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NUR 254 - Test One Questions with Complete Solutions Graded A+
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NUR 254 - Test One Questions with Complete Solutions Graded A+
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NUR 254 - Test OneQuestions with
Complete Solutions
Graded A+
Denning Muriithi [Date] [Course title]
, NUR 254 - Test One
1.A TRAUMA PATIENT IS SUFFERING FROM SEVERE HYPOTENSION IS
OR- DERED TO RECEIVE 500 ML OF ALBUMIN IV X 1 DOSE. WHICH
NURSING IN- TERVENTIONS ARE ESSENTIAL WHEN ADMINISTERING IV
ALBUMIN? SATA
A. Monitor for hypocalcemia
B. Open the air port on the IV tubing
C. Monitor for JVD and crackles
D. Ensure the medication remains protected from light
E. Monitor for anaphylaxis Correct Ans: A. Monitor for hypocalcemia
B. Open the air port on the IV tubing
C. Monitor for JVD and crackles
2.WHAT IS AN EXPECTED SIDE EFFECT OF ADENOSINE ADMINISTRATION?
Correct Ans: Asystole
Adenosine is given for SVT / PSVT
3.What are the functions of the heart? Correct Ans: -Deliver oxygenated
blood to tissue
-Transport cell waste to organs for disposal
4.What's occurring during the QRS complex? Correct Ans: Depolarization
and contraction of the ventricles.
5.What's occurring during the P wave? Correct Ans: Depolarization and
contraction of the atria.
6.What are characteristics of the P wave? Correct Ans: Wave is 0.10
seconds in length, smooth, rounded and upright.
7.WHAT WOULD A HIGH CENTRAL VENOUS PRESSURE READING
INDI- CATE? Correct Ans: HYPERVOLEMIA (FLUID VOLUME EXCESS)
8.TWO SERUM LAB TESTS THAT WOULD BE ELEVATED WITH
MYOCARDIAL INFARCTION. Correct Ans: TROPONIN AND CREATININE
KINASE
9.WHAT ARE THE COMMON CAUSES OF SINUS TACHYCARDIA? Correct
Ans: -FEVER
-HYPOXIA
-ANEMIA
-HYPOVOLEMIA
-PAIN/ANXIETY
10.WHICH OF THE FOLLOWING ASSESSMENT FINDINGS MIGHT
INDICATE PACEMAKER FAILURE IN A PATIENT WITH A PERMANENT
PACEMAKER? SATA
, NUR 254 - Test One
A. Facial flushing
B. Decreasing blood pressure
C. Decreased pulse rate of less than 60 b.p.m.
, NUR 254 - Test One
D. Patient c/o chest pain Correct Ans: B. Decreasing blood pressure
C. Decreased pulse rate of less than 60 b.p.m.
D. Patient c/o chest pain
11. ASIDE FROM PACER SPIKES WITH SUBSEQUENT P WAVES OR QRS
COM- PLEXES, HOW WOULD A NURSE ASSESS THE INTENDED
OUTCOMES OF A PACEMAKER? (THERE ARE SEVERAL, NAME AT LEAST
ONE CORRECTLY)-
Correct Ans: -HEART RATE >60
-NORMOTENSIVE
-SKIN COLOR APPROPRIATE
12.A 86 YO WOMAN COMES TO THE CLINIC C/O PHOTOPHOBIA, SEEING
HALOS, AND NAUSEA/VOMITING FOR THE PAST 3 DAYS. WHAT DOES
THE
NURSE SUSPECT AS THE CAUSE? Correct Ans: Digoxin Toxicity
(Digibind can reverse this)
13.WHAT DIAGNOSTIC TEST IS ESSENTIAL IN THE DIAGNOSIS OF STEMI
(ST ELEVATION MYOCARDIAL INFARCTION)? Correct Ans:
ELECTROCARDIOGRAM
14.A PATIENT IS GOING DOWN TO RADIOLOGY FOR A SPIRAL CT TO R/O
A PULMONARY EMBOLUS. WHAT DOES THE NURSE NEED TO DO PRIOR
TO
THE PATIENT LEAVING THE UNIT? Correct Ans: -Establish a large bore
(18 gauge of larger) IV in the antecubital site.
-Teach the patient that they may experience a warm flushing feeling wit
instillation of the contrast.
-Encourage the patient to hydrate to order to clear the contrast.
-Check creatinine clearance
15.A PATIENT DEVELOPS PSVT AND IS SYMPTOMATIC. PRIOR TO
ADENO- SINE OR CARDIOVERSION, WHAT IS A NONPHARMACOLOGIC
INTERVEN- TION FOR PSVT? Correct Ans: ELICIT VAGAL
RESPONSE/VALSALVA MANEUVER
16.WHAT IS THE PRIORITY INTERVENTION FOR VENTRICULAR FIBRILLA-
TION, THAT HAS THE GREATEST IMPACT ON SURVIVAL RATE? Correct
Ans: DEFIBRILLA- TION
17.A PATIENT SECOND DEGREE TYPE 2 HEART BLOCK THAT HAS
PRO- GRESSED TO THIRD DEGREE (COMPLETE) HEART BLOCK. WHAT
IS THE PRIORITY INTERVENTION? Correct Ans: PACEMAKER
18.THE NURSE KNOWS WHICH OF THE FOLLOWING ARE TRUE
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