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NUR 213 ( LATEST 2024 / 2025 ) FINAL 3 | A SOLVED 100% CORRECT
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NUR 213 ( LATEST 2024 / 2025 ) FINAL 3 | A SOLVED 100% CORRECT
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NUR 213 FINAL 31. Red (Immediate)
Answer
life threatening, treatable with immediate attention Example
Answer
airway obstruction, MI, hemorrhage, severe abdominal injury, tension pneumothorax, shock,
head injury, threatened loss of limb
2. Yellow (Delayed)
Answer
potentially serious but stable enough to wait a short while for medical treatment
Examples
Answer
fractures, burns < 20%, soft tissue injuries minimal bleeding, torso wounds w/o shock, facial
injury w/o airway involvement
3. Green (Minimal)
Answer
minor injuries can wait for longer periods of time Examples
Answer
ambulatory, minor burns, sprains, lacerations
4. Black (Expectant)
Answer
dead, no VS, injuries incompatible with survival Examples
Answer
full thickness burns > 50% TBSA, no pulse or breathing after airway opened, high SCI,
transcranial GSW
5. The nurse provides care to a patient who is admitted for a myocardial infarc- tion (MI). When
planning care for this patient, the nurse includes interventions that address which type of shock?
- Obstructive
- Hypovolemic
- Distributive
- Cardiogenic
Answer
Cardiogenic
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,6. Which hemodynamic parameter indicates that fluid resuscitation in septic shock is
improving?
- Cardiac output of 3.5L/min
- Low right atrial pressure
- Low central venous pressure
- Mean arterial pressure of 67 mm Hg
Answer
Mean arterial pressure of 67 mm Hg
7. A nurse is teaching a client who has hepatitis A. Which of the following information should
the nurse include?
- The incubation of the virus is 5 days
- Hepatitis A infects the kidneys
- Manifestations of the virus are similar to flu-like symptoms
- A family history increases your risk for acquiring hepatitis A
Answer
Manifestations of the virus are similar to flu-like symptoms
8. A patient admitted with smoke inhalation injuries develops clinical manifes- tations of acute
respiratory distress syndrome (ARDS). The nurse anticipates the healthcare provider will
implement which action?
- Intubation and mechanical ventilation
- Oxygen via a nasal cannula
- Continuous positive airway pressure via face mask
- Face mask oxygen administration
Answer
Intubation and mechanical ventilation
9. A nurse is admitting a client who has acute pancreatitis. Which of the following provider
prescriptions should the nurse anticipate?
- Ambulate twice daily
- Pantoprazole 80 mg IV bolus twice daily
- Pancrelipase 500 units/kg PO three times daily with meals
- Initiate a low-residue diet
Answer
Pantoprazole 80 mg IV bolus twice daily
10. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The
nurse recognizes that the aspirin is given due to which of the following actions of the
medication?
- analgesic
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,- anti platelet aggregate
- anti-inflammatory
- antipyretic
Answer
anti platelet aggregate
11. A nurse in the emergency department is caring for a client who reports chest pressure and
shortness of breath. Which of the following laboratory tests should the nurse anticipate the
provider to prescribe?
- Aspartate aminotransferase (AST)
- B-type natriuretic peptide (BNP)
- Troponin I
- Lipase
Answer
Troponin I
12. A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of
the following clients is at risk for developing hepatitis C?
- A client who eats raw shellfish
- A client who had recently traveled to a underdeveloped country
- A client who works in a child care center
- A client who has multiple tattoos
Answer
A client who has multiple tattoos
13. The nurse analyzes the client's ECG and compares it with a baseline ECG recorded before
the client began having chest pain. What finding indicates a problem with the ventricle?
- Absence of T wave
- Prolonged P-R interval
- Prolonged QRS segment
- Elevated P wave
Answer
Prolonged QRS segment
14. A nurse admits a client to the emergency department who reports nausea and vomiting that
worsens when he lies down. Antacids do not help. The provider suspects acute pancreatitis.
Which of the following laboratory test results should the nurse expect to see?
- Decreased WBC
- Increased serum calcium
- Increased serum amylase
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, - Decreased serum lipase
Answer
Increased serum amylase
15. Which of the following medications would be expected for chronic renal failure?
- Lactulose
- Atropine
- Calcium acetate (PhosLo)
- Silver sulfadiazine (Silvadene)
Answer
Calcium acetate (PhosLo)
16. The only type of shock exhibiting bradycardia
Answer
- Cardiogenic
- Anaphylactic
- Septic
- Neurogenic
Answer
Neurogenic
17. What is a cause of post-renal acute kidney injury?
- Acute tubular necrosis
- Hypotension
- Benign Prostatic Hypertrophy (BPH)
- Acute Glomerulonephritis
Answer
Benign Prostatic Hypertrophy (BPH)
18. What is the priority of pt with full thickness burns to the face and chest?
- Assess for cardiac arrhythmias
- Closely monitor urinary output
- Begin fluid resuscitation
- Assess for inhalation injury
Answer
Assess for inhalation injury
19. True or False
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