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NURS 231 FINAL EXAM VERSION A AND B (2 LATEST VERSIONS ) ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS|ALREADY GRADED A+ (PORTAGE LEARNING)$18.49
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NURS 231 FINAL EXAM VERSION A AND B (2
LATEST VERSIONS ) ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS|ALREADY GRADED A+
(PORTAGE LEARNING)
Terms in this set (429)
What are the normal's for 1) 1.000-1.030
the following labs 2) 270-300
1) Urine Specific Gravity 3) pH 7.35-7.45// HC03 22-26// PaCO2 35-45// Pa02 80-
2) Serum Osmolality 100
3) ABG (pH, HCO3, PaCO2, 4) troponin I <0.03 ng/mL
PaO2) 5) Na+ 135-145//K+ 3.5-5// Ca+ 9-10.5//Mg+ 1.2-2
4) troponin I 6) BUN 10-20//Creat 0.5-1.2
5) electrolyte panel( Na+, 7) hgb 12-18// hct 37-52%// rbc 4.2-6.1// wbc 5,000-
K+, Ca+, Mg+) 10,000// platelets 150,000-400,000
6) BUN & Creatinine
7) CBC ( hgb, hct, RBC,
WBC, platelets)
Match the lab profile with 1) A
the most likely fluid 2) B
imbalance like A) Fluid 3) A
Volume Deficit 2) Fluid
Volume Excess
1) ____Na 148; Hct 40%
yesterday, 49% today;
serum osmolarity 308
2) ____Hgb 13.2 yesterday, 10.1
today; Urine specific gravity
1.001
3) ____BUN 45; Cr 0.7
,The nurse is preparing to b) Serum potassium 5.6
administer lisinopril (Zestril) *ACE inhibitors can cause/exacerbate hyperkalemia.
to a patient with acute
coronary syndrome. Which
of the following findings
should prompt the nurse to
hold the medication and
consult the healthcare
provider?
a) Serum sodium level 134
b) Serum potassium 5.6
c) Heart rate 58
d) Blood pressure 125/78
The nurse is caring for a a) Lactated Ringers
patient who is in *Isotonic solutions (crystalloids) are used to restore fluid
hypovolemic shock volume in patients with shock. Lactated Ringers is
following an extensive burn isotonic. Normal saline is also isotonic.
injury. What is the
intravenous fluid of choice
for this patient in the
emergent phase of
treatment?
a) Lactated Ringers
b) 0.45 NS with 20 mEq
potassium chloride
c) Fresh Frozen Plasma
d) 5% Dextrose in saline
,The client on a ventilator is b) Lung sounds absent on one side.
assessed for untoward *This may indicate a pneumothorax--a complication
responses to the therapy. caused by barotrauma.
Which of the following
would indicate a possible
complication of ventilator
therapy?
a) Blood pressure has
increased 5mmHg in the
last 24 hours
b) Lung sounds absent on
one side.
c) Forceful cough
periodically
d) Broncho-vesicular breath
sounds throughout
peripheral lung fields.
The pressure reading a) Assess the client's oxygenation.
during inspiration on the
ventilator of a client
receiving mechanical
ventilation is high and
alarming intermittently.
What is the nurse's first
action?
a) Assess the client's
oxygenation.
b) Call the RT to check the
ventilator settings.
c) Listen for bilateral lung
sounds.
d) Determine whether an air
leak is present in the client's
endotracheal tube cuff.
, Which assessment finding c) Serum sodium level has changed from 151 to 143.
best indicates that fluid
resuscitation therapy for the
patient with hypertonic
dehydration has acheived
the desired effect?
a) Peripheral pulses
changed from 1+ to 3+
b) Neck veins slightly
distended @ 30 degrees
c) Serum sodium level has
changed from 151 to 143.
d) Pulse oximetry shows
oxygen saturation of 95%
Which intravenous solution d) 0.9% saline
should you be prepared to
administer to a patient with
isotonic dehydration?
a) 0.45% saline
b) Dextrose 5% in water
c) Dextrose 10% in water
d) 0.9% saline
A patient is receiving a)Angina
dobutamine [Dobutrex] as a c)Dysrhythmias
continuous infusion in the e)Tachycardia
immediate postoperative
period. The patient also is *Is a beta1 aderenergic agonist; general anesthetics can
receiving a diuretic. What increase the likelihood of dysrhythmias. Dobutamine
adverse drug reactions are elevates BP by increasing CO. Diuretics complement the
possible in this patient? beneficial effects of dobutamine on the kidney, so urine
(select all that apply) output would be increased, not decreased.
a)Angina
b)Hypotension
c)Dysrhythmias
d)Oliguria
e)Tachycardia
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