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Final Exam NSG430 questions with answers
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Final Exam NSG430 questions with answers
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Final Exam NSG430 questions withanswers
The \nurse \is \caring \for \a \patient \with \an \arterial \monitoring \system. \The \nurse \asses \the \patient's \
noninvasive \cuff \blood \pressure \to \be \70/40 \mm \Hg. \The \arterial \blood \pressure \measurement \via \an \
intra-arterial \catheter \in \the \same \arm \is \assessed \by \the \nurse \to \be \108/70 \mm \Hg. \What \is \the \best \
action \by \the \nurse?
Select \one:
a. \Frequent \oropharyngeal \suctioning
b. \Side \to \side \position \changes
c. \Range-of-motion \to \extremities
d. \Frequent \neurological \assessments \- \ANSWERS✔✔ \d. \Frequent \neurological \assessments
The \nurse \is \caring \for \a \burn-injured \patient \who \weighs \154 \pounds, \and \the \burn \injury \covers \40% \
of \his \body \surface \area. \The \nurse \calculates \the \fluid \needs \for \the \first \24 \hours \after \a \burn \injury \
using \a \standard \fluid \resuscitation \formula \of \4 \mL/kg/% \burn \of \intravenous \(IV) \fluid \for \the \first \24 \
hours. \The \nurse \plans \to \administer \what \amount \of \fluid \in \the \first \24 \hours?
Select \one:
a. \14000 \ml
b. \2800 \ml
c. \7000 \ml
d. \11200 \ml \- \ANSWERS✔✔ \a. \14000 \ml
For \patients \with \major \burns, \when \should \you \start \enteral \feedings?
Select \one:
a. \A \few \hours \after \the \injury \has \occurred
b. \Not \until \bowel \sounds \have \returned
c. \After \the \emergent \phase \of \the \injury
,d. \2 \to \3 \days \after \the \injury \- \ANSWERS✔✔ \c. \After \the \emergent \phase \of \the \injury
After \receiving \the \handoff \report \from \the \day \shift \charge \nurse, \which \patient \should \the \evening \
charge \nurse \assess \first?
Select \one:
a. \Patient \with \meningitis \complaining \of \photophobia
b. \A \patient \with \bacterial \meningitis \on \droplet \precautions
c. \Mechanically \ventilated \patient \with \a \GCS \of \6
d. \A \patient \with \an \intracranial \pressure \ICP \of \20 \mm \Hg \and \an \oral \temperature \of \104°F \- \
ANSWERS✔✔ \d. \A \patient \with \an \intracranial \pressure \ICP \of \20 \mm \Hg \and \an \oral \temperature \of \
104°F
The \charge \nurse \assigns \patients \based \on \their \acuity \and \the \level \of \experience \of \the \critical \care \
nurses \on \duty. \This \is \an \example \of \implementation \of:
Select \one:
a. \Healthy \work \environment
b. \National \patient \safety \goals
c. \SBAR \communication
d. \Synergy \model \- \ANSWERS✔✔ \d. \Synergy \model
While \caring \for \a \patient \with \a \basilar \skull \fracture, \the \nurse \assesses \clear \drainage \from \the \
patient's \left \naris. \What \is \the \best \nursing \action?
Select \one:
a. \Insert \bilateral \cotton \nasal \packing.
b. \Have \the \patient \blow \the \nose \until \clear.
c. \Place \a \nasal \drip \pad \under \the \nose.
d. \Suction \the \left \nares \until \the \drainage \clears. \- \ANSWERS✔✔ \c. \Place \a \nasal \drip \pad \under \the \
nose.
The \nurse \is \caring \for \a \patient \who \was \hit \on \the \head \with \a \hammer. \The \patient \was \
unconscious \at \the \scene \briefly \but \is \now \conscious \upon \arrival \at \the \emergency \department \with \
, a \GCS \score \of \15. \One \hour \later, \the \nurse \assesses \a \GCS \score \of \3. \What \is \the \priority \nursing \
action?
Select \one:
a. \stimulate \the \patient \hourly.
b. \Notify \the \provider \immediately.
c. \Elevate \the \head \of \the \bed.
d. \Continue \to \monitor \the \patient. \- \ANSWERS✔✔ \b. \Notify \the \provider \immediately.
The \nurse \is \caring \for \a \patient \who \has \a \diminished \level \of \consciousness \and \who \is \mechanically \
ventilated. \While \performing \endotracheal \suctioning, \the \patient's \hands \clench \and \pull \into \the \
chest. \What \is \the \best \interpretation \by \the \nurse?
Select \one:
a. \The \patient \is \exhibiting \purposeful \movement.
b. \The \patient \is \exhibiting \flexion \posturing.
c. \The \patient \is \exhibiting \extension \posturing.
d. \The \patient \is \exhibiting \decorticate \posturing. \- \ANSWERS✔✔ \d. \The \patient \is \exhibiting \
decorticate \posturing.
(9) \Which \of \the \following \would \be \seen \in \a \patient \with \myxedema \coma?
Select \one:
a. \Decreased \reflexes
b. \Hyperthermia
c. \Tachycardia
d. \Hyperventilation \- \ANSWERS✔✔ \a. \Decreased \reflexes
A \patient \presents \to \the \emergency \department \with \suspected \thyroid \storm. \The \nurse \should \be \
alert \to \which \of \the \following \cardiac \rhythms \while \providing \care \to \this \patient?
Select \one:
a. \Idioventricular \rhythm
b. \Sinus \bradycardia
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