NR 341/ NR341 COMPLEX ADULT HEALTH EXAM 2 LATEST 2023-2024 REAL EXAM QUESTIONS AND CORRECT ANSWERS|AGRADE

NR 341/ NR341 COMPLEX ADULT HEALTH

EXAM 2 LATEST 2023-2024 REAL EXAM

QUESTIONS AND CORRECT

ANSWERS|AGRADE

While caring for a patient with a small bowel obstruction, the nurse assesses a pulmonary artery

occlusion pressure (PAOP) of 1 mm Hg and hourly urine output of 5 mL. The nurse anticipates

which therapeutic intervention?

a. Diuretics

b. Intravenous fluids

c. Negative inotropic agents

d. Vasopressors

ANS: B

3. The nursing is caring for a patient who has had an arterial line inserted. To reduce the risk of

complications, what is the priority nursing intervention?

a. Apply a pressure dressing to the insertion site.

b. Ensure all tubing connections are tightened.

c. Obtain a portable x-ray to confirm placement.

d. Restrain the affected extremity for 24 hours.

ANS: B

While caring for a patient with a pulmonary artery catheter, the nurse notes the pulmonary artery

occlusion pressure (PAOP) to be significantly higher than previously recorded values. The nurse

assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of

oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing

action?

a. Increase supplemental oxygen and notify respiratory therapy.

b. Notify the physician immediately of the assessment findings.

c. Obtain a stat chest x-ray film to verify proper catheter placement.

d. Zero reference and level the catheter at the phlebostatic axis.

ANS: D

The nurse is caring for a patient with a left subclavian central venous catheter (CVC) and a left

radial arterial line. Which assessment finding by the nurse requires immediate action?

a. A dampened arterial line waveform

b. Numbness and tingling in the left hand

c. Slight bloody drainage at subclavian insertion site

d. Slight redness at subclavian insertion site

ANS: B

Following insertion of a central venous catheter, the nurse obtains a stat chest x-ray film to verify

proper catheter placement. The radiologist reports to the nurse: “The tip of the catheter is located

in the superior vena cava.” What is the best interpretation of these results by the nurse?