NR 224 EXAM 2 LATEST 3 VERSIONS (VERSION
A, B & C) 2024-2025 ACTUAL EXAM 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES
Terms in this set (124)
1.0053-1.03 Normal specific gravity
1 mL fluid 1 g drainage
A 54-year old woman with 5 D. dilated, tortuous superficial bluish vessels.
children has varicose veins
of the lower extremities.
Her most characteristic sign
is:
A. reduced arterial
circulation
B. blanching, deathlike
appearance of the
extremities of elevation.
C. loss of hair and feet on
toes
D. dilated, tortuous
superficial bluish vessels.
,An 86 yo women is a. fever increases metabolic demands, requiring
admitted to the unit with increased oxygen need.
chills and a fever of 104 F.
What physiological process
explains why she is at risk
for dyspnea?
a. fever increases metabolic
demands, requiring
increased oxygen need.
b. blood glucose stores are
depleted and the cells do
not have energy to use
oxygen.
c. carbon dioxide
production increases due to
hyperventilation.
d. carbon dioxide
production decreases due
to hypoventilation.
,An 88 yo patient comes to a. dentures do not always fit properly.
the medical clinic regularly. d. Many older adults are edentulous, and remaining
During a recent visit the teeth are often decayed.
nurse noticed the patient
had lost 10 lbs in 6 weeks
without being on a special
diet. The patient tells the
nurse that he has had
trouble chewing his food.
Which of the following
factors are normal aging
changes that can affect the
older adult's oral health?
Select all that apply.
a. dentures do not always fit
properly.
b. Most older adults have
an increase in saliva
secretions.
c. With aging the
periodontal membrane
becomes tighter and
painful.
d. Many older adults are
edentulous, and remaining
teeth are often decayed.
e. The teeth of elderly
patients are more sensitive
to hot and cold.
FiO2 is 24-100%
Aerosol mask
Used for over 10L/min
, After surgery the patient a. notify the surgeon
with a closed abdominal d. cover the area with sterile, saline-soaked towels
wound reports a sudden immediately.
"pop" after coughing. When
the nurse examines the
surgical wound site, the
sutures are open, and
pieces of small bowel are
noted at the bottom of the
new-opened wound. Which
are the priority nursing
interventions? Select all that
apply.
a. notify the surgeon
b. allow the area to be
exposed to air until all
drainage has stopped
c. place several cold packs
over the area, protecting
the skin around the wound
d. cover the area with
sterile, saline-soaked towels
immediately.
e. cover the area with sterile
gauze and apply an
abdominal binder.
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