NUR 160 EXAM 2025 | ACTUAL QUESTIONS
WITH VERIFIED DETAILED ANSWERS
The nurse is monitoring a patient receiving oxygen therapy. Which assessment is a
priority to ensure effective therapy? -correct-answer-Assess for proper placement
of the nasal cannula
The LPN is caring for a teenager that was rushed to the emergency room (ER)
following her mother's complaint her teen has been irritable, barely eats/drinks,
and has had diarrhea for the past three days. The teenagers respiratory rate is
elevated. PAO2 is 99% and skin is dry. The physician orders arterial blood gases
(ABGs) to be drawn. The results of the ABGs are pH 7.34, PaCO2 37, and HCO3 19.
The LPN knows this means the teenager is experiencing signs and symptoms of
which of the following imbalances? -correct-answer-Metabolic Acidosis
The LPN notices on assessment the patient has tachycardia and hypotension.
Which of the following is the nurse's next action? -correct-answer-Notify the
physician to request an increase in the IV fluid rate
The nurse is caring for a patient with an order for strict intake and output (I and
O). Which of the following could not be documented as insensible fluid losses
under output? -correct-answer-The fluid volume of loss through perspiration after
a stress test
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- The fluid volume of respirations loss after a vigorous workout
The nurse is providing care to a patient admitted to the hospital with a change In
mental status, poor skin turgor, dry mucous membranes, and flat neck veins. The
nurse understands these signs are an indication of which fluid imbalance? -
correct-answer-Fluid volume deficit
The post-op LPN is caring for a patient who underwent abdominal surgery, and
has an nasogastric tube inserted. The patient has a medical history of chronic
obstructive pulmonary disease (COPD), hypertension (HTN), and diabetes (DM).
The LPN reports the arterial blood gases (ABGs) to the physician: pH 7.21, PaCO2
48. HCO3 24. The nurse knows these blood gases indicate which of the following?
-correct-answer-Respiratory Acidosis
The LPN is caring for a patient admitted to the hospital with hyperemesis, nausea,
weakness, low potassium of 2.9 , and placed on continuous nasogastric
suctioning. Which primary acid base imbalances is the patient at risk for if the
patient remains on continuous nasogastric suctioning? -correct-answer-Metabolic
Alkalosis
The LPN has obtained report on their patient assignment. One of the patients is
complaining of moderate pain, and is in emotional distress. Vital signs include RR
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26, PaO2 89, and arterial blood gases (ABGs) values of pH 7.48 PaCO2 31, and
HCO3 25. The LPN knows to implement which of the following interventions for
hyperventilation -correct-answer-Place patient in high fowlers and encourage slow
breathing
- Instruct patient how to blow into their hands
- Encourage patient to cough and deep breath
The LPN is obtaining data from assessing a patient being admitted from the
Emergency Room (ER). Which reported symptoms would indicate impaired tissue
perfusion -correct-answer-Dyspnea, pain, edema, dizziness and fainting
The patient with emphysema is receiving oxygen therapy by nasal cannula. The
nurse checks the oxygen flow meter, at the beginning of the shift to be sure that
the flow rate does not exceed which flow rate? -correct-answer-2L/Min
The patient who is mouth breathing is receiving oxygen therapy by simple face
mask. The unlicensed assistive personnel (UAI) ask the nurse "Why is there a
water bottle attached to the oxygen tubing near the oxygen flow meter?" The
nurse provides which appropriate response? -correct-answer-A To humidity the
oxygen bypassing the patient's nose"