NUR 1212C Final Exam 1 2022-2023/ 100 QUESTIONS
AND CORRECT ANSWERS
Question 1
1 out of 1 points
A client is considered high risk for development of clots and thus a potential pulmonary embolism. Which of
the following statements indicated a need for further teaching?
Question 2
1 out of 1 points
A client is being started on hydromorphone (Dilaudid) for abdominal pain. Which of the following need to be
included in the patient education?
Question 3
0 out of 3.2 points
The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by
nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown
in the accompanying figure, which action should the nurse take first?
a. Check the patient's blood glucose level.
b. Take the blood pressure on the left arm.
c. Use an irrigating syringe to clean the ear canals.
d. Report the vision change to the health care provider.
The sudden change in peripheral vision may indicate an acute problem, such as retinal detachment, that
should be treated quickly to preserve vision. The other data about the patient are not indicative of any acute
problem. The other actions are also appropriate, but the highest priority for this patient is prevention of
blindness.
Question 4
1 out of 1 points
The nurse is caring for a male patient who reports an urgent need to urinate but is unable to pass more than a
few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse?
Question 5
3.2 out of 3.2 points
,A client has a foreign body in the eye. What action by the nurse takes priority?
a. Administering ordered antibiotics
b. Assessing the client's visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be assessed. The client
may or may not need enucleation. The object is only removed by the ophthalmologist.
, Question 6
0 out of 3.2 points
The nurse understands that the patient with acute glomerulonephritis has had an immune complex response
to which of the following?
Question 7
3.2 out of 3.2 points
A client is taking warfarin (Coumadin) and asks the nurse if taking St. John's wort is acceptable. What response
by the nurse is best?
a. "No, it may interfere with the warfarin."
b. "There isn't any information about that."
c. "Why would you want to take that?"
d. "Yes, it is a good supplement for you."
Many foods and drugs interfere with warfarin, St. John's wort being one of them. The nurse should advise the
client against taking it. The other answers are not accurate.
Question 8
0 out of 3.2 points
The nurse is caring for a client preparing to have a laparascopic cholecystectomy in the morning. Which
statement by the client indicates a need for further teaching?
1. “I should be able to go home within a day after the procedure.”
2. “I will probably have bandages over the puncture sites.”
3. “I am glad I won’t need to have an open cholecystectomy.”
4. “I will tell the nurse if I feel nauseated after surgery.”
A patient with a laparoscopic cholecystectomy is at risk for needing an open cholecystectomy if the procedure
cannot be completed laparoscopically due to complications. Patients are typically discharged within 24 hours.
The patient will likely have adhesive bandages over the puncture sites. Nausea is common after surgery and
should be reported to the nurse.
Question 9
3.2 out of 3.2 points
A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the nurse to the
possibility of right-sided heart failure?
a. "I sleep with four pillows at night."
b. "My shoes fit really tight lately."
c. "I wake up coughing every night."
d. "I have trouble catching my breath."
Signs of systemic congestion occur with right-sided heart failure. Fluid is retained, pressure builds in the
venous system, and peripheral edema develops. Left-sided heart failure symptoms include respiratory
symptoms. Orthopnea, coughing, and difficulty breathing all could be results of left-sided heart failure.
Question 10
3.2 out of 3.2 points
A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness. Which action
should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the client's head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client.
AND CORRECT ANSWERS
Question 1
1 out of 1 points
A client is considered high risk for development of clots and thus a potential pulmonary embolism. Which of
the following statements indicated a need for further teaching?
Question 2
1 out of 1 points
A client is being started on hydromorphone (Dilaudid) for abdominal pain. Which of the following need to be
included in the patient education?
Question 3
0 out of 3.2 points
The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by
nursing staff. After reviewing the history, physical assessment, and vital signs for a 60-year-old patient as shown
in the accompanying figure, which action should the nurse take first?
a. Check the patient's blood glucose level.
b. Take the blood pressure on the left arm.
c. Use an irrigating syringe to clean the ear canals.
d. Report the vision change to the health care provider.
The sudden change in peripheral vision may indicate an acute problem, such as retinal detachment, that
should be treated quickly to preserve vision. The other data about the patient are not indicative of any acute
problem. The other actions are also appropriate, but the highest priority for this patient is prevention of
blindness.
Question 4
1 out of 1 points
The nurse is caring for a male patient who reports an urgent need to urinate but is unable to pass more than a
few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse?
Question 5
3.2 out of 3.2 points
,A client has a foreign body in the eye. What action by the nurse takes priority?
a. Administering ordered antibiotics
b. Assessing the client's visual acuity
c. Obtaining consent for enucleation
d. Removing the object immediately
To prevent infection, antibiotics are provided. Visual acuity in the affected eye cannot be assessed. The client
may or may not need enucleation. The object is only removed by the ophthalmologist.
, Question 6
0 out of 3.2 points
The nurse understands that the patient with acute glomerulonephritis has had an immune complex response
to which of the following?
Question 7
3.2 out of 3.2 points
A client is taking warfarin (Coumadin) and asks the nurse if taking St. John's wort is acceptable. What response
by the nurse is best?
a. "No, it may interfere with the warfarin."
b. "There isn't any information about that."
c. "Why would you want to take that?"
d. "Yes, it is a good supplement for you."
Many foods and drugs interfere with warfarin, St. John's wort being one of them. The nurse should advise the
client against taking it. The other answers are not accurate.
Question 8
0 out of 3.2 points
The nurse is caring for a client preparing to have a laparascopic cholecystectomy in the morning. Which
statement by the client indicates a need for further teaching?
1. “I should be able to go home within a day after the procedure.”
2. “I will probably have bandages over the puncture sites.”
3. “I am glad I won’t need to have an open cholecystectomy.”
4. “I will tell the nurse if I feel nauseated after surgery.”
A patient with a laparoscopic cholecystectomy is at risk for needing an open cholecystectomy if the procedure
cannot be completed laparoscopically due to complications. Patients are typically discharged within 24 hours.
The patient will likely have adhesive bandages over the puncture sites. Nausea is common after surgery and
should be reported to the nurse.
Question 9
3.2 out of 3.2 points
A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the nurse to the
possibility of right-sided heart failure?
a. "I sleep with four pillows at night."
b. "My shoes fit really tight lately."
c. "I wake up coughing every night."
d. "I have trouble catching my breath."
Signs of systemic congestion occur with right-sided heart failure. Fluid is retained, pressure builds in the
venous system, and peripheral edema develops. Left-sided heart failure symptoms include respiratory
symptoms. Orthopnea, coughing, and difficulty breathing all could be results of left-sided heart failure.
Question 10
3.2 out of 3.2 points
A nurse witnesses a client begin to experience a tonic-clonic seizure and loss of consciousness. Which action
should the nurse take?
a. Start fluids via a large-bore catheter.
b. Turn the client's head to the side.
c. Administer IV push diazepam.
d. Prepare to intubate the client.
