©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 236 Final Exam Questions and
Answers
Which of the following items of subjective client data would be documented in the medical record by
the nurse?
a. Client's face is pale
b. Cervical lymph nodes are palpable
c. Nursing assistant reports client refused lunch
d. Client feel nauseated - Ans:✔✔-d
The client reports nausea and constipation. Which of the following would be the priority nursing action?
a. Collect a stool sample
b. Complete an abdominal assessment
c. Administer an anti-nausea medication
d. Notify the physician - Ans:✔✔-b
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A nurse concludes that the patient's elevated temperature, pulse and respirations are significant. Which
step of the nursing process is being used when the nurse comes to this conclusion?
a.Implementation
b.Assessment
c.Evaluation
d.Analysis - Ans:✔✔-d
The most effective method of evaluating a patient' s pain level is to:
a.Ask the patient where he or she feels the pain.
b.Select a tool to measure pain based on the patient's preference and cognitive level.
c.Observe the non verbal cues to pain level.
d.Determine if the pain medication ordered is actually relieving the patient's pain. - Ans:✔✔-b
A registered nurse RN is precepting a new graduate nurse while she is administering the feeding via NGT
for patient with stroke and has difficulty swallowing. Which of the following new nurse actions reflect
the need of further education?
a.Warm the feeding formula to room temperature.
Page 2/32
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b.Aspirate the stomach contents to determine the amount of residual.
c.Elevate the head of the bed 15 degrees after feeding
d.Irrigate feeding tube with sterile water after feeding - Ans:✔✔-c
Which patient would benefit from a Nasogastric Tube?
a.A patient with Congestive Heart Failure
b.A patient who had a left leg amputation
c.A stroke victim who failed their swallow evaluation
d.A patient with a Platelet count of 50 - Ans:✔✔-c
You just inserted a Nasogastric tube. Which of the following is not a correct way to check correct
placement of the tube?
a. Administering a 100cc Water flush and assessing for patient coughing
b. Following the physician order for an X-ray to confirm placement
c. Checking pH of GI contents to be 5 or less
d. Obtaining a sample of GI contents through the tube by aspirating - Ans:✔✔-a
Which of the following accurately describes the greatest risk related to having a feeding tube?
Page 3/32
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) Electrolyte imbalance
B) Fluid volume overload
C) Infection
D) Aspiration - Ans:✔✔-d
When irrigating a colostomy the nurse uses a cone that fits properly to prevent:
a.Introducing air into the colon
b. Leaking the solution around the stoma
c.Administering the solution too rapidly
d.Introducing of bacteria from the stoma - Ans:✔✔-b
Which of the following would be a common nursing diagnosis for patient with a colostomy?
a. Disturbed body image
b. Constipation
c. Delayed growth and development
d. Excess fluid volume - Ans:✔✔-a
Page 4/32
FIRST PUBLISH OCTOBER 2024
NURS 236 Final Exam Questions and
Answers
Which of the following items of subjective client data would be documented in the medical record by
the nurse?
a. Client's face is pale
b. Cervical lymph nodes are palpable
c. Nursing assistant reports client refused lunch
d. Client feel nauseated - Ans:✔✔-d
The client reports nausea and constipation. Which of the following would be the priority nursing action?
a. Collect a stool sample
b. Complete an abdominal assessment
c. Administer an anti-nausea medication
d. Notify the physician - Ans:✔✔-b
Page 1/32
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A nurse concludes that the patient's elevated temperature, pulse and respirations are significant. Which
step of the nursing process is being used when the nurse comes to this conclusion?
a.Implementation
b.Assessment
c.Evaluation
d.Analysis - Ans:✔✔-d
The most effective method of evaluating a patient' s pain level is to:
a.Ask the patient where he or she feels the pain.
b.Select a tool to measure pain based on the patient's preference and cognitive level.
c.Observe the non verbal cues to pain level.
d.Determine if the pain medication ordered is actually relieving the patient's pain. - Ans:✔✔-b
A registered nurse RN is precepting a new graduate nurse while she is administering the feeding via NGT
for patient with stroke and has difficulty swallowing. Which of the following new nurse actions reflect
the need of further education?
a.Warm the feeding formula to room temperature.
Page 2/32
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b.Aspirate the stomach contents to determine the amount of residual.
c.Elevate the head of the bed 15 degrees after feeding
d.Irrigate feeding tube with sterile water after feeding - Ans:✔✔-c
Which patient would benefit from a Nasogastric Tube?
a.A patient with Congestive Heart Failure
b.A patient who had a left leg amputation
c.A stroke victim who failed their swallow evaluation
d.A patient with a Platelet count of 50 - Ans:✔✔-c
You just inserted a Nasogastric tube. Which of the following is not a correct way to check correct
placement of the tube?
a. Administering a 100cc Water flush and assessing for patient coughing
b. Following the physician order for an X-ray to confirm placement
c. Checking pH of GI contents to be 5 or less
d. Obtaining a sample of GI contents through the tube by aspirating - Ans:✔✔-a
Which of the following accurately describes the greatest risk related to having a feeding tube?
Page 3/32
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
A) Electrolyte imbalance
B) Fluid volume overload
C) Infection
D) Aspiration - Ans:✔✔-d
When irrigating a colostomy the nurse uses a cone that fits properly to prevent:
a.Introducing air into the colon
b. Leaking the solution around the stoma
c.Administering the solution too rapidly
d.Introducing of bacteria from the stoma - Ans:✔✔-b
Which of the following would be a common nursing diagnosis for patient with a colostomy?
a. Disturbed body image
b. Constipation
c. Delayed growth and development
d. Excess fluid volume - Ans:✔✔-a
Page 4/32
