NUR 390 FINAL EXAM 2026-2027 QUESTIONS
AND CORRECT ANSWERS GRADED A+
Patient w/ a hx of COPD is admitted with SOB and confusion. ABG results are as
follows: pH 7.21, PaCO2 68mmHg, HCO# 25mEq/L, PaO2 90% on 2L NC. As
the student nurse reviews the ABG, which assessment finding should be of greatest
concern?
The patient is drowsy and disorientated.
A 58 year old male patient arrives at the emergency department complaining of
chest pain that started while he was watching tv. As the nurse which of the
following actions are appropriate to take?
- Administer sublingual nitro as prescribed.
-obtain a 12 lead ECG
-Get vitals signs
-Place the patient on continuous cardiac monitoring
The nurse is caring for a patient who is in the immediate postoperative period
following abdominal surgery. What interventions are appropriate components of
post-surgical monitoring and care?
-Encourage the use of an incentive spirometer every 1-2 hours while awake.
-Monitor the surgical dressing for excessive drainage or bleeding
-Encourage early ambulation as soon as it is safe.
,A nurse is caring for a patient with a new diagnosis of atrial fibrillation. The
provider prescribes warfarin therapy. The patient asks, " Why do I need a blood
thinner if I'm not in pain." What is the best response to be made by the nurse.
They reduce your risk of forming clots that could lead to a stroke.
A nurse is review the cardiac rhythms of multiple patients in a code situation. What
rhythms are shockable?
-Ventricular Fibrillation
-Pulseless ventricular tachycardia
-Torsade's de pointes
A nurse is providing discharge teaching to a patient diagnosed with AFIB who will
be discharged on a direct oral anticoagulant and scheduled for cardioversion. What
statement made by the patient indicates a need for further teaching?
I only need to take the blood thinner for one month after the procedure.
A client is reporting swelling in both ankles, tightness in their shoes and feeling of
fullness in their abdomen over the past week. The nurse notes bilateral pitting
edema in the lower extremities, JVD, and mild SOB when lying flat. What type of
heart failure is suspected?
Right sided heart failure.
,A nurse is caring for a client who is receiving chemo for the treatment of AML.
Most recent labs are WBC:2000/mm3, HGB: 9.5 g/dL, PLTs: 45,000/mm3. What
interventions should the nurse implement first?
Place the client of neutropenic precautions.
Nursing actions for a client post open reduction and internal fixation(ORIF) hip
fracture
-pain management
-mobility, physical therapy
-wound care/infection prevention
-preventing complications
-education/discharge planning
What are some potential complications to be aware of for orthopedic trauma
-Compartment syndrome
-infection
-DVT
-Fat embolism (Long bone fracture)
-hemorrhage
-rhabdomyolysis
Nursing actions for clients post open reduction and internal fixation hip fracture
, -closed reduction is the non surgical manual realignment of bone fragments to their
anatomic position. Traction and countertraction are manually applied to the long
bone fragments to restore position, length and alignment.
-Open reduction is the correction of bone alignment through surgery. it usually
includes internal fixation of the fracture with wires, screws, pins, plates,
intramedullary rods or nails.
-an external fixator is composed of metal pins and wires that are inserted into the
bone and attached to external rods to stabilize the fracture while it heals.
-Internal fixation devices are surgically inserted to realign and maintain position of
bony fragments.
-clinical manifestations of hip fracture include external rotation, muscle spasm,
shortening of affected extremity and severe pain and tenderness around the fracture
site.
Hypervolemia on assessment would look like?
-Clear lungs, normal breath sounds, and swelling in lower extremities.
-Crackles in lungs and swelling in lower extremities.
-Perfuse edema with clear lung sounds
A client is in your care, within the med/surg ward, who has ESKD. You are
preforming daily weights and notice a 5lb increase from last week, What is your
next action?
Notify the provider
AND CORRECT ANSWERS GRADED A+
Patient w/ a hx of COPD is admitted with SOB and confusion. ABG results are as
follows: pH 7.21, PaCO2 68mmHg, HCO# 25mEq/L, PaO2 90% on 2L NC. As
the student nurse reviews the ABG, which assessment finding should be of greatest
concern?
The patient is drowsy and disorientated.
A 58 year old male patient arrives at the emergency department complaining of
chest pain that started while he was watching tv. As the nurse which of the
following actions are appropriate to take?
- Administer sublingual nitro as prescribed.
-obtain a 12 lead ECG
-Get vitals signs
-Place the patient on continuous cardiac monitoring
The nurse is caring for a patient who is in the immediate postoperative period
following abdominal surgery. What interventions are appropriate components of
post-surgical monitoring and care?
-Encourage the use of an incentive spirometer every 1-2 hours while awake.
-Monitor the surgical dressing for excessive drainage or bleeding
-Encourage early ambulation as soon as it is safe.
,A nurse is caring for a patient with a new diagnosis of atrial fibrillation. The
provider prescribes warfarin therapy. The patient asks, " Why do I need a blood
thinner if I'm not in pain." What is the best response to be made by the nurse.
They reduce your risk of forming clots that could lead to a stroke.
A nurse is review the cardiac rhythms of multiple patients in a code situation. What
rhythms are shockable?
-Ventricular Fibrillation
-Pulseless ventricular tachycardia
-Torsade's de pointes
A nurse is providing discharge teaching to a patient diagnosed with AFIB who will
be discharged on a direct oral anticoagulant and scheduled for cardioversion. What
statement made by the patient indicates a need for further teaching?
I only need to take the blood thinner for one month after the procedure.
A client is reporting swelling in both ankles, tightness in their shoes and feeling of
fullness in their abdomen over the past week. The nurse notes bilateral pitting
edema in the lower extremities, JVD, and mild SOB when lying flat. What type of
heart failure is suspected?
Right sided heart failure.
,A nurse is caring for a client who is receiving chemo for the treatment of AML.
Most recent labs are WBC:2000/mm3, HGB: 9.5 g/dL, PLTs: 45,000/mm3. What
interventions should the nurse implement first?
Place the client of neutropenic precautions.
Nursing actions for a client post open reduction and internal fixation(ORIF) hip
fracture
-pain management
-mobility, physical therapy
-wound care/infection prevention
-preventing complications
-education/discharge planning
What are some potential complications to be aware of for orthopedic trauma
-Compartment syndrome
-infection
-DVT
-Fat embolism (Long bone fracture)
-hemorrhage
-rhabdomyolysis
Nursing actions for clients post open reduction and internal fixation hip fracture
, -closed reduction is the non surgical manual realignment of bone fragments to their
anatomic position. Traction and countertraction are manually applied to the long
bone fragments to restore position, length and alignment.
-Open reduction is the correction of bone alignment through surgery. it usually
includes internal fixation of the fracture with wires, screws, pins, plates,
intramedullary rods or nails.
-an external fixator is composed of metal pins and wires that are inserted into the
bone and attached to external rods to stabilize the fracture while it heals.
-Internal fixation devices are surgically inserted to realign and maintain position of
bony fragments.
-clinical manifestations of hip fracture include external rotation, muscle spasm,
shortening of affected extremity and severe pain and tenderness around the fracture
site.
Hypervolemia on assessment would look like?
-Clear lungs, normal breath sounds, and swelling in lower extremities.
-Crackles in lungs and swelling in lower extremities.
-Perfuse edema with clear lung sounds
A client is in your care, within the med/surg ward, who has ESKD. You are
preforming daily weights and notice a 5lb increase from last week, What is your
next action?
Notify the provider
