NSG 1520 FINAL EXAM QUESTIONS
WITH DETAILED VERIFIED ANSWERS
A 17-year-old college student calls the emergency department
(ED) and tells the nurse that she was raped by a professor. She
wants to come to the ED, but only if the nurse can assure her
that they will not call her parents. What should be the nurse's
first priority?
A. Getting the patient into a safe environment and mobilizing
support for her
B. Encouraging the student to disclose the name of the professor
so that his predatory behavior will be stopped
C. Convincing the student to be assessed for pregnancy, STIs, or
other complications
D. Convincing the student to tell her parents so that she can
receive their support - correct answer- a. While the
remaining options may be indicated, the first priority is to
ensure the safety of the woman and to get her the support she
needs at this moment.
A nurse assesses the stool of patients who are experiencing
gastrointestinal problems. In which patients would diarrhea be a
possible finding? Select all that apply.
A. A patient who is taking narcotics for pain
,B. A patient who is taking metformin for type 2 diabetes mellitus
C. A patient who is taking diuretics
D. A patient who is dehydrated
E. A patient who is taking amoxicillin for an infection
F. A patient taking over-the-counter antacids - correct
answer- b, e, f. Diarrhea is a potential adverse effect of
treatment with amoxicillin clavulanate, metformin, or over-the-
counter antacids. Narcotics, diuretics, and dehydration may lead
to constipation.
A nurse carefully assesses the acid-base balance of a patient
whose carbonic acid (H2CO3) level is decreased. This is most
likely a patient with damage to the:
A. Kidneys
B. Lungs
C. Adrenal glands
D. Blood vessels - correct answer- b. The lungs are the
primary controller of the body's carbonic acid supply and thus, if
damaged, can affect acid-base balance. The kidneys are the
primary controller of the body's bicarbonate supply. The adrenal
glands secrete catecholamines and steroid hormones. The blood
vessels act only as a transport system.
,A nurse caring for a patient's hemodialysis access documents the
following: "5/10/20 0930 AV fistula patent in right upper arm.
Area is warm to touch and edematous. Patient denies pain and
tenderness. Positive bruit and thrill noted." Which documented
finding would the nurse report to the primary care provider?
A. Positive bruit noted.
B. Area is warm to touch and edematous.
C. Patient denies pain and tenderness.
D. Positive thrill noted. - correct answer- b. The nurse
would report a site that is warm and edematous as this could be
a sign of a site infection. The thrill and bruit are normal findings
caused by arterial blood flowing into the vein. If these are not
present, the access may be cutting off. No report of pain is a
normal finding.
A nurse caring for patients in a busy hospital environment
should implement which recommendation to promote sleep?
A. Keep the room light dimmed during the day.
B. Keep the room cool.
C. Keep the door of the room open.
D. Offer a sleep aid medication to patients on a regular basis. -
correct answer- b. The nurse should keep the room cool
and provide earplugs and eye masks. The nurse should also
maintain a brighter room environment during daylight hours and
, dim lights in the evening, and keep the door of the room closed.
Sleep aid medications should only be offered as prescribed.
A nurse caring for patients in a long-term care facility is
implementing interventions to help promote sleep in older
adults. Which action is recommended for these patients?
A. Increase physical activities during the day.
B. Encourage short periods of napping during the day.
C. Increase fluids during the evening.
D. Dispense diuretics during the afternoon hours. - correct
answer- a. In order to promote sleep in the older adult, the
nurse should encourage daily physical activity such as walking or
water aerobics, discourage napping during the day, decrease
fluids at night, and dispense diuretics in the morning or early
evening.
A nurse caring for patients in a long-term care facility is often
required to collect urine specimens from patients for laboratory
testing. Which techniques for urine collection are performed
correctly? Select all that apply.
A. The nurse catheterizes a patient to collect a sterile urine
sample for routine urinalysis.
WITH DETAILED VERIFIED ANSWERS
A 17-year-old college student calls the emergency department
(ED) and tells the nurse that she was raped by a professor. She
wants to come to the ED, but only if the nurse can assure her
that they will not call her parents. What should be the nurse's
first priority?
A. Getting the patient into a safe environment and mobilizing
support for her
B. Encouraging the student to disclose the name of the professor
so that his predatory behavior will be stopped
C. Convincing the student to be assessed for pregnancy, STIs, or
other complications
D. Convincing the student to tell her parents so that she can
receive their support - correct answer- a. While the
remaining options may be indicated, the first priority is to
ensure the safety of the woman and to get her the support she
needs at this moment.
A nurse assesses the stool of patients who are experiencing
gastrointestinal problems. In which patients would diarrhea be a
possible finding? Select all that apply.
A. A patient who is taking narcotics for pain
,B. A patient who is taking metformin for type 2 diabetes mellitus
C. A patient who is taking diuretics
D. A patient who is dehydrated
E. A patient who is taking amoxicillin for an infection
F. A patient taking over-the-counter antacids - correct
answer- b, e, f. Diarrhea is a potential adverse effect of
treatment with amoxicillin clavulanate, metformin, or over-the-
counter antacids. Narcotics, diuretics, and dehydration may lead
to constipation.
A nurse carefully assesses the acid-base balance of a patient
whose carbonic acid (H2CO3) level is decreased. This is most
likely a patient with damage to the:
A. Kidneys
B. Lungs
C. Adrenal glands
D. Blood vessels - correct answer- b. The lungs are the
primary controller of the body's carbonic acid supply and thus, if
damaged, can affect acid-base balance. The kidneys are the
primary controller of the body's bicarbonate supply. The adrenal
glands secrete catecholamines and steroid hormones. The blood
vessels act only as a transport system.
,A nurse caring for a patient's hemodialysis access documents the
following: "5/10/20 0930 AV fistula patent in right upper arm.
Area is warm to touch and edematous. Patient denies pain and
tenderness. Positive bruit and thrill noted." Which documented
finding would the nurse report to the primary care provider?
A. Positive bruit noted.
B. Area is warm to touch and edematous.
C. Patient denies pain and tenderness.
D. Positive thrill noted. - correct answer- b. The nurse
would report a site that is warm and edematous as this could be
a sign of a site infection. The thrill and bruit are normal findings
caused by arterial blood flowing into the vein. If these are not
present, the access may be cutting off. No report of pain is a
normal finding.
A nurse caring for patients in a busy hospital environment
should implement which recommendation to promote sleep?
A. Keep the room light dimmed during the day.
B. Keep the room cool.
C. Keep the door of the room open.
D. Offer a sleep aid medication to patients on a regular basis. -
correct answer- b. The nurse should keep the room cool
and provide earplugs and eye masks. The nurse should also
maintain a brighter room environment during daylight hours and
, dim lights in the evening, and keep the door of the room closed.
Sleep aid medications should only be offered as prescribed.
A nurse caring for patients in a long-term care facility is
implementing interventions to help promote sleep in older
adults. Which action is recommended for these patients?
A. Increase physical activities during the day.
B. Encourage short periods of napping during the day.
C. Increase fluids during the evening.
D. Dispense diuretics during the afternoon hours. - correct
answer- a. In order to promote sleep in the older adult, the
nurse should encourage daily physical activity such as walking or
water aerobics, discourage napping during the day, decrease
fluids at night, and dispense diuretics in the morning or early
evening.
A nurse caring for patients in a long-term care facility is often
required to collect urine specimens from patients for laboratory
testing. Which techniques for urine collection are performed
correctly? Select all that apply.
A. The nurse catheterizes a patient to collect a sterile urine
sample for routine urinalysis.
