BSN BS-Nursing General 2

Question 1

A nurse is caring for a patient with heart failure who has dependent edema and crackles bilaterally. Which position is most therapeutic?

Accepted Answer

High Fowler's (90°)

Answer

Trendelenburg

Answer

Prone

Answer

Left lateral Sims'

Question 2

Which electrolyte imbalance is most likely to precipitate digoxin toxicity?

Accepted Answer

Hypokalemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypermagnesemia

Question 3

A patient's ABG results are: pH 7.28, PaCO2 52 mmHg, HCO3 24 mEq/L. What is the correct interpretation?

Accepted Answer

Respiratory acidosis

Answer

Metabolic acidosis

Answer

Respiratory alkalosis

Answer

Metabolic alkalosis

Question 4

Under the HIPAA Privacy Rule, which action is permissible without patient authorization?

Accepted Answer

Disclosing PHI to law enforcement for a court order

Answer

Sharing records with an employer for job screening

Answer

Selling patient data to a pharmaceutical company

Answer

Providing records to a friend of the patient

Question 5

A nurse administers the wrong medication dose. After notifying the physician, what is the nurse's next priority action?

Accepted Answer

File a variance/incident report

Answer

Inform the charge nurse

Answer

Document the error in the chart as a medication error

Answer

Call the pharmacist to verify the dose

Question 6

Which finding in a postoperative patient requires the most immediate nursing intervention?

Accepted Answer

Respiratory rate of 8 breaths/min with SpO2 90%

Answer

Urinary output of 45 mL/hour

Answer

Oral temperature of 37.8°C on day 2

Answer

Pain rating of 5/10 at the incision site

Question 7

A patient with a serum potassium of 2.9 mEq/L is prescribed IV potassium chloride. Which nursing action is essential?

Accepted Answer

Infuse no faster than 10–20 mEq/hour via an infusion pump

Answer

Administer the infusion via IV push over 2 minutes

Answer

Mix the KCl in a 10 mL saline flush and give rapidly

Answer

Administer only through a central line at any rate