RNSG 1413 - Exam 4 (34, 36, 37, 38, 41, 42, 43, 44) Questions
With Complete Solutions
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her realize bonding with this unborn child will
not mean she is replacing the one who died. Which nursing
technique does this demonstrate? Correct Answers Facilitating
mourning
A 2-year-old child is brought into the emergency department
after ingesting a medication that causes respiratory depression.
For which acid-base imbalance will the nurse most closely
monitor this child? Correct Answers Respiratory acidosis
A 9 year old is proudly telling the nurse about mastering the
yellow belt in a martial arts class. Which developmental stage is
the child exhibiting? Correct Answers Industry versus
inferiority
A cancer patient asks the nurse what the criteria are for hospice
care. Which information should the nurse share with the patient?
Correct Answers It is for those expected to live less than 6
months
A chemotherapy patient has gained 5 pounds in 2 days. Which
assessment question by the nurse is most appropriate? Correct
Answers "How many times a day do you urinate?"
,A co-worker asks the nurse to explain spirituality. What is the
nurse's best response? Correct Answers It is awareness of one's
inner self
A community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices
should the nurse recommend? Correct Answers -Sleep where
you sleep best
-Use sedatives as a last resort
-Decreased fluids 2 to 4 hours before sleep
-Get up if unable to fall asleep in 15 to 30 minutes
A female nurse is called into the supervisor's office regarding
her deteriorating work performance since the loss of her spouse
2 years ago. The woman begins sobbing and says that she is
"falling apart" at home as well. Which type of grief is the female
nurse experiencing? Correct Answers Complicated grief
A female teen with celiac disease continues to eat food she
knows will make her ill several hours after ingestion. While
planning care, the nurse considers maturational and tertiary-level
interventions. Which intervention will the nurse add to the care
plan? Correct Answers Assist the teen in meeting dietary
restrictions while eating foods similar to those eaten by her
friends.
A male patient in stable condition is in the intensive care unit
(ICU) and is asking to see his spouse and two daughters. What
should the nurse do? Correct Answers Allow the wife and
daughters to visit at the patient's request
,A male patient states, "I'm such a loser, I only had that job for a
month." Which outcome criteria will the nurse add to the
patient's care plan? Correct Answers The patient will verbalize
two life areas in which he functions well
A nurse auscultates heart sounds. When the nurse hears S2,
which valves is the nurse hearing close? Correct Answers
Aortic and pulmonic
A nurse begins infusing a 250-mL bag of IV fluid at 1845 on
Monday and programs the pump to infuse at 50 mL/hr. At what
time should the infusion be completed Correct Answers 2345
Monday
A nurse encounters a family who experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. Which nursing
principle does the nurse's action best demonstrate? Correct
Answers Facilitation of normal mourning
A nurse explains the function of the alveoli to a patient with
respiratory problems. Which information about the alveoli's
function will the nurse share with the patient? Correct Answers
Carries out gas exchange
A nurse grimaces while changing a patient's colostomy bag.
Which effect will the nurse's behavior most likely have on the
patient? Correct Answers Promote development of a negative
body image
, A nurse has just received a bag of packed red blood cells
(RBCs) for a patient. What is the longest time the nurse can let
the blood infuse? Correct Answers 4 hours
A nurse is administering a blood transfusion. Which assessment
finding will the nurse report immediately? Correct Answers
Temperature 101.3° F
A nurse is administering a diuretic to a patient and teaching the
patient about foods to increase. Which food choices by the
patient will best indicate successful teaching Correct Answers
Potatoes and fresh fruit
A nurse is assessing a group of adolescents. Which person is
most likely to have the highest self-esteem? Correct Answers
Latino adolescent female who has strong ethnic pride
A nurse is assessing a group of patients. Match the assessment
finding to the area the nurse is assessing. Correct Answers I am
ugly with all these burn scars - disturbed body image
I am one with the universe - identity confusion
I am good for nothing - low self-esteem
I am a good mother - role performance
A nurse is assessing a patient for possible altered self-concept.
Which assessment findings is consistent with altered self-
concept? Correct Answers Hesitant to express opinions
A nurse is assessing a patient who is receiving a blood
transfusion and finds that the patient is anxiously fidgeting in
bed. The patient is afebrile and dyspneic. The nurse auscultates
crackles in both lung bases and sees jugular vein distention. On
With Complete Solutions
"I know it seems strange, but I feel guilty being pregnant after
the death of my son last year," said a woman during her routine
obstetrical examination. The nurse spends extra time with this
woman, helping her realize bonding with this unborn child will
not mean she is replacing the one who died. Which nursing
technique does this demonstrate? Correct Answers Facilitating
mourning
A 2-year-old child is brought into the emergency department
after ingesting a medication that causes respiratory depression.
For which acid-base imbalance will the nurse most closely
monitor this child? Correct Answers Respiratory acidosis
A 9 year old is proudly telling the nurse about mastering the
yellow belt in a martial arts class. Which developmental stage is
the child exhibiting? Correct Answers Industry versus
inferiority
A cancer patient asks the nurse what the criteria are for hospice
care. Which information should the nurse share with the patient?
Correct Answers It is for those expected to live less than 6
months
A chemotherapy patient has gained 5 pounds in 2 days. Which
assessment question by the nurse is most appropriate? Correct
Answers "How many times a day do you urinate?"
,A co-worker asks the nurse to explain spirituality. What is the
nurse's best response? Correct Answers It is awareness of one's
inner self
A community health nurse is providing an educational session at
the senior center on how to promote sleep. Which practices
should the nurse recommend? Correct Answers -Sleep where
you sleep best
-Use sedatives as a last resort
-Decreased fluids 2 to 4 hours before sleep
-Get up if unable to fall asleep in 15 to 30 minutes
A female nurse is called into the supervisor's office regarding
her deteriorating work performance since the loss of her spouse
2 years ago. The woman begins sobbing and says that she is
"falling apart" at home as well. Which type of grief is the female
nurse experiencing? Correct Answers Complicated grief
A female teen with celiac disease continues to eat food she
knows will make her ill several hours after ingestion. While
planning care, the nurse considers maturational and tertiary-level
interventions. Which intervention will the nurse add to the care
plan? Correct Answers Assist the teen in meeting dietary
restrictions while eating foods similar to those eaten by her
friends.
A male patient in stable condition is in the intensive care unit
(ICU) and is asking to see his spouse and two daughters. What
should the nurse do? Correct Answers Allow the wife and
daughters to visit at the patient's request
,A male patient states, "I'm such a loser, I only had that job for a
month." Which outcome criteria will the nurse add to the
patient's care plan? Correct Answers The patient will verbalize
two life areas in which he functions well
A nurse auscultates heart sounds. When the nurse hears S2,
which valves is the nurse hearing close? Correct Answers
Aortic and pulmonic
A nurse begins infusing a 250-mL bag of IV fluid at 1845 on
Monday and programs the pump to infuse at 50 mL/hr. At what
time should the infusion be completed Correct Answers 2345
Monday
A nurse encounters a family who experienced the death of their
adult child last year. The parents are talking about the upcoming
anniversary of their child's death. The nurse spends time with
them discussing their child's life and death. Which nursing
principle does the nurse's action best demonstrate? Correct
Answers Facilitation of normal mourning
A nurse explains the function of the alveoli to a patient with
respiratory problems. Which information about the alveoli's
function will the nurse share with the patient? Correct Answers
Carries out gas exchange
A nurse grimaces while changing a patient's colostomy bag.
Which effect will the nurse's behavior most likely have on the
patient? Correct Answers Promote development of a negative
body image
, A nurse has just received a bag of packed red blood cells
(RBCs) for a patient. What is the longest time the nurse can let
the blood infuse? Correct Answers 4 hours
A nurse is administering a blood transfusion. Which assessment
finding will the nurse report immediately? Correct Answers
Temperature 101.3° F
A nurse is administering a diuretic to a patient and teaching the
patient about foods to increase. Which food choices by the
patient will best indicate successful teaching Correct Answers
Potatoes and fresh fruit
A nurse is assessing a group of adolescents. Which person is
most likely to have the highest self-esteem? Correct Answers
Latino adolescent female who has strong ethnic pride
A nurse is assessing a group of patients. Match the assessment
finding to the area the nurse is assessing. Correct Answers I am
ugly with all these burn scars - disturbed body image
I am one with the universe - identity confusion
I am good for nothing - low self-esteem
I am a good mother - role performance
A nurse is assessing a patient for possible altered self-concept.
Which assessment findings is consistent with altered self-
concept? Correct Answers Hesitant to express opinions
A nurse is assessing a patient who is receiving a blood
transfusion and finds that the patient is anxiously fidgeting in
bed. The patient is afebrile and dyspneic. The nurse auscultates
crackles in both lung bases and sees jugular vein distention. On
