PNR 207 EXAM TWO STUDY GUIDE - PRACTICE TEST
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
GRADED A++
What are the signs and symptoms of hypermagnesemia?
Weakness, nausea, confusion, headaches, dizziness, decreased deep tendon reflexes,
hypotension
What precautions should be taken for a patient with low WBC?
No fresh flowers, no fresh fruit, hand hygiene
What are the symptoms of high calcium levels?
Confusion, risk for kidney damage, risk for electrical conduction issues in the heart
What is the normal range for uric acid levels? How are elevated levels related to
gout?
Normal range: M: 4 - 8.5, F: 2.7 - 7.3; Elevated levels are common in gout
What are the causes and complications of elevated potassium levels?
Causes: hyperkalemia; Complications: shortness of breath, chest pain, nausea and
vomiting, heart palpitations
What does HbA1c measure and what is the normal range?
HbA1c measures normal blood sugar levels over a three-month range; Normal range:
4% - 6%
What precautions should be taken for a patient with low platelet levels?
Use electric toothbrush and electric razor
, What is the normal range for central venous pressure (CVP)? What is the priority
when CVP is very low?
Normal range: 8 - 12mmHg; Priority: administer fluids
What is the lab value used to monitor the therapeutic effect of Heparin therapy?
What is the normal range for this lab value?
Lab value: aPtt; Normal range: 1.5 - 2.5 times 30 - 40 seconds
What lab value is used to monitor the effectiveness of epoetin alfa? What should
be monitored?
Lab value: hemoglobin and hematocrit; Monitor hemoglobin and hematocrit
What are the signs of infiltration and how do they compare to signs of phlebitis?
Phlebitis signs: warm, tender; Infiltration signs: cold, clammy, pale, swelling
What type of activity would be suitable for clients with bipolar experiencing
aggressive behavior?
Calm safe environment with solitary activity such as writing
What type of strategies would benefit clients with disturbed thought process?
Ask open-ended questions, use silence, sit at eye level with eye contact
What therapeutic technique validates clients' feelings by directing what they say
back to them?
Reflection
What is the nurse's priority when dealing with a patient following an assault with
severe anxiety?
Safety and stay with the patient
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS
GRADED A++
What are the signs and symptoms of hypermagnesemia?
Weakness, nausea, confusion, headaches, dizziness, decreased deep tendon reflexes,
hypotension
What precautions should be taken for a patient with low WBC?
No fresh flowers, no fresh fruit, hand hygiene
What are the symptoms of high calcium levels?
Confusion, risk for kidney damage, risk for electrical conduction issues in the heart
What is the normal range for uric acid levels? How are elevated levels related to
gout?
Normal range: M: 4 - 8.5, F: 2.7 - 7.3; Elevated levels are common in gout
What are the causes and complications of elevated potassium levels?
Causes: hyperkalemia; Complications: shortness of breath, chest pain, nausea and
vomiting, heart palpitations
What does HbA1c measure and what is the normal range?
HbA1c measures normal blood sugar levels over a three-month range; Normal range:
4% - 6%
What precautions should be taken for a patient with low platelet levels?
Use electric toothbrush and electric razor
, What is the normal range for central venous pressure (CVP)? What is the priority
when CVP is very low?
Normal range: 8 - 12mmHg; Priority: administer fluids
What is the lab value used to monitor the therapeutic effect of Heparin therapy?
What is the normal range for this lab value?
Lab value: aPtt; Normal range: 1.5 - 2.5 times 30 - 40 seconds
What lab value is used to monitor the effectiveness of epoetin alfa? What should
be monitored?
Lab value: hemoglobin and hematocrit; Monitor hemoglobin and hematocrit
What are the signs of infiltration and how do they compare to signs of phlebitis?
Phlebitis signs: warm, tender; Infiltration signs: cold, clammy, pale, swelling
What type of activity would be suitable for clients with bipolar experiencing
aggressive behavior?
Calm safe environment with solitary activity such as writing
What type of strategies would benefit clients with disturbed thought process?
Ask open-ended questions, use silence, sit at eye level with eye contact
What therapeutic technique validates clients' feelings by directing what they say
back to them?
Reflection
What is the nurse's priority when dealing with a patient following an assault with
severe anxiety?
Safety and stay with the patient
