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NSG 170 FINAL EXAM NEWEST 2025 TEST BANK|
COMPLETE 350 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
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NSG 170 FINAL EXAM REVIEW|| BRAND NEW!!
A nurse caring for a client with sickle cell disease (SCD) reviews the clients laboratory work. Which finding should the nurse report to the provider?
a. Creatinine: 2.9 mg/dL
b. Hematocrit: 30%
c. Sodium: 147 mEq/L
d. White blood cell count: 12,000/mm3 - Correct Answer - Creatinine
2.9 mg/dL
A client hospitalized with sickle cell crisis frequently asks for opioid pain medications, often shortly after receiving a dose. The nurses on the unit believe the client is drug seeking. When the client requests pain medication, what action by the nurse is best?
- Give the client pain medication if it is time for another dose.
- Instruct the client not to request pain medication too early.
- Request the provider leave a prescription for a placebo.
- Tell the client it is too early to have more pain medication. - Correct
Answer - Give the client pain medication if it is time for another dose. 1 / 4
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pg. 2 A client presents to the emergency department in sickle cell crisis. What intervention by the nurse takes priority?
- Administer oxygen.
- Apply an oximetry probe
- Start an IV line. - Correct Answer - administer oxygen
.c. Give pain medication.
A client with sickle cell disease (SCD) takes hydroxyurea (Droxia). The client presents to the clinic reporting an increase in fatigue. What laboratory result should the nurse report immediately?
a. Hematocrit: 25%
b. Hemoglobin: 9.2 mg/dL
c. Potassium: 3.2 mEq/L
d. White blood cell count: 38,000/mm3 - Correct Answer - White blood
cell count 38,000/mm3
An assessment of a 7-month-old infant with a hemoglobin level of 6.5 mg/dL is likely to reveal an infant who is
- Lethargic, pale, and irritable
- Thin, energetic, and sleeps little
- Anorexic, vomiting, and has watery stools
- Flushed, fussy, and tired - Correct Answer - lethargic, pale and
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irritable
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pg. 3 A nurse is evaluating parents' knowledge about caring for their child who has iron-deficiency anemia. Which action shows the parents need further education?
- Decreasing the infant's daily milk intake to 24 oz or less
- Giving oral iron supplements between meals with orange juice
- Including apricots, dark-green leafy vegetables, and egg yolk in the
- Allowing the infant to drink the iron supplement from a small
infant's diet
medicine cup - Correct Answer - Allowing the infant to drink the iron supplement from a small medicine cup
Which of the following is an accurate description of anemia?
- Increased blood viscosity
- Depressed hematopoietic system
- Presence of abnormal hemoglobin
- Decreased oxygen-carrying capacity of blood - Correct Answer -
decreased oxygen carrying capacity of blood
A patient is to receive iron dextran injections. Which technique is appropriate when the nurse is administering this medication?
- Intravenous administration mixed with 5% dextrose
- Intramuscular injection in the upper arm
- Intramuscular injection using the Z-track method
- Subcutaneous injection into the abdomen - Correct Answer -
Intramuscular injection using the Z-track method 3 / 4
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pg. 4 A nurse is giving instructions to a patient who will be receiving oral iron supplements. Which instructions will be included in the teaching plan?
- Take the iron tablets with milk or antacids.
- Crush the pills as needed to help with swallowing.
- Take the iron tablets with meals if gastrointestinal distress occurs.
- If black tarry stools occur, report it to the doctor immediately. -
Correct Answer - Take the iron tablets with meals if gastrointestinal distress occurs.
The nurse will teach a patient who is receiving oral iron supplements to watch for which expected adverse effects?
- Palpitations
- Drowsiness and dizziness
- Black, tarry stools
- Orange-red discoloration of the urine - Correct Answer - Black, tarry
stools
The nurse is teaching a patient with iron-deficiency anemia about foods to increase iron intake. Which food may enhance the absorption of oral iron forms?
- Milk
- Yogurt
- Antacids
- Orange juice - Correct Answer - Orange juice
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