Exam 4 V2: NUR170 / NUR 170 (Latest 2026–2027
Update) | Concepts of Medical-Surgical Nursing Study
Guide | Questions & Answers | Actual Elaborations |
Grade A – Galen College
The nurse is admitting an older adult with decompensated CHF. The nursing assessment reveals
adventitious lung sounds, dyspnea, and orthopnea. Which physician order should the nurse
question?
Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr
The nurse is assessing a pt before hanging an IV solution of 0.9% NaCl with KCl in it. Which
assessment finding should cause the nurse to hold the IV solution and contact provider
Urine output 8 mL/hr
The pt has recent bilateral, above the knee amputations and has developed C. difficile diarrhea.
What assessments should the nurse use to detect fluid volume deficit in this pt
-Observe for flatness of neck veins when supine
-Measure rate and character of pulse
-Test for skin testing
The pt is receiving tube feedings due to a jaw surgery. What change in assessment findings
should prompt the nurse to request an order for serum sodium concentration
Decreased level of consciousness
, Exam 4 V2: NUR170 / NUR 170 (Latest 2026–2027
Update) | Concepts of Medical-Surgical Nursing Study
Guide | Questions & Answers | Actual Elaborations |
Grade A – Galen College
A nurse is caring for a pt prescribed peripheral intravenous therapy. Which task will the nurse
assign to the NA
Recording intake and output
A pt is experiencing dehydration. While planning care, the nurse considers that the majority of
the pt's total water volume exists in with compartment
-Intracellular
A pt receiving chemotherapy has gained 5 lbs in 2 days. Which assessment question by the nurse
is most appropriate
"How many times a day do you urinate"
Four patients arrive at the emergency department at the same time. Which pt will the nurse see
first?
An infant with temp of 102.2 F and diarrhea for 3 days
The health care provider asks the nurse to monitor the fluid volume status of a heart failure pt
and a pt at risk for clinical dehydration. Which is the most effective nursing intervention for
monitoring both of these pts
Weigh the pt's every morning before breakfast
Update) | Concepts of Medical-Surgical Nursing Study
Guide | Questions & Answers | Actual Elaborations |
Grade A – Galen College
The nurse is admitting an older adult with decompensated CHF. The nursing assessment reveals
adventitious lung sounds, dyspnea, and orthopnea. Which physician order should the nurse
question?
Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr
The nurse is assessing a pt before hanging an IV solution of 0.9% NaCl with KCl in it. Which
assessment finding should cause the nurse to hold the IV solution and contact provider
Urine output 8 mL/hr
The pt has recent bilateral, above the knee amputations and has developed C. difficile diarrhea.
What assessments should the nurse use to detect fluid volume deficit in this pt
-Observe for flatness of neck veins when supine
-Measure rate and character of pulse
-Test for skin testing
The pt is receiving tube feedings due to a jaw surgery. What change in assessment findings
should prompt the nurse to request an order for serum sodium concentration
Decreased level of consciousness
, Exam 4 V2: NUR170 / NUR 170 (Latest 2026–2027
Update) | Concepts of Medical-Surgical Nursing Study
Guide | Questions & Answers | Actual Elaborations |
Grade A – Galen College
A nurse is caring for a pt prescribed peripheral intravenous therapy. Which task will the nurse
assign to the NA
Recording intake and output
A pt is experiencing dehydration. While planning care, the nurse considers that the majority of
the pt's total water volume exists in with compartment
-Intracellular
A pt receiving chemotherapy has gained 5 lbs in 2 days. Which assessment question by the nurse
is most appropriate
"How many times a day do you urinate"
Four patients arrive at the emergency department at the same time. Which pt will the nurse see
first?
An infant with temp of 102.2 F and diarrhea for 3 days
The health care provider asks the nurse to monitor the fluid volume status of a heart failure pt
and a pt at risk for clinical dehydration. Which is the most effective nursing intervention for
monitoring both of these pts
Weigh the pt's every morning before breakfast
