NUR 260 FINAL EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED
1. A patient with type one diabetes mellitus is seeing the nurse fto review foot
care. What would the priority instruction for the nurse to give the patient?
a. Avoid hot water bottles and heating pads
2. The nurse is participating in the care for a patient with acute coronary
syndrome. What goal should guide the care teams selection of assessments,
interventions, and treatments? (all about supply and demand)
a. Balancing myocardial oxygen supply with demand
3. A patient is postop day one following CABG has produced twenty mL of urine
in the past three hours and the nurse has confirmed the patency of urinary
catheter. What is the nurses most appropriate action?
a. Contact the physician and suggest assessment of fluid balance and renal function
4. A patient is admitted to med unit with heart failure is exhibiting s/s of
pulmonary edema. The nurse is aware that positioning will promote circulation.
How should the nurse best position the patient?
a. High fowlers
5. The nurse is providing discharge education to patient diagnosed with heart
failure. What should the nurse teach the patient do to assess her fluid balance in
the home setting
a. Monitor weight
, 6. The nurse is performing a physical assessment suspected heart failure
a. S3 sound
7. Assessment of patient with heart failure. Assesses sensorium and LOC. Why is
the assessment of the patient sensorium and LOC is important in patients with
heart failure?
a. Affected oxygen transport to brain
8. A cardiac patient resistance to the left ventricular filling has caused blood to
back up into the patients circulatory system. What health problem is the result?
a. Acute pulmonary edema
9. A patient who is at high risk for developing intracardiac thrombi (in the heart
blood clot) has been placed on long term anticoagulation. What aspect of patient
health history creates heightened risk of intracardiac thrombi?
a. A fib
10. A care aide in long term care assures the family of a resident that their father's
increasing forgetfulness is a part of normal aging process. How can a nurse best
respond?
a. Further assessment
11. Thinning of skin sub Q fat layer makes older adults more sensitive to:
cold
12. What characteristic of the facility needs most modification?
area rugs
Restraints
alternatives first
WITH COMPLETE SOLUTIONS VERIFIED
1. A patient with type one diabetes mellitus is seeing the nurse fto review foot
care. What would the priority instruction for the nurse to give the patient?
a. Avoid hot water bottles and heating pads
2. The nurse is participating in the care for a patient with acute coronary
syndrome. What goal should guide the care teams selection of assessments,
interventions, and treatments? (all about supply and demand)
a. Balancing myocardial oxygen supply with demand
3. A patient is postop day one following CABG has produced twenty mL of urine
in the past three hours and the nurse has confirmed the patency of urinary
catheter. What is the nurses most appropriate action?
a. Contact the physician and suggest assessment of fluid balance and renal function
4. A patient is admitted to med unit with heart failure is exhibiting s/s of
pulmonary edema. The nurse is aware that positioning will promote circulation.
How should the nurse best position the patient?
a. High fowlers
5. The nurse is providing discharge education to patient diagnosed with heart
failure. What should the nurse teach the patient do to assess her fluid balance in
the home setting
a. Monitor weight
, 6. The nurse is performing a physical assessment suspected heart failure
a. S3 sound
7. Assessment of patient with heart failure. Assesses sensorium and LOC. Why is
the assessment of the patient sensorium and LOC is important in patients with
heart failure?
a. Affected oxygen transport to brain
8. A cardiac patient resistance to the left ventricular filling has caused blood to
back up into the patients circulatory system. What health problem is the result?
a. Acute pulmonary edema
9. A patient who is at high risk for developing intracardiac thrombi (in the heart
blood clot) has been placed on long term anticoagulation. What aspect of patient
health history creates heightened risk of intracardiac thrombi?
a. A fib
10. A care aide in long term care assures the family of a resident that their father's
increasing forgetfulness is a part of normal aging process. How can a nurse best
respond?
a. Further assessment
11. Thinning of skin sub Q fat layer makes older adults more sensitive to:
cold
12. What characteristic of the facility needs most modification?
area rugs
Restraints
alternatives first
