NSG 430
Adult Health Nursing II
Questions with Rationalized Answers, 100% Guarantee Pass
Grand Canyon University
NSG 430 Exam 4
1. SATA:Risk factors for bacterial infection
Answer: -Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES) I think its
all the options
2. SATA:Treatment for lower extremity cellulitis, what orders do you expect?-
Answer: -Vancomycin 1000mls
-Elevate the extremity
-Heat packs
3. Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be
developing multiple organ dysfunction syndrome
a. The patient's serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
c. The patient's extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.
Answer: a. The patient's serum creatinine level is elevated.
,4. INR/PT levels doubled, what are you giving?
Answer: Fresh frozen plasma
5. A patient recovering from heart surgery develops pericarditis and com- plains of level 6 (0 to 10 scale) chest pain
with deep breathing.Which ordered PRN medication will be the most appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg
Answer: c. Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is admitting a patient with chest pain suggests that the pain
is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
Answer: b.The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for a patient who is being treated for bleeding
esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
c. Verify the position of the balloon every 4 hours.
, d.Deflate the gastric balloon if the patient reports nausea.
Answer: b.Monitor the patient
for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to the emergency
department (ED), the nurse obtains the following information.Which finding is most important to report to the
health care provider?
Answer: Patient states they regularly take warfarin (coumadin) regularly
9. During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical
valve, the nurse instructs the patient on the?
Answer: Need for frequent PTT/INR measurement; long term anticoagulants
10. Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most
important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C)
Answer: b. Blood pressure 82/60 mm Hg
11. Decorticate posture:what would you question?
Answer: consent for the lumbar puncture
12. A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the
nurse, what is the priority?
Answer: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with anemia?
Answer: Restless- ness
14. The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about?
Answer: Colonoscopy
Adult Health Nursing II
Questions with Rationalized Answers, 100% Guarantee Pass
Grand Canyon University
NSG 430 Exam 4
1. SATA:Risk factors for bacterial infection
Answer: -Diabetes Mellitus (YES)
-Atopic dermatitis (YES)
-Moisture (YES)
-Obesity (YES)
-Skin neoplasms (YES) I think its
all the options
2. SATA:Treatment for lower extremity cellulitis, what orders do you expect?-
Answer: -Vancomycin 1000mls
-Elevate the extremity
-Heat packs
3. Which data collected by the nurse caring for a patient who has cardiogenic shock indicate that the patient may be
developing multiple organ dysfunction syndrome
a. The patient's serum creatinine level is elevated.
b. The patient reports intermittent chest pressure.
c. The patient's extremities are cool and pulses are weak.
d. The patient has bilateral crackles throughout lung fields.
Answer: a. The patient's serum creatinine level is elevated.
,4. INR/PT levels doubled, what are you giving?
Answer: Fresh frozen plasma
5. A patient recovering from heart surgery develops pericarditis and com- plains of level 6 (0 to 10 scale) chest pain
with deep breathing.Which ordered PRN medication will be the most appropriate for the nurse to give?
a. Fentanyl 1 mg IV
b. IV morphine sulfate 4 mg
c. Oral ibuprofen (Motrin) 600 mg
d. Oral acetaminophen (Tylenol) 650 mg
Answer: c. Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is admitting a patient with chest pain suggests that the pain
is caused by an acute myocardial infarction (AMI)?// diagnosis for myocardial infarction
a. The pain increases with deep breathing.
b. The pain has lasted longer than 30 minutes
c. The pain is relieved after taking nitroglycerin.
d. The pain is reproducible when the patient raises the arms.
Answer: b.The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for a patient who is being treated for bleeding
esophageal varices with balloon tamponade?
a. Instruct the patient to cough every hour.
b. Monitor the patient for shortness of breath.
c. Verify the position of the balloon every 4 hours.
, d.Deflate the gastric balloon if the patient reports nausea.
Answer: b.Monitor the patient
for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain injury after a car accident (MVA) to the emergency
department (ED), the nurse obtains the following information.Which finding is most important to report to the
health care provider?
Answer: Patient states they regularly take warfarin (coumadin) regularly
9. During discharge teaching with a 68-year-old patient who had a mitral valve replacement with a mechanical
valve, the nurse instructs the patient on the?
Answer: Need for frequent PTT/INR measurement; long term anticoagulants
10. Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most
important for the nurse to report to the health care provider?
a. Flank tenderness to palpation
b. Blood pressure 82/60 mm Hg
c. Cloudy and foul-smelling urine
d. Temperature 100.1F (57.8C)
Answer: b. Blood pressure 82/60 mm Hg
11. Decorticate posture:what would you question?
Answer: consent for the lumbar puncture
12. A patient with acute pancreatitis is reporting excessive thirst, excessive voiding, and blurred vision. As the
nurse, what is the priority?
Answer: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with anemia?
Answer: Restless- ness
14. The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about?
Answer: Colonoscopy
