Practice Exam Questions for NUR 233 With Solved Solutions.
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Course
NUR 233
Institution
NUR 233
A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate? - Answer Enoxaparin will work right away, but warfarin takes several days to begin prev...
Practice Exam Questions for NUR 233
With Solved Solutions.
A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin
(Coumadin). The patient asks the nurse why two medications are necessary. Which response by the
nurse is accurate? - Answer Enoxaparin will work right away, but warfarin takes several days to begin
preventing clots.
Which topic should the nurse include in teaching for a patient with a venous stasis ulcer on the lower
leg? - Answer Application of elastic compression stockings
A patient with Parkinson's disease has bradykinesia. Which action should the nurse include in the plan of
care? - Answer Suggest that the patient rock from side to side to initiate leg movement.
A patient who had open reduction and internal fixation (ORIF) of left lower leg fractures continues to
report severe pain in the leg 15 minutes after receiving the prescribed IV morphine. The nurse
determines pulses are faintly palpable and the foot is cool to the touch. Which action should the nurse
take next? - Answer Notify the health care provider
For a patient who has had right hip arthroplasty, which nursing action can the nurse delegate to
experienced unlicensed assistive personnel (UAP)? - Answer Reposition the patient every 1 to 2 hours
The nurse practitioner gives Mrs. Smith written instructions on her new medication and provides one-
on-one instruction regarding priority information on furosemide (Lasix). Identify the correct teaching
statements regarding furosemide. (Select all that apply) - Answer A. You will need to monitor your
blood pressure because this drug can lower your BP
B. Furosemide (lasix) can cause a low potassium level so you will want to increase your dietary intake of
foods high in potassium such as bananas.
C. You should change your position slowly to avoid a sudden drop in blood pressure and dizziness when
initially standing from a lying or sitting position.
When the patient is being examined for venous thromboembolism (VTE) in the calf, what diagnostic test
should the nurse expect to teach the patient about first? - Answer Duplex ultrasound
,The nurse is caring for a client who has developed stage IV pressure ulcers on the left trochanter and
coccyx. Which collaborative problem has the highest priority? - Answer Altered nutrition
After receiving a change-of-shift report, which patient should the nurse assess first? - Answer The
patient receiving chemotherapy who has a temperature of 102
A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL. What prescribed
action should the nurse take first? - Answer Obtain cultures of the wound.
An older patient receiving iso-osmolar continuous tube feedings develops restlessness, agitation, and
weakness. Which laboratory result should the nurse report to the health care provider immediately? -
Answer Na+ 154 mEq/L (154 mmol/L)
IV potassium Chloride (KCl) 60 mEq is prescribed for treatment of a patient with severe hypokalemia.
Which action should the nurse take? - Answer Infuse the KCl at a rate of 10 mEQ/hour
A patient comes to the clinic complaining of frequent, watery stools for the past 2 days. What action
should the nurse take first? - Answer Check the patient's blood pressure
It is important for the nurse to assess for which clinical manifestation(s) in a patient who has undergone
a total thyroidectomy. - Answer Positive Chvostek's sign
Implementation of nursing care for a patient with hyponatremia includes - Answer fluid restriction
The client's pulse oximetry is reading 90%. What action should the nurse take first? - Answer Move the
sensor to another area
The client diagnosed with a community-acquired pneumonia is being admitted to the medical unit.
Which nursing intervention has the highest priority? - Answer Obtain a sputum specimen for culture
and sensitivity.
Which client problems are appropriate for the nurse to include in the plan of care for the client
diagnosed with COPD? Select all that apply - Answer A. Impaired gas exchange
, B. Inability to tolerate temperature extremes
C. Activity intolerance
D. Inability to cope with changes in roles
E. Alteration in nutrition
The nurse is planning the care of a client diagnosed with pneumonia and writes a problem of "impaired
gas exchange." Which is the expected outcome for this problem? - Answer Alert and oriented to
person, place, time and events
The nurse identifies the diagnosis of Ineffective Breathing Pattern relatedto inability to maintain
adequate rate and depth of respirations for a client with an acute respiratory problem resulting from
lung disease. Which nursing intervention should be listed first on the care plan? - Answer Determine
airway adequacy hourly and as needed.
A nursing instructor asked a group of nursing students to discuss experiences with charting assessment
data. Which comment by the student indicates the need for further teaching? - Answer My patient was
really quiet and didn't say much, so i documented that he acted depressed."
The nurse is caring for a patient with a diagnosis of hypernatremia. The following orders are written on
the client's chart. Which order should the nurse question? - Answer Restrict oral intake to 900ml every
24hrs
A patient at risk for hypernatremia is one who - Answer Has impaired consciousness and decreased
thirst sensitivity
The nurse assesses a patient who has been hospitalized for 2 days. The patient has been receiving
normal saline IV at 100 mL/hr, has a nasogastric tube to low suction, and is NPO. Which assessment
finding would be a priority for the nurse to report to the health care provider? - Answer Gradually
decreasing level of consciousness (LOC)
The nurse is administering a sustained-release capsule to a new patient. The patient insists that he
cannot swallow pills. What is the nurse's next best course of action? - Answer Ask the prescriber to
change the order
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