DEAL| NU310 EXAM REVIEWS WITH COMPLETE REAL
EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS/
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Question 1
What would delay a patient's discharge from the hospital?
A. Pain of 4/10 with ambulation
B. Inability to void since surgery
C. Hemoglobin of 8
D. Heart rate of 100
Answer: B
Rationale: Inability to void after surgery indicates urinary
retention, a common postoperative complication that must be
resolved before discharge. Pain of 4/10 is manageable;
hemoglobin of 8 may be acceptable if stable; heart rate of 100
may be within normal parameters. Retention can lead to bladder
distension, infection, and patient discomfort .
Question 2
A patient comes in with a temperature of 101°F, heart rate 100,
respiratory rate 30, using accessory muscles to breathe, with
crackles at the lung bases. What is the first thing the nurse should
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,do?
A. Obtain a sputum sample and blood cultures
B. Give oxygen to maintain SpO₂ >95%
C. Give a liter of normal saline
D. Start IV antibiotics
Answer: B
Rationale: Airway and breathing are always the priority. This
patient is in respiratory distress with accessory muscle use and
tachypnea; oxygen administration is the immediate intervention
before diagnostic studies or medications .
Question 3
A patient has a potassium level of 6.0 mEq/L. What expected
findings should the nurse anticipate?
A. Heart palpitations
B. Muscle spasms
C. Dark amber urine
D. Drowsiness
Answer: A
Rationale: Hyperkalemia (K⁺ >5.0) causes cardiac conduction
abnormalities including peaked T waves, widened QRS, and
potentially life-threatening arrhythmias presenting as
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,palpitations. Muscle spasms are associated with hypocalcemia;
dark urine with dehydration or rhabdomyolysis; drowsiness with
hypercalcemia or hyponatremia .
Question 4
A patient who just received chemotherapy for AML is being
discharged. What findings must the patient report immediately?
A. Nausea and vomiting
B. Muscle twitching and cramping
C. Fatigue
D. Vertigo with position changes
Answer: B
Rationale: Muscle twitching and cramping may indicate
hyperkalemia (potassium >5.5), a life-threatening complication
that can occur with tumor lysis syndrome following chemotherapy.
Hyperkalemia can lead to cardiac arrhythmias and renal failure,
requiring immediate intervention .
Question 5
An 80-year-old male presents with pneumonia. What would be
the first symptoms he would likely present?
A. Temperature elevation and chills
B. Altered mental status
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, C. Cough and shortness of breath
D. Increased sputum production
Answer: B
Rationale: Older adults often present with atypical symptoms of
infection. Altered mental status (confusion, lethargy, delirium) is
frequently the first sign of pneumonia in elderly patients rather
than fever, cough, or sputum production .
Question 6
A patient has a calcium level of 16 mg/dL. What would be
potential complications?
A. Increased risk of falls
B. Acute kidney injury
C. Pneumonia
D. Heart palpitations
Answer: B
Rationale: Severe hypercalcemia (>14 mg/dL) can cause
nephrolithiasis and acute kidney injury due to calcium deposition
in the renal tubules (nephrocalcinosis). Hypercalcemia also causes
polyuria and dehydration, further contributing to kidney injury .
Question 7
When would be an incorrect time to clamp a chest tube?
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