NSG 202 FINAL EXAM LATEST
Which of the following does the nurse teach the client to report?
a. Decreased urinary output
b. Chills and fever
c. Output that is clear to slightly yellow
d. Outflow amount of greater than fluid instilled
b. Chills and fever
Which of the following statements are true about brain natriuretic
peptide (BNP)? SATA
a. This test is useful in differentiating respiratory disease versus
cardiac disease
b. This hormone increases in response to ventricular volume
expansion
c. This test is useful in diagnosing acute MI
d. BNP is a marker of congestive heart failuree. This test can be
utilized to evaluate the effects of therapy
a, b, d, e
The nurse is assessing a client before hanging an IV solution of 0.9%
NaCl with Potassium in it. Which assessment finding should cause
the nurse to hold the IV solution and contact the physician?
a. Blood pressure of 98/58
b. Weight gain of 2 pounds since last week
c. Urine output 8mL/hr
d. Dry mucous membranes and skin tenting
c. Urine output 8mL/hr
END OF
PAGE
1
, NSG 202 FINAL EXAM LATEST
The nurse is providing teaching to a Hispanic man and his wife
regarding the salt intake related to the diagnosis of heart failure.
When the nurse is discussing foods that are acceptable the wife
keeps interrupting with the following statements, "He doesn't eat
that," or "All he eats is canned beans." What should the nurse do?
a. Refer the client and wife to a dietician familiar with Hispanic food
choices low in salt
b. Ask the wife to leave so he/she can focus on teaching the client
c. Provide a diet plan with only food alternatives selected by the
client
d. Explain how "canned beans" aren't acceptable foods on a low
sodium diet
a. Refer the client and wife to a dietician familiar with Hispanic food
choices low in salt
The nurse is providing discharge teaching for a client who has
undergone colon resection surgery with a colostomy. Which
statement by the client is indicated that the instruction was
understood? SATA
a. I will use warm water and a soft washcloth to clean around the
stoma
b. I will cut the flange so that it fits around the stoma to avoid skin
breakdown
c. I will check the stoma regularly to make sure it stays pink
d. I can add peppermint oil to the colostomy bag to help with the
odor
e. I will change the entire ostomy appliance daily and as needed
END OF
PAGE
2
, NSG 202 FINAL EXAM LATEST
a, b, c, d
Which of the following is an interpretation of these lab results? BUN
120, Creatinine 4.0, K 7.0, Na 145, Calcium 6.0, Mg 3.3, Hgb 12
a. Hyperkalemia
b. Hypomagnesmia
c. Hypocalcemia
d. Hypernatremia
e. Azoterria
a, c, e
A client returned from a transurethral resection of the prostate
(TURP) 8 hours ago with a continuous bladder irrigation. His
baseline labs were sodium 135mEq/L, hemoglobin 10.5g/dL,
hematocrit 43%, and RBC was 4.5. The nurse reviews the lab
results as follows: Na 130, Hgb 9.8, Hit 32, RBC 3.2
a. Take the vital signs every 15 minutes
b. Consider starting a blood transfusion
c. Report the findings to the surgeon immediately
d. Slow down the bladder irrigation if the urine is pink
b. Consider starting a blood transfusion
The nurse is assessing the client for adequacy of ventilation. What
assessment findings would indicate the client has good ventilation?
SATA
a. Oxygen saturation is at 98%
b. Respiratory rate is 28 breaths/min
c. Nail beds are pink with good capillary refill
END OF
PAGE
3
, NSG 202 FINAL EXAM LATEST
d. Trachea is just left of the sternal notch
e. There is presence of quiet effortless breath sounds at
lung base bilaterally
a, c, e
In order to provide the best intervention for a client, the nurse is
often responsible for obtaining a sample of exudate for culture.
What will this test identify?
a. What specific type of pathogen is causing an infection
b. Whether a client has an infection
c. What cells are being utilized by the body to attack
infection
d. Where an infection is located
a. What specific type of pathogen is causing an infection
The nurse enters the room of a client diagnosed with TB to provide
A.M. care. Which of the following would be required?
a. Enters the room wearing goggles and hair covering
b. Enters the room wearing a gown and clean gloves
c. Enters the room wearing a mask and sterile gloves
d. Enters the room wearing an N95 mask and gown, gloves
d. Enters the room wearing an N95 mask and gown, gloves
A teen female client reports intermittent abdominal pain for 12
hours. No dysuria is present. When performing an abdominal
assessment, the nurse should do which of the following?
a. Assess first the spots that are most tender
END OF
PAGE
4
Which of the following does the nurse teach the client to report?
a. Decreased urinary output
b. Chills and fever
c. Output that is clear to slightly yellow
d. Outflow amount of greater than fluid instilled
b. Chills and fever
Which of the following statements are true about brain natriuretic
peptide (BNP)? SATA
a. This test is useful in differentiating respiratory disease versus
cardiac disease
b. This hormone increases in response to ventricular volume
expansion
c. This test is useful in diagnosing acute MI
d. BNP is a marker of congestive heart failuree. This test can be
utilized to evaluate the effects of therapy
a, b, d, e
The nurse is assessing a client before hanging an IV solution of 0.9%
NaCl with Potassium in it. Which assessment finding should cause
the nurse to hold the IV solution and contact the physician?
a. Blood pressure of 98/58
b. Weight gain of 2 pounds since last week
c. Urine output 8mL/hr
d. Dry mucous membranes and skin tenting
c. Urine output 8mL/hr
END OF
PAGE
1
, NSG 202 FINAL EXAM LATEST
The nurse is providing teaching to a Hispanic man and his wife
regarding the salt intake related to the diagnosis of heart failure.
When the nurse is discussing foods that are acceptable the wife
keeps interrupting with the following statements, "He doesn't eat
that," or "All he eats is canned beans." What should the nurse do?
a. Refer the client and wife to a dietician familiar with Hispanic food
choices low in salt
b. Ask the wife to leave so he/she can focus on teaching the client
c. Provide a diet plan with only food alternatives selected by the
client
d. Explain how "canned beans" aren't acceptable foods on a low
sodium diet
a. Refer the client and wife to a dietician familiar with Hispanic food
choices low in salt
The nurse is providing discharge teaching for a client who has
undergone colon resection surgery with a colostomy. Which
statement by the client is indicated that the instruction was
understood? SATA
a. I will use warm water and a soft washcloth to clean around the
stoma
b. I will cut the flange so that it fits around the stoma to avoid skin
breakdown
c. I will check the stoma regularly to make sure it stays pink
d. I can add peppermint oil to the colostomy bag to help with the
odor
e. I will change the entire ostomy appliance daily and as needed
END OF
PAGE
2
, NSG 202 FINAL EXAM LATEST
a, b, c, d
Which of the following is an interpretation of these lab results? BUN
120, Creatinine 4.0, K 7.0, Na 145, Calcium 6.0, Mg 3.3, Hgb 12
a. Hyperkalemia
b. Hypomagnesmia
c. Hypocalcemia
d. Hypernatremia
e. Azoterria
a, c, e
A client returned from a transurethral resection of the prostate
(TURP) 8 hours ago with a continuous bladder irrigation. His
baseline labs were sodium 135mEq/L, hemoglobin 10.5g/dL,
hematocrit 43%, and RBC was 4.5. The nurse reviews the lab
results as follows: Na 130, Hgb 9.8, Hit 32, RBC 3.2
a. Take the vital signs every 15 minutes
b. Consider starting a blood transfusion
c. Report the findings to the surgeon immediately
d. Slow down the bladder irrigation if the urine is pink
b. Consider starting a blood transfusion
The nurse is assessing the client for adequacy of ventilation. What
assessment findings would indicate the client has good ventilation?
SATA
a. Oxygen saturation is at 98%
b. Respiratory rate is 28 breaths/min
c. Nail beds are pink with good capillary refill
END OF
PAGE
3
, NSG 202 FINAL EXAM LATEST
d. Trachea is just left of the sternal notch
e. There is presence of quiet effortless breath sounds at
lung base bilaterally
a, c, e
In order to provide the best intervention for a client, the nurse is
often responsible for obtaining a sample of exudate for culture.
What will this test identify?
a. What specific type of pathogen is causing an infection
b. Whether a client has an infection
c. What cells are being utilized by the body to attack
infection
d. Where an infection is located
a. What specific type of pathogen is causing an infection
The nurse enters the room of a client diagnosed with TB to provide
A.M. care. Which of the following would be required?
a. Enters the room wearing goggles and hair covering
b. Enters the room wearing a gown and clean gloves
c. Enters the room wearing a mask and sterile gloves
d. Enters the room wearing an N95 mask and gown, gloves
d. Enters the room wearing an N95 mask and gown, gloves
A teen female client reports intermittent abdominal pain for 12
hours. No dysuria is present. When performing an abdominal
assessment, the nurse should do which of the following?
a. Assess first the spots that are most tender
END OF
PAGE
4
