DEPARTMENT OF NURSING-NSG MED EXAM
QUESTIONS AND CORRECT VERIFIED ANSWERS |PASS GUARANTEED |GRADE A+
END TERM EXAMINATION -2026 FINAL SPRING EXAM| HIGHER TIER EXAM
NURSING- MODULE 2 EXAMINATION PAPER 1
The nurse is caring for a client who has been diagnosed with primary hyperaldosteronism.
Which laboratory test result should the nurse expect an increase in the serum level?
A. Sodium.
B. Antidiuretic hormone.
C. Potassium.
D. Glucose.
C - Clients with primary aldosteronism exhibit an increase in serum sodium levels
(hypernatremia) and have profound decline in the serum levels of potassium (hypokalemia)--
hypertension is the most prominent and universal sign. Antidiuretic hormone is decreased with
diabetes insipidus. Glucose is not affected by primary aldosteronism.
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry
monitoring?
A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest
nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left
shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest
nipple line
, D - In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the right of
the sternum, and the negative electrode is placed on the upper left part of the chest. The
ground may be placed anywhere, but is usually placed on the lower left portion of the chest.
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive hepatic
encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting.
D - A daily record in handwriting may provide evidence of progression of hepatic
encephalopathy leading to coma.
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information would be most useful to the nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group.
D - An older person's level of activity is a determining factor in adjustment to aging as described
by the Activity Theory of Aging. The most useful information initially would be an assessment of
each individual's adjustment to the aging process.
Which symptoms should the nurse expect a client to exhibit who is diagnosed with a
pheochromocytoma?
QUESTIONS AND CORRECT VERIFIED ANSWERS |PASS GUARANTEED |GRADE A+
END TERM EXAMINATION -2026 FINAL SPRING EXAM| HIGHER TIER EXAM
NURSING- MODULE 2 EXAMINATION PAPER 1
The nurse is caring for a client who has been diagnosed with primary hyperaldosteronism.
Which laboratory test result should the nurse expect an increase in the serum level?
A. Sodium.
B. Antidiuretic hormone.
C. Potassium.
D. Glucose.
C - Clients with primary aldosteronism exhibit an increase in serum sodium levels
(hypernatremia) and have profound decline in the serum levels of potassium (hypokalemia)--
hypertension is the most prominent and universal sign. Antidiuretic hormone is decreased with
diabetes insipidus. Glucose is not affected by primary aldosteronism.
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry
monitoring?
A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest
nipple line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left
shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest
nipple line
, D - In MCL I monitoring, the positive electrode is placed on the client's mid-chest to the right of
the sternum, and the negative electrode is placed on the upper left part of the chest. The
ground may be placed anywhere, but is usually placed on the lower left portion of the chest.
The nurse assesses a client with advanced cirrhosis of the liver for signs of hepatic
encephalopathy. Which finding would the nurse consider an indication of progressive hepatic
encephalopathy?
A. An increase in abdominal girth.
B. Hypertension and a bounding pulse.
C. Decreased bowel sounds.
D. Difficulty in handwriting.
D - A daily record in handwriting may provide evidence of progression of hepatic
encephalopathy leading to coma.
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information would be most useful to the nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group.
D - An older person's level of activity is a determining factor in adjustment to aging as described
by the Activity Theory of Aging. The most useful information initially would be an assessment of
each individual's adjustment to the aging process.
Which symptoms should the nurse expect a client to exhibit who is diagnosed with a
pheochromocytoma?
