NU372 Final exam practice questions WITH
100% SOLVED ANSWERS!!
A client arrives for an influenza vaccination and reports a low-grade fever with a cough.
Which action would the nurse take next? - Answer Check the temperature and current
history.
Which intervention would the nurse perform to prevent disease transmission when
caring for a hospitalized client with influenza? - Answer Don a mask in the room
Which nursing action will be most helpful in preventing transmission of influenza in
crowded communities? - Answer Educating about the importance of having annual
vaccinations
Which information would the nurse include when teaching about why women are more
susceptible to urinary tract infections than men? - Answer The length of the urethra
Which characteristic of urine changes in the presence of a urinary tract infection (UTI)? -
Answer Clarity
Which instruction would the nurse include in a health practices teaching plan for a
female client with a history of recurrent urinary tract infections? - Answer “Wear cotton
underwear or lingerie."
A client recovering from deep partial-thickness burns develops chills, fever, flank pain,
and malaise. The primary health care provider makes a tentative diagnosis of urinary
tract infection. Which diagnostic tests would the nurse expect the primary health care
provider to prescribe to confirm this diagnosis? - Answer Urinalysis with a urine culture
and sensitivity
A primary health care provider diagnoses the client's condition as otitis media. Which
assessment finding supports that diagnosis? - Answer Redness of the eardrum
The nurse would include which instruction to the parents of a child being treated with
oral ampicillin for otitis media? - Answer Complete the entire course of antibiotic
therapy.
Which factor would the nurse consider when the parent of a 10-month-old infant
expresses frustration that this is the baby's third otitis media in 3 months? - Answer The
eustachian tube is short and horizontal.
Which is the primary cause of otitis media in young children? - Answer An obstructed
eustachian tube
,Rationale: A blocked eustachian tube impairs drainage and creates negative pressure;
when the tube opens, bacteria are pulled into the middle ear.
A client is prescribed rifampin after being exposed to active tuberculosis. Which finding
would the nurse immediately report to the health care provider? Select all that apply. -
Answer Small, red, pinpoint areas on the arms
A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis.
Which type of room would the nurse assign this client? - Answer Negative-airflow room
A client arrives at a health clinic stating, "I am here to have my tuberculin skin test
read." The nurse notes that there is a 7-mm indurated area at the injection site. Which
statement made by the nurse correctly describes this result? - Answer “The result
indicates that you are infected with the tuberculosis organism."
A client with tuberculosis receives instructions regarding isoniazid (INH) therapy from
the assigned nurse. Which client statement indicates a misunderstanding of the
content? - Answer “I should apply sunscreen and wear sun-protective clothing while
going outside."
Rationale: This medication is not a photosensitive medication. All the rest of the
statements are accurate.
The nurse identifies 12 mm of induration at the site of a client's tuberculin purified
protein derivative (PPD) test. Which rational would the nurse use to explain this test? -
Answer The result indicates a need for further tests and a chest x-ray.
Rationale: The test result is positive, not negative; thus further testing is necessary.
It is the most accurate skin test for tuberculosis (TB) because of the testing material and
the intradermal method used
Which clinical manifestations are associated with a diagnosis of tuberculosis? Select all
that apply. - Answer Hemoptysis
Anorexia
Night sweats
Which client is at an increased risk for hospital-acquired pneumonia? Select all that
apply. One, some, or all responses may be correct. - Answer Client who was admitted
to the hospital 5 days ago for abdominal pain
Rationale: Hospital-acquired pneumonia occurs in non-intubated clients and begins 48
hours after admission. A client admitted 5 days ago with abdominal pain would meet the
criteria and is at increased risk for hospital-acquired pneumonia. A client admitted the
previous day has not been in the hospital at least 48 hours. A client on mechanical
ventilation is intubated and does not meet the criteria for hospital-acquired pneumonia.
, A client who has been on an airplane with other ill individuals would be at risk for
community-acquired pneumonia. A client in the emergency department has not been
admitted to the hospital.
An older client with shortness of breath is admitted to the hospital. The medical history
reveals and a diagnosis of pneumonia 3 days ago. Which vital sign assessment would
be seen as a sign that the client needs immediate medical attention? - Answer Oxygen
saturation: 89%
Rationale: An oxygen saturation of less than 90% observed in a client with pneumonia
indicates that the client is at risk of respiratory depression.
When caring for a client with pneumonia, which nursing intervention is the highest
priority? - Answer Employ breathing exercises and controlled coughing
When a client has difficulty swallowing after a stroke, which action by the nurse would
be most important in preventing pneumonia? - Answer Having suction available during
meals
When a client with pneumonia is experiencing dyspnea because of difficulty
expectorating thick respiratory secretions, which action by the nurse will be most
helpful? - Answer Offer fluids at frequent intervals
A client with acquired immunodeficiency syndrome (AIDS) and cryptococcal pneumonia
frequently is incontinent of feces and urine and produces copious sputum. When giving
this client a bath, which protective equipment would the nurse use? Select all that apply.
One, some, or all responses may be correct - Answer Surgical mask
Gown
Gloves
Rationale: A gown, mask, and gloves when bathing the client prevent contact with
feces, sputum, or other body fluids during intimate body care
A client is admitted with cellulitis of the left leg and a temperature of 103°F (39.4°C).
The primary health care provider prescribes intravenous (IV) antibiotics. Which action is
the priority before administering the antibiotics? - Answer Determine the client's
allergies.
Which clinical manifestation is associated with cellulitis? - Answer Lymphadenopathy
(swelling of the lymph nodes)
Which assessment findings would the nurse identify in a client with clinical
manifestations of rheumatoid arthritis (RA)? Select all that apply. One, some, or all
responses may be correct - Answer*Development of antinuclear antibodies
*Inflammatory disease pattern
*Bilateral involvement of metacarpophalangeal joints
100% SOLVED ANSWERS!!
A client arrives for an influenza vaccination and reports a low-grade fever with a cough.
Which action would the nurse take next? - Answer Check the temperature and current
history.
Which intervention would the nurse perform to prevent disease transmission when
caring for a hospitalized client with influenza? - Answer Don a mask in the room
Which nursing action will be most helpful in preventing transmission of influenza in
crowded communities? - Answer Educating about the importance of having annual
vaccinations
Which information would the nurse include when teaching about why women are more
susceptible to urinary tract infections than men? - Answer The length of the urethra
Which characteristic of urine changes in the presence of a urinary tract infection (UTI)? -
Answer Clarity
Which instruction would the nurse include in a health practices teaching plan for a
female client with a history of recurrent urinary tract infections? - Answer “Wear cotton
underwear or lingerie."
A client recovering from deep partial-thickness burns develops chills, fever, flank pain,
and malaise. The primary health care provider makes a tentative diagnosis of urinary
tract infection. Which diagnostic tests would the nurse expect the primary health care
provider to prescribe to confirm this diagnosis? - Answer Urinalysis with a urine culture
and sensitivity
A primary health care provider diagnoses the client's condition as otitis media. Which
assessment finding supports that diagnosis? - Answer Redness of the eardrum
The nurse would include which instruction to the parents of a child being treated with
oral ampicillin for otitis media? - Answer Complete the entire course of antibiotic
therapy.
Which factor would the nurse consider when the parent of a 10-month-old infant
expresses frustration that this is the baby's third otitis media in 3 months? - Answer The
eustachian tube is short and horizontal.
Which is the primary cause of otitis media in young children? - Answer An obstructed
eustachian tube
,Rationale: A blocked eustachian tube impairs drainage and creates negative pressure;
when the tube opens, bacteria are pulled into the middle ear.
A client is prescribed rifampin after being exposed to active tuberculosis. Which finding
would the nurse immediately report to the health care provider? Select all that apply. -
Answer Small, red, pinpoint areas on the arms
A client is being admitted to a medical unit with a diagnosis of pulmonary tuberculosis.
Which type of room would the nurse assign this client? - Answer Negative-airflow room
A client arrives at a health clinic stating, "I am here to have my tuberculin skin test
read." The nurse notes that there is a 7-mm indurated area at the injection site. Which
statement made by the nurse correctly describes this result? - Answer “The result
indicates that you are infected with the tuberculosis organism."
A client with tuberculosis receives instructions regarding isoniazid (INH) therapy from
the assigned nurse. Which client statement indicates a misunderstanding of the
content? - Answer “I should apply sunscreen and wear sun-protective clothing while
going outside."
Rationale: This medication is not a photosensitive medication. All the rest of the
statements are accurate.
The nurse identifies 12 mm of induration at the site of a client's tuberculin purified
protein derivative (PPD) test. Which rational would the nurse use to explain this test? -
Answer The result indicates a need for further tests and a chest x-ray.
Rationale: The test result is positive, not negative; thus further testing is necessary.
It is the most accurate skin test for tuberculosis (TB) because of the testing material and
the intradermal method used
Which clinical manifestations are associated with a diagnosis of tuberculosis? Select all
that apply. - Answer Hemoptysis
Anorexia
Night sweats
Which client is at an increased risk for hospital-acquired pneumonia? Select all that
apply. One, some, or all responses may be correct. - Answer Client who was admitted
to the hospital 5 days ago for abdominal pain
Rationale: Hospital-acquired pneumonia occurs in non-intubated clients and begins 48
hours after admission. A client admitted 5 days ago with abdominal pain would meet the
criteria and is at increased risk for hospital-acquired pneumonia. A client admitted the
previous day has not been in the hospital at least 48 hours. A client on mechanical
ventilation is intubated and does not meet the criteria for hospital-acquired pneumonia.
, A client who has been on an airplane with other ill individuals would be at risk for
community-acquired pneumonia. A client in the emergency department has not been
admitted to the hospital.
An older client with shortness of breath is admitted to the hospital. The medical history
reveals and a diagnosis of pneumonia 3 days ago. Which vital sign assessment would
be seen as a sign that the client needs immediate medical attention? - Answer Oxygen
saturation: 89%
Rationale: An oxygen saturation of less than 90% observed in a client with pneumonia
indicates that the client is at risk of respiratory depression.
When caring for a client with pneumonia, which nursing intervention is the highest
priority? - Answer Employ breathing exercises and controlled coughing
When a client has difficulty swallowing after a stroke, which action by the nurse would
be most important in preventing pneumonia? - Answer Having suction available during
meals
When a client with pneumonia is experiencing dyspnea because of difficulty
expectorating thick respiratory secretions, which action by the nurse will be most
helpful? - Answer Offer fluids at frequent intervals
A client with acquired immunodeficiency syndrome (AIDS) and cryptococcal pneumonia
frequently is incontinent of feces and urine and produces copious sputum. When giving
this client a bath, which protective equipment would the nurse use? Select all that apply.
One, some, or all responses may be correct - Answer Surgical mask
Gown
Gloves
Rationale: A gown, mask, and gloves when bathing the client prevent contact with
feces, sputum, or other body fluids during intimate body care
A client is admitted with cellulitis of the left leg and a temperature of 103°F (39.4°C).
The primary health care provider prescribes intravenous (IV) antibiotics. Which action is
the priority before administering the antibiotics? - Answer Determine the client's
allergies.
Which clinical manifestation is associated with cellulitis? - Answer Lymphadenopathy
(swelling of the lymph nodes)
Which assessment findings would the nurse identify in a client with clinical
manifestations of rheumatoid arthritis (RA)? Select all that apply. One, some, or all
responses may be correct - Answer*Development of antinuclear antibodies
*Inflammatory disease pattern
*Bilateral involvement of metacarpophalangeal joints
