Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
Question Analysis
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is reviewing laboratory Educator Multiple PT 45 seconds Key 100.0% N/A
results of a client who has atrial Choice
fibrillation and is taking warfarin. Hgb 16 g/dL Distractor 0.0% N/A
For which of the following results
should the nurse notify the
provider? Hct 44% Distractor 0.0% N/A
Platelets 190,000/mm3 Distractor 0.0% N/A
A nurse is monitoring a client who Educator Multiple The P wave falls before the Key 93.3% 0.20
is on telemetry. Which of the Choice QRS complex.
following findings on the ECG
strip should the nurse recognize The T wave is in the inverted Distractor 0.0% N/A
as normal sinus rhythm? position.
The P-R interval measures Distractor 0.0% N/A
0.22 seconds.
The QRS duration is 0.20 Distractor 6.7% -0.20
seconds.
A nurse is caring for a client who Educator Multiple Furosemide Key 96.7% -0.18
has heart failure and a potassium Choice
level of 2.4 mEq/L. The nurse Nitroglycerin Distractor 0.0% N/A
should identify which of the
following medications as the
cause of the client’s low Metoprolol Distractor 0.0% N/A
potassium level?
Spironolactone Distractor 3.3% 0.18
A nurse is reviewing the Educator Multiple Sodium polystyrene Key 96.7% 0.39
laboratory report of a client and Choice
identifies a serum potassium Lactulose Distractor 3.3% -0.39
level of 6.8 mEq/L. Which of the
following medications should the
nurse plan to administer? Sevelamer Distractor 0.0% N/A
Darbepoetin alfa Distractor 0.0% N/A
A nurse is preparing to administer Educator Fill in the 125 Key 80.0% 0.24
40 mEq of potassium chloride in Blank
45% sodium chloride (NaCl) 500 Numeric
mL IV to infuse 10 mEq/hr. The
nurse should set the IV pump to
deliver how many mL/hr? (Round
the answer to the nearest whole
number. Use a leading zero if it
applies. Do not use a trailing
zero.)
,Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who Educator Multiple Pulse deficit between the Key 96.7% -0.05
has pericarditis and reports Choice apical and radial pulses
feeling a new onset of
palpitations and shortness of Different blood pressures in Distractor 3.3% 0.05
breath. Which of the following the upper limbs.
assessments should indicate to
the nurse that the client may
have developed atrial fibrillation? Differences between oral and Distractor 0.0% N/A
axillary temperatures.
Differences in upper and lower Distractor 0.0% N/A
lung sounds.
A client suffering from chest Educator Fill in the 40 Key 76.7% 0.36
discomfort and shortness of Blank
breath is brought to the Numeric
emergency department due to
acute angina pectoris. The
healthcare provider orders IV
nitroglycerin (Nitroglycerin) 75 mg
in 500 mL of 5% Dextrose Water
at 100 mcg/min. The nurse will
set the pump at which rate
(mL/hr)?? Fill in the blank and
write your answer using a whole
number.
Admission vital signs for a client Educator Multiple BP: 180/68 mm Hg, HR: 56 Key 100.0% N/A
who has a brain injury are the Choice bmp, Cheyne-stokes
following: Blood pressure (B/P) respirations
128/68 mmHg; Heart Rate (HR)
110 beats/min; Respiratory Rate BP: 130/78 mm Hg, HR: 95 Distractor 0.0% N/A
(RR) 26 breaths/min. Which set bmp, Cheyne-stokes
of vital signs, if taken 1 hour later, respirations
will be of most concern to the
nurse? BP: 148/78 mm Hg, Hr: 112 Distractor 0.0% N/A
bmp, irregular respirations 28
breaths/min
BP: 110/70 mm Hg, HR: 59 Distractor 0.0% N/A
bmp, irregular respirations 13
breaths/min
A 70-yr-old female client with Educator Multiple Check the respiratory rate Key 66.7% 0.60
left-sided hemiparesis arrives by Choice and effort.
ambulance to the emergency
department. Which action would Take the patients blood Distractor 0.0% N/A
the nurse take first? pressure.
Assess the Glasgow Coma Distractor 6.7% -0.49
Scale score.
Send the patient for a Distractor 26.7% -0.36
computed tomography (CT)
scan.
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse is caring for a client Educator Multiple Give the scheduled oral Key 93.3% 0.04
who has just arrived at the Choice aspirin and simvastatin
telemetry unit after having medication.
cardiac catheterization. Which
task could the nurse delegate to Teach the patient about the Distractor 6.7% -0.04
a licensed practical/vocational postprocedure plan of care.
nurse (LPN/VN)?
Perform the initial assessment Distractor 0.0% N/A
of the catheter insertion site.
Titrate the heparin infusion Distractor 0.0% N/A
according to the agency
protocol.
A nurse is performing a cardiac Educator Hot Spot Answers cannot be Key 100.0% N/A
assessment. Identify where the displayed for this alternate
nurse should place the item format.
stethoscope to auscultate the
client's apical pulse. (You will find
hot spots to select in the artwork
below. Select only the hot spot
that corresponds to your answer.)
A nurse is caring for a client who Educator Multiple Encourage oral fluids. Key 83.3% 0.37
reports a severe headache Choice
following a lumbar puncture. Provide a low-sodium diet. Distractor 0.0% N/A
Which of the following actions
should the nurse take?
Administer sumatriptan. Distractor 3.3% -0.39
Place in high-Fowler’s Distractor 13.3% -0.20
position.
A nurse in the emergency room is Educator Multiple Assess the cranial nerves. Key 76.7% 0.39
assessing a client who was Choice
brought in following a seizure. Complete a vascular Distractor 0.0% N/A
The nurse suspects the client assessment.
may have meningococcal
meningitis when assessment
findings include nuchal rigidity Administer an antipyretic. Distractor 0.0% N/A
and a petechial rash. After
implementing droplet Decrease environmental Distractor 23.3% -0.39
precautions, which of the stimuli.
following actions should the
nurse initiate next?
A nurse is caring for a client who Educator Multiple Intellectual impairment Key 96.7% -0.24
had a stroke involving the left Choice
cerebral hemisphere. The nurse Impaired sense of humor Distractor 0.0% N/A
should monitor for which of the
following findings?
Loss of depth perception Distractor 3.3% 0.24
Poor judgment Distractor 0.0% N/A
NURS 480 Exam #2 SP 1 WALL SA AM
Question Analysis
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is reviewing laboratory Educator Multiple PT 45 seconds Key 100.0% N/A
results of a client who has atrial Choice
fibrillation and is taking warfarin. Hgb 16 g/dL Distractor 0.0% N/A
For which of the following results
should the nurse notify the
provider? Hct 44% Distractor 0.0% N/A
Platelets 190,000/mm3 Distractor 0.0% N/A
A nurse is monitoring a client who Educator Multiple The P wave falls before the Key 93.3% 0.20
is on telemetry. Which of the Choice QRS complex.
following findings on the ECG
strip should the nurse recognize The T wave is in the inverted Distractor 0.0% N/A
as normal sinus rhythm? position.
The P-R interval measures Distractor 0.0% N/A
0.22 seconds.
The QRS duration is 0.20 Distractor 6.7% -0.20
seconds.
A nurse is caring for a client who Educator Multiple Furosemide Key 96.7% -0.18
has heart failure and a potassium Choice
level of 2.4 mEq/L. The nurse Nitroglycerin Distractor 0.0% N/A
should identify which of the
following medications as the
cause of the client’s low Metoprolol Distractor 0.0% N/A
potassium level?
Spironolactone Distractor 3.3% 0.18
A nurse is reviewing the Educator Multiple Sodium polystyrene Key 96.7% 0.39
laboratory report of a client and Choice
identifies a serum potassium Lactulose Distractor 3.3% -0.39
level of 6.8 mEq/L. Which of the
following medications should the
nurse plan to administer? Sevelamer Distractor 0.0% N/A
Darbepoetin alfa Distractor 0.0% N/A
A nurse is preparing to administer Educator Fill in the 125 Key 80.0% 0.24
40 mEq of potassium chloride in Blank
45% sodium chloride (NaCl) 500 Numeric
mL IV to infuse 10 mEq/hr. The
nurse should set the IV pump to
deliver how many mL/hr? (Round
the answer to the nearest whole
number. Use a leading zero if it
applies. Do not use a trailing
zero.)
,Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
A nurse is caring for a client who Educator Multiple Pulse deficit between the Key 96.7% -0.05
has pericarditis and reports Choice apical and radial pulses
feeling a new onset of
palpitations and shortness of Different blood pressures in Distractor 3.3% 0.05
breath. Which of the following the upper limbs.
assessments should indicate to
the nurse that the client may
have developed atrial fibrillation? Differences between oral and Distractor 0.0% N/A
axillary temperatures.
Differences in upper and lower Distractor 0.0% N/A
lung sounds.
A client suffering from chest Educator Fill in the 40 Key 76.7% 0.36
discomfort and shortness of Blank
breath is brought to the Numeric
emergency department due to
acute angina pectoris. The
healthcare provider orders IV
nitroglycerin (Nitroglycerin) 75 mg
in 500 mL of 5% Dextrose Water
at 100 mcg/min. The nurse will
set the pump at which rate
(mL/hr)?? Fill in the blank and
write your answer using a whole
number.
Admission vital signs for a client Educator Multiple BP: 180/68 mm Hg, HR: 56 Key 100.0% N/A
who has a brain injury are the Choice bmp, Cheyne-stokes
following: Blood pressure (B/P) respirations
128/68 mmHg; Heart Rate (HR)
110 beats/min; Respiratory Rate BP: 130/78 mm Hg, HR: 95 Distractor 0.0% N/A
(RR) 26 breaths/min. Which set bmp, Cheyne-stokes
of vital signs, if taken 1 hour later, respirations
will be of most concern to the
nurse? BP: 148/78 mm Hg, Hr: 112 Distractor 0.0% N/A
bmp, irregular respirations 28
breaths/min
BP: 110/70 mm Hg, HR: 59 Distractor 0.0% N/A
bmp, irregular respirations 13
breaths/min
A 70-yr-old female client with Educator Multiple Check the respiratory rate Key 66.7% 0.60
left-sided hemiparesis arrives by Choice and effort.
ambulance to the emergency
department. Which action would Take the patients blood Distractor 0.0% N/A
the nurse take first? pressure.
Assess the Glasgow Coma Distractor 6.7% -0.49
Scale score.
Send the patient for a Distractor 26.7% -0.36
computed tomography (CT)
scan.
, Group Performance Profile
NURS 480 Exam #2 SP 1 WALL SA AM
QUESTION SOURCE QUESTION ANSWER KEY/ % DISCRM
TYPE OPTION DISTRACTOR SELECTED
The nurse is caring for a client Educator Multiple Give the scheduled oral Key 93.3% 0.04
who has just arrived at the Choice aspirin and simvastatin
telemetry unit after having medication.
cardiac catheterization. Which
task could the nurse delegate to Teach the patient about the Distractor 6.7% -0.04
a licensed practical/vocational postprocedure plan of care.
nurse (LPN/VN)?
Perform the initial assessment Distractor 0.0% N/A
of the catheter insertion site.
Titrate the heparin infusion Distractor 0.0% N/A
according to the agency
protocol.
A nurse is performing a cardiac Educator Hot Spot Answers cannot be Key 100.0% N/A
assessment. Identify where the displayed for this alternate
nurse should place the item format.
stethoscope to auscultate the
client's apical pulse. (You will find
hot spots to select in the artwork
below. Select only the hot spot
that corresponds to your answer.)
A nurse is caring for a client who Educator Multiple Encourage oral fluids. Key 83.3% 0.37
reports a severe headache Choice
following a lumbar puncture. Provide a low-sodium diet. Distractor 0.0% N/A
Which of the following actions
should the nurse take?
Administer sumatriptan. Distractor 3.3% -0.39
Place in high-Fowler’s Distractor 13.3% -0.20
position.
A nurse in the emergency room is Educator Multiple Assess the cranial nerves. Key 76.7% 0.39
assessing a client who was Choice
brought in following a seizure. Complete a vascular Distractor 0.0% N/A
The nurse suspects the client assessment.
may have meningococcal
meningitis when assessment
findings include nuchal rigidity Administer an antipyretic. Distractor 0.0% N/A
and a petechial rash. After
implementing droplet Decrease environmental Distractor 23.3% -0.39
precautions, which of the stimuli.
following actions should the
nurse initiate next?
A nurse is caring for a client who Educator Multiple Intellectual impairment Key 96.7% -0.24
had a stroke involving the left Choice
cerebral hemisphere. The nurse Impaired sense of humor Distractor 0.0% N/A
should monitor for which of the
following findings?
Loss of depth perception Distractor 3.3% 0.24
Poor judgment Distractor 0.0% N/A
