NUR 201- MIDTERM REVIEW QUESTIONS WITH
ACCURATE ANSWERS
A 55-year-old man comes to the health nurse at his place of work with epistaxis.
He reports he has frequent nosebleeds that he can usually control himself. What
would be the most helpful assessment after the nurse has stopped the bleeding?
a. Record the approximate amount of blood lost.
b. Obtain a blood pressure.
c. Record the last episode of epistaxis.
d. Inquire about a headache. correct answer b. Obtain a blood pressure.
A localized area of dying or dead tissue is called
a. atheroma.
b. lesion.
c. thrombus.
d. infarct. correct answer d. infarct.
A nurse assesses an edematous cardiac patient. The nurse is aware that this
condition is a result of retained fluid. What is the patient considered to be?
a. Hypercalcemic
b. Hyponatremic
c. Hypernatremic
d. Hypokalemic correct answer c. Hypernatremic
A patient admitted in a state of extreme anxiety has vital signs of T 98.6°F (37°C),
P 81, BP 130/86, R 32. What will result if this hyperventilation continues?
,a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis correct answer c. Respiratory alkalosis
A patient admitted to the emergency room with a possible myocardial infarction
(MI) has reports back from the laboratory. Which laboratory report is specific for
myocardial damage?
a. Low level of sodium
b. Elevated white count
c. CK-MB
d. Elevated sedimentation rate correct answer c. CK-MB
A patient problem for the patient with a new laryngectomy would be Social
isolation related to impaired verbal communication related to removal of the
larynx. What is an appropriate nursing intervention?
a. Provide a pad and pencil or magic slate.
b. Offer books or jigsaw puzzles for entertainment.
c. Refrain from conversations with the patient to reduce stress level
d. Complete care quickly. correct answer a. Provide a pad and pencil or magic
slate.
A patient, age 69, has emphysema. On assessment, the nurse notes the presence
of a "barrel chest." What does this pathology result from?
a. A decrease in anteroposterior diameter caused by chronic dilation of the
bronchi
, b. An increase in the lateromedial area from hypertrophy of mucous glands in the
bronchi
c. A widening of the sternocostal area secondary to chronic constriction of
smooth muscles in the airways leading to bronchospasms
d. An increased anteroposterior diameter caused by overinflation of the alveoli
correct answer d. An increased anteroposterior diameter caused by overinflation
of the alveoli
A patient, age 72, was admitted to the medical unit with a diagnosis of angina
pectoris. Characteristic signs and symptoms of angina pectoris include:
a. epigastric pain that radiates to the jaw.
b. indigestion, nausea, and eructation.
c. substernal pain that radiates down the left arm.
d. fatigue, shortness of breath, and dyspnea. correct answer c. substernal pain
that radiates down the left arm.
A potassium deficiency may be caused by
a. food poisoning.
b. psychological stress.
c. allergies.
d. myocardial infarction. correct answer a. food poisoning.
A risk factor for coronary heart disease that cannot be controlled is
a. lack of exercise.
b. obesity.
c. smoking.
ACCURATE ANSWERS
A 55-year-old man comes to the health nurse at his place of work with epistaxis.
He reports he has frequent nosebleeds that he can usually control himself. What
would be the most helpful assessment after the nurse has stopped the bleeding?
a. Record the approximate amount of blood lost.
b. Obtain a blood pressure.
c. Record the last episode of epistaxis.
d. Inquire about a headache. correct answer b. Obtain a blood pressure.
A localized area of dying or dead tissue is called
a. atheroma.
b. lesion.
c. thrombus.
d. infarct. correct answer d. infarct.
A nurse assesses an edematous cardiac patient. The nurse is aware that this
condition is a result of retained fluid. What is the patient considered to be?
a. Hypercalcemic
b. Hyponatremic
c. Hypernatremic
d. Hypokalemic correct answer c. Hypernatremic
A patient admitted in a state of extreme anxiety has vital signs of T 98.6°F (37°C),
P 81, BP 130/86, R 32. What will result if this hyperventilation continues?
,a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis correct answer c. Respiratory alkalosis
A patient admitted to the emergency room with a possible myocardial infarction
(MI) has reports back from the laboratory. Which laboratory report is specific for
myocardial damage?
a. Low level of sodium
b. Elevated white count
c. CK-MB
d. Elevated sedimentation rate correct answer c. CK-MB
A patient problem for the patient with a new laryngectomy would be Social
isolation related to impaired verbal communication related to removal of the
larynx. What is an appropriate nursing intervention?
a. Provide a pad and pencil or magic slate.
b. Offer books or jigsaw puzzles for entertainment.
c. Refrain from conversations with the patient to reduce stress level
d. Complete care quickly. correct answer a. Provide a pad and pencil or magic
slate.
A patient, age 69, has emphysema. On assessment, the nurse notes the presence
of a "barrel chest." What does this pathology result from?
a. A decrease in anteroposterior diameter caused by chronic dilation of the
bronchi
, b. An increase in the lateromedial area from hypertrophy of mucous glands in the
bronchi
c. A widening of the sternocostal area secondary to chronic constriction of
smooth muscles in the airways leading to bronchospasms
d. An increased anteroposterior diameter caused by overinflation of the alveoli
correct answer d. An increased anteroposterior diameter caused by overinflation
of the alveoli
A patient, age 72, was admitted to the medical unit with a diagnosis of angina
pectoris. Characteristic signs and symptoms of angina pectoris include:
a. epigastric pain that radiates to the jaw.
b. indigestion, nausea, and eructation.
c. substernal pain that radiates down the left arm.
d. fatigue, shortness of breath, and dyspnea. correct answer c. substernal pain
that radiates down the left arm.
A potassium deficiency may be caused by
a. food poisoning.
b. psychological stress.
c. allergies.
d. myocardial infarction. correct answer a. food poisoning.
A risk factor for coronary heart disease that cannot be controlled is
a. lack of exercise.
b. obesity.
c. smoking.
