NUR455 Unit 3 Exam

Question 1

SATA: Nurse caring for client w/ cirrhosis expects which meds to be administered?

Accepted Answer

Lactulose, Beta blockers, Diuretic

Question 2

DM pt. has CBG of 824 mg/dL & is unresponsive. After assessent, nurse rules out HHS and suspects DKA d/t which finding:

Accepted Answer

rapid, deep respirations

Question 3

PRE-operative nursing care GOALS for Cleft Lip Palate repair srugery includes:

Accepted Answer

Prevent Aspiration, Maintain Nutrition Status

Question 4

After diagnosing peds pt. w/ Wilm&#x27;s Tumor it is priority to educate client&#x27;s guardian to:

Accepted Answer

not let anyone palpate child&#x27;s adomen

Question 5

Nurse is caring for Peritoneal Dialysis pt. & plans on preventing peritonitis complication. RN should INTERVENE if she

Accepted Answer

Starting dialysate bag of 1000mL & drainage bag of 700mL after dialysis

Question 6

Peritoneal dialysis pt. in ED reports ab pain & chills. Nurse observed cloudy urine & rigid abdomen. Which complication?

Accepted Answer

Peritonitis

Question 7

Kidney transplant recipient has fever, chills & dysuria over past 2 days. What&#x27;s 1st action nurse should take?

Accepted Answer

assess temp & start workup to rule out infection

Question 8

17 y/o emancipated minor is in for a leg surgery & has verification from court. Which is most appropriate action?

Accepted Answer

Witness permit after surgeon receives consent

Question 9

Male pediatric pt. diagnosed w/ hypospadias. RN should QUESTION which order in their patient chart?

Accepted Answer

Circumcision procedure

Question 10

After admitting a post-op pt. to the clinical unitm which assessment requires the MOST immediate attention?

Accepted Answer

O2 Sat 85% on RA

Question 11

Appendicitis pt. had a fecalith obstruction. After constant pain complaints, sudden relief occured. What is next action?

Accepted Answer

take temp & look for other s/sx of peritonitis infection

Question 12

Pt states: "Im still unsure about what ethmoidectomy is" after giving consent to HCP yesterday. What&#x27;s RN&#x27;s next action?

Accepted Answer

Notify HCP about client&#x27;s major question & reccomend re-educating them

Question 13

ESRD pt. on hemodialysis is considering relative for kidney donation. To help w/ tx, nurse should inform pt. that:

Accepted Answer

successful transplant usually provides better quality of life than dialysis

Question 14

ED Nurse sees peristaltic waves from LUQ to RUQ on peds pt&#x27;s ab. Mom said child has been having projectile vomit @ home.

Accepted Answer

Nurse should suspect Pyloric Stenosis

Question 15

DKA patient will be beginning therapy. Which Rx does nurse expect FIRST?

Accepted Answer

Rapidly administer IV infusion of 0.9% NaCl

Question 16

Nurse is caring for pt. undergoing knee surgery. Which are critical for patient&#x27;s safety during the procedure?

Accepted Answer

Universal protocol is followed, Patient allergies is conveyed to the whole surgical team

Question 17

70 kg post-op pt. has average urine output of 25mL/hr during 1st 8 hrs. Priority action for this would be:

Accepted Answer

evaluate fluid volume status since surgery & obtain bladder ultrasound

Question 18

Gravid pt. w/ family hx of Cleft palate is told that CP prevention is not always 100% but ways to reduce risk includes:

Accepted Answer

Taking 400mcg of Folic Acid, Avoiding smoking & ETOH, Avoiding Methotrexate as anti-cancer med

Question 19

Acute Glomerulonephritis (AGN) vs Nephrotic Syndrome. Nurse understands that AGN will have which findings?

Accepted Answer

Elevated Antistreptolysin antibodies, facial edema usually during the evening

Question 20

SATA: During the oliguric phase of AKI. Nurse expects to see:

Accepted Answer

ECG changes, Pulmonary edema

Question 21

Collaborative Care for intestinal obstruction includes:

Accepted Answer

IVF (NS or LR), Pain medications

Question 22

Pediatric pt. comes into ED w/ suprapubic pain & incontinence r/t backflow of urine into the kidneys. Which renal issue?

Accepted Answer

Vesicourteral Reflex (VUR)

Question 23

Client was diagnosed with renal tract stones. Which main interventions does nurse anticipate?

Accepted Answer

Catheter (straight or foley), Bladder scan

Question 24

6 y/o pt has Enuresis. Mother is concerned about his bedwetting even after rigorous toilet training. RN expects which tx

Accepted Answer

Oxybutinin (Ditropan) 5mg BID Oral Syrup

Question 25

SATA: Acute pancreatitis nursing management includes:

Accepted Answer

monitoring abnormal calcium levels, pain control

NUR455 Unit 3 Exam

Questions 25

NUR455 Unit 3 Exam

Questions 25