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

High Fowler's position reduces preload by pooling blood in dependent extremities and eases breathing in heart failure patients.

Question 2

Which electrolyte imbalance is most likely to precipitate digoxin toxicity?

Accepted Answer

Hypokalemia

Answer

Hypokalemia enhances digoxin binding to cardiac Na+/K+-ATPase receptors, increasing toxicity risk.

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

Elevated PaCO2 with low pH and normal HCO3 indicates uncompensated respiratory acidosis.

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

HIPAA permits disclosure of PHI to law enforcement when required by a court order or subpoena.

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

Filing an incident report per institutional policy is required to promote patient safety and system improvement after a medication error.

BSN - Degree Bachelor of Science in Nursing Practice Test