Page 1 of 31
NUR1213 FINAL EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 22-year-old client suffered from his first tonic-clonic seizure.
Upon awakening, the client asks the nurse, "What caused me to
have a seizure? Which of the following would the nurse include in
the primary cause of tonic-clonic seizures in adults more the 20
years?
a. Electrolyte imbalance
b. Head trauma
c. Epilepsy
d. Congenital defect - ✔✔✔ Correct Answer > b. Head trauma
Trauma is one of the primary cause of brain damage and seizure
activity in adults. Other common causes of seizure activity in
adults include neoplasms, withdrawal from drugs and alcohol,
and vascular disease.
A female client is receiving IV Mannitol. An assessment specific
to safe administration of the said drug is:
a. Vital signs q4h
,Page 2 of 31
b. Weighing daily
c. Urine output hourly
d. Level of consciousness q4h - ✔✔✔ Correct Answer > c. Urine output
hourly
The osmotic diuretic mannitol is contraindicated in the presence
of inadequate renal function or heart failure because it increases
the intravascular volume that must be filtered and excreted by
the kidney
A patient is scheduled for an evacuation of a small subdural
hematoma the following morning. He is scheduled to receive a
Lantus dose at 11 pm and was ordered to be NPO past midnight.
What is the next step in your management?
a. Call the attending to clarify the order
b. Give the Lantus
c. Hold the Lantus
d. Give half the dose of Lantus - ✔✔✔ Correct Answer > a. Call the
attending to clarify the order
The nurse should call the attending to clarify the order. Lantus is
a type of long-acting insulin and if the patient is being kept NPO
he has no glucose intake to counteract the insulin therapy. This
may result in dangerously low blood sugar levels. Since the
,Page 3 of 31
patient has a subdural hematoma, he cannot have D5 in his IV
fluids since this may result in cerebral edema. Generally Lantus
is held prior to a procedure where the patient will be kept NPO,
and the patient will be placed on regular insulin on a sliding
scale.
Patricia a 20-year-old college student with diabetes mellitus
requests additional information about the advantages of using a
pen-like insulin delivery devices. The nurse explains that the
advantages of these devices over syringes include:
a. acurate dose delivery
b. shorter injection time
c. lower cost with reusable insulin cartridges
d. use of smaller guage needle - ✔✔✔ Correct Answer > a. acurate
dose delivery
These devices are more accurate because they are easy to use
and have improved adherence to insulin regimens by young
people because the medication can be administered discreetly.
A male client's left tibia was fractured in an automobile accident,
and a cast is applied. To assess for damage to major blood
vessels from the fracture tibia, the nurse in charge should
monitor the client for:
a. Swelling of the left thigh
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b. Increased skin temperature of the foot
c. Prolonged reprofusion of the toes after blanching
d. Increased BP - ✔✔✔ Correct Answer > c. Prolonged reprofusion of
the toes after blanching
Damage to blood vessels may decrease the circulatory perfusion
of the toes, this would indicate the lack of blood supply to the
extremity.
After a long leg cast is removed, the male client should:
a. Cleanse the lef by scrubbing with a brisk motion
b. Put the leg through full range of motion twice daily
c. Report any discomfort or stiffness to the physician
d. Elevate the leg when sitting for long periods of time - ✔✔✔
Correct Answer > d. Elevate the leg when sitting for long periods of
time
Elevation will help control the edema that usually occurs.
While performing a physical assessment of a male client with
gout of the great toe, Nurse Vivian should assess for additional
tophi (urate deposits) on the:
a. Buttocks
NUR1213 FINAL EXAM | FREQUENTLY TESTED
QUESTIONS WITH CORRECT ANSWERS |
BRAND NEW!
A 22-year-old client suffered from his first tonic-clonic seizure.
Upon awakening, the client asks the nurse, "What caused me to
have a seizure? Which of the following would the nurse include in
the primary cause of tonic-clonic seizures in adults more the 20
years?
a. Electrolyte imbalance
b. Head trauma
c. Epilepsy
d. Congenital defect - ✔✔✔ Correct Answer > b. Head trauma
Trauma is one of the primary cause of brain damage and seizure
activity in adults. Other common causes of seizure activity in
adults include neoplasms, withdrawal from drugs and alcohol,
and vascular disease.
A female client is receiving IV Mannitol. An assessment specific
to safe administration of the said drug is:
a. Vital signs q4h
,Page 2 of 31
b. Weighing daily
c. Urine output hourly
d. Level of consciousness q4h - ✔✔✔ Correct Answer > c. Urine output
hourly
The osmotic diuretic mannitol is contraindicated in the presence
of inadequate renal function or heart failure because it increases
the intravascular volume that must be filtered and excreted by
the kidney
A patient is scheduled for an evacuation of a small subdural
hematoma the following morning. He is scheduled to receive a
Lantus dose at 11 pm and was ordered to be NPO past midnight.
What is the next step in your management?
a. Call the attending to clarify the order
b. Give the Lantus
c. Hold the Lantus
d. Give half the dose of Lantus - ✔✔✔ Correct Answer > a. Call the
attending to clarify the order
The nurse should call the attending to clarify the order. Lantus is
a type of long-acting insulin and if the patient is being kept NPO
he has no glucose intake to counteract the insulin therapy. This
may result in dangerously low blood sugar levels. Since the
,Page 3 of 31
patient has a subdural hematoma, he cannot have D5 in his IV
fluids since this may result in cerebral edema. Generally Lantus
is held prior to a procedure where the patient will be kept NPO,
and the patient will be placed on regular insulin on a sliding
scale.
Patricia a 20-year-old college student with diabetes mellitus
requests additional information about the advantages of using a
pen-like insulin delivery devices. The nurse explains that the
advantages of these devices over syringes include:
a. acurate dose delivery
b. shorter injection time
c. lower cost with reusable insulin cartridges
d. use of smaller guage needle - ✔✔✔ Correct Answer > a. acurate
dose delivery
These devices are more accurate because they are easy to use
and have improved adherence to insulin regimens by young
people because the medication can be administered discreetly.
A male client's left tibia was fractured in an automobile accident,
and a cast is applied. To assess for damage to major blood
vessels from the fracture tibia, the nurse in charge should
monitor the client for:
a. Swelling of the left thigh
, Page 4 of 31
b. Increased skin temperature of the foot
c. Prolonged reprofusion of the toes after blanching
d. Increased BP - ✔✔✔ Correct Answer > c. Prolonged reprofusion of
the toes after blanching
Damage to blood vessels may decrease the circulatory perfusion
of the toes, this would indicate the lack of blood supply to the
extremity.
After a long leg cast is removed, the male client should:
a. Cleanse the lef by scrubbing with a brisk motion
b. Put the leg through full range of motion twice daily
c. Report any discomfort or stiffness to the physician
d. Elevate the leg when sitting for long periods of time - ✔✔✔
Correct Answer > d. Elevate the leg when sitting for long periods of
time
Elevation will help control the edema that usually occurs.
While performing a physical assessment of a male client with
gout of the great toe, Nurse Vivian should assess for additional
tophi (urate deposits) on the:
a. Buttocks
