©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Nurs 384 Final Study Guide with
Complete Solutions
1. A patient with left-sided weakness that started 60 minutes earlier is admitted to the Emergency
Department and diagnostic tests are ordered. Which test should be done first?
a. Complete blood count (CBC)
b. Chest radiography (Chest x-ray)
c. 12-Lead electrocardiogram (ECG)
d. Non-contrast computed tomography (CT) scan - Ans:✔✔-Answer D Non-contrast computed
tomography (CT) scan
Rationale: To screen for stroke symptoms quickly a non-contrast CT scan is required before administering
tissue plasminogen activator (tPA) within 4.5 hours. Giving tPA sooner reduces damage to brain tissue.
Diagnostic tests can reveal the possible causes of the stroke but they are not as urgent as the CT scan.
Page 1/62
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
2. A 72-year-old patient with a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg
daily. When the nurse administers medications the patient says I don't need the aspirin today. I don't
have a fever. Which action should the nurse take?
a. Document that the ASA was refused by the patient.
b. Tell the patient that the aspirin is used to prevent a fever.
c. Explain that aspirin is ordered to decrease stroke.
d. Call the healthcare provider to clarify the medication order - Ans:✔✔-Answer C Explain that aspirin is
ordered to decrease stroke.
Rationale: Patients who have experienced TIAs are prescribed aspirin to prevent further occurrences. If a
patient refuses to take the medication simply documenting the refusal is insufficient. It's not required to
confirm the order with the healthcare provider. It's important to understand that aspirin is not given to
relieve headaches or pains.
3. A 37-year-old female is hospitalized with Acute Kidney injury (AKI). Which information is most useful
to the nurse in evaluating improvement in kidney function?
a. Urine volume
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Creatinine level
c. Glomerular filtration rate
d. Blood urea nitrogen (BUN) level - Ans:✔✔-Answer C Glomerular filtration rate
Rationale: The best way to evaluate kidney function is by using GFR (glomerular filtration rate) and taking
into account protein intake. It's worth mentioning that patients with AKI (acute kidney injury) may have
normal or high urine output which doesn't indicate kidney function. Also relying only on creatinine levels
is not a dependable method to assess renal function.
4. A patient with acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the
nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
a. Urine volume
b. Calcium level
c. Cardiac rhythm
d. Neurologic status - Ans:✔✔-Answer C Cardiac Rhythm
Page 3/62
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Rationale: Calcium gluconate helps prevent dysrhythmia that might be caused by hyperkalemia. The
nurse will also monitor the other data but these will not help determine the effectiveness of the calcium
gluconate.
5. Which finding will the nurse expect when assessing a 58-year-old patient with knee osteoarthritis?
a. Discomfort with joint movement
b. Heberden and Bouchard nodes
c. Redness and swelling of the knee joint.
d. Stiffness that increases with movement - Ans:✔✔-Answer A Discomfort with joint movement
Rationale: Initial symptoms of OA include pain with joint movement. Heberden nodules occur on the
fingers. Redness of the Joint is more strongly associated with rheumatoid arthritis (RA). Stiffness is worse
right after the patient rests and decreases with joint movement.
6. A nurse is reviewing the medical history of a client who has end-stage kidney disease. The nurse
should identify that which of the following factors in the client's history is a contraindication for receiving
hemodialysis?
a. History of hemophilia
b. Difficulty with ambulation
Page 4/62
FIRST PUBLISH OCTOBER 2024
Nurs 384 Final Study Guide with
Complete Solutions
1. A patient with left-sided weakness that started 60 minutes earlier is admitted to the Emergency
Department and diagnostic tests are ordered. Which test should be done first?
a. Complete blood count (CBC)
b. Chest radiography (Chest x-ray)
c. 12-Lead electrocardiogram (ECG)
d. Non-contrast computed tomography (CT) scan - Ans:✔✔-Answer D Non-contrast computed
tomography (CT) scan
Rationale: To screen for stroke symptoms quickly a non-contrast CT scan is required before administering
tissue plasminogen activator (tPA) within 4.5 hours. Giving tPA sooner reduces damage to brain tissue.
Diagnostic tests can reveal the possible causes of the stroke but they are not as urgent as the CT scan.
Page 1/62
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
2. A 72-year-old patient with a history of a transient ischemic attack (TIA) has an order for aspirin 160 mg
daily. When the nurse administers medications the patient says I don't need the aspirin today. I don't
have a fever. Which action should the nurse take?
a. Document that the ASA was refused by the patient.
b. Tell the patient that the aspirin is used to prevent a fever.
c. Explain that aspirin is ordered to decrease stroke.
d. Call the healthcare provider to clarify the medication order - Ans:✔✔-Answer C Explain that aspirin is
ordered to decrease stroke.
Rationale: Patients who have experienced TIAs are prescribed aspirin to prevent further occurrences. If a
patient refuses to take the medication simply documenting the refusal is insufficient. It's not required to
confirm the order with the healthcare provider. It's important to understand that aspirin is not given to
relieve headaches or pains.
3. A 37-year-old female is hospitalized with Acute Kidney injury (AKI). Which information is most useful
to the nurse in evaluating improvement in kidney function?
a. Urine volume
Page 2/62
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Creatinine level
c. Glomerular filtration rate
d. Blood urea nitrogen (BUN) level - Ans:✔✔-Answer C Glomerular filtration rate
Rationale: The best way to evaluate kidney function is by using GFR (glomerular filtration rate) and taking
into account protein intake. It's worth mentioning that patients with AKI (acute kidney injury) may have
normal or high urine output which doesn't indicate kidney function. Also relying only on creatinine levels
is not a dependable method to assess renal function.
4. A patient with acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the
nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
a. Urine volume
b. Calcium level
c. Cardiac rhythm
d. Neurologic status - Ans:✔✔-Answer C Cardiac Rhythm
Page 3/62
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
Rationale: Calcium gluconate helps prevent dysrhythmia that might be caused by hyperkalemia. The
nurse will also monitor the other data but these will not help determine the effectiveness of the calcium
gluconate.
5. Which finding will the nurse expect when assessing a 58-year-old patient with knee osteoarthritis?
a. Discomfort with joint movement
b. Heberden and Bouchard nodes
c. Redness and swelling of the knee joint.
d. Stiffness that increases with movement - Ans:✔✔-Answer A Discomfort with joint movement
Rationale: Initial symptoms of OA include pain with joint movement. Heberden nodules occur on the
fingers. Redness of the Joint is more strongly associated with rheumatoid arthritis (RA). Stiffness is worse
right after the patient rests and decreases with joint movement.
6. A nurse is reviewing the medical history of a client who has end-stage kidney disease. The nurse
should identify that which of the following factors in the client's history is a contraindication for receiving
hemodialysis?
a. History of hemophilia
b. Difficulty with ambulation
Page 4/62
