NUR 678 EXAM- QUESTIONS AND
CORRECT ANSWERS
A nurse in an emergency department is planning care for a client who
has a flail chest on the right side following a motor vehicle crash which of
the following actions should the nurse plan to take - CORRECT
ANSWER- Prepare the client for positive pressure ventilation to
promote lung expansion and stabilize the pressure within the client's
chest then there should also administer analgesics to alleviate pain while
breathing to achieve optimal lung reexpansion
A nurse is preparing to assist with the insertion of a non tunneled
percutaneous central venous catheter into a client's subclavian vein the
nurse should plan to place the client in which of the following positions
- CORRECT ANSWER- Trendelenburg disposition facilitates the
insertion of the catheter by dilating the blood vessels of the clients neck
and
A nurse is teaching an older adult client about osteoporosis prevention
the nurse should instruct the client that which of the following
medications can increase her risk for developing osteoporosis -
CORRECT ANSWER- Fludrocortisone due to an increase in bone
resorption by osteoclasts it can also reduce intestinal absorption of
calcium
A nurse is teaching a client who has end-stage kidney disease about
organ donation which of the following information should the nurse
include in the teaching - CORRECT ANSWER- The client who
receives a kidney from a live donor has a lower rate of transplant
rejection because the donor is often more medically compatible than a
donor who is deceased
,A client is admitted to the ER with anxiety loss of muscle coordination
and skin is hot and dry the client had been working on the yard prior to
coming to the hospital which of the following actions should the nurse
anticipate taking first - CORRECT ANSWER- Place the client on a
cooling blanket because these findings indicate the client is at greatest
risk for hyperthermia
A nurse is caring for a client who has an arteriovenous fistula for dialysis
which of the following requires intervention by the nurse - CORRECT
ANSWER- Numb fingers distal to the fistula it indicates impaired
circulation and requires intervention
a nurse is caring for a client who had an open thoracotomy with chest
tube insertion which of the following actions should the nurse take -
CORRECT ANSWER- Keep the chest tube collection chamber below
the level of the lungs
A nurse is providing instruction about traveling for a client who has a
new diagnosis of type 1 diabetes mellitus and is planning a trip by
airplane which of the following should the nurse include in the teaching
- CORRECT ANSWER- Take an additional pair of shoes
A nurse is providing teaching to a client who has hypothyroidism and is
receiving Levothyroxine the nurse should instruct the client that which of
the following could interfere with the absorption of the medication -
CORRECT ANSWER- Calcium supplements
A nurse is caring for an older adult
client who has a new diagnosis
of type 2 diabetes mellitus and
reports difficulty following the
diet and remembering to take
the prescribed medication. Which
of the following actions should
the nurse take to promote client
compliance? (Select all that apply.)
A. Ask the dietitian to assist
,with meal planning.
B. Contact the client's
support system.
C. Assess for age-related
cognitive awareness.
D. Encourage the use of a daily
medication dispenser.
E. Provide educational
materials for home use. - CORRECT ANSWER- A. CORRECT: The
nurse provides resources to strengthen coping abilities by asking the
dietitian to assist the client with meal planning. This will improve client
compliance.
B. CORRECT: With the client's consent, the nurse can contact members
of the client's support system and encourage the client to use this
support during times of illness and stress to improve compliance.
C. Assessing the client for age-related cognitive
awareness is important but it is not an appropriate
intervention that enhances the client's compliance.
D. CORRECT: The nurse encourages the use of a
daily medication dispenser to reduce health risks and
improve medication compliance by the client.
E. CORRECT: The nurse provides educational materials to the client to
improve health awareness and reduce health risks after discharge.
A nurse in a health care clinic is
evaluating the level of wellness for
clients using the illness-wellness
continuum tool. The nurse
should identify which of the
following clients as being at the
center of the continuum?
A. A college student
who has influenza
, B. An older adult who has
a new diagnosis of type
2 diabetes mellitus
C. A new mother who has a
urinary tract infection
D. A young male client who has a
long history of well-controlled
rheumatoid arthritis - CORRECT ANSWER- A. The client who has
influenza is measured on the continuum by the level of health to illness
in comparison to the norm for the client.
B. The client who is newly diagnosed with type 2
diabetes mellitus is measured by the level of health to
illness in comparison to the norm for the client.
C. The client who has a urinary tract infection is
measured on the continuum by the level of health to
illness in comparison to the norm for the client.
D. CORRECT: The client who has well-controlled
rheumatoid arthritis is measured at the center of the
continuum, which is the client's normal state of health.
A nurse is evaluating clients at a
health fair for modifiable variables
affecting health and wellness.
The nurse should identify which
of the following variables as
modifiable? (Select all that apply.)
A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux - CORRECT ANSWER- A. CORRECT: The nurse
identifies smoking as a modifiable variable
that a client can change. The nurse should provide the client with
educational materials and information on smoking cessation.
CORRECT ANSWERS
A nurse in an emergency department is planning care for a client who
has a flail chest on the right side following a motor vehicle crash which of
the following actions should the nurse plan to take - CORRECT
ANSWER- Prepare the client for positive pressure ventilation to
promote lung expansion and stabilize the pressure within the client's
chest then there should also administer analgesics to alleviate pain while
breathing to achieve optimal lung reexpansion
A nurse is preparing to assist with the insertion of a non tunneled
percutaneous central venous catheter into a client's subclavian vein the
nurse should plan to place the client in which of the following positions
- CORRECT ANSWER- Trendelenburg disposition facilitates the
insertion of the catheter by dilating the blood vessels of the clients neck
and
A nurse is teaching an older adult client about osteoporosis prevention
the nurse should instruct the client that which of the following
medications can increase her risk for developing osteoporosis -
CORRECT ANSWER- Fludrocortisone due to an increase in bone
resorption by osteoclasts it can also reduce intestinal absorption of
calcium
A nurse is teaching a client who has end-stage kidney disease about
organ donation which of the following information should the nurse
include in the teaching - CORRECT ANSWER- The client who
receives a kidney from a live donor has a lower rate of transplant
rejection because the donor is often more medically compatible than a
donor who is deceased
,A client is admitted to the ER with anxiety loss of muscle coordination
and skin is hot and dry the client had been working on the yard prior to
coming to the hospital which of the following actions should the nurse
anticipate taking first - CORRECT ANSWER- Place the client on a
cooling blanket because these findings indicate the client is at greatest
risk for hyperthermia
A nurse is caring for a client who has an arteriovenous fistula for dialysis
which of the following requires intervention by the nurse - CORRECT
ANSWER- Numb fingers distal to the fistula it indicates impaired
circulation and requires intervention
a nurse is caring for a client who had an open thoracotomy with chest
tube insertion which of the following actions should the nurse take -
CORRECT ANSWER- Keep the chest tube collection chamber below
the level of the lungs
A nurse is providing instruction about traveling for a client who has a
new diagnosis of type 1 diabetes mellitus and is planning a trip by
airplane which of the following should the nurse include in the teaching
- CORRECT ANSWER- Take an additional pair of shoes
A nurse is providing teaching to a client who has hypothyroidism and is
receiving Levothyroxine the nurse should instruct the client that which of
the following could interfere with the absorption of the medication -
CORRECT ANSWER- Calcium supplements
A nurse is caring for an older adult
client who has a new diagnosis
of type 2 diabetes mellitus and
reports difficulty following the
diet and remembering to take
the prescribed medication. Which
of the following actions should
the nurse take to promote client
compliance? (Select all that apply.)
A. Ask the dietitian to assist
,with meal planning.
B. Contact the client's
support system.
C. Assess for age-related
cognitive awareness.
D. Encourage the use of a daily
medication dispenser.
E. Provide educational
materials for home use. - CORRECT ANSWER- A. CORRECT: The
nurse provides resources to strengthen coping abilities by asking the
dietitian to assist the client with meal planning. This will improve client
compliance.
B. CORRECT: With the client's consent, the nurse can contact members
of the client's support system and encourage the client to use this
support during times of illness and stress to improve compliance.
C. Assessing the client for age-related cognitive
awareness is important but it is not an appropriate
intervention that enhances the client's compliance.
D. CORRECT: The nurse encourages the use of a
daily medication dispenser to reduce health risks and
improve medication compliance by the client.
E. CORRECT: The nurse provides educational materials to the client to
improve health awareness and reduce health risks after discharge.
A nurse in a health care clinic is
evaluating the level of wellness for
clients using the illness-wellness
continuum tool. The nurse
should identify which of the
following clients as being at the
center of the continuum?
A. A college student
who has influenza
, B. An older adult who has
a new diagnosis of type
2 diabetes mellitus
C. A new mother who has a
urinary tract infection
D. A young male client who has a
long history of well-controlled
rheumatoid arthritis - CORRECT ANSWER- A. The client who has
influenza is measured on the continuum by the level of health to illness
in comparison to the norm for the client.
B. The client who is newly diagnosed with type 2
diabetes mellitus is measured by the level of health to
illness in comparison to the norm for the client.
C. The client who has a urinary tract infection is
measured on the continuum by the level of health to
illness in comparison to the norm for the client.
D. CORRECT: The client who has well-controlled
rheumatoid arthritis is measured at the center of the
continuum, which is the client's normal state of health.
A nurse is evaluating clients at a
health fair for modifiable variables
affecting health and wellness.
The nurse should identify which
of the following variables as
modifiable? (Select all that apply.)
A. Smoking on social occasions
B. BMI of 28
C. Alopecia
D. Trisomy 21
E. History of reflux - CORRECT ANSWER- A. CORRECT: The nurse
identifies smoking as a modifiable variable
that a client can change. The nurse should provide the client with
educational materials and information on smoking cessation.
