NU155 Exam 1 Practice Questions and Answers

NU155 Exam 1 Practice Questions and Answers Your patient has chronic renal failure with muscle weakness, paresthesias, and depression. What electrolyte is imbalanced? - Ans:-Hypermagnesemia What is your greatest concern for a patient with burns? - Ans:-Vital signs will increase significantly A patient has a K of 6, what is your first intervention? - Ans:-Do an EKG Nursing diagnosis for an obese female with severe vomiting and diarrhea. - Ans:-Dehydration Patient has a K of 2.9 and needs K IV. How will you give it? - Ans:-Never give it straight A patient with ETOH abuse with periods of calm and disruptive episodes. What electrolyte is imbalanced? - Ans:-Hypomagnesemia Patient with a diagnosis of hypernatremia. What order is not correct? - Ans:-Restrict fluid intake to 900mL/24 hr Your patient has been vomiting for 2 days and hasn't urinated for 12 hours. Her mucous membranes are dry and and skin turgor is bad. What is her fluid issue? - Ans:-Hypovolemia ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/8 What should you do for a patient that is hyperventilating? - Ans:-Give them a brown paper bag Patient with a sodium of 129 will receive what type of IV solution? - Ans:-Normal saline What is the best indicator for fluid balance? - Ans:-Daily weights A mom calls about her 10 months old baby has been vomiting and having diarrhea for 2 days. What do you tell her to do? - Ans:-Go to the ER How would you assist a patient with a K of 2.9? (Select all) - Ans:-Monitor digoxin levels, place on cardiac monitor, K supplements What assessments are done for a patient with hypocalcemia? (Select all) - Ans:-Chvostek and Trousseau Patient with excessive diarrhea with pH 7.10, PaCo2 and PaO2 normal. What is the ABG issue? - Ans:- Metabolic acidosis What is the order of the 3 body systems that keep pH in normal range? - Ans:-Blood, lungs, and kidneys Your patient c/o dizziness, tingling of finger and toes with pH 7.50, PaCO2 28. What is the ABG issue? - Ans:-Respiratory alkalosis ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/8 Your patient has respiratory distress with initial ABG pH 7.30, PaCO2 40, HCO3 19, PO2 80. After treatment pH 7.38, PaCO2 32, HCO3 19. Is the treatment working? - Ans:-Yes What is the ABG issue for pH 7.30, PaCO2 40, HCO3 19, PO2 80? - Ans:-Metabolic acidosis What will your first assessment be for a patient relieved from PACU? - Ans:-Airway What is the purpose of an oral airway? - Ans:-Prevent tongue from falling back into the throat, maintain an airway When should you be concerned for a patients output after surgery? - Ans:-Below 30ml/hr What do you do when you find drainage on a dressing? - Ans:-Circle, date, and time What do you do for an evisceration? - Ans:-Place a wet sterile dressing over it A patient has a silent, distended abdomen 72 hours after surgery. What do you suspect? - Ans:- Paralytic ileus You just administered an opioid to a preop patient. What do you do before leaving the bedside? - Ans:-Put side rails up What is the function of an incentive spirometer? - Ans:-Prevent atelectasis and promote lung expansion ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/8 As you are admitting a patient into the OR you notice the consent is not signed and the patient has never spoken to the surgeon. What do you do? - Ans:-Contact the surgeon What are the advantages to a PCA? (Select all) - Ans:-Patient can control, works quickly, improved patient comfort, no wait for the nurse What are potential nursing diagnosis for a postop patient? - Ans:-Risk for DVT, Risk of infection, Risk of pain, Risk for pneumonia Nursing diagnosis for a patient currently having surgery? (Select all) - Ans:-Risk for infection Risk for impaired skin integrity Risk for hypothermia What is assessed during a "time out"? (Select all) - Ans:-Correct patient, correct procedure, correct site and side, correct surgeon After receiving a patient to the PACU what do you include in the