NUR 243 FINAL EXAM STUDY
GUIDE - NURSING
COMPETENCIES AND CASES
ASSESSMENT TEST LATEST
UPDATE
, NUR 243 FINAL EXAM STUDY GUIDE - NURSING
COMPETENCIES AND CASES ASSESSMENT TEST LATEST
UPDATE
1. You are the nurse taking care of a patient with alcohol cirrhosis and they need a liver
transplant the patient has been out of work several months does not have any
insurance or cash the patient is concerned that he may not be able to be considered for
a transplant which statement by the nurse would be lacking in cultural competence?
a. Not having insurance does not mean that you will be eliminated from
consideration
b. you have questions about the transplant process
c. I will ask the social worker from the transplant team to speak to you
d. it is definitely a negative that your liver disease is caused by alcohol
2. SATA You are taking care of a patient that was taken ibuprofen three times a day
because of arthritis the patient presents with coffee ground emesis nausea headache
and dizziness Which signs and symptoms will you monitor for this patient?
a. Hypertension
b. tachycardia
c. tachypnia
d. increased hematocrit and hemoglobin
e. decrease respiratory rate
3. SATA You're assessing the function of a chest tube system in a patient who just
returned following a thoracotomy which are expected assessment findings to the
drainage system
a. Excessive bubbling in the water seal chamber
b. titling in the suction control chamber
c. Maintenance system is maintained below the patient's chest
d. occlusive dressing is placed over the insertion site
e. there is titling in the water seal chamber while inhalation and exhalation
4. You are the nurse caring for four patients on the unit which patient should you see first?
a. A patient with liver failure with elevated LFTS
b. A patient with pancreatitis with elevated amylase
c. a patient with type 2 diabetes and a blood sugar of 160
d. a patient with end stage liver disease and a platelet count of 25,000
5. The nurse is assessing a patient post hemicolectomy and notes that the patients Cath is
red and slightly adamites the nurse proceeds to do a pain assessment the patient states
that the pain is an 8 out of 10 the patient's vital signs are as followed heart rate 92 blood
pressure resp 24 temp 98.7 the health care provider has ordered morphine 4 to
8 milligrams IVP every four hours. which does to administer the nurses using which
stage in tanner's model of clinical judgment?
a. noticing
b. Interpreting
c. responding
d. reflecting
6. SATA The nurse is providing care to a patient with a large surgical wound that requires
an extensive amount of dressings with supplies, what cost effective action will the nurse
take when performing a dressing change
a. Please extra boxes of supplies in the patient room
b. ask two additional nurses to assist with dressing change
c. preview documentation to see specifically for supplies is needed
GUIDE - NURSING
COMPETENCIES AND CASES
ASSESSMENT TEST LATEST
UPDATE
, NUR 243 FINAL EXAM STUDY GUIDE - NURSING
COMPETENCIES AND CASES ASSESSMENT TEST LATEST
UPDATE
1. You are the nurse taking care of a patient with alcohol cirrhosis and they need a liver
transplant the patient has been out of work several months does not have any
insurance or cash the patient is concerned that he may not be able to be considered for
a transplant which statement by the nurse would be lacking in cultural competence?
a. Not having insurance does not mean that you will be eliminated from
consideration
b. you have questions about the transplant process
c. I will ask the social worker from the transplant team to speak to you
d. it is definitely a negative that your liver disease is caused by alcohol
2. SATA You are taking care of a patient that was taken ibuprofen three times a day
because of arthritis the patient presents with coffee ground emesis nausea headache
and dizziness Which signs and symptoms will you monitor for this patient?
a. Hypertension
b. tachycardia
c. tachypnia
d. increased hematocrit and hemoglobin
e. decrease respiratory rate
3. SATA You're assessing the function of a chest tube system in a patient who just
returned following a thoracotomy which are expected assessment findings to the
drainage system
a. Excessive bubbling in the water seal chamber
b. titling in the suction control chamber
c. Maintenance system is maintained below the patient's chest
d. occlusive dressing is placed over the insertion site
e. there is titling in the water seal chamber while inhalation and exhalation
4. You are the nurse caring for four patients on the unit which patient should you see first?
a. A patient with liver failure with elevated LFTS
b. A patient with pancreatitis with elevated amylase
c. a patient with type 2 diabetes and a blood sugar of 160
d. a patient with end stage liver disease and a platelet count of 25,000
5. The nurse is assessing a patient post hemicolectomy and notes that the patients Cath is
red and slightly adamites the nurse proceeds to do a pain assessment the patient states
that the pain is an 8 out of 10 the patient's vital signs are as followed heart rate 92 blood
pressure resp 24 temp 98.7 the health care provider has ordered morphine 4 to
8 milligrams IVP every four hours. which does to administer the nurses using which
stage in tanner's model of clinical judgment?
a. noticing
b. Interpreting
c. responding
d. reflecting
6. SATA The nurse is providing care to a patient with a large surgical wound that requires
an extensive amount of dressings with supplies, what cost effective action will the nurse
take when performing a dressing change
a. Please extra boxes of supplies in the patient room
b. ask two additional nurses to assist with dressing change
c. preview documentation to see specifically for supplies is needed
