NR 341 FINAL Exam 70 Questions with Correct Answers
Marked 2022
A hospice nurse who has become close to a terminally ill patient is presented in the home when the
patient dies and feels saddened and tearful as the family members begin to cry. Which action should the
nurse take at this time? -Correct Answer= Cry along with the patient's family members
The son of a dying patient tells the nurse, "Mother doesn't respond any more when I visit, I don't think
she knows that I am here". Which response by the nurse is appropriate? -Correct Answer= "Withdrawal
can be a normal response in the process of dying."
A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for
mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48,
paO2 32 mmHG, and HCO3 25 mEq/L? -Correct Answer= Respiratory Alkalosis
An older adult patient receiving iso-osmolar continuous enteral nutrition develops restlessness,
agitation, and weakness. Which laboratory result should the nurse report to the health care provider
immediately? -Correct Answer= Na 154 mEq/L (154 mmo/L)
A patient undergoing an emergency appendectomy has been using St. Johns wart to prevent depression.
Which complication should the nurse expect in the post anesthesia care unit? -Correct Answer=
Increased anesthesia recovery time
A patient who takes a diuretic and a B-blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is most important to communicate to the health care
provider before surgery? -Correct Answer= Serum potassium 3.2 mEq/L
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, While in the holding area, a patient revels to the nurse that his father had a high fever immediately after
surgery. What action by the nurse is a priority? -Correct Answer= Alert the anesthesia care provider of
the family member's reaction to surgery.
A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. Which
in the post anesthesia care unit (PACU). What assessment finding is most important for the nurse to
report? -Correct Answer= Weak chest movement
A patient who has begun to awaken after 30 minutes in the post anesthesia care unit (PACU) is restless
and shouting at the nurse. The patient's oxygen saturation is 96%, and recent laboratory results are all
normal. Which action by the nurse is most appropriate? -Correct Answer= Assess for bladder distension
A patient who is just waking up after having hip replacement surgery is agitated and confused. Which
action should the nurse take first? -Correct Answer= Check the oxygen (O2) saturation
On admission to the burn unit, a patient with an approximate 25% total body surface area (TBSA) burn
has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL (172 d/L), Serum K+ 4.9 mEq/L (4.8
mmol/L and serum Na+ 1345 mEq/L (135 mmo/L). Which of the following prescribed actions should be
the nurse's priority? -Correct Answer= Increasing the rate of the ordered IV solution
A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The
initial volume of fluid to be given in the first 24 hrs. Is 30,000 mL. The initial rate of administration is
1875, L/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids? -Correct Answer= 938
mL/hr.
A patient arrives in the emergency department with facial and chest burns caused by a house fire. Which
actions should the nurse take first? -Correct Answer= Auscultate for breath sounds
Which nursing action is a priority for a patient who has suffered a burn injury while working on an
electrical power line? -Correct Answer= Stabilize the cervical spine
This study source was downloaded by 100000857300661 from CourseHero.com on 12-12-2022 13:40:12 GMT -06:00
https://www.coursehero.com/file/182591086/NR-341-FINAL-Exam-70-Questions-with-Correct-Answers-Marked-2022docx/
Marked 2022
A hospice nurse who has become close to a terminally ill patient is presented in the home when the
patient dies and feels saddened and tearful as the family members begin to cry. Which action should the
nurse take at this time? -Correct Answer= Cry along with the patient's family members
The son of a dying patient tells the nurse, "Mother doesn't respond any more when I visit, I don't think
she knows that I am here". Which response by the nurse is appropriate? -Correct Answer= "Withdrawal
can be a normal response in the process of dying."
A patient who was involved in a motor vehicle crash has had a tracheostomy placed to allow for
mechanical ventilation. How should the nurse interpret the following arterial blood gas results: pH 7.48,
paO2 32 mmHG, and HCO3 25 mEq/L? -Correct Answer= Respiratory Alkalosis
An older adult patient receiving iso-osmolar continuous enteral nutrition develops restlessness,
agitation, and weakness. Which laboratory result should the nurse report to the health care provider
immediately? -Correct Answer= Na 154 mEq/L (154 mmo/L)
A patient undergoing an emergency appendectomy has been using St. Johns wart to prevent depression.
Which complication should the nurse expect in the post anesthesia care unit? -Correct Answer=
Increased anesthesia recovery time
A patient who takes a diuretic and a B-blocker to control blood pressure is scheduled for breast
reconstruction surgery. Which patient information is most important to communicate to the health care
provider before surgery? -Correct Answer= Serum potassium 3.2 mEq/L
This study source was downloaded by 100000857300661 from CourseHero.com on 12-12-2022 13:40:12 GMT -06:00
https://www.coursehero.com/file/182591086/NR-341-FINAL-Exam-70-Questions-with-Correct-Answers-Marked-2022docx/
, While in the holding area, a patient revels to the nurse that his father had a high fever immediately after
surgery. What action by the nurse is a priority? -Correct Answer= Alert the anesthesia care provider of
the family member's reaction to surgery.
A patient in surgery receives a neuromuscular blocking agent as an adjunct to general anesthesia. Which
in the post anesthesia care unit (PACU). What assessment finding is most important for the nurse to
report? -Correct Answer= Weak chest movement
A patient who has begun to awaken after 30 minutes in the post anesthesia care unit (PACU) is restless
and shouting at the nurse. The patient's oxygen saturation is 96%, and recent laboratory results are all
normal. Which action by the nurse is most appropriate? -Correct Answer= Assess for bladder distension
A patient who is just waking up after having hip replacement surgery is agitated and confused. Which
action should the nurse take first? -Correct Answer= Check the oxygen (O2) saturation
On admission to the burn unit, a patient with an approximate 25% total body surface area (TBSA) burn
has the following initial laboratory results: Hct 58%, Hgb 18.2 mg/dL (172 d/L), Serum K+ 4.9 mEq/L (4.8
mmol/L and serum Na+ 1345 mEq/L (135 mmo/L). Which of the following prescribed actions should be
the nurse's priority? -Correct Answer= Increasing the rate of the ordered IV solution
A patient with severe burns has crystalloid fluid replacement ordered using the Parkland formula. The
initial volume of fluid to be given in the first 24 hrs. Is 30,000 mL. The initial rate of administration is
1875, L/hr. After the first 8 hours, what rate should the nurse infuse the IV fluids? -Correct Answer= 938
mL/hr.
A patient arrives in the emergency department with facial and chest burns caused by a house fire. Which
actions should the nurse take first? -Correct Answer= Auscultate for breath sounds
Which nursing action is a priority for a patient who has suffered a burn injury while working on an
electrical power line? -Correct Answer= Stabilize the cervical spine
This study source was downloaded by 100000857300661 from CourseHero.com on 12-12-2022 13:40:12 GMT -06:00
https://www.coursehero.com/file/182591086/NR-341-FINAL-Exam-70-Questions-with-Correct-Answers-Marked-2022docx/
