pg. 1 NSG 123 Exam 3 Latest 2024 -2025 Complete 120 Actual Exam Questions with 100% Correct Verified Answers/ Graded A+
The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?
- testicular pain
- purulent rectal discharge
- pain on urination
- skin rash - Correct Answer - C
A 67 y/o man with peripheral artery disease is seen in primary care clinic. Which sx reported by the pt would indicate that the he is experiencing intermittent claudication?
- complains of chest pain with strenuous activity
- says muscle leg pain occurs with continued exercise
- has numbness & tingling of all his toes and both feet
- states feet become red if he puts them in dependent position - Correct Answer - B
Which person should the nurse identify as having the highest risk for AAA?
- 70 y/o male with high cholesterol & HTN
- 40 y/o female with obesity & metabolic syndrome
- 60 y/o male with renal insufficiency who is physically inactive
- 65 y/o female with hyperhomocysteinemia & substance abuse - Correct Answer - A
A key aspect of teaching for the patient on an anticoagulant therapy includes which instructions? 1 / 3
pg. 2
- monitor for and report any signs of bleeding
- do not take acetaminophen for a HA
- decrease dietary intake of foods containing Vit K
- arrange to have blood drawn routinely to check drug levels - Correct Answer - A
A nurse is admitting a 68 y/o preop patient with a suspected AAA. The med hx reveals pt has been taking Warfarin daily. Based on the hx and the pt admitting dx, the nurse should prepare to admin which med?
- Vit K
- cobalamin
- heparin sodium
- protamine sulfate - Correct Answer - A
The patient at highest risk for venous thromboembolism is:
- 62 y/o male with spider veins who is having arthroscopic knee surgery
- 32 y/o woman who smokes, takes OCPs and is planning trip to Europe
- 26 y/o woman who is 3 days postpartum & received maintenance IV fluids for 12 hrs
- An active 72 y/o man at home recovering from transurethral resection of the prostate
during labor
for benign prostatic hyperplasia - Correct Answer - B
A patient admitted to hospital with dx of AAA. Which s/sx would suggest it has ruptured?
- sudden SOB & hemoptysis
- sudden severe back pain & bruising along his flank
- gradually increasing substernal chest pain and diaphoresis
- sudden patchy blue mottling on feet & toes and rest pain - Correct Answer - B
A patient with ineffective endocarditis develops sudden left leg pain with pallor, paresthesia and loss of peripheral pulses. The nurse's initial action should be to: 2 / 3
pg. 3
- elevate leg to promote venous return
- start anticoagulant therapy with IV heparin
- notify physician of the change in peripheral perfusion
- place bed in reverse trendelenburg to promote perfusion - Correct Answer - C
A 39 y/o woman with hx of smoking & OCP use is admitted with a venous thromboembolism & prescribed unfractioned heparin. What lab test should the nurse review to evaluate the expected effect of the heparin?
- platelets
B. ACT
C. INR
- aPTT - Correct Answer - D
A nurse is providing teaching to a client who is starting simvastatin. Which of the following information should the nurse include in the teaching?
- take in the evening
- change position slowly when rising from a chair
- maintain steady intake of leafy green veggies
- consume no more than 1 L/day of fluid - Correct Answer - A
A nurse is collecting data from a client who is taking gemfibrozil. Which of the following assessment findings should the nurse identify as an adverse effect of this medication?
- mental status changes
- tremor
- jaundice
- pneumonia - Correct Answer - C
A nurse is completing a nursing hx for a client who takes simvastatin. The nurse should identify which of the following disorders as a contraindication to adding ezetimibe to the client's medications?
- / 3