Evolve HESI case studies NURS 309 EXAM LATEST
2026-2027 110 QUESTIONS AND 100% Verified
ANSWERS
The physician orders a STAT blood transfusion. In the event of an emergency, for a pt such as Mr S, a type specific
non-cross matched blood product could be used. What do you anticipate as the blood product in this case?
a. O-
b. AB-
c. AB+
d. A- - answer>>a
You are preparing to administer a blood transfusion to Mr S. Place the steps of transfusion in the appropriate
order.
a. prime the correct tubing and filter with normal saline.
b. Take vital signs before starting the transfusion.
c.transfuse the first 10 to 24 mL slowly; monitor the pt closely.
d. Inspect the bag for leaks, clots, or unusual color.
e. compare the bag label with the chart and blood bank forms.
f. have two nurses (or MDs) compare the blood band identification with the tag on the blood bag.
g. repeat vital sign measurement after 15 minutes and then every hour until the transfusion is complete.
H. document the outcomes, names of personnel, and starting and ending times. - answer>>d, e, f, a, b, c, g, h
You are talking to Mr S about his alcohol consumption. Which statement represents the most common defense
mechanism that is used by people who have problems with alcoholism?
a. you would drink too if you were married to my wife
b. my wife and i have a couple of beers after work. Its no big deal
c. if you think i drink a lot you should see my wife put it away
d. i would rather talk to my wife about this situation when i get home - answer>>b
,Mr S has been in the ED for about 8 hours. He is becoming increasingly anxious and irritated. He tells you that he
has decided he wants to leave. What is your best response?
a. you are very sick today. Why do you want to leave?
b. let me call your wife so that you can discuss this with her
c. what will you do and where will you go if you decide to leave?
d. you can leave if you want to but i will have to notify the physician first - answer>>c
You suspect that Mr. S may be at risk for alcohol withdrawal effects. What is an early manifestation?
a. startles easily
b. paranoid delusions
c. slurred speech
d. grand mal seizure - answer>>a
Which serious complications may result from alcohol withdrawal delirium? select all
a. myocardial infarction
b. electrolyte imbalance
c. aspiration pneumonia
d. anaphylaxis
e. sepsis
f. suicide - answer>>abcef
Mr. S and his wife ask for privacy so that they can talk. Later when you return to check on him, the NG tube is on
the floor and there is a strong odor of alcohol on mr S's breath and he appears relaxed and groggy. What should
you do first?
A. politely ask the wife to leave and call security to check the room for illicit substances.
B. assess the pt mental status and ask what happened to the NG tube.
C.explain that his behavior is unacceptable and counterproductive to his therapy.
D. reinsert an NG tube and call the physician for an order for a start blood alcohol test. - answer>>b
, Prioritization Case Study #17, pp. 145-148 #'s 1-20 - answer>>
What is the mechanism that results in kussmaul respirations?
A. To compensate for metabolic acidosis, the respirations are deep and rapid
B. To overcome respiratory acidosis, the respirations are fast and shallow
C. Injury to the brain's respiratory center results in periods of apnea
D. Hypoxemia causes labored, gasping, and irregular respirations - answer>>A
To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implement which intervention?
A. Insert a saline lock for PRN diuretic administration
B. Administer an albumin/lasix continuous infusion
C. Maintain an infusion of normal saline solution
D. Obtain a type and crossmatch for 2 units of packed RBCs - answer>>C
To restore Lara's blood glucose to a normal level, what should the nurse prepare to administer?
A. An IV infusion containing regular insulin
B. Humbling-N insulin SC before meals
C. 50%dextrose IV push
D. Glucagon subcutaneously PRN per sliding scale - answer>>A
In addition to monitoring Lara's blood glucose level, what additional lab values should the nurse monitor
carefully?(select all that apply)
A. Uris acid
B. Hemoglobin
C. Calcium
D. Potassium
E. Blood urea nitrogen (BUN) - answer>>BCDE
2026-2027 110 QUESTIONS AND 100% Verified
ANSWERS
The physician orders a STAT blood transfusion. In the event of an emergency, for a pt such as Mr S, a type specific
non-cross matched blood product could be used. What do you anticipate as the blood product in this case?
a. O-
b. AB-
c. AB+
d. A- - answer>>a
You are preparing to administer a blood transfusion to Mr S. Place the steps of transfusion in the appropriate
order.
a. prime the correct tubing and filter with normal saline.
b. Take vital signs before starting the transfusion.
c.transfuse the first 10 to 24 mL slowly; monitor the pt closely.
d. Inspect the bag for leaks, clots, or unusual color.
e. compare the bag label with the chart and blood bank forms.
f. have two nurses (or MDs) compare the blood band identification with the tag on the blood bag.
g. repeat vital sign measurement after 15 minutes and then every hour until the transfusion is complete.
H. document the outcomes, names of personnel, and starting and ending times. - answer>>d, e, f, a, b, c, g, h
You are talking to Mr S about his alcohol consumption. Which statement represents the most common defense
mechanism that is used by people who have problems with alcoholism?
a. you would drink too if you were married to my wife
b. my wife and i have a couple of beers after work. Its no big deal
c. if you think i drink a lot you should see my wife put it away
d. i would rather talk to my wife about this situation when i get home - answer>>b
,Mr S has been in the ED for about 8 hours. He is becoming increasingly anxious and irritated. He tells you that he
has decided he wants to leave. What is your best response?
a. you are very sick today. Why do you want to leave?
b. let me call your wife so that you can discuss this with her
c. what will you do and where will you go if you decide to leave?
d. you can leave if you want to but i will have to notify the physician first - answer>>c
You suspect that Mr. S may be at risk for alcohol withdrawal effects. What is an early manifestation?
a. startles easily
b. paranoid delusions
c. slurred speech
d. grand mal seizure - answer>>a
Which serious complications may result from alcohol withdrawal delirium? select all
a. myocardial infarction
b. electrolyte imbalance
c. aspiration pneumonia
d. anaphylaxis
e. sepsis
f. suicide - answer>>abcef
Mr. S and his wife ask for privacy so that they can talk. Later when you return to check on him, the NG tube is on
the floor and there is a strong odor of alcohol on mr S's breath and he appears relaxed and groggy. What should
you do first?
A. politely ask the wife to leave and call security to check the room for illicit substances.
B. assess the pt mental status and ask what happened to the NG tube.
C.explain that his behavior is unacceptable and counterproductive to his therapy.
D. reinsert an NG tube and call the physician for an order for a start blood alcohol test. - answer>>b
, Prioritization Case Study #17, pp. 145-148 #'s 1-20 - answer>>
What is the mechanism that results in kussmaul respirations?
A. To compensate for metabolic acidosis, the respirations are deep and rapid
B. To overcome respiratory acidosis, the respirations are fast and shallow
C. Injury to the brain's respiratory center results in periods of apnea
D. Hypoxemia causes labored, gasping, and irregular respirations - answer>>A
To achieve the goal of restoring Lara's fluid volume, the nurse would expect to implement which intervention?
A. Insert a saline lock for PRN diuretic administration
B. Administer an albumin/lasix continuous infusion
C. Maintain an infusion of normal saline solution
D. Obtain a type and crossmatch for 2 units of packed RBCs - answer>>C
To restore Lara's blood glucose to a normal level, what should the nurse prepare to administer?
A. An IV infusion containing regular insulin
B. Humbling-N insulin SC before meals
C. 50%dextrose IV push
D. Glucagon subcutaneously PRN per sliding scale - answer>>A
In addition to monitoring Lara's blood glucose level, what additional lab values should the nurse monitor
carefully?(select all that apply)
A. Uris acid
B. Hemoglobin
C. Calcium
D. Potassium
E. Blood urea nitrogen (BUN) - answer>>BCDE
