NURS 221 Fundamentals in Nursing COMPREHENSIVE FINALS EXAM QUESTIONS & ANSWERS
1. A patient is admitted with acute respiratory distress
syndrome (ARDS). Which of the following interventions
should the nurse prioritize?
- A. Administer bronchodilators
- B. Initiate prone positioning therapy
- C. Provide high-flow oxygen therapy
- D. Administer diuretics
Answer: B. Initiate prone positioning therapy
Rationale: Prone positioning can improve oxygenation
and is a prioritized intervention in the management of ARDS
to enhance lung recruitment.
2. A patient with chronic heart failure presents with
shortness of breath. Which assessment finding should the
nurse report immediately?
- A. Peripheral edema
- B. Bilateral lung crackles
- C. Elevated jugular venous pressure
- D. Sudden weight gain of 2 kg in 24 hours
Answer: D. Sudden weight gain of 2 kg in 24 hours
Rationale: This is indicative of acute fluid retention and
worsening heart failure, requiring immediate attention and
intervention.
3. An elderly patient is at risk of developing pressure ulcers.
Which factor primarily contributes to this risk?
- A. Adequate mobility
- B. Balanced nutrition intake
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