NUR 245 – Pharmacology in Nursing Practice – Final Exam Review
with Questions and Correct answers
when assessing a client with an indwelling catheter, which observation requires the most
immediate intervention by the nurse?
a. the drainage tubing is secured over the siderail
b. the clamp on the urinary drainage bag is open
c. there are no dependent loops in the drainage bag
d. the urinary drainage bag is attached to the bed frame - correct answer b. the clamp on the
urinary drainage bag is open
closed urinary system is important to reduce risk of infection
a male client with venous incompetence stands up and his blood pressure subsequently drops.
which finding should the nurse identify as a compensatory response?
a. bradychardia
b. increase in pulse rate
c. peripheral vasodialation
d. increase in cardiac output - correct answer b. increase in pulse rate
the nurse is preparing a male client who has an indwelling cath and an IV infusion to ambulate
from the bed to the chair for the first time following abdominal surgery. what action (s) should
the nurse implement prior to assisting the client to the chair? (select all)
a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
c. obtain and place a portable commode by the bed
d. ask the client to push the IV pole to the chair
e. clamp the indwelling cath
f. assess the clients blood pressure - correct answer a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
d. ask the client to push the IV pole to the chair
,f. assess the clients blood pressure
what is an anlgesic? - correct answer med to releive pain
which technique is most appropriate for the nurse to implement when preforming a physical
assessment?
a. a head-to-toe approach
b. the medical systems model
c. a consistent, systematic approach
d. an approach related to a nursing model - correct answer c. a consistent, systematic approach
the nurse formulates the nursing diagnosis of "ineffective health maitnenece related to lack of
motivation" for a client with type 2 DM. which finding supports this nursing diagnosis?
a. does not check capillary blood glucose as directed
b. occasionally forgets to take daily prescribed meds
c. cannot identify signs or symptoms of high or low BG
d. eats anything and does not think diet makes a difference in health - correct answer d. eats
anything and does not think diet makes a difference in health
a client in hospice care develops audible gurgling sounds on inspiration. which action has the
highest priority?
a. ensure cultural customs are observed
b. increase oxygen flow to 4 L.min
c. ausculate bilateral lung fields
d. inform the family that death is immitent - correct answer d. inform the family that death is
immitent
(innefective clearance of secretions)
what is venous incompetence? - correct answer when veins are unable to flow blood back to
the heart
an older resident of a long term care facility is no longer able to preform self care and is
becoming progressively weaker. the resident requested no resucitative efforts be preformed
and the family requests hospice care. what action should the nurse implement first?
a. reaffirm the clients desire for no resucitative efforts
, b. transfer the client to a hospice inpatient facility
c. prepare the family for the clients impending death
d. notify the healthcare provider of the family's request - correct answer d. notify the
healthcare provider of the family's request
how long should nasosuctioning be preformed? - correct answer 10-15 seconds
a young mother of 3 children complains of increased anxiety during her annual physical exam.
what info should the nurse obtain first?
a. sexual activity patterns
b. nutritional history
c. leaisure activities
d. financial stressors - correct answer b. nutritional history
caffeine, sugars, and alcohols can lead to increased levels of anxiety
during a visit to the outpatient clinic. the nurse assesses a client with severe osteoarthritis using
a goniometer. which finding should the nurse expect to measure?
a. adequate venous blood flow to the lower extremities
b. estimated amount of body fat by an underarm skinfold
c. degree of flexion and extension of the clients knee joint
d. change in circumference of the joint in cm - correct answer c. degree of flexion and extension
of the clients knee joint
goniometer - correct answer two piece rulers that measures degree of flexion and extension of
a joint
the nurse is developing a plan of care for a client with dementia. which feature of confusion in
the elderly is accurate?
a. bewilderment is to be expected and progress with age
b. diorientation often follows relocation to new surroundings
c. uncertainty is a result of irreversible brain pathology
d. being preplexed can be prevented by adequate sleep - correct answer b. diorientation often
follows relocation to new surroundings
with Questions and Correct answers
when assessing a client with an indwelling catheter, which observation requires the most
immediate intervention by the nurse?
a. the drainage tubing is secured over the siderail
b. the clamp on the urinary drainage bag is open
c. there are no dependent loops in the drainage bag
d. the urinary drainage bag is attached to the bed frame - correct answer b. the clamp on the
urinary drainage bag is open
closed urinary system is important to reduce risk of infection
a male client with venous incompetence stands up and his blood pressure subsequently drops.
which finding should the nurse identify as a compensatory response?
a. bradychardia
b. increase in pulse rate
c. peripheral vasodialation
d. increase in cardiac output - correct answer b. increase in pulse rate
the nurse is preparing a male client who has an indwelling cath and an IV infusion to ambulate
from the bed to the chair for the first time following abdominal surgery. what action (s) should
the nurse implement prior to assisting the client to the chair? (select all)
a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
c. obtain and place a portable commode by the bed
d. ask the client to push the IV pole to the chair
e. clamp the indwelling cath
f. assess the clients blood pressure - correct answer a. pre medicate with analgesic
b. inform the client of the plan for moving to the chair
d. ask the client to push the IV pole to the chair
,f. assess the clients blood pressure
what is an anlgesic? - correct answer med to releive pain
which technique is most appropriate for the nurse to implement when preforming a physical
assessment?
a. a head-to-toe approach
b. the medical systems model
c. a consistent, systematic approach
d. an approach related to a nursing model - correct answer c. a consistent, systematic approach
the nurse formulates the nursing diagnosis of "ineffective health maitnenece related to lack of
motivation" for a client with type 2 DM. which finding supports this nursing diagnosis?
a. does not check capillary blood glucose as directed
b. occasionally forgets to take daily prescribed meds
c. cannot identify signs or symptoms of high or low BG
d. eats anything and does not think diet makes a difference in health - correct answer d. eats
anything and does not think diet makes a difference in health
a client in hospice care develops audible gurgling sounds on inspiration. which action has the
highest priority?
a. ensure cultural customs are observed
b. increase oxygen flow to 4 L.min
c. ausculate bilateral lung fields
d. inform the family that death is immitent - correct answer d. inform the family that death is
immitent
(innefective clearance of secretions)
what is venous incompetence? - correct answer when veins are unable to flow blood back to
the heart
an older resident of a long term care facility is no longer able to preform self care and is
becoming progressively weaker. the resident requested no resucitative efforts be preformed
and the family requests hospice care. what action should the nurse implement first?
a. reaffirm the clients desire for no resucitative efforts
, b. transfer the client to a hospice inpatient facility
c. prepare the family for the clients impending death
d. notify the healthcare provider of the family's request - correct answer d. notify the
healthcare provider of the family's request
how long should nasosuctioning be preformed? - correct answer 10-15 seconds
a young mother of 3 children complains of increased anxiety during her annual physical exam.
what info should the nurse obtain first?
a. sexual activity patterns
b. nutritional history
c. leaisure activities
d. financial stressors - correct answer b. nutritional history
caffeine, sugars, and alcohols can lead to increased levels of anxiety
during a visit to the outpatient clinic. the nurse assesses a client with severe osteoarthritis using
a goniometer. which finding should the nurse expect to measure?
a. adequate venous blood flow to the lower extremities
b. estimated amount of body fat by an underarm skinfold
c. degree of flexion and extension of the clients knee joint
d. change in circumference of the joint in cm - correct answer c. degree of flexion and extension
of the clients knee joint
goniometer - correct answer two piece rulers that measures degree of flexion and extension of
a joint
the nurse is developing a plan of care for a client with dementia. which feature of confusion in
the elderly is accurate?
a. bewilderment is to be expected and progress with age
b. diorientation often follows relocation to new surroundings
c. uncertainty is a result of irreversible brain pathology
d. being preplexed can be prevented by adequate sleep - correct answer b. diorientation often
follows relocation to new surroundings
