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1. A patient has been prescribed an ACE to manage blood C. Ramipril
pressure. Which drug will the nurse expect an order
for? ACE= drugs that end with
A. Atenolol -pril
B. Coreg
C. Ramipril
D. Toprol XL
2. Which subjective symptom will alert the nurse to the "Usually I wake up several
possibility of hypocalcemia? times a night with painful
cramps in my legs."
3. Which of the following assessments indicate the pres- Coffee ground vomitus
ence of curling's ulcer in a burn patient?
4. A licensed practitioner has ordered the drug Veltassa. Hyperkalemia
As a nurse, you understand that this drug therapy is
given to patients with what condition?
5. You are using the Troussea and Chvosteks' signs to Hypocalcemia and hypo-
assess for electrolyte imbalance. Your patient reflects magnesemia
a positive Troussea and Chvosteks sign. These positive
signs reflect which electrolyte abnormalities?
6. A patient has the following electrolyte levels: Sodium Magnesium.
of 137 mEq/L, Potassium of 4.8 mEq/L, Magnesium of
4.1 mEq/L, and calcium of 9.1 mg/dL. Which of these
labs require the nurse to notify the healthcare provider
immediately?
7. The nurse interprets which arterial blood gas values as pH 7.22, bicarbonate 19
metabolic acidosis? mEq/L, PCO, 33 mm Hg
, Final Exam Nursing III
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8. The physician prescribes Mafenide acetate for the Administer analgesic 20
burn wound. Which of the following represents an ap- minutes before applica-
propriate nursing intervention related to this agent? tion of this agent.
9. When assessing the patient's peripheral IV site, the Phlebitis at IV site.
nurse observes a streak of red along the vein path
and feels warmth around the site. What is the most
accurate documentation of this finding?
10. The nurse is monitoring a client receiving total par- Infuse intravenous 20%
enteral nutrition. The nurse notices that the bag of TPN dextrose while awaiting
is finished but a new bag is not available. After notify- for the new bag of TPN.
ing the pharmacy regarding an immediate need for a
new bag, which is the nurse's priority intervention?
11. While monitoring a patient who has fluid overload, the Presence of crackles in the
nurse would be most concerned about which assess- lung.
ment finding?
12. A patient is receiving fluid resuscitation after a burn. Urine output = 40 ml/hour.
Which finding best indicates that fluid resuscitation is
adequate for this patient?
13. A client who has extensive facial burns is experiencing Auscultate lung sounds
wheezing and is having difficulty swallowing. Which and prepare for intuba-
action does the nurse take first? tion.
14. A patient has been having frequent liquid diarrhea for Hypoklemia
the last 24 hours. A stool sample was sent to the lab-
oratory to confirm possible clostridium difficile infec-
tion. The nurse should monitor the patient for which
electrolyte imblanance?