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 2hour.
/ 13
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
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 2hour.
/ 13
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
