NUR1023 REVIEW QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT !!!
Question: A nurse is reported for diverting a patient's prescribed
medication for personal use. Which entity has the legal authority to
determine if the nurse’s license should be suspended or revoked?
a. The hospital or healthcare facility currently employing the nurse. b. The
American Nurses Association (ANA). c. The National League for Nursing
(NLN). d. The State Board of Nursing that granted the license.
Answer: d. The State Board of Nursing that granted the license.
Rationale: While an employer can terminate a nurse's job, only the State Board
of Nursing (SBON) has the legal "police power" to grant, limit, or revoke a
professional license. Their primary mission is to protect the public by ensuring
all practicing nurses meet safety and ethical standards. ✔✔
Question: A patient who has experienced diarrhea for five days has
developed an acid-base imbalance. Which of the following statements by
the patient indicates a correct understanding of their condition?
a. "I should lower my sodium intake during future bouts of diarrhea." b. "My
blood became too acidic because I lost alkaline fluids (base) through the
diarrhea." c. "Since diarrhea causes fluid loss, I should stick to drinking iced
water." d. "I should try to breathe more slowly to help balance my internal
acids."
Answer: b. "My blood became too acidic because I lost some base in the
diarrhea fluid."
Rationale: Lower intestinal fluids are rich in bicarbonate (a base). When a
patient has significant diarrhea, they lose this bicarbonate, which can lead to
metabolic acidosis. The patient's statement correctly identifies that the loss of
a "base" results in an "acidic" state.
✔✔
The patient has severe hyperthyroidism and will have surgery tomorrow. What
assessment is most important for the nurse to perform in order to detect the
development of the highest risk acid-base imbalance?
a. Urine output and color
b. Level of consciousness
,c. Heart rate and blood pressure
d. Lung sounds in lung bases
b. Level of consciousness
The nurse is making a home visit to a child who has a chronic disease. Which
finding has the most implication for acid-base aspects of this patient's care?
a. Urine output is very small today.
b. Whites of the eyes appear more yellow.
c. Skin around the mouth is very chapped.
d. Skin is sweaty under three blankets.
a. Urine output is very small today.
The nurse has telephone messages from four patients who requested
information and assistance. Which one should the nurse refer to a social worker
or a community agency first?
a. Is there a place where I can dispose of my unused morphine pills?
b. I want to lose at least 20 pounds without getting sick this time.
c. I think I have asthma because I cough when dogs are near.
d. I ran out of money and am cutting my insulin dose in half.
d. I ran out of money and am cutting my insulin dose in half.
The patient is hyperventilating from anxiety and abdominal pain. Which
assessment findings should the nurse attribute to respiratory alkalosis? (Select
all that apply.)
a. Skin pale and cold
b. Tingling of fingertips
c. Heart rate of 102
d.Numbness around mouth
e.Cramping in feet
b. Tingling of fingertips
d.Numbness around mouth
e.Cramping in feet
Which statements said by patients indicate that the nurse's teaching regarding
prevention of acid-base imbalances is successful? (Select all that apply.)
a. Baking soda is an effective and inexpensive antacid.
,b. I should take my insulin on time every day.
c. My aspirin is on a high shelf away from children.
d. I have reliable transportation to dialysis sessions.
e. Fasting is a great way to lose weight rapidly.
b. I should take my insulin on time every day.
c. My aspirin is on a high shelf away from children.
d. I have reliable transportation to dialysis sessions
Which newborn should the nursery nurse identify as being at significant risk
for hypothermic alteration in thermoregulation?
a. Large for gestational age
b. Low birth weight
c. Born at term
d. Well nourished
b. Low birth weight
A volunteer at the senior center asks the visiting nurse why the senior citizens
always see to be complaining about the temperature. What is the nurse's best
response?
a. Older people have a diminished ability to regulate body temperature because
of active sweat glands.
b. Older people have a diminished ability to regulate body temperature because
of increased circulation.
c. Older people have a diminished ability to regulate body temperature because
of peripheral vasoconstriction.
d. Older people have a diminished ability to regulate body temperature because
of slower metabolic rates.
d. Older people have a diminished ability to regulate body temperature because
of slower metabolic rates.
The nurse admitting a patient to the emergency department on a very hot
summer day would suspect hyperthermia when the patient demonstrates which
assessment finding?
a. Decreased respirations
b. Low pulse rate
c. Red, sweaty skin
d. Slow capillary refill
, c. Red, sweaty skin
What is the priority nursing action for a patient suspected to be hypothermic?
a. Assess vital signs.
b. Hydrate with intravenous (IV) fluids.
c. Provide a warm blanket.
d. Remove wet clothes.
d. Remove wet clothes.
Which strategies should the nurse include in a community program for senior
citizens related to dealing with cold winter temperatures?
a. Avoiding hot beverages
b. Shopping at an indoor mall
c. Using a fan at low speed
d. Walking slowly in the park
b. Shopping at an indoor mall
During orientation to an emergency department, the nurse educator would be
concerned if the new nurse listed which of the following as a risk factor for
impaired thermoregulation?
a. Impaired cognition
b. Occupational exposure
c. Physical agility
d. Temperature extremes
c. Physical agility
What is the most appropriate measure for a nurse to use in assessing core body
temperature when there are suspected problems with thermoregulation?
a. Oral thermometer
b. Rectal thermometer
c. Temporal thermometer scan
d. Tympanic membrane sensor
ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT !!!
Question: A nurse is reported for diverting a patient's prescribed
medication for personal use. Which entity has the legal authority to
determine if the nurse’s license should be suspended or revoked?
a. The hospital or healthcare facility currently employing the nurse. b. The
American Nurses Association (ANA). c. The National League for Nursing
(NLN). d. The State Board of Nursing that granted the license.
Answer: d. The State Board of Nursing that granted the license.
Rationale: While an employer can terminate a nurse's job, only the State Board
of Nursing (SBON) has the legal "police power" to grant, limit, or revoke a
professional license. Their primary mission is to protect the public by ensuring
all practicing nurses meet safety and ethical standards. ✔✔
Question: A patient who has experienced diarrhea for five days has
developed an acid-base imbalance. Which of the following statements by
the patient indicates a correct understanding of their condition?
a. "I should lower my sodium intake during future bouts of diarrhea." b. "My
blood became too acidic because I lost alkaline fluids (base) through the
diarrhea." c. "Since diarrhea causes fluid loss, I should stick to drinking iced
water." d. "I should try to breathe more slowly to help balance my internal
acids."
Answer: b. "My blood became too acidic because I lost some base in the
diarrhea fluid."
Rationale: Lower intestinal fluids are rich in bicarbonate (a base). When a
patient has significant diarrhea, they lose this bicarbonate, which can lead to
metabolic acidosis. The patient's statement correctly identifies that the loss of
a "base" results in an "acidic" state.
✔✔
The patient has severe hyperthyroidism and will have surgery tomorrow. What
assessment is most important for the nurse to perform in order to detect the
development of the highest risk acid-base imbalance?
a. Urine output and color
b. Level of consciousness
,c. Heart rate and blood pressure
d. Lung sounds in lung bases
b. Level of consciousness
The nurse is making a home visit to a child who has a chronic disease. Which
finding has the most implication for acid-base aspects of this patient's care?
a. Urine output is very small today.
b. Whites of the eyes appear more yellow.
c. Skin around the mouth is very chapped.
d. Skin is sweaty under three blankets.
a. Urine output is very small today.
The nurse has telephone messages from four patients who requested
information and assistance. Which one should the nurse refer to a social worker
or a community agency first?
a. Is there a place where I can dispose of my unused morphine pills?
b. I want to lose at least 20 pounds without getting sick this time.
c. I think I have asthma because I cough when dogs are near.
d. I ran out of money and am cutting my insulin dose in half.
d. I ran out of money and am cutting my insulin dose in half.
The patient is hyperventilating from anxiety and abdominal pain. Which
assessment findings should the nurse attribute to respiratory alkalosis? (Select
all that apply.)
a. Skin pale and cold
b. Tingling of fingertips
c. Heart rate of 102
d.Numbness around mouth
e.Cramping in feet
b. Tingling of fingertips
d.Numbness around mouth
e.Cramping in feet
Which statements said by patients indicate that the nurse's teaching regarding
prevention of acid-base imbalances is successful? (Select all that apply.)
a. Baking soda is an effective and inexpensive antacid.
,b. I should take my insulin on time every day.
c. My aspirin is on a high shelf away from children.
d. I have reliable transportation to dialysis sessions.
e. Fasting is a great way to lose weight rapidly.
b. I should take my insulin on time every day.
c. My aspirin is on a high shelf away from children.
d. I have reliable transportation to dialysis sessions
Which newborn should the nursery nurse identify as being at significant risk
for hypothermic alteration in thermoregulation?
a. Large for gestational age
b. Low birth weight
c. Born at term
d. Well nourished
b. Low birth weight
A volunteer at the senior center asks the visiting nurse why the senior citizens
always see to be complaining about the temperature. What is the nurse's best
response?
a. Older people have a diminished ability to regulate body temperature because
of active sweat glands.
b. Older people have a diminished ability to regulate body temperature because
of increased circulation.
c. Older people have a diminished ability to regulate body temperature because
of peripheral vasoconstriction.
d. Older people have a diminished ability to regulate body temperature because
of slower metabolic rates.
d. Older people have a diminished ability to regulate body temperature because
of slower metabolic rates.
The nurse admitting a patient to the emergency department on a very hot
summer day would suspect hyperthermia when the patient demonstrates which
assessment finding?
a. Decreased respirations
b. Low pulse rate
c. Red, sweaty skin
d. Slow capillary refill
, c. Red, sweaty skin
What is the priority nursing action for a patient suspected to be hypothermic?
a. Assess vital signs.
b. Hydrate with intravenous (IV) fluids.
c. Provide a warm blanket.
d. Remove wet clothes.
d. Remove wet clothes.
Which strategies should the nurse include in a community program for senior
citizens related to dealing with cold winter temperatures?
a. Avoiding hot beverages
b. Shopping at an indoor mall
c. Using a fan at low speed
d. Walking slowly in the park
b. Shopping at an indoor mall
During orientation to an emergency department, the nurse educator would be
concerned if the new nurse listed which of the following as a risk factor for
impaired thermoregulation?
a. Impaired cognition
b. Occupational exposure
c. Physical agility
d. Temperature extremes
c. Physical agility
What is the most appropriate measure for a nurse to use in assessing core body
temperature when there are suspected problems with thermoregulation?
a. Oral thermometer
b. Rectal thermometer
c. Temporal thermometer scan
d. Tympanic membrane sensor
