NSG 430 FINAL EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NSG 430 FINAL EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Which medication is contraindicated in patients with asthma and heart problems? - Answers propranolol What is the treatment for Addisonian crisis? - Answers high dose hydrocortisone Treatment for thyroid storm includes: - Answers rest, minimal stimulation, artificial tears, dysrhythmias CPAP must be used with caution in patients with? - Answers Myocardial compromise What type of murmur does mitral valve regurgitation cause? - Answers holosystolic (blowing) Symptoms of mitral valve stenosis include: - Answers SOB, pulmonary HTX, AFIB, left atrial hypertrophy Symptoms of Hypertrophic Cardiomyopathy - Answers hypertrophy of left ventricle, aortic stenosis, syncope with exercise A client complains of chest pain that started while walking in the park. The pain radiated to the left arm and jaw lasting approximately 15 minutes. The pain subsided after taking 2 SL doses of Nitroglycerin. The nurse knows this is suggestive of: - Answers Stable Angina Symptoms of Pulmonary Contusion - Answers blunt trauma, tenderness to palpation, crackles in lung base A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which findings will the interprofessional health care team focus on? - Answers hypotension, hyperkalemia, hyponatremia A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is being assessed by the nurse. Which assessment findings would be consistent with acute pancreatitis? - Answers Gray-blue color flank, abdominal guarding and tenderness, LUQ pain with radiation, fever How do you know when cardiogenic shock has progressed to MODS? - Answers high serum creatinine levels What blood product do you administer in a patient who has overdosed on warfarin? - Answers Fresh frozen plasma, vitamin K A patient is recovering from a heart surgery and develops pericarditis and complain of a 6 out of 10 chest pain with deep breathing. Which prescribed PRN medication will be most appropriate for the nurse to give? - Answers oral ibuprofen 600 mg (motrin) Which nursing action will be included in the plan of care for a patient who is being treated for esophageal varies with a balloon tamponade? - Answers monitor for SOB A patient suffered a brain injury after a motor vehicle accident - which statement made by the patient is most concerning about medication? - Answers I take warfarin daily A patient develops pyelonephritis after being on vancomycin. What information would the nurse tell the healthcare provider? - Answers nephrotoxicity 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? - Answers the pain is lasting longer than 30 minutes What would the nurse assess if a patient comes in with suspected Steven Johnson Syndrome? - Answers if the patient has taken any new medication During discharge teaching with a 68 year old patient who had a mitral valve replacement with a mechanical valve - the nurse educates the patient on which correct instruction? - Answers need for frequent laboratory blood testing of PTT and INR 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? - Answers low BP and high HR A 28 year old patient who has deep human bite wounds on the left hand is being treated in the urgent care center. Which action will the nurse plan to teach? - Answers teach the patient the reason for the use of prophylactic antibiotics A patient has been admitted with meningococcal meningitis. Which observation by the nurse requires action? - Answers unlicensed assistive personnel enter the patient room without a mask When a brain injured patient responds to nail bed pressure with internal rotation - adduction and flexed arms - what will the nurse report this as? - Answers decorticate posturing A patient with acute pancreatitis is reporting excessive thirst - excessive voiding and blurred vision. What is a priority nursing intervention? - Answers check blood glucose of the patient What are the early signs of hypoxia in a patient who is anemic? - Answers restlessness The nurse is preparing for the annual physical exam of a 50 year old man and will plan to teach the patient about what topic? - Answers colonoscopy Which finding indicates to the nurse that the patient with a trans jugular intrahepatic portosystemic shunt placed 3 months ago has been effective? - Answers fewer episode of bleeding varices A 37 year old female patient is hospitalized with an acute kidney injury. What information will be most useful to the nurse in evaluating improvement of kidney function? - Answers GFR A 50 year old man who is vomiting blood streak fluids is admitted into the hospital with acute gastritis. What will the nurse ask the patient about to determine possible risk factors associated with gastritis? - Answers used of NSAIDS What is indicated by hemoglobin A1c levels? - Answers glucose level over ninety days During the emergent phase of burn care which assessment is most useful in determining whether the patient is receiving adequate fluid infusion? - Answers hourly urine output measurement After receiving 2 L of normal saline the central venous pressure for a patient in septic shock is 10 mm Hg and the blood pressure is 82/40 mmHg. What will the nurse anticipate an order for? - Answers Norepinephrine Which response by the nurse best explains the purpose of ranitidine for a patient who was admitted with bleeding esophageal varices? - Answers Prevent irritation of enlarged veins A patient with circumferential burns of both legs develops a decrease in dorsalis pedis pulse strength and numbness in the toes. Which action should the nurse take first? - Answers notify the health care provider The nurse will plan discharge teaching about the need for prophylactic antibiotics when having dental procedures for which patient? - Answers a patient who had a mitral valve replacement with a mechanical valve Which assessment finding in a patient admitted with acute decompensated failure requires the most immediate action by the nurse? - Answers oxygen saturation of 88% Which intervention will the nurse include in the plan of care for the client who has cardiogenic shock? - Answers monitor breath sounds frequently When titrating IV nitroglycerin for a patient with a myocardial infarction - which action will the nurse take to evaluate the effectiveness of the medication? - Answers ask about chest pain To determine the effects of therapy for a patient who is being treated for heart failure which laboratory result will the nurse planning review? - Answers BNP The nurse is caring for a patient with pancreatic cancer which action is the highest priority? - Answers adminster prescribed opioids A client calls the clinic and tells the nurse she is concerned because her husband has developed shingles. She asks the nurse if he is contagious - what is the best response about the herpes zoster virus? - Answers contagious and can be transmitted to non-immune contacts A patient in ventricular fibrillation was shocked with kilo joules and chest compressions were given - what medication would you expect to administer? - Answers amiodarone Which information obtained by the nurse about a patient with a lumbar vertebral compression fracture is most important to report to the health care provider? - Answers patient has been incontinent of urine and stool What is most important for the nurse to monitor to detect possible complications in a patient with severe cirrhosis who has been bleeding with esophageal varices? - Answers ammonia levels A patient has been admitted with acute liver failure. Which assessment data is most important for the nurse to communicate to the health care provider? - Answers asterixis and lethargy What nursing intervention will be implemented in a patient with SIADH? - Answers fluid restriction A patient at high risk for pulmonary embolism is receiving lovenox. The nurse explains to the patient that: - Answers it is given to prevent blood clots from forming Which focused data should the nurse assess after identifying (4+) pitting edema on a patient who has cirrhosis? - Answers albumin A client who has undergone an exploratory laparotomy and subsequent removal of a large intestine tumor has a nasogastric tube in place - an IV running at 150 mL / hr via an IV pump. Which data should be reported to health care provider? - Answers crackles and rhonchi in all lung fields are noted on auscultation The patient went advanced cirrhosis asks why his abdomen is so swollen - the response of the nurse is based on the knowledge that: - Answers portal hypertension and hypoalbuminemia causes a fluid shift into the peritoneal