WGU FINAL SPRING END OF SEMESTER EXAMINATION-2O26
QUESTIONS AND ANSWERS |100% PASS GUARANTEED|
GRADED A+
HIGHER TIER EXAMINATION PAPER 2
FACULTY OF NURSING |NSG-MED EXAM
Which nail color alteration should the nurse expect to observe in a client with chronic kidney
disease?
A. Horizontal white banding.
B. Diffuse blue discoloration.
C. Diffuse brown discoloration.
D. Thin, dark red vertical lines.
A - Fingernails and toenails can be affected by chronic kidney disease. This condition may cause
horizontal white lines or bands (leukonychia) to appear on the nails.Ignatavicius,(2016).
Medical-surgical nursing: Patient-centered collaborative care, eight edition., Ch. 24, p. 426.
A female client receiving IV vasopressin for esophageal varice rupture reports to the nurse that
she feels substernal tightness and pressure across her chest. Which PRN protocol should the
nurse initiate?
A. Start an IV nitroglycerin infusion.
B. Nasogastric lavage with cool saline.
C. Increase the vasopressin infusion.
D. Prepare for endotracheal intubation.
1|Page
, A - Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the
esophageal varice. Vasoconstriction of the coronary arteries can lead to angina and myocardial
infarction, and should be counteracted by IV nitroglycerin per prescribed protocol.
The client is taking digoxin for congestive heart failure. The nurse would be correct in
withholding a dose of digoxin based on which assessment?
A. serum digoxin level is 1.5.
B. blood pressure is 104/68.
C. serum potassium level is 3.
D. apical pulse is 68/min.
C - Hypokalemia can precipitate digitalis toxicity in persons receiving digoxin which will increase
the chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L).
An older adult female client is brought to the clinic by her daughter for a flu shot. She has lost
significant weight since the last visit. She has poor personal hygiene and inadequate clothing for
the weather. The client states that she lives alone and denies problems or concerns. Which
action should the nurse implement?
A. Notify social services immediately of suspected elderly abuse.
B. Discuss the need for mental health counseling with the daughter.
C. Explain to the client that she needs to take better care of herself.
D. Collect further data to determine whether self-neglect is occurring
D - Changes in weight and hygiene may be indicators of self-neglect or neglect by family
members. Further assessment is needed before notifying social services or discussing a need for
counseling.
2|Page
QUESTIONS AND ANSWERS |100% PASS GUARANTEED|
GRADED A+
HIGHER TIER EXAMINATION PAPER 2
FACULTY OF NURSING |NSG-MED EXAM
Which nail color alteration should the nurse expect to observe in a client with chronic kidney
disease?
A. Horizontal white banding.
B. Diffuse blue discoloration.
C. Diffuse brown discoloration.
D. Thin, dark red vertical lines.
A - Fingernails and toenails can be affected by chronic kidney disease. This condition may cause
horizontal white lines or bands (leukonychia) to appear on the nails.Ignatavicius,(2016).
Medical-surgical nursing: Patient-centered collaborative care, eight edition., Ch. 24, p. 426.
A female client receiving IV vasopressin for esophageal varice rupture reports to the nurse that
she feels substernal tightness and pressure across her chest. Which PRN protocol should the
nurse initiate?
A. Start an IV nitroglycerin infusion.
B. Nasogastric lavage with cool saline.
C. Increase the vasopressin infusion.
D. Prepare for endotracheal intubation.
1|Page
, A - Vasopressin is used to promote vasoconstriction, thereby reducing bleeding from the
esophageal varice. Vasoconstriction of the coronary arteries can lead to angina and myocardial
infarction, and should be counteracted by IV nitroglycerin per prescribed protocol.
The client is taking digoxin for congestive heart failure. The nurse would be correct in
withholding a dose of digoxin based on which assessment?
A. serum digoxin level is 1.5.
B. blood pressure is 104/68.
C. serum potassium level is 3.
D. apical pulse is 68/min.
C - Hypokalemia can precipitate digitalis toxicity in persons receiving digoxin which will increase
the chance of dangerous dysrhythmias (normal potassium level is 3.5 to 5.5 mEq/L).
An older adult female client is brought to the clinic by her daughter for a flu shot. She has lost
significant weight since the last visit. She has poor personal hygiene and inadequate clothing for
the weather. The client states that she lives alone and denies problems or concerns. Which
action should the nurse implement?
A. Notify social services immediately of suspected elderly abuse.
B. Discuss the need for mental health counseling with the daughter.
C. Explain to the client that she needs to take better care of herself.
D. Collect further data to determine whether self-neglect is occurring
D - Changes in weight and hygiene may be indicators of self-neglect or neglect by family
members. Further assessment is needed before notifying social services or discussing a need for
counseling.
2|Page
