NUR170 EXAM 4 2026 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
◉ 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. Answer: 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
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?.
Answer: -Observe for flatness of neck veins when supine
-Measure rate and character of pulse
-Test for skin testing
Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr
◉ 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. Answer: Decreased level
of consciousness
◉ A nurse is caring for a pt prescribed peripheral intravenous
therapy. Which task will the nurse assign to the NA. Answer:
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. Answer: -Intracellular
◉ A pt receiving chemotherapy has gained 5 lbs in 2 days. Which
assessment question by the nurse is most appropriate. Answer:
"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?. Answer: 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. Answer: Weigh the pt's every morning
before breakfast
AND ANSWERS GRADED A+
◉ 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. Answer: 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
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?.
Answer: -Observe for flatness of neck veins when supine
-Measure rate and character of pulse
-Test for skin testing
Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr
◉ 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. Answer: Decreased level
of consciousness
◉ A nurse is caring for a pt prescribed peripheral intravenous
therapy. Which task will the nurse assign to the NA. Answer:
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. Answer: -Intracellular
◉ A pt receiving chemotherapy has gained 5 lbs in 2 days. Which
assessment question by the nurse is most appropriate. Answer:
"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?. Answer: 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. Answer: Weigh the pt's every morning
before breakfast
