NURS 4526 FINAL PRACTICE QUESTIONS WITH COMPLETE SOLUTION.
The nurse recognizes that which intervention is unlikely to facilitate effective communication between a
dying client and family?
a. The nurse encourages the client and family to identify and discuss feelings openly.
b. The nurse assists the client and family in carrying out spiritually meaningful practices.
c. The nurse maintains a calm attitude and one of acceptance when the family or client
expresses anger.
d. The nurse makes decisions for the client and family to relieve them of unnecessary
demands. - (answer)D
A client is diagnosed with metabolic alkalosis as a result of excessive antacid use. Which assessment
finding would the nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias - (answer)B
A client has had an elevated temperature of 38.2C for 3 days since experiencing a myocardial infarction.
What does the nurse understand that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen demand - (answer)A
What is the most appropriate nursing intervention to assess for the presence of infection in a client with
neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness and swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis. - (answer)A
,NURS 4526 FINAL PRACTICE QUESTIONS WITH COMPLETE SOLUTION.
The nurse recognizes that which one of the following clients is at the greatest risk for developing post-
operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon cancer under general anaesthesia -
(answer)D
A client is treated in the emergency department for shock following an automobile accident. The nurse
knows that shock is a clinical syndrome in which cellular dysfunction and organ failure occur primarily as
a result of which of the following conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion - (answer)D
The nurse is caring for a client in cariogenic shock who has been diagnosed with right-sided heart failure.
When assessing the client, the nurse recognizes which as corresponding to right-sided heart failure?
Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating - (answer)B, C, E
A hospice nurse who has become very close to a terminally ill client and her family is present in the
home when the client dies. The family members are crying softly, and the nurse also feels like crying.
What does the nurse recognize about her feelings?
a. It would be unprofessional to cry at this time when the family's feelings need to be addressed.
b. Personal expression of sorrow and loss should be shared with a support group, not the family.
, NURS 4526 FINAL PRACTICE QUESTIONS WITH COMPLETE SOLUTION.
c. It is acceptable and healthy to cry with the family during this phase of the grief process.
d. The family should be allowed to be alone together at this time, and the nurse should leave as soon as
possible. - (answer)C
A client experiencing chest pain and dyspnea for 4 hours has been diagnosed with an acute myocardial
infarction (MI). Which aspects should be included in the plan of care? Select all that apply.
a. Monitor the need for antidysrhythmic agents
b. Encourage ambulation
c. Administer prescribed acetaminophen with codeine for pain
d. Monitor for bleeding during thrombolytic therapy.
e. Immediately report a decreasing total creatinine kinase level - (answer)A, C, D, ??
What information found on the chart of a client, whose cardiac monitor shows multifocal premature
ventricular contractions (PVCs), is most important for the nurse to communicate to the health care
provider? Client's Chart:
History : Congestive Heart Failure, Diabetes Type 2
Meds: Metformin 500mg po BID, Digoxin 0.25mg po OD
Tests: Blood Glucose = 10.6 mmol/L, Sodium = 133 mmol/L,
Potassium = 2.8 mEq/L
a. Dosage of digoxin
b. Blood glucose level
c. Serum potassium level
d. Serum sodium level - (answer)D
A client in shock has a pulmonary artery wedge pressure (PAWP) reading of 18 mm Hg. This reading
would most likely indicate the client is experiencing which condition?
a. Afterload reduction
b. Left ventricular failure
c. Dehydration
d. Hypovelmia - (answer)B
The nurse recognizes that which intervention is unlikely to facilitate effective communication between a
dying client and family?
a. The nurse encourages the client and family to identify and discuss feelings openly.
b. The nurse assists the client and family in carrying out spiritually meaningful practices.
c. The nurse maintains a calm attitude and one of acceptance when the family or client
expresses anger.
d. The nurse makes decisions for the client and family to relieve them of unnecessary
demands. - (answer)D
A client is diagnosed with metabolic alkalosis as a result of excessive antacid use. Which assessment
finding would the nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias - (answer)B
A client has had an elevated temperature of 38.2C for 3 days since experiencing a myocardial infarction.
What does the nurse understand that this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen demand - (answer)A
What is the most appropriate nursing intervention to assess for the presence of infection in a client with
neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness and swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis. - (answer)A
,NURS 4526 FINAL PRACTICE QUESTIONS WITH COMPLETE SOLUTION.
The nurse recognizes that which one of the following clients is at the greatest risk for developing post-
operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon cancer under general anaesthesia -
(answer)D
A client is treated in the emergency department for shock following an automobile accident. The nurse
knows that shock is a clinical syndrome in which cellular dysfunction and organ failure occur primarily as
a result of which of the following conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion - (answer)D
The nurse is caring for a client in cariogenic shock who has been diagnosed with right-sided heart failure.
When assessing the client, the nurse recognizes which as corresponding to right-sided heart failure?
Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating - (answer)B, C, E
A hospice nurse who has become very close to a terminally ill client and her family is present in the
home when the client dies. The family members are crying softly, and the nurse also feels like crying.
What does the nurse recognize about her feelings?
a. It would be unprofessional to cry at this time when the family's feelings need to be addressed.
b. Personal expression of sorrow and loss should be shared with a support group, not the family.
, NURS 4526 FINAL PRACTICE QUESTIONS WITH COMPLETE SOLUTION.
c. It is acceptable and healthy to cry with the family during this phase of the grief process.
d. The family should be allowed to be alone together at this time, and the nurse should leave as soon as
possible. - (answer)C
A client experiencing chest pain and dyspnea for 4 hours has been diagnosed with an acute myocardial
infarction (MI). Which aspects should be included in the plan of care? Select all that apply.
a. Monitor the need for antidysrhythmic agents
b. Encourage ambulation
c. Administer prescribed acetaminophen with codeine for pain
d. Monitor for bleeding during thrombolytic therapy.
e. Immediately report a decreasing total creatinine kinase level - (answer)A, C, D, ??
What information found on the chart of a client, whose cardiac monitor shows multifocal premature
ventricular contractions (PVCs), is most important for the nurse to communicate to the health care
provider? Client's Chart:
History : Congestive Heart Failure, Diabetes Type 2
Meds: Metformin 500mg po BID, Digoxin 0.25mg po OD
Tests: Blood Glucose = 10.6 mmol/L, Sodium = 133 mmol/L,
Potassium = 2.8 mEq/L
a. Dosage of digoxin
b. Blood glucose level
c. Serum potassium level
d. Serum sodium level - (answer)D
A client in shock has a pulmonary artery wedge pressure (PAWP) reading of 18 mm Hg. This reading
would most likely indicate the client is experiencing which condition?
a. Afterload reduction
b. Left ventricular failure
c. Dehydration
d. Hypovelmia - (answer)B
