Nu335 Med Surg /Adult Health Proctored Exam

Norepinephrine 5 mcg/minute titrated by blood pressure per protocol has been prescribed for a patient in refractory shock. Before administering the drug, the nurse ensures which action?

A patient who is unconscious after a head injury has cerebral edema. Which nursing intervention will be included in the plan of care?

A patient is being treated for facial bums caused by a house fire. Which assessment should the nurse make a priority?

The emergency department nurse admits a patient who presents with penetrating abdominal trauma. On exam, the patient is agitated, disoriented, and cannot remember how they got to the hospital. What is

A nurse is providing discharge teaching to a patient who has undergone a mitral valve replacement with a mechanical prosthesis. Which statement by the patient indicates a need for further teaching?

The cancer patient complains of facial and neck swelling, assessment findings reveal periorbital edema and distention of the veins in the chest. Based on these findings, the nurse should suspect which

A nurse is caring for a patient who is 12 hours post-op from a coronary artery bypass graft (CABG). The cardiac monitor shows new-onset atrial fibrillation with a rapid ventricular response. Which nur

A patient with an oral endotracheal (ET) tube has tube feeding in progress. To address the risk for aspiration, the nurse will perform which intervention for this patient?

The nurse cares for a patient who is suspected of having bacterial meningitis. The patient's family asks the nurse how will the diagnosis be confirmed. How should the nurse reply?

Review the information in the electronic health record. The nurse is aware the client may have injuries not immediately visible on assessment. For which additional injuries is this patient at high ris

Review the information in the electronic health record. Which potential complication does the nurse identify as high-risk for the patient?

A patient is admitted with possible syndrome of inappropriate anti-diuretic hormone (SIADH). Which information obtained by the nurse is most important to communicate rapidly to the health care provide

When caring for a patient who has shock, which assessment finding will be of greatest concern to the nurse?

The nurse is caring for a patient recently admitted with a 50% total body surface area burn. Upon evaluating laboratory results, which result requires an immediate nursing intervention?

Telemetry monitoring indicates asystole. The nurse finds the patient not breathing with no palpable carotid pulse. What is the nurse's initial action?

Teaching for a new staff nurse has been effective when the new nurse performs which action while caring for a patient with hemodynamic monitoring?

The emergency department nurse is assessing a patient who has been in an automobile accident. Which clinical manifestation illustrates a tension pneumothorax?

The patient has D5 1/2NS with 20 mEq KCI infusing through a peripheral IV site. The physician orders Protonix 40mg IVP daily. Which is the most appropriate action for the nurse?

The nurse is assessing a patient with multiple traumas, who is at risk for developing respiratory distress syndrome. What assessment finding does the nurse expect as an early sign of respiratory distr

A patient with chronic obstructive pulmonary disease arrives to the emergency department in acute respiratory distress. Which assessment finding, by the nurse is most important to report to the health

Four victims of an automobile accident are brought by the ambulance to the emergency department. Based on the principles of triage, the nurse determines that which patient has the highest priority for

A patient is being treated for shock. The nurse knows that shock is a clinical syndrome characterized by which physiologic state?

After receiving change-of-shift report on the burn unit, which patient would the nurse assess first?

The nurse is caring for a patient with acute kidney injury. The nurse would expect that IV regular insulin and glucose, sodium bicarbonate, and IV calcium gluconate will be used to treat what complica

Based on the information in the electronic health record, complete the following sentences using the drop-down lists. The nurse reads the telemetry strip and interprets the client's cardiac rhythm asd