NURS 321 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS (ALREADY
GRADED A+); VERIFIED ANSWERS
A 48-year-old female has received a clinical diagnosis of lupus
from her primary care physician following confirmation of
diagnostic testing. After learning of the diagnosis, she returns to
the office for initial health promotion measures. Which patient
behaviors require you to provide further instruction to prevent
potential flare-ups of lupus symptoms? Select all that apply:
a. Drinking eight glasses of water each day
b. Frequently applying sunscreen while sunbathing
c. Limiting exercise to once a month
d. Regular consumption of alcoholic beverages
e. Taking on an increased workload - correct answer- c,
d, and e
Rationale: Additional stress due to increased workload will
contribute to the fatigue often associated with lupus. Patients
with this disease should consume a well-balanced diet and limit
alcohol consumption. A regular exercise plan should be
encouraged to maintain joint health.
,A 58-year-old female patient presents to the hospital with an
exacerbation of multiple sclerosis (MS) symptoms. She was
diagnosed with the disease four years ago. In performing the
admission health assessment, you identify several abnormalities.
Which of the following findings are clinical symptoms associated
with MS? Select all that apply:
a. Bladder infection
b. Hypertension
c. Increased thirst
d. Migraine headaches
e. Numbness in legs - correct answer- a and e
A female patient in her 30s has now been treated for lupus for
several years. Which clinical finding would cause a priority
concern on a follow-up visit?
a. Fasting blood sugar result of 85 mg/dL
b. Nonproductive cough for two days
c. Pancytopenia found during a complete blood count
,d. Temperature of 99.8° Fahrenheit and complaints of chills and
increased fatigue - correct answer- c. Pancytopenia
found during a complete blood count
A hospitalized patient with a history of cluster headaches
awakens during the night with a severe stabbing headache.
Which action should the nurse take first?
a. Give the ordered PRN acetaminophen (Tylenol).
b. Notify the patient's health care provider immediately.
c. Apply a moist hot pack on the patient's neck
d. Start the prescribed PRN O2 via NC or NRB - correct
answer- d. Start the prescribed PRN O2 via NC or NRB
A nurse is teaching about nursing actions for caring for patients
with Guillain-Barré syndrome (GBS). Which statement indicates
a need for further teaching?
a. "Do not keep the patient in a single position."
b. "Do not offer any kind of diversions to the patient."
c. "Establish methods of communication, and provide a method
to call the nurse."
, d. "Discuss the use of analgesics or nonopioids with the
healthcare provider." - correct answer- b. "Do not offer
any kind of diversions to the patient."
A patient arrives at the hospital with joint pain and morning
stiffness. Which laboratory value may indicate the presence of
inflammation?
a. Elevation of C-reactive protein (CRP)
b. Decreased white blood cells (WBCs)
c. Decreased erythrocyte sedimentation rate (ESR)
d. Positive anticyclic citrullinated peptides level - correct
answer- a. Elevation of C-reactive protein (CRP)
A patient comes to the emergency department and is being
ruled out for meningitis. What symptoms would cause the
provider to question this? Select all that apply.
a. Fever and headache
b. Flashing lights
c. Nuchal rigidity
d. Opisthotonos
AND CORRECT ANSWERS (ALREADY
GRADED A+); VERIFIED ANSWERS
A 48-year-old female has received a clinical diagnosis of lupus
from her primary care physician following confirmation of
diagnostic testing. After learning of the diagnosis, she returns to
the office for initial health promotion measures. Which patient
behaviors require you to provide further instruction to prevent
potential flare-ups of lupus symptoms? Select all that apply:
a. Drinking eight glasses of water each day
b. Frequently applying sunscreen while sunbathing
c. Limiting exercise to once a month
d. Regular consumption of alcoholic beverages
e. Taking on an increased workload - correct answer- c,
d, and e
Rationale: Additional stress due to increased workload will
contribute to the fatigue often associated with lupus. Patients
with this disease should consume a well-balanced diet and limit
alcohol consumption. A regular exercise plan should be
encouraged to maintain joint health.
,A 58-year-old female patient presents to the hospital with an
exacerbation of multiple sclerosis (MS) symptoms. She was
diagnosed with the disease four years ago. In performing the
admission health assessment, you identify several abnormalities.
Which of the following findings are clinical symptoms associated
with MS? Select all that apply:
a. Bladder infection
b. Hypertension
c. Increased thirst
d. Migraine headaches
e. Numbness in legs - correct answer- a and e
A female patient in her 30s has now been treated for lupus for
several years. Which clinical finding would cause a priority
concern on a follow-up visit?
a. Fasting blood sugar result of 85 mg/dL
b. Nonproductive cough for two days
c. Pancytopenia found during a complete blood count
,d. Temperature of 99.8° Fahrenheit and complaints of chills and
increased fatigue - correct answer- c. Pancytopenia
found during a complete blood count
A hospitalized patient with a history of cluster headaches
awakens during the night with a severe stabbing headache.
Which action should the nurse take first?
a. Give the ordered PRN acetaminophen (Tylenol).
b. Notify the patient's health care provider immediately.
c. Apply a moist hot pack on the patient's neck
d. Start the prescribed PRN O2 via NC or NRB - correct
answer- d. Start the prescribed PRN O2 via NC or NRB
A nurse is teaching about nursing actions for caring for patients
with Guillain-Barré syndrome (GBS). Which statement indicates
a need for further teaching?
a. "Do not keep the patient in a single position."
b. "Do not offer any kind of diversions to the patient."
c. "Establish methods of communication, and provide a method
to call the nurse."
, d. "Discuss the use of analgesics or nonopioids with the
healthcare provider." - correct answer- b. "Do not offer
any kind of diversions to the patient."
A patient arrives at the hospital with joint pain and morning
stiffness. Which laboratory value may indicate the presence of
inflammation?
a. Elevation of C-reactive protein (CRP)
b. Decreased white blood cells (WBCs)
c. Decreased erythrocyte sedimentation rate (ESR)
d. Positive anticyclic citrullinated peptides level - correct
answer- a. Elevation of C-reactive protein (CRP)
A patient comes to the emergency department and is being
ruled out for meningitis. What symptoms would cause the
provider to question this? Select all that apply.
a. Fever and headache
b. Flashing lights
c. Nuchal rigidity
d. Opisthotonos
