NUR 401 Final Questions With Complete
Solutions
What is the difference between DKA and HHS? DKA: Type 1 DM, ketones in urine, low
pH
HHS: Type 2 DM, no ketones
What symptoms might you see in a patient who has an electrolyte imbalance from taking too
many laxatives? irritability, confusion, seizures, tremors, postural HTN, dry/clammy skin,
dizziness, coma, and in some cases personality changes
What assessment do you conduct on a patient you suspect may be having a stroke?
BEFAST
B: balance
E: eyes
F: face
A: arms
S: speech
T: time
, NUR 401 Final Questions With Complete
Solutions
What would the vital signs look like for a patient who sustained a third degree burn 48 hours
ago? high everything, because of pain
A patient is brought into the ED following a skateboarding accident with a suspected TBI. What
precautions will the nurse take? HOB 30 degrees, no suctioning, no hip or neck flexion,
remove pillow, give scheduled zofran, nothing to increase icp!
What does cardiac output have to do with shock? decreased cardiac output means
insufficient oxygen for proper perfusion of brain and other tissues, leading to shock.
A patient has undergone surgery for a GI obstruction w/ small bowel resection. The nurse notes
AMS, tachypnea, and warm skin. What would the nurse suspect? SEPSIS
The nurse is caring for a patient with a chest tube and notes dark red blood in the atrium. What
should the nurse do? NOTHING its old blood!
What are signs and symptoms a patient with a PE will show? dyspnea, chest pain, anxiety,
fever, tachycardia, apprehension, cough, diaphoresis, hemoptysis, and syncope.
, NUR 401 Final Questions With Complete
Solutions
What are the symptoms of spinal shock? Hypotension, bladder and bowel distension,
increased of decreased pulse, respiratory irregularities, and temperature increase, flacid paralysis,
and loss of reflex ability below injury level
What are the s/s of compartment syndrome? Pallor, Pain, Pulseless, Paresthesia, Paralysis
A nurse suspects a patient has compartment syndrome, what should the nurse do?
CONTACT PROVIDER for emergency fasciotomy STAT
What are the signs and symptoms of a transfusion reaction? fever, low back pain,
diaphoresis
What are the safety checks required before administering blood products? 2 person
checks: MRN, blood type, patient name, DOB, unit number
A nurse notes the patient has a prolonged PR interval with no other abnormalities on tele. What
rhythm is this? AV Block 1st degree
