NP235 EXAM 1 2025 WITH 100% ACCURATE
SOLUTIONS
1. A patient with atrial fibrillation on Coumadin presents with a PT level
significantly higher than the therapeutic range. What should the nurse's
immediate action be?
Increase the Coumadin dosage to bring the PT level down.
Administer vitamin K without consulting the provider.
Notify the healthcare provider and assess the patient for signs of
bleeding.
Continue the current dosage of Coumadin and monitor the patient.
2. Describe the significance of the 3 P's in the context of hyperglycemia and
diabetes management.
The 3 P's indicate that the body is unable to utilize glucose
properly, leading to excessive urination, increased thirst, and
increased hunger.
The 3 P's are signs of a respiratory infection.
The 3 P's are symptoms of dehydration unrelated to diabetes.
The 3 P's signify an allergic reaction to insulin.
3. What is the primary purpose of an exercise stress test in clinical practice?
To assess cardiovascular response to physical stress
To diagnose diabetes
To measure lung capacity
To evaluate kidney function
,4. Why is it important for a nurse to monitor for numbness and tingling after
an arthroscopy procedure?
, Numbness and tingling are unrelated to surgical procedures.
Numbness and tingling are signs of infection.
Numbness and tingling are normal post-operative symptoms.
Numbness and tingling can indicate compromised circulation or
nerve damage.
5. An acute care therapist receives an order for PT Eval & Treat for a patient
with chronic kidney disease. Upon reviewing the patient's lab values, the
therapist observes K+ = 6.2. The therapist will hold therapy on this patient
because:
Low calcium levels can put the patient at risk for elevated blood
pressure
High potassium levels can put the patient at risk for delirium and
psychosis
High creatinine levels can put the patient at risk for hyperreflexia
and tremors
High potassium levels can put the patient at risk for fatal cardiac
arrhythmias
6. Describe why vomiting can lead to metabolic alkalosis in patients.
Vomiting can lead to metabolic alkalosis due to the loss of
gastric acid, which decreases hydrogen ion concentration in the
body.
Vomiting does not affect acid-base balance in the body.
Vomiting increases the production of bicarbonate in the kidneys,
causing alkalosis.
Vomiting causes an increase in carbon dioxide levels, leading to
acidosis.
, 7. An adult female client has a hemoglobin level of 10.8 g/dL. The nurse
interprets that this result is most likely caused by which condition noted in
the client's history?
Iron deficiency anemia
Chronic obstructive pulmonary disease
Dehydration
Heart failure
8. If a patient undergoing a paracardiocentesis continues to express fear
despite initial reassurance, what would be an appropriate follow-up
intervention?
Tell them to calm down and focus on the procedure.
Ask an open-ended question to explore their concerns further.
Change the subject to distract them.
Provide them with a brochure about the procedure.
9. What is a potential complication of thoracentesis that may affect breath
sounds?
Atelectasis
Pulmonary embolism
Pleural effusion
Pneumothorax
10. A patient with diabetes mellitus presents to the ER with a blood sugar
greater than 400. Which type of acid-base imbalance would we monitor
for?
Respiratory Alkalosis
Metabolic Alkalosis
SOLUTIONS
1. A patient with atrial fibrillation on Coumadin presents with a PT level
significantly higher than the therapeutic range. What should the nurse's
immediate action be?
Increase the Coumadin dosage to bring the PT level down.
Administer vitamin K without consulting the provider.
Notify the healthcare provider and assess the patient for signs of
bleeding.
Continue the current dosage of Coumadin and monitor the patient.
2. Describe the significance of the 3 P's in the context of hyperglycemia and
diabetes management.
The 3 P's indicate that the body is unable to utilize glucose
properly, leading to excessive urination, increased thirst, and
increased hunger.
The 3 P's are signs of a respiratory infection.
The 3 P's are symptoms of dehydration unrelated to diabetes.
The 3 P's signify an allergic reaction to insulin.
3. What is the primary purpose of an exercise stress test in clinical practice?
To assess cardiovascular response to physical stress
To diagnose diabetes
To measure lung capacity
To evaluate kidney function
,4. Why is it important for a nurse to monitor for numbness and tingling after
an arthroscopy procedure?
, Numbness and tingling are unrelated to surgical procedures.
Numbness and tingling are signs of infection.
Numbness and tingling are normal post-operative symptoms.
Numbness and tingling can indicate compromised circulation or
nerve damage.
5. An acute care therapist receives an order for PT Eval & Treat for a patient
with chronic kidney disease. Upon reviewing the patient's lab values, the
therapist observes K+ = 6.2. The therapist will hold therapy on this patient
because:
Low calcium levels can put the patient at risk for elevated blood
pressure
High potassium levels can put the patient at risk for delirium and
psychosis
High creatinine levels can put the patient at risk for hyperreflexia
and tremors
High potassium levels can put the patient at risk for fatal cardiac
arrhythmias
6. Describe why vomiting can lead to metabolic alkalosis in patients.
Vomiting can lead to metabolic alkalosis due to the loss of
gastric acid, which decreases hydrogen ion concentration in the
body.
Vomiting does not affect acid-base balance in the body.
Vomiting increases the production of bicarbonate in the kidneys,
causing alkalosis.
Vomiting causes an increase in carbon dioxide levels, leading to
acidosis.
, 7. An adult female client has a hemoglobin level of 10.8 g/dL. The nurse
interprets that this result is most likely caused by which condition noted in
the client's history?
Iron deficiency anemia
Chronic obstructive pulmonary disease
Dehydration
Heart failure
8. If a patient undergoing a paracardiocentesis continues to express fear
despite initial reassurance, what would be an appropriate follow-up
intervention?
Tell them to calm down and focus on the procedure.
Ask an open-ended question to explore their concerns further.
Change the subject to distract them.
Provide them with a brochure about the procedure.
9. What is a potential complication of thoracentesis that may affect breath
sounds?
Atelectasis
Pulmonary embolism
Pleural effusion
Pneumothorax
10. A patient with diabetes mellitus presents to the ER with a blood sugar
greater than 400. Which type of acid-base imbalance would we monitor
for?
Respiratory Alkalosis
Metabolic Alkalosis
