NSG430 Exam 4 | Latest 2024/2025 Questions & Answers |
Verified & Graded A – Grand Canyon University
1. SATA: Risk factors for bacterial infection
Answer: Diabetes Mellitus, Atopic dermatitis, Moisture,
Obesity, Skin neoplasms
2. SATA: Treatment for lower extremity cellulitis, what orders
do you expect?
Answer: Vancomycin 1000mls, Elevate the extremity, Heat
packs
3. Which data collected by the nurse caring for a patient who
has cardiogenic shock indicate that the patient may be
developing multiple organ dysfunction syndrome?
Answer: The patient's serum creatinine level is elevated.
4. INR/PT levels doubled, what are you giving?
Answer: Fresh frozen plasma
5. A patient recovering from heart surgery develops
pericarditis and complains of level 6 (0 to 10 scale) chest pain
with deep breathing. Which ordered PRN medication will be
the most appropriate for the nurse to give?
Answer: Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is
admitting a patient with chest pain suggests that the pain is
,caused by an acute myocardial infarction (AMI)?
Answer: The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for
a patient who is being treated for bleeding esophageal varices
with balloon tamponade?
Answer: Monitor the patient for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain
injury after a car accident (MVA) to the emergency
department (ED), which finding is most important to report to
the health care provider?
Answer: Patient states they regularly take warfarin (Coumadin)
9. During discharge teaching with a 68-year-old patient who
had a mitral valve replacement with a mechanical valve, what
should the nurse instruct the patient on?
Answer: Need for frequent PTT/INR measurement; long-term
anticoagulants
10. Which assessment finding for a patient who has just been
admitted with acute pyelonephritis is most important for the
nurse to report to the health care provider?
Answer: Blood pressure 82/60 mm Hg
11. Decorticate posture: what would you question?
Answer: Consent for the lumbar puncture
, 12. A patient with acute pancreatitis is reporting excessive
thirst, excessive voiding, and blurred vision. As the nurse,
what is the priority?
Answer: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with
anemia?
Answer: Restlessness
14. The nurse preparing for the annual physical exam of a 50-
year-old man will plan to teach the patient about?
Answer: Colonoscopy
15. Which finding indicates to the nurse that a patient's
transjugular intrahepatic portosystemic shunt (TIPS) placed 3
months ago has been effective?
Answer: Fewer episodes of bleeding varices
16. What is an expected lab value for someone with SIADH?
Answer: The patient has a serum sodium level of 115 mEq/L
17. A 37-year-old female patient is hospitalized with acute
kidney injury (AKI). Which information will be most useful to
the nurse in evaluating improvement in kidney function?
Answer: Glomerular filtration rate (GFR)
18. A 50-year-old man vomiting blood-streaked fluid is
admitted to the hospital with acute gastritis. To determine
possible risk factors for gastritis, the nurse will ask the patient
Verified & Graded A – Grand Canyon University
1. SATA: Risk factors for bacterial infection
Answer: Diabetes Mellitus, Atopic dermatitis, Moisture,
Obesity, Skin neoplasms
2. SATA: Treatment for lower extremity cellulitis, what orders
do you expect?
Answer: Vancomycin 1000mls, Elevate the extremity, Heat
packs
3. Which data collected by the nurse caring for a patient who
has cardiogenic shock indicate that the patient may be
developing multiple organ dysfunction syndrome?
Answer: The patient's serum creatinine level is elevated.
4. INR/PT levels doubled, what are you giving?
Answer: Fresh frozen plasma
5. A patient recovering from heart surgery develops
pericarditis and complains of level 6 (0 to 10 scale) chest pain
with deep breathing. Which ordered PRN medication will be
the most appropriate for the nurse to give?
Answer: Oral ibuprofen (Motrin) 600 mg
6. Which assessment data collected by the nurse who is
admitting a patient with chest pain suggests that the pain is
,caused by an acute myocardial infarction (AMI)?
Answer: The pain has lasted longer than 30 minutes
7. Which nursing action will be included in the plan of care for
a patient who is being treated for bleeding esophageal varices
with balloon tamponade?
Answer: Monitor the patient for shortness of breath.
8. When admitting a 42-year-old patient with a possible brain
injury after a car accident (MVA) to the emergency
department (ED), which finding is most important to report to
the health care provider?
Answer: Patient states they regularly take warfarin (Coumadin)
9. During discharge teaching with a 68-year-old patient who
had a mitral valve replacement with a mechanical valve, what
should the nurse instruct the patient on?
Answer: Need for frequent PTT/INR measurement; long-term
anticoagulants
10. Which assessment finding for a patient who has just been
admitted with acute pyelonephritis is most important for the
nurse to report to the health care provider?
Answer: Blood pressure 82/60 mm Hg
11. Decorticate posture: what would you question?
Answer: Consent for the lumbar puncture
, 12. A patient with acute pancreatitis is reporting excessive
thirst, excessive voiding, and blurred vision. As the nurse,
what is the priority?
Answer: Checking the patient's blood glucose
13. What are early signs of hypoxemia with a patient with
anemia?
Answer: Restlessness
14. The nurse preparing for the annual physical exam of a 50-
year-old man will plan to teach the patient about?
Answer: Colonoscopy
15. Which finding indicates to the nurse that a patient's
transjugular intrahepatic portosystemic shunt (TIPS) placed 3
months ago has been effective?
Answer: Fewer episodes of bleeding varices
16. What is an expected lab value for someone with SIADH?
Answer: The patient has a serum sodium level of 115 mEq/L
17. A 37-year-old female patient is hospitalized with acute
kidney injury (AKI). Which information will be most useful to
the nurse in evaluating improvement in kidney function?
Answer: Glomerular filtration rate (GFR)
18. A 50-year-old man vomiting blood-streaked fluid is
admitted to the hospital with acute gastritis. To determine
possible risk factors for gastritis, the nurse will ask the patient
