Download N440 EXAM 2 | QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+ and more Exams Nursing in PDF only on Docsity!
N440 EXAM 2 | QUESTIONS AND ANSWERS | 2025-
2026 | GRADED A+
What question by is asked to support the diagnosis of acute pancreatitis? How often do you drink alcohol, and when was your last drink? What lab data indicates that the pt is experiencing acute pancreatitis? Amylase of 982 U/L and Lipase of 400 U/L What medication should the nurse expect to deliver to help the pt with pancreatitis pain? Morphine 5mg IV push administered diluted over 5 minutes. Which diet should the nurse expect the HCP to prescribe the pt with pancreatitis? NPO Which intervention should the nurse implement prior to transferring the pancreatitis pt to the floor?
Insert a NG tube and connect it to low, intermittent suction. Which intervention regarding positioning should the nurse implement to alleviate pt with pancreatitis pain? Encourage side lying with legs drawn to chest. Which intervention should the nurse include in pancreatitis pt plan of care? Administer oxygen via nasal cannula. Which intervention should the nurse implement prior to administering TPN? Assist the HCP with a subclavian line insertion. The TPN is prescribed to run at 75mL per hour and is available in a 1000mL bag. The nurse should anticipate that the TPN bag will be empty in how many hours? (round to the nearest whole number.) 13
Which action should the nurse include in when planning discharge teaching for pancreatitis pt? Discuss ways to deal with stressful situations and avoid stress if possible. Pancreatitis pt states " I don't understand why I need this procedure. I am not hurting anymore, so I think I want to cancel the test." Which statement by the nurse provides the best response to the pt comment? I will contact your HCP to discuss this with you. Which question should the nurse ask the pancreatitis pt prior to the ERCP? When was the last time you had anything to eat or drink? Which intervention has the highest priority when caring for pt after the ERCP? Assess the client's pulse and blood pressure. Pt reports that his stools look fatty, appear bubbly and frothy, float on top of the water, and are extremely malodorous. How should the nurse respond? This is common in persons with chronic pancreatitis.
Which statement accurately explains the scientific rationale for the use of Omeprazole (Prilosec)? Decreases gastric secretions. HCP has prescribed Pancrelipase (Cotazym), a pancreatic enzyme, to help reduce the fatty, frothy, foul-smelling stools. How should the nurse proceed when teaching the pt about this medication? Determine if pt is allergic to any type of pork. Which additional instruction regarding the use of Pancrelipase (Cotazym) is important for the nurse to include? Take the medication with meals or snacks. When the nurse is discussing the complications of chronic pancreatitis with the pt and his wife, which information should be included in the teaching? (Select all that apply.) The need to monitor blood glucose levels. That recurring attacks tend to become more severe in nature.
A nurse is conducting a nutrition assessment on a client who is admitted for hip replacement surgery. The client reports that he is Jewish and follows the kosher dietary tradition. Which of the following statements by the nurse will have the greatest impact on the client's nutritional health during his hospitalization? Tell me more about your preferred eating habits. The nurse is planning care for a postoperative patient. What should be included when planning for this patient's nutritional needs? Daily caloric intake should be increased. Obesity BMI BMI > Overweight BMI BMI > Hypercatabolism When catabolism exceeds normal physiological rates.
Normal BMI BMI of 18.5-24. Malnutrition A deficiency of macro-nutrients. Hypermetabolism When resting energy needs are increased. The nurse is administering a 200 mL nasogastric feeding. Upon aspirating, there is 20 mL of residual. What should the be the nurse's next action? Replace aspirate and begin tube feeding. How are small-bore feeding tubes different from large-bore tubes? Small bore tubes are more comfortable for continuous feeding.
A patient with severe dementia has become incontinent of urine. The patient's daughter asks why this is happening. What is the best response by the nurse? Your mother is losing control of her bladder due to the dementia. The nurse is caring for a patient who has suffered a spinal cord injury and is concerned about the patient's elimination status. What is the nurse's best action? Establish a bowel and bladder program for the patient The kidneys play a major role in all of the following except: Regulating CO An 84 year old male patient is admitted after a colectomy. On assessment, the nurse notes that his urine output is 100 ml for the past 4 hours. What is the appropriate action from the nurse? Notify the healthcare provider A patient with acute kidney injury is prescribed diuretic therapy. The nurse understands: Diuretic therapy is used to lessen the effects of fluid overload.
Which of the following lab values would support the suspected diagnosis of acute kidney injury? Calcium 7.6 mg/dL An example of pre-renal kidney injury would include: (anything that lowers BP)
- Hemorrhage
- Gunshot wound
- Hypovolemia An example of a intra-renal kidney injury includes: CT with Contrast An example of a post-renal kidney injury includes: Renal Calculi The nurse is caring for a 72 year old male patient with a temporary vascular catheter for dialysis in his right arm. During post-dialysis assessment, the nurse
A nurse cares for a client who has cirrhosis of the liver. Which action should the nurse take to decrease the presence of ascites? Provide a low sodium diet. Evidence that Lactulose is working? Improved neuro. Compensation for metabolic acidosis? Increased breathing to expel CO2. Diet for Cholecystitis? Baked chicken, rice, lemonade Altered lab with Celiac disease? Hemoglobin Which pain medication should you NOT give to patient with CKD?
Ibuprofen 4hrs post op- 75ml urine output. What should the nurse do? Call the HCP and continue to monitor Signs of jaundice in dark skinned patients? Yellowing of mucosa. S/S of Cholecystitis?
- Indigestion (dyspepsia), pain, and tenderness in RUQ, referred to right shoulder and scapula.
- Worsened by high-fat, high-volume meals.
- Belching (eructation), gas, feeling of fullness.
- Anorexia because of pain
- N/V/Diaphoresis
- Fever/leukocytosis
- Rebound tenderness (BLUMBERG's SIGN)
- Jaundice, clay colored stools, dark urine.
What should the nurse do between TPN bags if the next bag is not ready? IV dextrose 10% at same rate as TPN. What is your biggest worry with cirrhosis? Hematemesis. Hepatic cirrhosis had 1000ml removed during peri tap 20min. ago. Highest priority action by the nurse? Vitals watch for hypOtension Kidney stone priority? Pain control. Cause of ascites (3rd spacing fluid shift)? Low albumin does not keep fluid in the vessels.
Status post laparoscopic cholecystectomy diet? Introduce fatty foods one at a time. Hepatorenal lab finding? BUN 26 Narcotic overdose Respiratory acidosis Elevated kidney function tests; what would the pt says that could've led to this? Ibuprofen 800mg 2-3x/day. ICU pt pH 7.49, pCO2 31, HCO3 18 Call the Respiratory Therapist to turn down - Pt has intubated alkalosis. Gunshot wound BUN 31, Cr 1.8- what was the cause?
Acute renal failure with K+ 6.8, Tachycardia, peaked T wave. What should the nurse prepare to do? Give D5 & Insulin. Cholecystectomy lab value priority? Amylase 250 Abrupt onset anorexia, n/v, hepatomegaly, abnormal LFT assessment questions? Use of OTC/Prescriptions. Cholelithiasis with obstruction of bile duct. Questionable nutrition imbalance? Fat soluble vitamins K, A, D, E Acid base imbalance with renal failure compensation Breathe rapid to eliminate CO2 (Kussmaul breathing)
Which patient needs urgent dialysis? Cocaine overdose Stage 5 renal failure without medications for 1wk. What would you expect to find? BP 90/ Chronic hepatic cirrhosis. What to watch for? Hematemesis. Chronic pancreatitis/pancrelipase effect? normal stools. Hepatic cirrhosis diet-what to teach pt? Low sodium diet. What should not be included in teaching of how to prevent Hepatitis A? Safe sex.
