NUR 240 FINAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS;
ALREADY GRADED A; 2026
A critically ill patient is being evaluated for acute kidney injury.
The nurse should expect which laboratory test to be prescribed
for this patient? Select all that apply.
Note: Credit will be given only if all correct choices and no
incorrect choices are selected.
1. Urinalysis
2. Blood-urea-nitrogen level
3. Serum creatinine
4. Arterial blood gases
5. Hemoglobin and hematocrit levels - correct answer- 1,2,3
A critically ill patient is prescribed enteral feedings to begin after
placement of the nasogastric tube is verified. What should the
nurse identify as the goal for this method of nutrition?
1. Prevent infection
2. Avoid aspiration pneumonia
3. Enhance respiratory excursion
4. Reduce the need for pain medication - correct answer- 1
,A middle-aged male patient weighing 220 pounds incurred burns
to 40% of the total body surface area. Using the Parkland
formula, what are this patient's fluid needs for the first 24
hours?
1. 3,520 mL
2. 35,200 mL
3. 1,600 mL
4. 16,000 mL - correct answer- 4
A newly admitted patient receiving sedation is prescribed
parenteral nutrition via a central line. Which action should the
nurse take to prevent overfeeding of this patient?
1. Monitor daily weights
2. Use an infusion pump
3. Evaluate albumin levels
4. Question the order to infuse lipids - correct answer- 4
A nurse cares for a patient during a transjugular intrahepatic
portosystemic shunt (TIPS) procedure. For which complication
should the nurse assess during the procedure?
,1. Alcohol withdrawal symptoms, because minimal sedation will
be used
2. Dysrhythmias as the catheter moves through the heart
3. Hypotension as the liver is decompressed
4. Vagal responses as the catheter is inserted - correct answer-
2
A nurse is caring for a patient who has just started to bleed from
the insertion site following a cardiac catheterization. What
should be the nurse's first response?
1. Administer vitamin K (AquaMEPHYTON).
2. Locate and apply a compression clamp.
3. Apply a collagen patch or sheath.
4. Apply manual pressure to the site. - correct answer- 4
A nurse is discussing management of hypertension with a
patient. Which patient statement indicates that additional
teaching about the relationship between hypertension and
acute coronary syndrome (ACS) is needed?
1. "My high blood pressure has no relationship to the severity of
heart disease or its outcomes."
2. "Because I'm over 80, even a 20 mm Hg drop in my blood
pressure can reduce my risk."
, 3. "High blood pressure will increase my body's need for oxygen
and increase my heart's workload."
4. "Controlling my blood pressure will decrease my risk of having
a heart attack to some degree." - correct answer- 1
A nurse is preparing to administer the first 5 mg dose of
metoprolol (Toprol) to a patient who is 12 hours post MI. For
which assessment finding should the nurse withhold
administration of the medication?
1. Serum potassium 3.9 mEq/L
2. Blood pressure of 110/65 mm Hg
3. PR interval 0.12 second
4. Sinus bradycardia 52 beats per minute - correct answer- 4
A nurse is preparing to communicate an issue about patient care
to a physician using the SBAR technique. Which phrase is an
appropriate initial statement?
1. "I am concerned about..."
2. "The patient's immediate history is..."
3. "I think the problem is..."
4. "I would like you to..." - correct answer- 1
WITH DETAILED VERIFIED ANSWERS;
ALREADY GRADED A; 2026
A critically ill patient is being evaluated for acute kidney injury.
The nurse should expect which laboratory test to be prescribed
for this patient? Select all that apply.
Note: Credit will be given only if all correct choices and no
incorrect choices are selected.
1. Urinalysis
2. Blood-urea-nitrogen level
3. Serum creatinine
4. Arterial blood gases
5. Hemoglobin and hematocrit levels - correct answer- 1,2,3
A critically ill patient is prescribed enteral feedings to begin after
placement of the nasogastric tube is verified. What should the
nurse identify as the goal for this method of nutrition?
1. Prevent infection
2. Avoid aspiration pneumonia
3. Enhance respiratory excursion
4. Reduce the need for pain medication - correct answer- 1
,A middle-aged male patient weighing 220 pounds incurred burns
to 40% of the total body surface area. Using the Parkland
formula, what are this patient's fluid needs for the first 24
hours?
1. 3,520 mL
2. 35,200 mL
3. 1,600 mL
4. 16,000 mL - correct answer- 4
A newly admitted patient receiving sedation is prescribed
parenteral nutrition via a central line. Which action should the
nurse take to prevent overfeeding of this patient?
1. Monitor daily weights
2. Use an infusion pump
3. Evaluate albumin levels
4. Question the order to infuse lipids - correct answer- 4
A nurse cares for a patient during a transjugular intrahepatic
portosystemic shunt (TIPS) procedure. For which complication
should the nurse assess during the procedure?
,1. Alcohol withdrawal symptoms, because minimal sedation will
be used
2. Dysrhythmias as the catheter moves through the heart
3. Hypotension as the liver is decompressed
4. Vagal responses as the catheter is inserted - correct answer-
2
A nurse is caring for a patient who has just started to bleed from
the insertion site following a cardiac catheterization. What
should be the nurse's first response?
1. Administer vitamin K (AquaMEPHYTON).
2. Locate and apply a compression clamp.
3. Apply a collagen patch or sheath.
4. Apply manual pressure to the site. - correct answer- 4
A nurse is discussing management of hypertension with a
patient. Which patient statement indicates that additional
teaching about the relationship between hypertension and
acute coronary syndrome (ACS) is needed?
1. "My high blood pressure has no relationship to the severity of
heart disease or its outcomes."
2. "Because I'm over 80, even a 20 mm Hg drop in my blood
pressure can reduce my risk."
, 3. "High blood pressure will increase my body's need for oxygen
and increase my heart's workload."
4. "Controlling my blood pressure will decrease my risk of having
a heart attack to some degree." - correct answer- 1
A nurse is preparing to administer the first 5 mg dose of
metoprolol (Toprol) to a patient who is 12 hours post MI. For
which assessment finding should the nurse withhold
administration of the medication?
1. Serum potassium 3.9 mEq/L
2. Blood pressure of 110/65 mm Hg
3. PR interval 0.12 second
4. Sinus bradycardia 52 beats per minute - correct answer- 4
A nurse is preparing to communicate an issue about patient care
to a physician using the SBAR technique. Which phrase is an
appropriate initial statement?
1. "I am concerned about..."
2. "The patient's immediate history is..."
3. "I think the problem is..."
4. "I would like you to..." - correct answer- 1
