NUR 112 Final Exam Study Guide Exam (Elaborations)
, 1. A student nurse is assessing the peripheral vascular system of an older adult. What action by the
student would cause the faculty member to intervene?
a. Assessing blood pressure in both upper extremities
b. Auscultating the carotid arteries for any bruits
c. Classifying capillary refill of 4 seconds as normal
d. Palpating both carotid arteries at the same time
2. The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is
most concerning?
a. Cholesterol: 126 mg/dL
b. High-density lipoprotein cholesterol (HDL-C): 48 mg/dL
c. Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL
d. Triglycerides: 198 mg/dL
3. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What
meal selection indicates the client is managing this condition well with diet?
a. A 4-ounce steak, French fries, iceberg lettuce
b. Baked chicken breast, broccoli, tomatoes
c. Fried catfish, cornbread, peas
d. Spaghetti with meat sauce, garlic bread
4. A client has been diagnosed with hypertension but does not take the antihypertensive
medications because of a lack of symptoms. What response by the nurse is best?
a. “Do you have trouble affording your medications?”
b. “Most People with hypertension do not have symptoms.”
c. “You are lucky; most people get severe morning headaches.”
d. “You need to take your medicine or you will get kidney failure.”
5. A nurse is interest in providing community education and screening on hypertension. In order to
reach a priority population, to what target audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women’s health clinics
6. The nurse is caring for four hypertensive clients. Which drug-laboratory value combination
should the nurse report immediately to the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
7. A nurse is assessing a client with peripheral artery disease (PAD). The client states walking five
blocks is possible without pain. What question asked next by the nurse will give the best
information?
a. “Could you walk further than that a few months ago?”
b. “Do you walk mostly uphill, downhill, or on flat surfaces?”
c. “Have you ever considered swimming instead of walking?”
d. “How much pain medication do you take each day?”
8. A nurse is caring for four clients. Which one should the nurse see first?
a. Client who needs a beta blocker, and has a blood pressure of 92/58 mm Hg
b. Client who had a first dose of captopril (Capoten) and needs to use the bathroom
c. Hypertensive client with a blood pressure of 188/92 mm Hg
, 1. A student nurse is assessing the peripheral vascular system of an older adult. What action by the
student would cause the faculty member to intervene?
a. Assessing blood pressure in both upper extremities
b. Auscultating the carotid arteries for any bruits
c. Classifying capillary refill of 4 seconds as normal
d. Palpating both carotid arteries at the same time
2. The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is
most concerning?
a. Cholesterol: 126 mg/dL
b. High-density lipoprotein cholesterol (HDL-C): 48 mg/dL
c. Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL
d. Triglycerides: 198 mg/dL
3. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What
meal selection indicates the client is managing this condition well with diet?
a. A 4-ounce steak, French fries, iceberg lettuce
b. Baked chicken breast, broccoli, tomatoes
c. Fried catfish, cornbread, peas
d. Spaghetti with meat sauce, garlic bread
4. A client has been diagnosed with hypertension but does not take the antihypertensive
medications because of a lack of symptoms. What response by the nurse is best?
a. “Do you have trouble affording your medications?”
b. “Most People with hypertension do not have symptoms.”
c. “You are lucky; most people get severe morning headaches.”
d. “You need to take your medicine or you will get kidney failure.”
5. A nurse is interest in providing community education and screening on hypertension. In order to
reach a priority population, to what target audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women’s health clinics
6. The nurse is caring for four hypertensive clients. Which drug-laboratory value combination
should the nurse report immediately to the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
7. A nurse is assessing a client with peripheral artery disease (PAD). The client states walking five
blocks is possible without pain. What question asked next by the nurse will give the best
information?
a. “Could you walk further than that a few months ago?”
b. “Do you walk mostly uphill, downhill, or on flat surfaces?”
c. “Have you ever considered swimming instead of walking?”
d. “How much pain medication do you take each day?”
8. A nurse is caring for four clients. Which one should the nurse see first?
a. Client who needs a beta blocker, and has a blood pressure of 92/58 mm Hg
b. Client who had a first dose of captopril (Capoten) and needs to use the bathroom
c. Hypertensive client with a blood pressure of 188/92 mm Hg
