Complete Solutions
6 days after bedrest a pt complains of calf pain. What does the
nurse do next?
a. administer pain meds
b. assess the calf for warmth, redness and swelling
c. 2 lbs weight loss since yesterday
d. light colored urine Correct Answers b. assess the calf for
warmth, redness and swelling
A 21 yr old black woman presents to the ED after a ski trip to
Colorado. She's in excruciating pain in the chest and abdomen.
She is short of breath and her O2 sat id 86%. Vital signs show
her HR is 110 and RR is 28. She has crackles in the lungs. You
note 6 previous ED admissions for sickle cell crisis. the nurse
has the following orders, which would the nurse perform
FIRST?
a. Morphine 4 mg IV now
b. apply oxygen to keep O2 sat > 92%
c. obtain CBC count lab specimen
d. call radiology for STAT chest x-ray Correct Answers b.
apply oxygen to keep O2 sat > 92%
A nurse is caring for a pt. hospitalized w/ a CHF exacerbation
for one week. The pts BNP level results are as follows...
day 1 (admission)= 978
day 2= 853
day 4= 705
day 7= 300
a. the pt's condition is improving
,b. the pts condition is worsening
c. the pts condition is not evaluated by this lab Correct Answers
a. the pt's condition is improving
A nurse received an order for a blood transfusion. what steps
does the nurse need to take before initiating the infusion? SATA
a. asking another nurse to verify the pt and blood bag info
b. flush the pts IV
c. look for the pts crossmatch results in the chart
d. record vital signs
e. educate the pt any reaction will occur in the first 15 mins
f. let the charge nurse know they will need to stay in the pts
room for the duration of the transfusion Correct Answers a.
asking another nurse to verify the pt and blood bag info
b. flush the pts IV
c. look for the pts crossmatch results in the chart
d. record vital signs
A person w/ BPH would have which symptom?
a. weak urine stream
b. fever
c. red urine Correct Answers a. weak urine stream
A pt has a high PTH level. The nurse needs to evaluate which
electrolyte level?
a. calcium
b. potassium
c. chloride Correct Answers a. calcium
A pt is given a heparin bolus and started on a drip per protocol.
What will be your next important nursing action?
, a. collect a PT in 6 hrs.
b. collect an INR in 4 hrs.
c. collect a troponin in 6 hrs.
d. collect an PTT in 6 hrs Correct Answers d. collect an PTT in
6 hrs
A pt is receiving furosemide, which lab value would be most
important for the nurse to review before administering?
a. potassium
b. WBC
c. hemoglobin
d. INR Correct Answers a. potassium
A pt on diuretics is ordered an additional AM dose of
furosemide, what lab should the nurse monitor?
a. digoxin
b. sodium
c. creatinine
d. potassium Correct Answers d. potassium
A pt w/ a PE is receiving a heparin drip on the unit. The nurse
would be concerned w/...
a. blood in the urine
b. use of electric razor
c. pt eating grapefruit
d. O2 sat 96% on 2L NC Correct Answers a. blood in the urine
A pt. is diagnosed with Cushings. The RN would educte the pt...
a. monitor blood sugar regularly
b. start taking prednisone
c. discontinue all steroids today