HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
A patient presents with liver injury due to history of Tylenol abuse.
On arrival the patient is unconscious. After giving him 3 liters of IV
fluids the nurse does an assessment. The findings were bilateral 2+
pedal edema, BP 160/90, HR 115. What would be the priority
assessment the nurse should do next?
a. Assess the lung sounds.
After interventions, stopping fluids, and giving a small dose of Lasix
the patient became a little responsive. ABG lab results come back and
are as follows: pH 7.28 PaCo2 38 PaO2 89 HCO3 17. Is there a sign of
acid base imbalance?
a. Yes, metabolic acidosis.
A COPD patient is admitted with hypoxemia due to VQ mismatch. The
nurse is anticipating the delivery system that is used to provide
oxygen. What type of oxygen flow would you provide for this client?
a. Low levels of oxygen either via nasal cannula or using a face mask
at 24%-32% oxygen.
A trauma patient who has acute heart failure has not gotten out of
bed and has not been using the incentive spirometer has become
very restless. Vital signs reveal signs of decreased cardiac output (low
BP, bradycardic, and a thready pulse). A chest x ray reveals
pneumonia. What would be the priority intervention for this patient?
HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
, HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
a. Prepare them for intubation.
What medication prescribed for the patient above
would you want to clarify? a. Azithromycin due to
the client’s heart condition.
The patient is found to have fluids in the lungs due to bronchiectasis
(damage to the airways making it difficult to clear mucus) and
requires postural drainage 3x daily. What would be some essential
teaching for this patient regarding postural drainage?
a. It needs to occur prior to or 3 hours after meals, use of pillows
to position client, give bronchodilator (albuterol) before the
procedure, percuss over a towel to ensure there is no
discomfort.
A patient presents to the ED with complaints of feeling fluttering of
the heart. The MD orders for this patient to be placed on telemetry.
Looking at the strip, how would you calculate the HR?
a. Count the QRS complexes and multiply by 10 (for a 6 sec strip).
The patient is diagnosed with Atrial Flutter. What are the clinical
manifestations the patient would present with?
a. CAD, HTN, mitral valve disorders, pulmonary embolism,
chronic lung disease, cor pulmonale, cardiomyopathy,
hyperthyroidism, and the use of drugs such as digoxin,
quinidine, and epinephrine (pg 765).
HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
A patient presents with liver injury due to history of Tylenol abuse.
On arrival the patient is unconscious. After giving him 3 liters of IV
fluids the nurse does an assessment. The findings were bilateral 2+
pedal edema, BP 160/90, HR 115. What would be the priority
assessment the nurse should do next?
a. Assess the lung sounds.
After interventions, stopping fluids, and giving a small dose of Lasix
the patient became a little responsive. ABG lab results come back and
are as follows: pH 7.28 PaCo2 38 PaO2 89 HCO3 17. Is there a sign of
acid base imbalance?
a. Yes, metabolic acidosis.
A COPD patient is admitted with hypoxemia due to VQ mismatch. The
nurse is anticipating the delivery system that is used to provide
oxygen. What type of oxygen flow would you provide for this client?
a. Low levels of oxygen either via nasal cannula or using a face mask
at 24%-32% oxygen.
A trauma patient who has acute heart failure has not gotten out of
bed and has not been using the incentive spirometer has become
very restless. Vital signs reveal signs of decreased cardiac output (low
BP, bradycardic, and a thready pulse). A chest x ray reveals
pneumonia. What would be the priority intervention for this patient?
HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
, HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
a. Prepare them for intubation.
What medication prescribed for the patient above
would you want to clarify? a. Azithromycin due to
the client’s heart condition.
The patient is found to have fluids in the lungs due to bronchiectasis
(damage to the airways making it difficult to clear mucus) and
requires postural drainage 3x daily. What would be some essential
teaching for this patient regarding postural drainage?
a. It needs to occur prior to or 3 hours after meals, use of pillows
to position client, give bronchodilator (albuterol) before the
procedure, percuss over a towel to ensure there is no
discomfort.
A patient presents to the ED with complaints of feeling fluttering of
the heart. The MD orders for this patient to be placed on telemetry.
Looking at the strip, how would you calculate the HR?
a. Count the QRS complexes and multiply by 10 (for a 6 sec strip).
The patient is diagnosed with Atrial Flutter. What are the clinical
manifestations the patient would present with?
a. CAD, HTN, mitral valve disorders, pulmonary embolism,
chronic lung disease, cor pulmonale, cardiomyopathy,
hyperthyroidism, and the use of drugs such as digoxin,
quinidine, and epinephrine (pg 765).
HERZING UNIVERSITY NUR 448 EXAM QUESTIONS
AND ANSWERS BEST RATED A+ GUARANTEED
SUCCESS LATEST UPDATE 2022
