1|Page
NUR280 OR NUR 280 FINAL EXAM LATEST 2024
COMPREHENSIVE ACTUAL EXAM REVIEW WITH 150
UPDATED QUESTIONS AND ANSWERS (VERIFIED
ANSWERS WITH RATIONALES) [ALREADY GRADED
A+]
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client
with?
A) a potassium level of 4.0 mEq/L has kayexalate prescribed.
B) a dialantin level of 8 mcg/ml is placed on seizure precautions.
C) sensitivity to asprin is prescribed Tylenol.
D) Sensitivity to penicillin Zithromax - A) The normal level is 3.5-5.0
mEq/L. Giving kayexalate in this situation may cause the client to lose
potassium, causing hypokalemia, therefore the drug is not indicated;
the therapeutic level for Dilantin is 10-20 mcg/ml, a level of 8 is sub
therapeutic thereby increasing the risk of seizure activity.
Acetaminophen can be safely prescribed to clients with ASA sensitivity.
,2|Page
Azithromycin can be safely prescribed for clients with sensitivity to
penicillin.
The nurse should intervene if the nurse notes a staff member?
a) obtaining a clients consent prior to their operative procedure after
receiving Ativan.
b) Placing a client on the affected side following surgical repair of a retinal
detachment
c) Handling a wet cast with the palms of
d) using a broad base of support while tranfering a client. - a) Informed
consent, explanation and decision making must occur before
sedation is give; therapeutic interventions for retinal detachment
include bedrest with the area of detachment in a dependent position
to promote healing; the cast should be handeled with the palms of the
,3|Page
hands while wet to prevent denting; a broad base of support is used
during transfers to prevent muscle injury.
The community health nurse is careing for the following clients. It would be
a priority for the nurse to initiate a multidisciplinary conference for the client
who
a) 12 years old with Autism who is starting a new school and recently had
an URI
b) 17 years old, has type 1 DM, is unemployed and had a recent
Hemoglobin A1c of 13%
c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier.
d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices. - b) An adolescent with uncontrolled DM would
, 4|Page
require the greatest number of disciplines (multidisciplinary) to
manage their care i.e. Medicine, Nursing, social work, nutritionist;
The other choices do not rquire as many providers of care to meet
their needs.
The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to
the client who
a) has returned from right total hip replacement surgery four hours ago
b) is being observed for increased intracranial pressure
c) had surgery two hours ago to remove the appendix
d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure - c) The management of a client following
NUR280 OR NUR 280 FINAL EXAM LATEST 2024
COMPREHENSIVE ACTUAL EXAM REVIEW WITH 150
UPDATED QUESTIONS AND ANSWERS (VERIFIED
ANSWERS WITH RATIONALES) [ALREADY GRADED
A+]
The nurse is reviewing medical prescriptions for newly admitted clients. It
would be a priority for the nurse to follow up with the physician if a client
with?
A) a potassium level of 4.0 mEq/L has kayexalate prescribed.
B) a dialantin level of 8 mcg/ml is placed on seizure precautions.
C) sensitivity to asprin is prescribed Tylenol.
D) Sensitivity to penicillin Zithromax - A) The normal level is 3.5-5.0
mEq/L. Giving kayexalate in this situation may cause the client to lose
potassium, causing hypokalemia, therefore the drug is not indicated;
the therapeutic level for Dilantin is 10-20 mcg/ml, a level of 8 is sub
therapeutic thereby increasing the risk of seizure activity.
Acetaminophen can be safely prescribed to clients with ASA sensitivity.
,2|Page
Azithromycin can be safely prescribed for clients with sensitivity to
penicillin.
The nurse should intervene if the nurse notes a staff member?
a) obtaining a clients consent prior to their operative procedure after
receiving Ativan.
b) Placing a client on the affected side following surgical repair of a retinal
detachment
c) Handling a wet cast with the palms of
d) using a broad base of support while tranfering a client. - a) Informed
consent, explanation and decision making must occur before
sedation is give; therapeutic interventions for retinal detachment
include bedrest with the area of detachment in a dependent position
to promote healing; the cast should be handeled with the palms of the
,3|Page
hands while wet to prevent denting; a broad base of support is used
during transfers to prevent muscle injury.
The community health nurse is careing for the following clients. It would be
a priority for the nurse to initiate a multidisciplinary conference for the client
who
a) 12 years old with Autism who is starting a new school and recently had
an URI
b) 17 years old, has type 1 DM, is unemployed and had a recent
Hemoglobin A1c of 13%
c) 52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and employed as a mail carrier.
d) 70 years old, has schizophrenia, lives alone and reports hearing non
threatening voices. - b) An adolescent with uncontrolled DM would
, 4|Page
require the greatest number of disciplines (multidisciplinary) to
manage their care i.e. Medicine, Nursing, social work, nutritionist;
The other choices do not rquire as many providers of care to meet
their needs.
The nurse from the postpartum unit has been temporarily assigned to the
medical surgical unit. It would be most appropriate to assign this nurse to
the client who
a) has returned from right total hip replacement surgery four hours ago
b) is being observed for increased intracranial pressure
c) had surgery two hours ago to remove the appendix
d) is two weeks post partum being maintained on a mechanical ventilator
for respiratory failure - c) The management of a client following
