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NSG430 Final Exam Actual Comprehensive Real
Verified Exam Questions & Correct Answers (
Complete Verified Answers) | Get It 100% Accurate!!
Already Graded A+ | Newest Exam!!!
While caring for a patient with a basilar skull fracture, the
nurse assesses clear drainage from the patient's left naris.
What is the best nursing action?
Select one:
a. Insert bilateral cotton nasal packing.
b. Have the patient blow the nose until clear.
c. Place a nasal drip pad under the nose.
d. Suction the left nares until the drainage clears. -
Answer-c. Place a nasal drip pad under the nose.
The nurse is caring for a patient who was hit on the head
with a hammer. The patient was unconscious at the scene
briefly but is now conscious upon arrival at the emergency
department with a GCS score of 15. One hour later, the
nurse assesses a GCS score of 3. What is the priority
nursing action?
Select one:
a. stimulate the patient hourly.
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b. Notify the provider immediately.
c. Elevate the head of the bed.
d. Continue to monitor the patient. - Answer-b. Notify the
provider immediately.
The nurse is caring for a patient who has a diminished
level of consciousness and who is mechanically ventilated.
While performing endotracheal suctioning, the patient's
hands clench and pull into the chest. What is the best
interpretation by the nurse?
Select one:
a. The patient is exhibiting purposeful movement.
b. The patient is exhibiting flexion posturing.
c. The patient is exhibiting extension posturing.
d. The patient is exhibiting decorticate posturing. - Answer-
d. The patient is exhibiting decorticate posturing.
(9) Which of the following would be seen in a patient with
myxedema coma?
Select one:
a. Decreased reflexes
b. Hyperthermia
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c. Tachycardia
d. Hyperventilation - Answer-a. Decreased reflexes
The nurse is caring for a patient with an arterial monitoring
system. The nurse asses the patient's noninvasive cuff
blood pressure to be 70/40 mm Hg. The arterial blood
pressure measurement via an intra-arterial catheter in the
same arm is assessed by the nurse to be 108/70 mm Hg.
What is the best action by the nurse?
Select one:
a. Frequent oropharyngeal suctioning
b. Side to side position changes
c. Range-of-motion to extremities
d. Frequent neurological assessments - Answer-d.
Frequent neurological assessments
The nurse is caring for a burn-injured patient who weighs
154 pounds, and the burn injury covers 40% of his body
surface area. The nurse calculates the fluid needs for the
first 24 hours after a burn injury using a standard fluid
resuscitation formula of 4 mL/kg/% burn of intravenous
(IV) fluid for the first 24 hours. The nurse plans to
administer what amount of fluid in the first 24 hours?
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Select one:
a. 14000 ml
b. 2800 ml
c. 7000 ml
d. 11200 ml - Answer-a. 14000 ml
For patients with major burns, when should you start
enteral feedings?
Select one:
a. A few hours after the injury has occurred
b. Not until bowel sounds have returned
c. After the emergent phase of the injury
d. 2 to 3 days after the injury - Answer-c. After the
emergent phase of the injury
After receiving the handoff report from the day shift charge
nurse, which patient should the evening charge nurse
assess first?
Select one:
a. Patient with meningitis complaining of photophobia
NSG430 Final Exam Actual Comprehensive Real
Verified Exam Questions & Correct Answers (
Complete Verified Answers) | Get It 100% Accurate!!
Already Graded A+ | Newest Exam!!!
While caring for a patient with a basilar skull fracture, the
nurse assesses clear drainage from the patient's left naris.
What is the best nursing action?
Select one:
a. Insert bilateral cotton nasal packing.
b. Have the patient blow the nose until clear.
c. Place a nasal drip pad under the nose.
d. Suction the left nares until the drainage clears. -
Answer-c. Place a nasal drip pad under the nose.
The nurse is caring for a patient who was hit on the head
with a hammer. The patient was unconscious at the scene
briefly but is now conscious upon arrival at the emergency
department with a GCS score of 15. One hour later, the
nurse assesses a GCS score of 3. What is the priority
nursing action?
Select one:
a. stimulate the patient hourly.
,2|Page
b. Notify the provider immediately.
c. Elevate the head of the bed.
d. Continue to monitor the patient. - Answer-b. Notify the
provider immediately.
The nurse is caring for a patient who has a diminished
level of consciousness and who is mechanically ventilated.
While performing endotracheal suctioning, the patient's
hands clench and pull into the chest. What is the best
interpretation by the nurse?
Select one:
a. The patient is exhibiting purposeful movement.
b. The patient is exhibiting flexion posturing.
c. The patient is exhibiting extension posturing.
d. The patient is exhibiting decorticate posturing. - Answer-
d. The patient is exhibiting decorticate posturing.
(9) Which of the following would be seen in a patient with
myxedema coma?
Select one:
a. Decreased reflexes
b. Hyperthermia
,3|Page
c. Tachycardia
d. Hyperventilation - Answer-a. Decreased reflexes
The nurse is caring for a patient with an arterial monitoring
system. The nurse asses the patient's noninvasive cuff
blood pressure to be 70/40 mm Hg. The arterial blood
pressure measurement via an intra-arterial catheter in the
same arm is assessed by the nurse to be 108/70 mm Hg.
What is the best action by the nurse?
Select one:
a. Frequent oropharyngeal suctioning
b. Side to side position changes
c. Range-of-motion to extremities
d. Frequent neurological assessments - Answer-d.
Frequent neurological assessments
The nurse is caring for a burn-injured patient who weighs
154 pounds, and the burn injury covers 40% of his body
surface area. The nurse calculates the fluid needs for the
first 24 hours after a burn injury using a standard fluid
resuscitation formula of 4 mL/kg/% burn of intravenous
(IV) fluid for the first 24 hours. The nurse plans to
administer what amount of fluid in the first 24 hours?
, 4|Page
Select one:
a. 14000 ml
b. 2800 ml
c. 7000 ml
d. 11200 ml - Answer-a. 14000 ml
For patients with major burns, when should you start
enteral feedings?
Select one:
a. A few hours after the injury has occurred
b. Not until bowel sounds have returned
c. After the emergent phase of the injury
d. 2 to 3 days after the injury - Answer-c. After the
emergent phase of the injury
After receiving the handoff report from the day shift charge
nurse, which patient should the evening charge nurse
assess first?
Select one:
a. Patient with meningitis complaining of photophobia
