Nur 163 exam 2 with complete solutions
The nurse is caring for four patents today. Which finding should the nurse immediately
report to the RN? - Answer- - Patient with positive Chvostek's signs
Which patient finding should cause the nurse to encourage oral (PO) fluid intake?
- - Answer- Diarrhea
The home health nurse is visiting a patient and notices the unpaid caregiver is having
caregiver strain. The nurse knows, when communicating with the patient unpaid
caregiver praise is the best way to improve caregiver strain. Which of the following
would be the best response to the caregiver? - Answer- I've noticed all your time and
effort with the patient. You are very important to the healthcare team"
Which patient will the nurse determine to have potential for hypernatremia? - Answer-
The patient who consumes excessive amount of table salt
The LPN is preparing to discuss a plan of care with a 72-year-old patient who is hard of
hearing. When communicating with the patient. What is the best approach? - Answer-
Speak in a low pitch tone and face level with the patient
patient arrives in the emergency department (ED) and is diagnosed with hyperkalemia.
The nurse will monitor the patient for which possible consequence of hyperkalemia. -
Answer- Cardiac arrhythmias
Which of the following patients would least likely experience a fluid and electrolyte
imbalance? - Answer- A 23-year-old with an upper extremity bone fracture
The older adult is waiting for test results from their doctor develops nausea and
excessive gas. Which is the probable cause of these symptoms? - Answer- Slowing of
peristalsis
Which nursing intervention would not be appropriate for a patient with fluid volume
excess? - Answer- Increase in sodium intake
The nurse is obtaining a health history from a new resident at the assisted living facility.
The nurse knows it is important to ask which question regarding fluids and electrolytes?
- Answer- What medications, including dietary supplements, do you take?"
Which is true of an older adult who used coping skills effectively during his younger
years? - Answer- They will continue to use similar coping behaviors throughout
, The LPN is providing teaching on the use of complimentary and alternative therapies.
Which statement by the geriatric patient shows an understanding of the teaching? -
Answer- - I am looking forward to starting the medication classes, and all the benefits it
can have on my health
Which of the following is associated with an age-related complication, and could
contribute to the geriatric patient's pain? - Answer- Bone demineralization and
contractures
The patient is having a cardiac catherization in the morning. Which of the following is in
response to stress? - Answer- Decreased production of digestive enzymes
Which comment about stress is true? - Answer- Interventions that reduce stress are
beneficial
The nurse is evaluating the patient's use of a cane for left- sided weakness. The nurse
should intervene if the patient is observed performing which action? - Answer- Moving
the cane when the right leg is moved
Which strategy would be effective in reducing an elderly patient's stress? - Answer-
Focusing on the emotions of the patient
The nurse is caring for a patient recently transferred to a long-term care facility from the
community hospital. The patient refuses to eat, leave the room, or take prescribed
medication. Which action will the nurse take? - Answer- Provide continuity of care by
having the same nurse assigned to the patient as much as possible
The nurse is making a home visit to a patient diagnosed with hypertension. The
patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective
coping? - Answer- Neglecting personal grooming
The nurse is doing an assessment on a newly admitted elderly patient. The patient
states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse
understands the elderly patient is having trouble coping with this new situation. Which
should be the best response by the nurse? - Answer- will notify Social Services and
they can help you with getting assistance"
The LPN recognizes there are two steps to an older adult's ability to assess a stressor.
The older adult must be able to evaluate the potential for harm (primary appraisal) and
decide how to overcome the stressor secondary appraisal.) this requires which skill? -
Answer- Cognitive skills
An elderly patient states, "I have been using spiritual counseling in one way or another
to cope with stress since I was in college." The LPN knows that coping mechanisms
correlate with which of the following statement? - Answer- Are adapted throughout our
The nurse is caring for four patents today. Which finding should the nurse immediately
report to the RN? - Answer- - Patient with positive Chvostek's signs
Which patient finding should cause the nurse to encourage oral (PO) fluid intake?
- - Answer- Diarrhea
The home health nurse is visiting a patient and notices the unpaid caregiver is having
caregiver strain. The nurse knows, when communicating with the patient unpaid
caregiver praise is the best way to improve caregiver strain. Which of the following
would be the best response to the caregiver? - Answer- I've noticed all your time and
effort with the patient. You are very important to the healthcare team"
Which patient will the nurse determine to have potential for hypernatremia? - Answer-
The patient who consumes excessive amount of table salt
The LPN is preparing to discuss a plan of care with a 72-year-old patient who is hard of
hearing. When communicating with the patient. What is the best approach? - Answer-
Speak in a low pitch tone and face level with the patient
patient arrives in the emergency department (ED) and is diagnosed with hyperkalemia.
The nurse will monitor the patient for which possible consequence of hyperkalemia. -
Answer- Cardiac arrhythmias
Which of the following patients would least likely experience a fluid and electrolyte
imbalance? - Answer- A 23-year-old with an upper extremity bone fracture
The older adult is waiting for test results from their doctor develops nausea and
excessive gas. Which is the probable cause of these symptoms? - Answer- Slowing of
peristalsis
Which nursing intervention would not be appropriate for a patient with fluid volume
excess? - Answer- Increase in sodium intake
The nurse is obtaining a health history from a new resident at the assisted living facility.
The nurse knows it is important to ask which question regarding fluids and electrolytes?
- Answer- What medications, including dietary supplements, do you take?"
Which is true of an older adult who used coping skills effectively during his younger
years? - Answer- They will continue to use similar coping behaviors throughout
, The LPN is providing teaching on the use of complimentary and alternative therapies.
Which statement by the geriatric patient shows an understanding of the teaching? -
Answer- - I am looking forward to starting the medication classes, and all the benefits it
can have on my health
Which of the following is associated with an age-related complication, and could
contribute to the geriatric patient's pain? - Answer- Bone demineralization and
contractures
The patient is having a cardiac catherization in the morning. Which of the following is in
response to stress? - Answer- Decreased production of digestive enzymes
Which comment about stress is true? - Answer- Interventions that reduce stress are
beneficial
The nurse is evaluating the patient's use of a cane for left- sided weakness. The nurse
should intervene if the patient is observed performing which action? - Answer- Moving
the cane when the right leg is moved
Which strategy would be effective in reducing an elderly patient's stress? - Answer-
Focusing on the emotions of the patient
The nurse is caring for a patient recently transferred to a long-term care facility from the
community hospital. The patient refuses to eat, leave the room, or take prescribed
medication. Which action will the nurse take? - Answer- Provide continuity of care by
having the same nurse assigned to the patient as much as possible
The nurse is making a home visit to a patient diagnosed with hypertension. The
patient's spouse died 3 months ago. Which behavior by the patient suggests ineffective
coping? - Answer- Neglecting personal grooming
The nurse is doing an assessment on a newly admitted elderly patient. The patient
states, "I don't have the funds to pay for this hospital, and I need to leave." The nurse
understands the elderly patient is having trouble coping with this new situation. Which
should be the best response by the nurse? - Answer- will notify Social Services and
they can help you with getting assistance"
The LPN recognizes there are two steps to an older adult's ability to assess a stressor.
The older adult must be able to evaluate the potential for harm (primary appraisal) and
decide how to overcome the stressor secondary appraisal.) this requires which skill? -
Answer- Cognitive skills
An elderly patient states, "I have been using spiritual counseling in one way or another
to cope with stress since I was in college." The LPN knows that coping mechanisms
correlate with which of the following statement? - Answer- Are adapted throughout our
