NUR2090 FUNDAMENTALS FINAL REVIEW EXAM WITH
VERIFIED ANSWERS (EXAM ELABORATION)
A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical
examination. The clients NP is 142/88 mm Hg, his BMI is 31 and he is currently a smoker. The
nurse should identify that this client has multiple risk factors for which of the following
disorders?
A. Testicular cancer
B. Cardiovascular cancer
C. Depression
D. Thyroid disease - (ANSWER)B.
A nurse is providing dietary teaching for a client who is asian-american and is gazing at the floor
during the instructions. Which of the following actions should the nurse take to demonstrate
culturally sensitive nursing care?
A. Stop the instructions to see what is on the floor
B. Emphasize the significance of the information
C. Move closer to the client for eye contact
D. Continue with the discussion - (ANSWER)D.
A nurse is about to explain a therapeutic procedure to a client who doesn't speak the same
language as the nurse. Which of the following actions should the nurse take?
A. Ask a family member to translate
B. Have a medical interpreter present during the teaching
C. Tell the client that he will receive written information in his language after the procedure.
D. Use nonverbal gestures to assure the client that the procedure is safe and will help him. -
(ANSWER)B.
,A nurse is caring for a client of chinese heritage. Which of the following actions should the nurse
take to demonstrate cultural competence?
A. Make sure the dietary department does not serve the client pork.
B. Ask the client's permission to add ice to drinking water
C. Maintain direct eye contact with the client
D. Place a hand on the clients head. - (ANSWER)B.
A nurse is observing an assistive personnel performing postmortem care for a client who is
muslim. Which of the following actions should promote the nurse to intervene?
A. Leaves dentures in the mouth
B. Prepares to cleanse the body
C. Disconnects the cardiac monitor
D. Removes soiled linens from the rooms - (ANSWER)B.
A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes.
Which of the following changes should the nurse plan to include?
A. Decreased muscle mass
B. Thickened vertebral disks
C. Reduced chest width
D. Increased force of isometric contraction - (ANSWER)A.
A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests
that the family might need respite care services. When a family member asks how respite care
can help, which of the following responses should the nurse provide?
A.Respite care allows the primary caregiver time away from day to day care responsibilities.
B. Respite care provides holistic support and care for a client who is terminally ill
,C. Respite care helps relieve pain and promote comfort
D. Respite care is a continuation of psychological support after a family member dies -
(ANSWER)A.
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the
following statements by the client indicates they understand this type of treatment?
A. I am thinking of getting a second opinion
B. I am hoping this will limit my discomfort
C. This treatment should help me live a little longer
D. This is not working and I plan to stop treatment - (ANSWER)B.
A nurse provides a back massage as a palliative care measure to a client who is unconscious,
grimacing, and restlessness. Which of the following findings should the nurse identify as
indicating a therapeutic response? (Select all that apply)
A. The shoulder droop
B. The facial muscles relax
C. The respiratory rate increases
D. The pulse is within the expected range
E. The client draws his legs up into a fetal position - (ANSWER)A.
B.
D.
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which
of the following prescriptions should the nurse expect? (Select all that apply.)
A. Provide skin care with a moisture barrier cream
B. Administer artificial tears PRN.
C. Obtain vital signs every 2 hours
, D. Perform mouth care every hour
E. Administer oxygen 2 L/min via nasal cannula - (ANSWER)A.
B.
D.
E.
A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the
following statements should the nurse identify as an indication of anticipatory grieving?
A. I know that I will get a kidney transplant. I am a good candidate
B. I can now eat whatever I want. The dialysis will remove it from my system.
C. I just cant believe that this dialysis is going to ruin my whole life
D. I know that kidney disease runs in my family, but I can prevent it - (ANSWER)C.
While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2. The
nurse should document this finding as which of the following?
A. A systolic murmur
B. A third heart sound (S3)
C. An expected heart sound
D. A fourth heart sound (S4) - (ANSWER)A.
A nurse is caring for an older adult client. The nurse informs the client that straining while
defecating can cause which of the following?
A. Dilated pupils
B. Dysrhythmias
C. Diarrhea
D. Gastric ulcers - (ANSWER)B.
VERIFIED ANSWERS (EXAM ELABORATION)
A nurse in an outpatient clinic is assessing a middle adult client as part of a routine physical
examination. The clients NP is 142/88 mm Hg, his BMI is 31 and he is currently a smoker. The
nurse should identify that this client has multiple risk factors for which of the following
disorders?
A. Testicular cancer
B. Cardiovascular cancer
C. Depression
D. Thyroid disease - (ANSWER)B.
A nurse is providing dietary teaching for a client who is asian-american and is gazing at the floor
during the instructions. Which of the following actions should the nurse take to demonstrate
culturally sensitive nursing care?
A. Stop the instructions to see what is on the floor
B. Emphasize the significance of the information
C. Move closer to the client for eye contact
D. Continue with the discussion - (ANSWER)D.
A nurse is about to explain a therapeutic procedure to a client who doesn't speak the same
language as the nurse. Which of the following actions should the nurse take?
A. Ask a family member to translate
B. Have a medical interpreter present during the teaching
C. Tell the client that he will receive written information in his language after the procedure.
D. Use nonverbal gestures to assure the client that the procedure is safe and will help him. -
(ANSWER)B.
,A nurse is caring for a client of chinese heritage. Which of the following actions should the nurse
take to demonstrate cultural competence?
A. Make sure the dietary department does not serve the client pork.
B. Ask the client's permission to add ice to drinking water
C. Maintain direct eye contact with the client
D. Place a hand on the clients head. - (ANSWER)B.
A nurse is observing an assistive personnel performing postmortem care for a client who is
muslim. Which of the following actions should promote the nurse to intervene?
A. Leaves dentures in the mouth
B. Prepares to cleanse the body
C. Disconnects the cardiac monitor
D. Removes soiled linens from the rooms - (ANSWER)B.
A nurse is preparing a presentation at a senior center about age-related musculoskeletal changes.
Which of the following changes should the nurse plan to include?
A. Decreased muscle mass
B. Thickened vertebral disks
C. Reduced chest width
D. Increased force of isometric contraction - (ANSWER)A.
A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests
that the family might need respite care services. When a family member asks how respite care
can help, which of the following responses should the nurse provide?
A.Respite care allows the primary caregiver time away from day to day care responsibilities.
B. Respite care provides holistic support and care for a client who is terminally ill
,C. Respite care helps relieve pain and promote comfort
D. Respite care is a continuation of psychological support after a family member dies -
(ANSWER)A.
A nurse is caring for a client who has cancer and is receiving palliative care. Which of the
following statements by the client indicates they understand this type of treatment?
A. I am thinking of getting a second opinion
B. I am hoping this will limit my discomfort
C. This treatment should help me live a little longer
D. This is not working and I plan to stop treatment - (ANSWER)B.
A nurse provides a back massage as a palliative care measure to a client who is unconscious,
grimacing, and restlessness. Which of the following findings should the nurse identify as
indicating a therapeutic response? (Select all that apply)
A. The shoulder droop
B. The facial muscles relax
C. The respiratory rate increases
D. The pulse is within the expected range
E. The client draws his legs up into a fetal position - (ANSWER)A.
B.
D.
A hospice nurse is reviewing the prescriptions for a client who is receiving palliative care. Which
of the following prescriptions should the nurse expect? (Select all that apply.)
A. Provide skin care with a moisture barrier cream
B. Administer artificial tears PRN.
C. Obtain vital signs every 2 hours
, D. Perform mouth care every hour
E. Administer oxygen 2 L/min via nasal cannula - (ANSWER)A.
B.
D.
E.
A nurse is caring for a client who has a new diagnosis of chronic kidney disease. Which of the
following statements should the nurse identify as an indication of anticipatory grieving?
A. I know that I will get a kidney transplant. I am a good candidate
B. I can now eat whatever I want. The dialysis will remove it from my system.
C. I just cant believe that this dialysis is going to ruin my whole life
D. I know that kidney disease runs in my family, but I can prevent it - (ANSWER)C.
While auscultating a clients heart sounds, the nurse hears turbulence between S1 and S2. The
nurse should document this finding as which of the following?
A. A systolic murmur
B. A third heart sound (S3)
C. An expected heart sound
D. A fourth heart sound (S4) - (ANSWER)A.
A nurse is caring for an older adult client. The nurse informs the client that straining while
defecating can cause which of the following?
A. Dilated pupils
B. Dysrhythmias
C. Diarrhea
D. Gastric ulcers - (ANSWER)B.
