NURS 330 Final Exam Latest Practice Questions and Correct
Answers Graded A+
• You are assigned to the Emergency Department as triage RN. Your patient 54 yr-old male presents with
projectile hematemesis and a history of alcohol abuse. The RN suspects the hematemesis: bloody vomit
is from:
a. Melena black, tarry stool
b. Esophageal varices
c. Epistaxis
d. Asterixis
• The emergency department RN is assigned to a 24-yr. old male patient who was in a motor vehicle
accident (MVA). The patient uses inappropriate words (3) when asked what happened. He has normal
flexion (withdrawal) (4) and he opens his eyes spontaneously to sound (4). He has paralysis in the
lower extremities with complete, but temporary, loss of motor, sensory, reflex and autonomic
function.
What is his Glascow Coma Scale rating?
a. Ten
b. Eleven
c. Twelve
d. Eight
• The MVA patient’s immediate response to the injury is
a. Paraparesis from spinal shock paraparesis = weakness
b. Paraparesis from neurogenic shock
c. Paraplegia from spinal shock paraplegia = paralysis
d. Paraplegia from neurogenic shock
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, • The nurse anticipates giving the following IV medication to the MVA patient to decrease spinal cord edema
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, a. Methylprednisolone corticosteroid
b. Furosemide loop diuretic
c. Baclofen muscle relaxant
d. Dopamine
• The MVA patient’s spinal x-rays show a low cervical fracture with an incomplete spinal cord injury.
After surgical stabilization, a halo fixator is established with four (4) screws inserted into the skull. The
interventions while in a halo fixation device include
a. Adjust the halo screws to maintain adequate traction PRN
b. Check skin integrity under the halo jacket every shift and PRN
c. Keep special wrench needed to loosen halo jacket for CPR at bedside
d. Monitor signs and symptoms of infection at external pin sites every shift
e. Answers b, c, and d
• The MVA patient is admitted to SICU the first 12 hours post spinal cord injury. His cardiac output is
dropping resulting in bradycardia of 48/min and BP 82/46 mm Hg. He has dependent edema of the
lower extremities which are cool to touch. His level of consciousness has declined, and his urinary
output has decreased to below 20 mL/hr. The nurse assesses the patient and determines he is
experiencing the following spinal trauma complication
a. Hypovolemic shock
b. Neurogenic shock
c. Septic shock
d. Anaphylactic shock
• The following is anticipated for the MVA patient during this life-threatening emergency
a. Increased fluids to support circulatory volume
b. Norepinephrine and dopamine intravenously
c. Diuretic intravenous therapy
d. Answers a and b
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Answers Graded A+
• You are assigned to the Emergency Department as triage RN. Your patient 54 yr-old male presents with
projectile hematemesis and a history of alcohol abuse. The RN suspects the hematemesis: bloody vomit
is from:
a. Melena black, tarry stool
b. Esophageal varices
c. Epistaxis
d. Asterixis
• The emergency department RN is assigned to a 24-yr. old male patient who was in a motor vehicle
accident (MVA). The patient uses inappropriate words (3) when asked what happened. He has normal
flexion (withdrawal) (4) and he opens his eyes spontaneously to sound (4). He has paralysis in the
lower extremities with complete, but temporary, loss of motor, sensory, reflex and autonomic
function.
What is his Glascow Coma Scale rating?
a. Ten
b. Eleven
c. Twelve
d. Eight
• The MVA patient’s immediate response to the injury is
a. Paraparesis from spinal shock paraparesis = weakness
b. Paraparesis from neurogenic shock
c. Paraplegia from spinal shock paraplegia = paralysis
d. Paraplegia from neurogenic shock
https://www.stuvia.com/
, • The nurse anticipates giving the following IV medication to the MVA patient to decrease spinal cord edema
https://www.stuvia.com/
, a. Methylprednisolone corticosteroid
b. Furosemide loop diuretic
c. Baclofen muscle relaxant
d. Dopamine
• The MVA patient’s spinal x-rays show a low cervical fracture with an incomplete spinal cord injury.
After surgical stabilization, a halo fixator is established with four (4) screws inserted into the skull. The
interventions while in a halo fixation device include
a. Adjust the halo screws to maintain adequate traction PRN
b. Check skin integrity under the halo jacket every shift and PRN
c. Keep special wrench needed to loosen halo jacket for CPR at bedside
d. Monitor signs and symptoms of infection at external pin sites every shift
e. Answers b, c, and d
• The MVA patient is admitted to SICU the first 12 hours post spinal cord injury. His cardiac output is
dropping resulting in bradycardia of 48/min and BP 82/46 mm Hg. He has dependent edema of the
lower extremities which are cool to touch. His level of consciousness has declined, and his urinary
output has decreased to below 20 mL/hr. The nurse assesses the patient and determines he is
experiencing the following spinal trauma complication
a. Hypovolemic shock
b. Neurogenic shock
c. Septic shock
d. Anaphylactic shock
• The following is anticipated for the MVA patient during this life-threatening emergency
a. Increased fluids to support circulatory volume
b. Norepinephrine and dopamine intravenously
c. Diuretic intravenous therapy
d. Answers a and b
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