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NURS 4020 EXAM QUESTIONS WITH ANSWERS GRADED A+ 2023 SUCCESS GAUARANTEED
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NURS 4020 EXAM QUESTIONS WITH ANSWERS GRADED A+ 2023 SUCCESS GAUARANTEED
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Question textA nurse reviews the arterial blood gas results of a client and notes the following:
pH 7.45, Pco2 of 30, and HCO3- of 21. The nurse analyzes these results as
indicating which condition?
Select one:
a. Metabolic Alkalosis, compensated
b. Respiratory Alkalosis, compensated
c. Metabolic Acidosis, compensated
d. Respiratory Acidosis, compensated
n 18 month old is admitted to the unit with a diagnosis of pertussis. The mother
asks the nurse, “How did my child get this disease? I didn't think anyone got that
anymore.” What is
the appropriate response by the nurse?
Select one:
a. "Your baby got this disease because you didn't have your child immunized."
b. Since not all children are immunized against pertussis, the disease has
reemerged." c.
"Pertussis is a common childhood disease since there is no vaccine."
d. "Since your child is already sick, let's just focus on getting well."
A nurse assesses a client with Cushing’s disease. Which assessment findings
should the nurse correlate with this disorder? (Select all that apply.)
Select one or more:
a. Hypotension
b. Moon face
c. Petechiae
d. Muscle atrophy
e. Weight loss
The prescriber has changed the patient’s medication regimen to include the
leukotriene receptor antagonist (LTRA) montelukast (Singulair) to treat asthma. The
nurse will emphasize which point about this medication?
Select one:
,a. When the asthma symptoms improve, the dosage schedule can be tapered
and eventually discontinued.
b. The proper technique for inhalation must be followed.
c. It needs to be taken every day on a continuous schedule, even if symptoms
improve.
d. The patient needs to keep it close by at all times to treat acute asthma attacks
What instructions should the nurse include when teaching a mother, whose
newborn has hyperbilirubinemia, regarding phototherapy and its effects?
select all that apply
Select one or more:
a. Report immediately if the urine becomes dark in color.
b. Make sure the newborn’s eyes are closed when applying eye patches.
c. Breastfeeding should be discontinued until phototherapy is completed.
d. Keep the baby quiet and swaddled.
e. Feed newborn at least every 2-4 hours.
You're assisting a physician with sickle cell anemia screening. As the nurse you know
that which patient population listed below is at risk for sickle cell disease?*
Select one:
a. African-Americans
b. Native Americans
c. Latino
d. Pacific Islanders
An expectant HIV positive client asks why zidovudine (ZDV) must be continued
throughout the pregnancy. What is the best explanation by the nurse?
Select one:
a. “It protects you against other infections during pregnancy.”
b. “The medication permits safe breastfeeding after delivery.”
c. “This drug prevents transmission of HIV to your partner.”
d. “ZDV decreases the chance the baby will contract HIV.”
A client receiving furosemide 20 mg every day reports an onset of cramping
in the lower extremities. Based on this report, what current lab finding would
the nurse expect?
, Select one:
a. Potassium level of 3.1 mEq/L (3.1 mmol/L)
b. Calcium level of 11 mg/dL (2.75 mmol/L)
c. pH level of 7.40
d. Sodium level of 140 mEq/L (140 mmol/L)
A nurse reviews the laboratory results for a client who was burned 24 hours ago.
Which laboratory result
should the nurse report to the health care provider
immediately? Select one:
a. Arterial pH: 7.32
b. Serum sodium: 131 mEq/L
c. Hematocrit: 52%
d. Serum potassium: 6.5 mEq/L
A nurse teaches a client with diabetes mellitus about foot care. Which
statements should the nurse include in this client’s teaching? (Select all that
apply.)
Select one or more:
a. “Treat any blisters or sores with Epsom salts.”
b. “Soak your feet in a tub each evening.”
c.“Do not walk around barefoot.”
d. “Trim toenails straight across with a nail clipper.”
e. “Wash your feet every other day.”
The nursing team consists of a RN who has been practicing for six months, a LPN/LVN
who has been practicing for 15 years, and a nursing assistant who has been caring
for clients for three years. The RN should care for which of the following clients?
Select one:
a.
A client who is to receive 2 units of packed cells prior to an upper endoscopy procedure.
b.
A client 1 day postop after an internal fixation of a fractured left femur.
c.
A client admitted yesterday with exhaustion and a diagnosis of acute bipolar disorder.
, d.
A client receiving diltiazem (Cardizem) and phenytoin (Dilantin).
A nurse evaluates the following laboratory results for a client who has
hypoparathyroidism: Calcium 8.9 mg/dL
Sodium 144 mEq/L
Magnesium 1.2 mEq/L
Potassium 5.7 mEq/L
Based on these results, which medications should the nurse anticipate
administering? Select one or more:
a. 3% normal saline IV solution
b. Oral potassium chloride
c. Oral calcitriol (Rocaltrol)
d. 50% magnesium sulfate
Question text
A 62-year old man with chronic anemia is experiencing increased fatigue and
occasional palpitations at rest. The nurse would expect the patient’s
laboratory findings to include
Select one:
a. normal red blood cell (RBC) indices.
b. a hemoglobin (Hgb) of 8.6 g/dL (86 g/L).
c. a hematocrit (Hct) of 38%.
d. an RBC count of 4,500,000/mL.
A client has been admitted with a head injury who develops syndrome of
inappropriate antidiuretic hormone. Which data should the nurse expect with the
onset of this condition? Select all that apply
Select one or
more: a.
Decreased urine output
b.
Serum Sodium 128 mEq/dl
c.
Decreased
ADH d.
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