NUR 230 Final Exam – Questions With Complete
SOLUTIONS
2300mg of sodium equals how many tsp of salt Correct Answers
1 tsp of salt
A client Dx. with transient ischemic attack (TIA) is scheduled
for a carotid endarterectomy. The nurse explains that this
procedure will be done for which purpose?
A. To decrease cerebral edema
B. To prevent seizure activity that is common following a TIA
C. To remove atherosclerotic plaque blocking cerebral flow
D. to determine the cause of the TIA Correct Answers C. To
remove atherosclerotic plaque blocking cerebral flow.
A client is Dx with an ischemic stroke. For which assessment
data would the nurse question the use of tPA for this client?
(SATA)
A. Platelet count 150,000/mm3
B. Systolic BP 198 mm Hg
C. Diastolic BP 120 mm Hg
D. blood glucose level 45 mg/dL
E. Receiving warfarin therapy with INR 2.0 Correct Answers B.
Systolic BP 198 mm Hg
C. Diastolic BP 120 mm Hg
E. receiving warfarin therapy with INR 2.0
(all too high)
,A client who has a history of myocardial infarction (MI) is
prescribed aspirin 325mg. The nurse recognizes that the aspirin
given is due to which of the following actions of the
medication?
A. analgesic
B. anti-inflammatory
c. anti-platelet aggregate
d. antipyretic Correct Answers C. antiplatelet aggregate
A client who suffered an ischemic stroke now has a disturbed
sensory perception. What nursing intervention is appropriate
during the initial care of the client?
A. The client should be approached on the side where the visual
perception is intact.
B. Attention to the affected side should be minimized to
decrease anxiety.
C. The client should avoid turning in the direction of the
defective visual field to minimize shoulder subluxation.
D. All visual stimuli should be placed on the affected side to
promote recovery. Correct Answers A. The client should be
approached on the side where the visual perception is intact.
A client with a recent stroke hx is admitted to a rehab unit and
placed on high fall risk precautions. The client is impulsive,
easily distracted, frequently forgets his/her room. What stroke
condition do these signs best indicate?
A. Ischemic stroke
B. Right hemispheric stroke
, C. Hemorrhagic stroke
D. left hemispheric stroke Correct Answers B. right
hemispheric stroke
A nurse in a burn tx center is caring for a client who is admitted
with severe burns to both lower extremities and is scheduled for
an escharotomy. The client's spouse asks the nurse what the
procedure entails. Which of the following nursing statements is
appropriate?
A. Large incision will be made in the eschar to improve
circulation
B. This procedure involves placing the client into a shower and
removing dead tissue
C. a piece of healthy skin will be removed from an unburned
area and grafted over the burned area
D. dead tissue will be on-surgically removed Correct Answers
A. Large incision will be made in the eschar to improve
circulation
A nurse in a cardiac care unit is caring for a client with acute
right-sided heart failure. Which of the following findings should
the nurse expect?
A. Decreased brain natriuretic peptide (BNP)
B. Elevated central venous pressure (CVP)
C. Increased pulmonary artery wedge pressure (PAWP)
D. Decreased specific gravity Correct Answers B. Elevated
central venous pressure (CVP)
SOLUTIONS
2300mg of sodium equals how many tsp of salt Correct Answers
1 tsp of salt
A client Dx. with transient ischemic attack (TIA) is scheduled
for a carotid endarterectomy. The nurse explains that this
procedure will be done for which purpose?
A. To decrease cerebral edema
B. To prevent seizure activity that is common following a TIA
C. To remove atherosclerotic plaque blocking cerebral flow
D. to determine the cause of the TIA Correct Answers C. To
remove atherosclerotic plaque blocking cerebral flow.
A client is Dx with an ischemic stroke. For which assessment
data would the nurse question the use of tPA for this client?
(SATA)
A. Platelet count 150,000/mm3
B. Systolic BP 198 mm Hg
C. Diastolic BP 120 mm Hg
D. blood glucose level 45 mg/dL
E. Receiving warfarin therapy with INR 2.0 Correct Answers B.
Systolic BP 198 mm Hg
C. Diastolic BP 120 mm Hg
E. receiving warfarin therapy with INR 2.0
(all too high)
,A client who has a history of myocardial infarction (MI) is
prescribed aspirin 325mg. The nurse recognizes that the aspirin
given is due to which of the following actions of the
medication?
A. analgesic
B. anti-inflammatory
c. anti-platelet aggregate
d. antipyretic Correct Answers C. antiplatelet aggregate
A client who suffered an ischemic stroke now has a disturbed
sensory perception. What nursing intervention is appropriate
during the initial care of the client?
A. The client should be approached on the side where the visual
perception is intact.
B. Attention to the affected side should be minimized to
decrease anxiety.
C. The client should avoid turning in the direction of the
defective visual field to minimize shoulder subluxation.
D. All visual stimuli should be placed on the affected side to
promote recovery. Correct Answers A. The client should be
approached on the side where the visual perception is intact.
A client with a recent stroke hx is admitted to a rehab unit and
placed on high fall risk precautions. The client is impulsive,
easily distracted, frequently forgets his/her room. What stroke
condition do these signs best indicate?
A. Ischemic stroke
B. Right hemispheric stroke
, C. Hemorrhagic stroke
D. left hemispheric stroke Correct Answers B. right
hemispheric stroke
A nurse in a burn tx center is caring for a client who is admitted
with severe burns to both lower extremities and is scheduled for
an escharotomy. The client's spouse asks the nurse what the
procedure entails. Which of the following nursing statements is
appropriate?
A. Large incision will be made in the eschar to improve
circulation
B. This procedure involves placing the client into a shower and
removing dead tissue
C. a piece of healthy skin will be removed from an unburned
area and grafted over the burned area
D. dead tissue will be on-surgically removed Correct Answers
A. Large incision will be made in the eschar to improve
circulation
A nurse in a cardiac care unit is caring for a client with acute
right-sided heart failure. Which of the following findings should
the nurse expect?
A. Decreased brain natriuretic peptide (BNP)
B. Elevated central venous pressure (CVP)
C. Increased pulmonary artery wedge pressure (PAWP)
D. Decreased specific gravity Correct Answers B. Elevated
central venous pressure (CVP)
