NUR 256 Exam 4 Practice Questions & Study Guide | Endocrine, Renal &
Critical Care Nursing Prep
1. A client's altered body image is evidenced by claims The client will perceive
of "feeling fat" even though the client is emaciated. an ideal body weight and
Which is the appropriate outcome criterion for this shape as normal.
client's problem?
2. The nurse is interviewing a client admitted for compli- AB
cations of severe weight loss. The nurse says to the
client, "You are very thin. Even your ribs are protrud-
ing." Which responses below would indicate to the
nurse that the client may be suffering from anorexia
nervosa? Select all that apply.
A. "Thank, you. I only have a few more pounds to
lose."
B. "I am still fat and unattractive"
C. "I didn't think I had lost that much weight. I am
concerned."
D. "I am upset by my weight loss and am afraid my
classmates may make fun of me.
3. You are working in the emergency department when starvation/nutritional de-
a patient with a history of anorexia nervosa comes fecits
in. This patient appears confused, weak and irritable.
Their extremities are cool and mottled, and their skin
is coated with fine hair (lanugo). What is the most
likely underlying cause of these symptoms?
4. A morbidly obese client is prescribed Lorcaserin If there is no weight loss in
(Belviq). The nurse should prepare to teach the client the first 3 months, discon-
about this medication. Which statement below is cor- tinue the medication
rect?
5.
, NUR 256 Exam 4 Practice Questions & Study Guide | Endocrine, Renal &
Critical Care Nursing Prep
A client diagnosed with bulimia nervosa is admitted The client is extremely
to your unit. Which factor would the nurse find to be emaciated
inappropriate when doing the initial assessment?
6. You arrive on your unit and you got report on your pa- call the doctor for an order
tient with a broken leg. The report states that he was for Librium, since he may
drunk and fell off a ladder last night. Your patient's be starting into D.T's
vital signs are mildly elevated and he has a fine hand
tremor. You reassess him in 1 hour and his vital signs
have further increased and so has his hand tremors.
What is your INITIAL nursing action?
7. Which behavior would be inconsistent with defining Interdependence
characteristics for the nursing diagnosis of ineffective
coping?
8. Avoidant Pervasive pattern of shy-
ness, feelings of inade-
quacy, A. Anti-social and
hypersensitivity to nega-
tive evaluation
9. Dependent Pervasive pattern of cling-
ing behavior with fear of
separation
10. Antisocial Pervasive pattern of disre-
garding and violating the
rights of others
11. Borderline Fear of abandonment,
self-mutilation
, NUR 256 Exam 4 Practice Questions & Study Guide | Endocrine, Renal &
Critical Care Nursing Prep
12. When treating clients with personality disorders, These disorders often de-
which of the following statements by the nurse would crease in severity spon-
indicate that there is good understanding of the treat- taneously as the client's
ment. reach their 40's
13. What is true about a patient with dependent person- BCD
ality disorder and relationships? Select all that apply
A. They are very unlikely to be victims of domestic
violence
B. They require advice and assistance in performing
daily tasks
C. They jump into another relationship immediately
after termination of the previous relationship
D. They have an increased need to be reassured
14. Which of the following would MOST SIGNIFICANTLY Your patients weight went
influence you to admit your patient with an eating from 120 - 100 in 5
disorder into the hospital? months Temp 96, Pulse
38, B/P 68/40
15. Your patient has a history of polysubstance abuse. cocaine
He arrives in the Emergency Department combative,
yelling and was picked up by the police for kicking
in a window. His pupils are dilated and his pulse and
blood pressure are increased. Which drug has he been
abusing this evening?
16. Your most important nursing intervention with a pa- maintaining the physical
tient in delirium tremens is: safety of the patient
17. Your patient diagnosed with anorexia nervosa is im- Delivering food trays to
proving and wants to help out volunteering in the the patients
hospital. Which job below would NOT be appropriate?
Critical Care Nursing Prep
1. A client's altered body image is evidenced by claims The client will perceive
of "feeling fat" even though the client is emaciated. an ideal body weight and
Which is the appropriate outcome criterion for this shape as normal.
client's problem?
2. The nurse is interviewing a client admitted for compli- AB
cations of severe weight loss. The nurse says to the
client, "You are very thin. Even your ribs are protrud-
ing." Which responses below would indicate to the
nurse that the client may be suffering from anorexia
nervosa? Select all that apply.
A. "Thank, you. I only have a few more pounds to
lose."
B. "I am still fat and unattractive"
C. "I didn't think I had lost that much weight. I am
concerned."
D. "I am upset by my weight loss and am afraid my
classmates may make fun of me.
3. You are working in the emergency department when starvation/nutritional de-
a patient with a history of anorexia nervosa comes fecits
in. This patient appears confused, weak and irritable.
Their extremities are cool and mottled, and their skin
is coated with fine hair (lanugo). What is the most
likely underlying cause of these symptoms?
4. A morbidly obese client is prescribed Lorcaserin If there is no weight loss in
(Belviq). The nurse should prepare to teach the client the first 3 months, discon-
about this medication. Which statement below is cor- tinue the medication
rect?
5.
, NUR 256 Exam 4 Practice Questions & Study Guide | Endocrine, Renal &
Critical Care Nursing Prep
A client diagnosed with bulimia nervosa is admitted The client is extremely
to your unit. Which factor would the nurse find to be emaciated
inappropriate when doing the initial assessment?
6. You arrive on your unit and you got report on your pa- call the doctor for an order
tient with a broken leg. The report states that he was for Librium, since he may
drunk and fell off a ladder last night. Your patient's be starting into D.T's
vital signs are mildly elevated and he has a fine hand
tremor. You reassess him in 1 hour and his vital signs
have further increased and so has his hand tremors.
What is your INITIAL nursing action?
7. Which behavior would be inconsistent with defining Interdependence
characteristics for the nursing diagnosis of ineffective
coping?
8. Avoidant Pervasive pattern of shy-
ness, feelings of inade-
quacy, A. Anti-social and
hypersensitivity to nega-
tive evaluation
9. Dependent Pervasive pattern of cling-
ing behavior with fear of
separation
10. Antisocial Pervasive pattern of disre-
garding and violating the
rights of others
11. Borderline Fear of abandonment,
self-mutilation
, NUR 256 Exam 4 Practice Questions & Study Guide | Endocrine, Renal &
Critical Care Nursing Prep
12. When treating clients with personality disorders, These disorders often de-
which of the following statements by the nurse would crease in severity spon-
indicate that there is good understanding of the treat- taneously as the client's
ment. reach their 40's
13. What is true about a patient with dependent person- BCD
ality disorder and relationships? Select all that apply
A. They are very unlikely to be victims of domestic
violence
B. They require advice and assistance in performing
daily tasks
C. They jump into another relationship immediately
after termination of the previous relationship
D. They have an increased need to be reassured
14. Which of the following would MOST SIGNIFICANTLY Your patients weight went
influence you to admit your patient with an eating from 120 - 100 in 5
disorder into the hospital? months Temp 96, Pulse
38, B/P 68/40
15. Your patient has a history of polysubstance abuse. cocaine
He arrives in the Emergency Department combative,
yelling and was picked up by the police for kicking
in a window. His pupils are dilated and his pulse and
blood pressure are increased. Which drug has he been
abusing this evening?
16. Your most important nursing intervention with a pa- maintaining the physical
tient in delirium tremens is: safety of the patient
17. Your patient diagnosed with anorexia nervosa is im- Delivering food trays to
proving and wants to help out volunteering in the the patients
hospital. Which job below would NOT be appropriate?
