23 Questions
What is the priority nursing action for the client with severe preeclampsia receiving magnesium sulphate infusion?
Contact the HCP and recommend discontinuing the magnesium infusion
Which ABG result would likely be present in a client presenting in the early stages of shock?
pH: 7.22 ; PCO2: 44 mm hg ; HCO3: 12 mmol/L
Which collaborative intervention should the nurse clarify with the healthcare provider for a client with a cervical injury at the T5 vertebra?
Norepinephrine IV infusion
What information should the nurse include in discharge instructions for a client diagnosed with cirrhosis and esophageal varices?
Avoid products containing acetaminophen
What is the primary rationale for including Ramipril (Altace) 5 mg as part of the treatment plan for a client diagnosed with heart failure?
To decrease preload and thereby reduce oxygen demand
Which data indicates that a client admitted with a head injury is experiencing Cushing's triad? (SATA)
Blood pressure 170/55 mmHg
A patient admitted with pneumonia, hypertension, and COPD, develops signs of acute kidney injury. Which medication currently listed on the MAR is safe to be administered to the client?
Spironolactone (Aldactone)
What is the most appropriate nursing response when a client with diabetes mellitus, heart failure, and chronic kidney disease expresses a desire for medical assistance in dying (MAiD)?
Collect subjective data on the Client’s knowledge, understanding and concerns about dialysis
A client is admitted with a rupture pancreatic abscess and shows signs of instability. Which healthcare provider order should the nurse implement first?
IV normal saline infusion 810 mL/hr
A client is admitted with acute pancreatitis and develops concerning signs and symptoms. What should the nurse do first?
Check for signs and symptoms of bleeding
A client post hemodialysis and removal of 3 L of fluid reports symptoms. The nurse notifies the HCP and anticipates which order?
Bloodwork for electrolyte levels
A client with chronic kidney disease self-managing peritoneal dialysis at home. Which data obtained at the follow-up clinic would indicate complications of the therapy? (SATA)
Abdominal guarding
A young client with increased ICP secondary to cerebral edema and an occipital fracture is now showing signs and symptoms of acute kidney injury. In relation to the change in status, what is most concerning for this client?
Decreased cerebral perfusion pressure
What ABG result reflects early onset ARDS?
pH 7.22, PCO2 60 mmHg, HCO3 33 mmol/L
What is the therapeutic effect of lactulose in liver failure?
At least 3 daily bowel movements
What should the nurse do if a client with liver cirrhosis suddenly vomits bright blood?
Notify the healthcare provider immediately
What is the purpose of intravenous vasopressin in a client with esophageal varices causing upper GI hemorrhage?
To constrict splanchnic blood vessels
What signs indicate kidney rejection post-transplant?
Fever, weight gain, decreased urinary output, increased BP
What is indicated by an irregular pulse in a client with heart failure and acute kidney injury?
Electrolyte imbalances
What is recommended to lower the risk for necrotizing enterocolitis in a preterm infant unable to breastfeed?
Initiating early enteral administration of breast milk
What do new onset swollen ankles, jugular venous distention, decreased urine output, and increased serum creatinine indicate in a client?
Signs and symptoms of left heart failure, decreased renal blood flow, risk for acute tubular necrosis, increased cardiac workload, and fluid volume overload
What is the effective use of propranolol indicated by in a client with liver cirrhosis and esophageal varices?
Absence of signs of gastrointestinal bleeding and dysrhythmias
What is essential to minimize the risk of increased intracranial pressure post-craniotomy?
Fluid balance maintenance, continuous oxygen therapy, and ICP monitoring
Study Notes
Nursing Exam Practice Questions Summary
- Oxygen therapy with nasal prongs is used to maintain O2 saturation >92%
- Signs of magnesium toxicity in pregnancy include absent deep tendon reflexes, respiratory depression, and hypotension
- To minimize the risk of increased intracranial pressure post-craniotomy, fluid balance maintenance, continuous oxygen therapy, and ICP monitoring are essential
- The ABG result reflecting early onset ARDS would show a pH of 7.22, PCO2 of 60 mmHg, and HCO3 of 33 mmol/L
- Therapeutic effect of lactulose in liver failure is indicated by at least 3 daily bowel movements
- Intravenous vasopressin is used to constrict splanchnic blood vessels in a client with esophageal varices causing upper GI hemorrhage
- In a client with liver cirrhosis who suddenly vomits bright blood, the nurse should notify the healthcare provider immediately
- Signs of kidney rejection post-transplant include fever, weight gain, decreased urinary output, and increased BP
- An irregular pulse in a client with heart failure and acute kidney injury warrants a review of the client's lab work for electrolyte imbalances
- To lower the risk for necrotizing enterocolitis in a preterm infant unable to breastfeed, initiating early enteral administration of breast milk is recommended
- New onset swollen ankles, jugular venous distention, decreased urine output, and increased serum creatinine indicate signs and symptoms of left heart failure, decreased renal blood flow, risk for acute tubular necrosis, increased cardiac workload, and fluid volume overload
- In a client with liver cirrhosis and esophageal varices, the effective use of propranolol is indicated by the absence of signs of gastrointestinal bleeding and dysrhythmias
Test your nursing knowledge with these practice questions covering various aspects of patient care, including oxygen therapy, magnesium toxicity, intracranial pressure management, ABG interpretation, liver failure, esophageal varices, organ transplant complications, heart failure, and neonatal care. Perfect for nursing students and professionals looking to sharpen their skills.
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