Nur 160 Exam Questions With 100%
Verified Answers.
The nurse knows the most accurate way to determine Water balance in the body is which of the
following? - answer✔Weighing The patient at the same time and same scale
The Nurse Understands the population at most risk for fluid and electrolyte imbalance are which
of the following? - answer✔Infants
geriatrics
The nurse assessing a patient that has exhibited positive Chovestick and Trousseau signs. The
nurse knows these are signs of which imbalance? - answer✔Hypocalcemia
Which is the correct process for measuring the length for nasogastric tube (NGT) insertion? -
answer✔Tip of not to earlobe to xiphoid process
The nurse knows the importance of making sure the nasogastric tube is properly placed in the
stomach of the patient. Which of the following is noted for being best practice on verifying
nasogastric tube placement? - answer✔Abdominal/ Thoracic chest x-ray
A patient is exhibiting the following signs and symptoms: dry mucus membranes, poor skin
turgor and tenting of skin. The nurse knows there are signs and symptoms of which of the
following? - answer✔Fluid volume deficit (FVD)
A patient is refusing to ambulate to the bedside commode. Which Statement by the patient is
related to their refusal to ambulate? - answer✔I saw my roommate fall last week when going to
the bathroom"
A patient with emphysema is having difficulty breathing after ambulating to the bathroom.
Which medication will the patient take for immediate relief of the breathing difficulty? -
answer✔Albuterol (Proventil)
The LPN is caring for a patient with a nasogastric tube (NGT) following gastric surgery. The
patient has an order for metropolol (Lopressor) 25 mg extended-release capsule. Which is the
LPN's best intervention? - answer✔Call Physician to clarify order
The nurse understands Vitamin D is necessary for the absorption of which electrolyte? -
answer✔Calcium
When will the nurse begin discharge instructions with a surgical patient? - answer✔During pre
operative stage
The nurse is teaching oxygen safety to the nursing assistant on safe oxygen administration and
possible issues that should be reported to the nurse. Which statement by the nursing assistant
indicates a need for further information. - answer✔will keep an extra cylinder of oxygen in the
corner of the room by the heater"
The LPN is caring for a patient with a diagnosis of Chronic Obstructive Pulmonary Disease
(COPD). Which arterial blood gas values indicate that the patient is in respiratory acidosis? -
answer✔pH 721 PaCO2 49. HCO3 25
The nurse is providing care to a patient had a bowel resection, with a midline incision that has
ten sutures. In order to predict and manage potential complications, which action should the
nurse take? - answer✔Place the patient in semi fowlers knees slightly flexed
The LPN is completing a head-to- toe assessment on a patient. Which pulse assessment is not
appropriate for the nurse to take? - answer✔Palpate the carotid arteries bilaterally at the same
time
The post operative patient tells the nurse "I felt something pop near my incision" Upon assessing
the surgical safe, the nurse noticed the wound is it in the process of dehiscence. The nurse
understands this may have occurred due to which process? - answer✔Forceful coughing
The LPN is caring for a patient who has crackles bilaterally on inspiration that does not clear
with coughing. Which would the LPN anticipate as the cause of crackles? - answer✔Fluid in the
lungs
The patient asks the LPN what could have continued to their diagnosis of metabolic acidosis.
Which of the following statements would be an appropriate response by the nurse? -
answer✔The diarrhea you experienced during the last week caused your imbalance"
During lunch the nurse notices a patient with a mid- line incision coughing forcibly. Which
should be the nurse's next action after the patient is no longer coughing? - answer✔The nurse
will educate on splinting
The nurse is doing education with a patient that is newly diagnosed with diabetes mellitus.
Which statement by the patient would indicate a need for further teaching? - answer✔I would
wipe the first drop away with an alcohol pad"
The LPN is doing patient education on risk factors for developing cardiovascular disease. The
nurse understands which are contributing factors? - answer✔- Family history of
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