NSG 300 Final Exam from Grand Canyon University
(GCU)|| QUESTIONS AND CORRECT DETAILED
ANSWERS ||VERIFIED EXAM!! (VERIFIED ANSWERS)
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Which intervention should the nurse in charge try first for a
client that exhibits signs of sleep disturbance?
a. Administer sleeping medication before bedtime
b. Ask the client each morning to describe the quantity of
sleep the night before
c. Teach the client relaxation techniques, such as guided
imagery and progressive muscle relaxation
d. Provide the client normal sleep aids, such as pillows,
back rubs, and snacks - ANSWER-Answer: d
A nurse is assigned to care for a postoperative male client
who has diabetes mellitus. During the assessment
interview, the client reports that he's impotent and says
he's concerned about the effect on his marriage. In
planning this client's care, the most appropriate
intervention would be to:
a. Encourage the client to ask questions about personal
sexuality
b. Provide time for privacy
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c. Suggest referral to a sex counselor or other appropriate
professional
d. Provide support for the spouse - ANSWER-Answer: c
The most important nursing intervention to correct skin
dryness is:
a. avoid bathing until the condition is remedied and notify
physician
b. ask physician to refer the patient to a dermatologist
c. Consult the dietitian about increasing fat intake, and
take necessary measures to prevent infection
d. encourage the patient to increase fluid intake, use
nonirritating soap, and apply lotion to involved areas -
ANSWER-Answer: d
* Preventative measures, such as these, will prevent the
skin from cracking, which would make the client more
prone to infection
The nurse assesses pain and redness at a vascular
access device (VAD) site. Which action is taken first?
a. Apply a warm, moist compress.
b. Aspirate the infusing fluid from the VAD.
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c. Report the situation to the health care provider.
d. Discontinue the intravenous infusion - ANSWER-
Answer: d
A patient is admitted to the hospital with severe dyspnea
and wheezing. Arterial blood gas levels on admission are
pH 7.26; PaCO2, 55 mm Hg; PaO2, 68 mm Hg; and
HCO3, 24. How does the nurse interpret these laboratory
values?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANSWER-Answer: c
* PH is less than 7.35 is indicative of acidosis
* PCO2 is > than 40-45 is indicates that it's respiratory not
metabolic
The nurse is evaluating the recent lab results for a patient.
Which labs are the best indicators for malnutrition? (Select
all that apply)
a. Serum total protein
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b. Potassium
c. Lipids
d. Albumin
5 Serum BUN - ANSWER-Answer: a & e
Which action can a nurse delegate to assistive personnel
(AP)?
a. Performing glucose monitoring every 6 hours on a
patient
b. Teaching the client about the need for enteral feeding
c. Administering enteral feeding bolus after tube
placement has been verified
d. Evaluating the client's tolerance of the enteral feeding -
ANSWER-Answer: a
What is safe to give a patient if they are on a clear liquid
diet? - ANSWER-Clear juices, gelatin, broth, coffee (w/o
milk or creamer), tea, popsicles, and ice chips
What is the normal range for potassium? - ANSWER-3.5-
5.0 mEq/L