NUR 155 EXAM 2, 3 AND 4 WITH 100% CORRECT |
VERIFIED ANSWERS | LATEST UPDATE
1. The nurse is teaching an adult female client about health promotion. Which of the
following should the nurse recommend as a primary prevention intervention?
a. Performing a breast self-examination (BSE).
b. Having a yearly physical with labs.
c. Receiving family planning services.
d. Checking blood pressure every 3 months.
2. The nurse is caring for a client who has joint pain. The nurse incorporates the
nutritional status, sleep patterns, energy level, and sense of well-bring into the plan of
care. Which of the following concepts is the nurse practicing?
a. Homeostasis
b. Individuality
c. Health promotion
d. Holism
3. The community health nurse is preparing to provide education to an adolescent client
regarding health promotion. Which of the following health promotion topics is most
appropriate for this client?
a. Dental checkups
b. Preventive health screenings
c. Weight control
d. Peer group influences
4. The nurse is caring for a client who has a low serum albumin level. Which statement by
the nurse indicates a correct understanding of albumin levels?
a. “The client is experiencing a rapid breakdown of protein.”
b. “This indicates a low level of iron circulating in the blood.”
c. “The results indicate prolonged malnutrition.”
d. “This indicates that the client has experienced blood loss.”
5. The nurse is preparing to discharge an elderly client who is at risk for aspiration.
Which of the following should the nurse recommend?
a. Prepare liquids at prescribed consistency
b. Tilt the head back when swallowing
c. Drink warm water instead of cold
d. Use extra pillow when eating in bed
6. The nurse is administering an intermittent gastrointestinal (GT) feeding to a client.
Which of the following actions is appropriate for the nurse to take?
a. Aspiration and disposal of any residual prior to feeding delivery.
b. SeṄng up feeding bag system to deliver the feeding at a fast rate
c. Raising and lowering the syringe to adjust the flow rate of the feeding.
d. Placing the head of the bed at 15 degrees with the client on their lek side
7. The nurse is caring for a client who is receiving prescribed medication intravenously (IV).
,Upon assessment, the nurse notes the IV site is swollen and cool to the touch. Which of
the following is most appropriate action for the nurse to take?
a. Slow the rate of the infusion and provide a warm blanket
b. Stop the infusion and start supportive treatment
, c. Call the primary health care provider (PHCP) and get order for a new medication
d. Monitor the client closely since they need the medication
8. The nurse is caring for a client who was admitted to the acute care unit with a
decreased phosphorus level. Which of the following should the nurse
recommend?
a. Enforce strict isolation protocols
b. Strain all urine
c. Encourage consumption of a high- calorie carbohydrate diet
d. Encourage consumption of milk and yogurt
9. The nurse is caring for a client who is 5-days postoperative and has been on bed rest.
Which of the following interventions should the nurse implement to decrease the
client’s possibility of developing hypercalcemia?
a. Assist the client to turn, cough, and deep breath every 2 hours
b. Measure vital signs every 4 hours
c. Assist the client to ambulate around the room at least 3 times daily.
d. Irrigate the client’s nasogastric (NG) tube every 2 hours.
10. The nurse is caring for a client who has had diarrhea for 48 hours abd has developed
fatigue, restlessness, and disorientation. Which of the following laboratory results
should the nurse correlate to these signs and symptoms?
a. Calcium
b. Sodium
c. Phosphate
d. Magnesium
11. The nurse is caring for a client who has hypokalemia. Which of the following
signs and symptoms should the nurse expect to see?
a. Headache
b. Facial edema
c. Muscle weakness
d. Abdominal cramping
12. The nurse is caring for a client who is diagnosed with an elevated aldosterone level.
The nurse should expect to find
a. An increased urine output
b. Urinary frequency
c. A decreased urine output
d. Urinary urgency
13. The nurse is caring for a client who has oliguria. The nurse recognized that the
client is experiencing
a. A urine output greater than 120 ml/hr
b. Increased hesitancy with voiding
c. A urine output less than 30 ml/hr
d. A foul odor associated with urination
14. The nurse is assessing the following assigned older adult clients who have urinary
VERIFIED ANSWERS | LATEST UPDATE
1. The nurse is teaching an adult female client about health promotion. Which of the
following should the nurse recommend as a primary prevention intervention?
a. Performing a breast self-examination (BSE).
b. Having a yearly physical with labs.
c. Receiving family planning services.
d. Checking blood pressure every 3 months.
2. The nurse is caring for a client who has joint pain. The nurse incorporates the
nutritional status, sleep patterns, energy level, and sense of well-bring into the plan of
care. Which of the following concepts is the nurse practicing?
a. Homeostasis
b. Individuality
c. Health promotion
d. Holism
3. The community health nurse is preparing to provide education to an adolescent client
regarding health promotion. Which of the following health promotion topics is most
appropriate for this client?
a. Dental checkups
b. Preventive health screenings
c. Weight control
d. Peer group influences
4. The nurse is caring for a client who has a low serum albumin level. Which statement by
the nurse indicates a correct understanding of albumin levels?
a. “The client is experiencing a rapid breakdown of protein.”
b. “This indicates a low level of iron circulating in the blood.”
c. “The results indicate prolonged malnutrition.”
d. “This indicates that the client has experienced blood loss.”
5. The nurse is preparing to discharge an elderly client who is at risk for aspiration.
Which of the following should the nurse recommend?
a. Prepare liquids at prescribed consistency
b. Tilt the head back when swallowing
c. Drink warm water instead of cold
d. Use extra pillow when eating in bed
6. The nurse is administering an intermittent gastrointestinal (GT) feeding to a client.
Which of the following actions is appropriate for the nurse to take?
a. Aspiration and disposal of any residual prior to feeding delivery.
b. SeṄng up feeding bag system to deliver the feeding at a fast rate
c. Raising and lowering the syringe to adjust the flow rate of the feeding.
d. Placing the head of the bed at 15 degrees with the client on their lek side
7. The nurse is caring for a client who is receiving prescribed medication intravenously (IV).
,Upon assessment, the nurse notes the IV site is swollen and cool to the touch. Which of
the following is most appropriate action for the nurse to take?
a. Slow the rate of the infusion and provide a warm blanket
b. Stop the infusion and start supportive treatment
, c. Call the primary health care provider (PHCP) and get order for a new medication
d. Monitor the client closely since they need the medication
8. The nurse is caring for a client who was admitted to the acute care unit with a
decreased phosphorus level. Which of the following should the nurse
recommend?
a. Enforce strict isolation protocols
b. Strain all urine
c. Encourage consumption of a high- calorie carbohydrate diet
d. Encourage consumption of milk and yogurt
9. The nurse is caring for a client who is 5-days postoperative and has been on bed rest.
Which of the following interventions should the nurse implement to decrease the
client’s possibility of developing hypercalcemia?
a. Assist the client to turn, cough, and deep breath every 2 hours
b. Measure vital signs every 4 hours
c. Assist the client to ambulate around the room at least 3 times daily.
d. Irrigate the client’s nasogastric (NG) tube every 2 hours.
10. The nurse is caring for a client who has had diarrhea for 48 hours abd has developed
fatigue, restlessness, and disorientation. Which of the following laboratory results
should the nurse correlate to these signs and symptoms?
a. Calcium
b. Sodium
c. Phosphate
d. Magnesium
11. The nurse is caring for a client who has hypokalemia. Which of the following
signs and symptoms should the nurse expect to see?
a. Headache
b. Facial edema
c. Muscle weakness
d. Abdominal cramping
12. The nurse is caring for a client who is diagnosed with an elevated aldosterone level.
The nurse should expect to find
a. An increased urine output
b. Urinary frequency
c. A decreased urine output
d. Urinary urgency
13. The nurse is caring for a client who has oliguria. The nurse recognized that the
client is experiencing
a. A urine output greater than 120 ml/hr
b. Increased hesitancy with voiding
c. A urine output less than 30 ml/hr
d. A foul odor associated with urination
14. The nurse is assessing the following assigned older adult clients who have urinary
