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NUR-213 FINAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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NUR-213 FINAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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NUR-213 FINAL EXAM WITH COMPLETEQUESTIONS AND CORRECT ANSWERS
RATED A+
A child has been admitted to the ICU after being diagnosed with a
ventricular septal defect. What assessment finding will confirm
this medical diagnosis?
a. heart murmur
b. weight gain
c. breath sounds equal and clear
d. clubbed nails Correct Answer a. heart murmur
Which statement by a client on aspirin every day would require
further assessment by the nurse?
a. I have foul smelling urine
b. My gums have been bleeding when I brush my teeth
c. I have stomach pains whenever I need to eat
d. My joints have not been hurting as bad lately Correct Answer
b. My gums have been bleeding when I brush my teeth
The nurse is caring for an adult patient with HF who is prescribed
digoxin. When assessing the patient for adverse effects, the nurse
should assess for which of the following signs and symptoms?
a. confusion and bradycardia
b. uncontrolled diuresis and tachycardia
c. numbness and tingling in the extremities
d. chest pain and SOB Correct Answer a. confusion and
bradycardia
,Digitalis toxicity symptoms include nausea, visual disturbances,
confusion, anorexia
The nurse is caring for a 68-year-old pt, the nurse suspects has
digoxin toxicity. In addition to physical assessment, the nurse
should collect what assessment data?
a. skin turgor
b. potassium level
c. white blood cell count
d. peripheral pulses Correct Answer b. potassium level
The nurse is planning care for a patient who is mechanically
ventilated. How often will the nurse anticipate endotracheal tube
suctioning?
a. every 2-4 hours
b. as soon after intubation as possible
c. at least four times per shift
d. only when the patient's condition requires suctioning Correct
Answer d. only when the patient's condition requires suctioning
A nurse is caring for a patient who is mechanically ventilated,
sedated, and requires frequent suctioning to maintain airway
patency. Prior to suctioning, what intervention should the nurse
perform first?
a. apply suction immediately after the suction catheter is fully
withdrawn
b. administer a bolus of IV fluid
c. hyperoxygenate with 100% oxygen
d. place the patient into supine position
e. document the patient's ABGs Correct Answer c.
hyperoxygenate with 100% oxygen
,The nurse is screening the unit's patient population for those who
are at highest risk for the development of ARDS. Which patient(s)
does this include? SELECT ALL THAT APPLY.
a. the to admitted for smoke inhalation
b. the pt who has been a stable diabetic for 10+ years
c. the pt who developed a fat embolism following a femur fracture
d. the pt who is developing septic shock
e. the pt admitted for tx of pancreatitis Correct Answer a. the to
admitted for smoke inhalation
c. the pt who developed a fat embolism following a femur fracture
d. the pt who is developing septic shock
e. the pt admitted for tx of pancreatitis
The nurse is assessing a pt who is in the initial stage of ARDS.
What physical finding is the nurse most likely to note?
a. bradycardia
b. increased urine output
c. hypertension
d. tachypnea Correct Answer d. tachypnea
hypoxemia triggers tachypnea as the pt attempts to restore
homeostasis
The RN is planning care for a pt who is being mechanically
ventilated for the tx of ARDS. What nursing intervention should be
included in this plan of care? SELECT ALL THAT APPLY.
a. provide for sedation as needed and as ordered
b. ambulate the to q4h
c. change pt positions frequently
d. ensure that the ventilator alarms are set correctly
e. keep the HOB elevated at least 30 degrees Correct Answer a.
provide for sedation as needed and as ordered
, c. change pt positions frequently
d. ensure that the ventilator alarms are set correctly
e. keep the HOB elevated at least 30 degrees
The RN is caring for a pt who is mechanically ventilated. What
intervention is most important to prevent ventilator associated
pneumonia (VAP)?
a. trendelenburg positioning
b. early and frequent ambulation
c. frequent oral care
d. scheduled endotracheal suctioning Correct Answer c. frequent
oral care
A nurse is caring for a pt who is being mechanically ventilated.
The low pressure alarm sounds. What will the nurse expect to find
as the cause of this alarm?
a. the pt is biting the ET tube
b. a kink in the circuit tubing
c. high endotracheal tube cuff pressure
d. a leak in the circuit tubing Correct Answer d. a leak in the
circuit tubing
A nurse is caring for a pt who is being mechanically ventilated,
and a high pressure alarm sounds. What will the nurse expect to
find as the cause of this alarm?
a. the ET tube disconnected from the ventilator
b. the pt is biting the ET tube
c. mechanical ventilator setting of low tidal volume
d. a leak in the circuit Correct Answer b. the pt is biting the ET
tube
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