Description

NUR 2571 Final Exam – Question and Answers

1. A client who has completely eliminated fats from the diet should be assessed for a deficiency of:
2. The nurse is planning care for a client diagnosed with Graves’ Which of the following nursing interventions would be appropriate for this client’s care?
3. A pregnant client is receiving treatment for hyperthyroidism. Which of the following medications would the Nurse expect to see?
4. Which statement made by the older adult client alerts the nurse needs for further assessment specifically for fluid and electrolyte imbalances?
5. A client has hypokalemia. Which question by the nurse obtains the most information on a possible cause?
6. A client has metabolic Which laboratory results is the nurse most likely to assess as I consistent with this condition?
7. A client presented in the ED with an injury to the right ankle after a fall. On assessment, the nurse notes that it is red and inflamed but skin The nurse adds interventions to the care plan that address which factor?
8. The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid Which precautions does the nurse give the client about taking this medication?
9. A client is suspected to have rheumatoid arthritis. What commonly early clinical manifestations does the nurse assess this client carefully for?
10. The nurse is working with a client who has severe rheumatoid arthritis in her The client states that she is frustrated at mealtime because it is difficult for her to manage cups and silverware. What is the nurse’s best response?
11. Which action by the nurse is most effective to prevent becoming exposed to the Human Immunodeficiency Virus?
12. The nurse is caring for a client with AIDS who has just been diagnosed with cryptococcal Which is the best nursing intervention for this client?
13. A client with AIDS has been admitted with fever, night sweats, and weight loss of 6 pounds in 2 The client’s purified protein derivative test, placed 3 days ago in the clinic, is negative. Which action by the nurse is most appropriate?
14. A client who is receiving Highly Active Antiretroviral Therapy tells the nurse, “The doctor said that my viral load is What does this mean?” What is the nurse’s best response?
15. What intervention does the nurse implement to provide for client safety during intradermal allergy testing?
16. A client has received diphenhydramine and is currently oriented but What is the best action for the nurse to take?
17. A client is receiving an IV infusion of an The client calls the nurse about feeling uneasy and uncomfortable due to acute congestion. Which action by the nurse is most appropriate?
18. Which skin integrity intervention best assists a client with pruritus?
19. A client has a furuncle in the Which statement by the client indicates a good understanding of how to care for this condition?
20. The nurse is caring for four clients with Which client does the nurse assess first?
21. Which statement indicates that a client understands teaching about the correct use of a corticosteroid medication?
22. The nurse assesses a client with asthma and finds wheezing throughout the lung fields and decreased pulse oxygen saturation. In addition, the nurse notes suprasternal retraction on Upon further assessment what intervention is expected by the nurse’s?
23. A client with chronic obstructive pulmonary disease reports social What is the nurse most appropriate action to do for this client?
24. The nurse assesses a client with pneumonia and notes no audible lung sounds on the left side and decreased lung What is the nurse’s best action?
25. Which is the highest priority goal to set for a client with pneumonia?
26. A client with systolic dysfunction has an ejection fraction of 38%. The nurse assesses for which physiologic change?
27. The nurse is assessing a client in an outpatient Which client statement alerts the nurse to possible left-sided heart failure?
28. The nurse is assessing a client admitted to the cardiac What statement made by the client alerts the nurse to the possibility of right-sided heart failure?
29. A client with heart failure is experiencing acute shortness of What is the nurse’s priority action?
30. The client with heart failure has been prescribed intravenous nitroglycerin and furosemide for pulmonary edema. Which is the priority nursing intervention?
31. A client is taking triamterene-hydrochlorothiazide and What assessment finding requires action by the nurse?
32. A client with high cholesterol is beginning treatment with What priority instruction does the nurse give this client? Report any muscle tenderness to your health care provider.”
33. The nurse is assessing a client who reports claudication after walking a distance of one The nurse notes a painful ulcer on the fourth toe of the client’s right foot. What condition do these findings correlate with?
34. The nurse is caring for a client with Buerger’s disease. What client education does the nurse provide to minimize disease progression?
35. The nurse is discharging home a client at risk for venous thromboembolism on Iow- molecular-weight What instruction does the nurse provide to this client?
36. The nurse is providing health education to a client with chronic venous stasis What priority instruction does the nurse include?
37. The nurse assesses a client’s Which assessment finding indicates arterial insufficiency?
38. The nurse assesses that a client has a smooth, beefy red Which intervention does the nurse implement for this client?
39. Which risk factor does the nurse assess for to determine a client’s cause of anemia?
40. A client is newly diagnosed with sickle cell Which clinical manifestation does the nurse expect to see in this client?
41. A client is newly diagnosed with sickle cell Which information does the nurse included in the client’s discharge instructions?
42. A client who is receiving a unit of red blood cells begins to report chest and lower back Which action does the nurse take first?
43. The nurse is preparing to transfuse a third unit of red blood cells to a Which laboratory result is the nurse most concerned about?
44. A client with epilepsy develops stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How does the nurse document this seizure activity?
45. The nurse is caring for a client with Parkinson’s Which intervention does the nurse implement to prevent respiratory complications in the client?
46. The nurse is providing health education at a community Which instruction does the nurse include as part of client education for the prevention of low back pain?
47. Emergency medical services arrive to the emergency department with a client who has a cervical spinal cord Which priority assessment does the emergency department nurse perform at this time?
48. The nurse assesses a client who has Guillain-Barré Which clinical manifestation does the nurse expect to find in this client?
49. The nurse assesses a client who has myasthenia Which clinical manifestation does the nurse expect to observe in this client?
50. A client suspected to have myasthenia gravis is scheduled for edrophonium chloride Which prescribed medication does the nurse prepare to administer if complications of this test occur?
51. Which assessment alerts the nurse to the possible presence of a cataract in a client?
52. A client with macular degeneration would like to watch Where does the nurse place the television for best visualization of the screen?
53. The nurse is caring for a client with otitis The client reports that the pain was severe during the night but was gone upon awakening in the morning. Which finding does the nurse expect to observe during the client’s physical assessment?
54. A client with a ruptured tympanic membrane asks the nurse whether hearing will be affected Which is the nurse’s best response?
55. The nurse is caring for a client with Méniére’s disease. The client asks the nurse how to prevent another acute episode from occurring. Which is the nurse’s best response?
56. The nurse conducts a physical assessment for a client with abdominal Which finding I leads the nurse to suspect appendicitis?
57. The nurse is caring for a client with ulcerative colitis and severe Which nursing assessment is the highest priority?
58. The nurse reviews a health teaching for a client with Crohn’s disease, Which instruction does the nurse provide for the client?
59. The nurse is preparing a client with diverticulitis for discharge from the Which statement by the client indicates that additional teaching is needed?
60. The nurse is caring for a client who is a vegan and has developed B 12 Which foods does the nurse encourage the client to incl e in the diet?
61. The nurse is caring for a client who was started on total parenteral nutrition 2 days The client reports blurred vision, dry mouth, and frequent urination. Which is the nurse’s
62. Which dietary modification does the nurse provide for a client with hyperthyroidism?
63. A client has hypothyroidism and has been started on Which assessment finding leads the nurse to conclude that the treatment is effective?
64. A client has undergone a complete Which statement by the client indicates that further instruction is needed?
65. An Older client with benign prostatic hyperplasia and hypertension is being treated with doxazosin while staying in the hospital. Which activity does the nurse delegate to the unlicensed assistive personnel as a priority?
66. Of the following blood gas values, which would indicate the nurse needs to further evaluate the client?
67. During change-of-shift report. Does the surgical unit charge nurse learn that a client who had a transurethral resection of the prostate the previous day is experiencing bladder spasms and “ketchup-like” urinary Which of the following staff members will be best to assign to care for the client?
68. A client has the following arterial blood gases: pH 7.30, HC03— 17 mEq/L, PC02 25 mm Hg’ . P02 98 mm Which intervention by the nurse is most appropriate?
69. A client has the following arterial blood gases (ABGS): pH 30, HC03— 22 mEq/L, PC02 55 m Hg, P02 86 mm Hg. Which intervention by the nurse takes priority?
70. A client asks the nurse if there is an antihistamine that does not cause Which of the following medications would this client most likely prefer to treat allergic rhinitis?
71. The nurse is assessing a client diagnosed with The client’s breath sounds initially had wheezing but are diminishing until no audible sounds are heard. This has occurred because?
72. The nurse is to collect a stool specimen from a client diagnosed with cystic The nurse would expect to see?
73. When the nurse is analyzing the results of a patient’s arterial blood gases, which finding indicates the need for most immediate action?
74. A client is receiving treatment for the diagnosis of hemophilia Which of the following should the nurse assess in this client?
75. A client is experiencing transplantation The nurse realizes that this rejection is which type of hypersensitive reaction?
76. A client is experiencing intense pruritus from contact Which of the following would be helpful for this client?
77. The nurse begins to experience red, itchy hands after using gloves for client Which Of the following should the nurse consider as causing these symptoms?
78. A client is demonstrating signs of anaphylaxis Which Of the following should the nurse do? Select all that apply.
79. A client is diagnosed with Which of the following will the nurse most likely assess in this client? Select all that apply.
80. A client’s wound is being debrided This type Of debridement is called:
81. A client is admitted with cutaneous infection caused by reactivation of the varicella chickenpox This can be a sign of:
82. A middle-aged male is experiencing itching, erythema, and circular red scaly lesions on his The lesions have a honey-colored crust. The nurse realizes that the child is most likely experiencing:
83. The nurse is instructing a client diagnosed with type 2 diabetes mellitus on diagnostic tests used to evaluate the control Of the disorder. The nurse should instruct the client on which of the following diagnostic tests will provide this information.
84. A client just experienced an episode of reflux with What assessment by the nurse is the priority?
85. A client being treated for a spinal cord injury needs an immediate ventilator The nurse realizes that this client’s level of injury is most likely:
86. A client receiving care for a spinal cord injury complains of a pounding headache, flushed cardiac dysrhythmias and a blood pressure of 200/100 mmHg. What is the first action the nurse should take?
87. A client who is taking Spironolactone at home arrives in the emergency department complaining of unrelieved edema in The nurse shares what data with the physician indicates a need to withhold the medication.
88. Which Of the following recurring conditions most commonly occurs in in clients with cardiomyopathy?
89. A client has a serum potassium level of 9 mEq[L. Which Of the following should be done to assist this client? Select all that apply.
90. The nurse is concerned that a client with a gastrostomy feeding tube is developing a Which of the following are considered complications associated with this type of feeding tube? Select all that apply.
91. In assessing a client which finding assists the nurse in determining that the wound is infected? Select all that apply.
92. What information about nutrition does the nurse teach a client with chronic obstructive pulmonary disease? Select all that
93. A client who previously had a Bacillus Calmette-Guérin vaccine has positive tuberculosis What symptoms assist in determining that the client has active tuberculosis disease?
94. A client with acute-angle glaucoma has several medications Which medications does the nurse question? Select all that apply.
95. Which of the following assessment techniques can the nurse use to determine if a client is experiencing hypocalcemia? Select all that apply.
96. Which of the following components of the arterial blood gas will the nurse focus when on I determining a client’s acid-base status? Select all that
97. A client diagnosed with heart failure is prescribed Which Of the following should the client be monitored for because Of this medication? Select all that apply.
98. A client is having diagnostic tests to determine the cause of The nurse realizes that these tests will focus on which of the following? Select all that apply.
99. A client tells the nurse that he is anemic because of a “poor ” Which deficiencies cause nutritional anemias? Select all that apply.
100. The nurse is caring for a client “with a history of chronic renal failure The appearance of a tall wave on the electrocardiogram should alert the nurse to check which lab value