT ANSWER:

ABC's

Make sure airway is clear, note respiration depth, listen to lung sounds

After receiving shift report, the night nurse looks at the lab values for a patient with

cellulitis. What abnormal lab values might you see? - CORRECT ANSWER: -WBC -

elevated -Creatinine- elevated -Bicarbonate- low -Albumin- low -Calcium- low

After surgery, Pt A verbalizes they do not want to cough because it is uncomfortable.What are some things the nurse can do to minimize discomfort? - CORRECT

ANSWER: Analgesic administration and educating on splinting incision site when

coughing.

An 85 year old woman is admitted to the hospital. When doing the initial assessment, what are some factors that you know put her at risk for pressure injuries? - CORRECT

ANSWER: -if the pt is immobile

-if the pt is incontinent -if the pt has comorbidities such as diabetes or PVD -if the pt is malnourished or dehydrated -if the pt suffers from decreased sensory perception

How often should the nurse monitor patient's vital signs when they are receive a blood

transfusion? - CORRECT ANSWER: Vital sings must be checked after 15 minutes, 30

minutes, and one hour followed by every hour after.

Immobility effects multiple body systems. What are some interventions that you can implement to decrease these effects? Select all that apply.

• Utilizing waffle mattress to reduce the need for repositioning
• Teds/SCDs
• Rubbing reddened areas
• Limiting fluid intake
• ROM exercises - CORRECT ANSWER: Answer: B and E
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