NURS 398 QUESTIONS WITH VERIFIED ANSWERS
The nurse is caring for four female patients. Which patient is identified as being at
greatest risk for low bone density?
A.22 year old Asian American
B.39 year old Caucasian American
C.44 year old Native American
D.50 year old African American - Answers - B
After providing education, which patient statement does the nurse identify that reflects
an older patient's understanding of musculoskeletal health interventions?
A."I should use a cane when I walk.
"B."I should drink 8 oz of orange juice daily.
"C."I should try to exercise at least five times a week."
D."I should ignore my pain and adapt to moving more slowly." - Answers - A or C
A patient is scheduled for an electromyography (EMG) to evaluate diffuse or localized
muscle weakness. What question will the nurse ask the patient before the test?
A."When did you last eat or drink?
B."Have you completed your exercise for the day?
C."What herbs and over-the-counter medicines do you take?
D."Did you take your cyclobenzaprine (Flexeril) this morning?" - Answers - C
Which patient statement alerts the nurse to perform a thorough GI history and focused
assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis." - Answers - d
After abdominal surgery, which question should the nurse ask the patient to determine
whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" - Answers - a
When administering a new GI medication to an older patient, the nurse anticipates
what?
A.A higher-than-normal dose may be needed.
, B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
D.Nausea and vomiting may develop rapidly and are common side effects in older
adults. - Answers - b
When obtaining a health history from a 22-year-old female client who has new-onset
urinary incontinence, which finding or factors does the nurse consider significant?
Select all that apply.
A. Chemical exposure in the workplace
B. A burning sensation occurring on urination
C. Urinating 10 times daily although fluid intake remains unchanged
D. A recent change in the client's oral contraceptive prescription
E. A new inability to hold urine (urgency)
F. A "stinky" odor from the urine - Answers - b c e f
Which patient is most likely to experience renal compromise assessed by decreased
urine production?
A.10-year history of diabetes mellitus
B.White blood cell count of 12,000/mm3
C.Recent history of myocardial infarction
D.Blood pressure of 92/46 mm Hg for 12 hours - Answers - d
A patient with kidney failure reports dyspnea. The patient's pulse oximeter reading is
95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What
is the priority intervention?
A.Notify the respiratory therapist.
B.Administer oxygen by nasal cannula.
C.Elevate the head of bed to 90 degrees.
D.Administer a respiratory nebulizing treatment. - Answers - b
A patient with a history of kidney disease is admitted with acute shoulder pain. Which
order should the nurse question?
A.Digoxin 0.125 mg by mouth daily
B.Metoprolol 50 mg by mouth twice daily
C.Pan cultures for a temperature >38.5º C
D.Ibuprofen 800 mg by mouth every 4 hours as needed for pain - Answers - d
The emergency department nurse is caring for a 78-year old patient whose daughter
reports a decrease in cognition. Which nursing statement directed to the patient helps
the nurse to assess cognition?
A."Tell me what this fable means to you."
B."Please count backward from 100 by 7s."
The nurse is caring for four female patients. Which patient is identified as being at
greatest risk for low bone density?
A.22 year old Asian American
B.39 year old Caucasian American
C.44 year old Native American
D.50 year old African American - Answers - B
After providing education, which patient statement does the nurse identify that reflects
an older patient's understanding of musculoskeletal health interventions?
A."I should use a cane when I walk.
"B."I should drink 8 oz of orange juice daily.
"C."I should try to exercise at least five times a week."
D."I should ignore my pain and adapt to moving more slowly." - Answers - A or C
A patient is scheduled for an electromyography (EMG) to evaluate diffuse or localized
muscle weakness. What question will the nurse ask the patient before the test?
A."When did you last eat or drink?
B."Have you completed your exercise for the day?
C."What herbs and over-the-counter medicines do you take?
D."Did you take your cyclobenzaprine (Flexeril) this morning?" - Answers - C
Which patient statement alerts the nurse to perform a thorough GI history and focused
assessment?
A."I don't like the taste of spicy foods."
B."I got dentures four years ago."
C."I experience occasional constipation."
D."I take ibuprofen three times daily for arthritis." - Answers - d
After abdominal surgery, which question should the nurse ask the patient to determine
whether peristaltic movement is returning?
A."Have you passed flatus?"
B."Are you hungry"
C."Do you have any nausea?"
D."Is your pain level manageable?" - Answers - a
When administering a new GI medication to an older patient, the nurse anticipates
what?
A.A higher-than-normal dose may be needed.
, B.Close monitoring is needed because toxic levels may develop.
C.Older adults always require a lower-than-normal dose than younger patients.
D.Nausea and vomiting may develop rapidly and are common side effects in older
adults. - Answers - b
When obtaining a health history from a 22-year-old female client who has new-onset
urinary incontinence, which finding or factors does the nurse consider significant?
Select all that apply.
A. Chemical exposure in the workplace
B. A burning sensation occurring on urination
C. Urinating 10 times daily although fluid intake remains unchanged
D. A recent change in the client's oral contraceptive prescription
E. A new inability to hold urine (urgency)
F. A "stinky" odor from the urine - Answers - b c e f
Which patient is most likely to experience renal compromise assessed by decreased
urine production?
A.10-year history of diabetes mellitus
B.White blood cell count of 12,000/mm3
C.Recent history of myocardial infarction
D.Blood pressure of 92/46 mm Hg for 12 hours - Answers - d
A patient with kidney failure reports dyspnea. The patient's pulse oximeter reading is
95% on room air, but is visibly distressed with a respiratory rate of 32 breaths/min. What
is the priority intervention?
A.Notify the respiratory therapist.
B.Administer oxygen by nasal cannula.
C.Elevate the head of bed to 90 degrees.
D.Administer a respiratory nebulizing treatment. - Answers - b
A patient with a history of kidney disease is admitted with acute shoulder pain. Which
order should the nurse question?
A.Digoxin 0.125 mg by mouth daily
B.Metoprolol 50 mg by mouth twice daily
C.Pan cultures for a temperature >38.5º C
D.Ibuprofen 800 mg by mouth every 4 hours as needed for pain - Answers - d
The emergency department nurse is caring for a 78-year old patient whose daughter
reports a decrease in cognition. Which nursing statement directed to the patient helps
the nurse to assess cognition?
A."Tell me what this fable means to you."
B."Please count backward from 100 by 7s."
