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NUR 213 FINAL AND MOCK EXAMS | COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS |, EXAMS OF NURSING
A client with a burn injury recieves a prescription for a regular diet. Which is the best meal for
the nurse to provide to the client to promote wound healing?
A) peanut butter & jelly sandwich, apple, tea
B) chicken breast, broccoli, strawberries, milk
C) veal chop, boiled potatoes, jell-o, orange juice
D) pasta with tomato sauce, garlic bread, ginger ale - ANSWER-B) chicken breast, broccoli,
strawberries, milk
Rationale: the meal with the best potential to promote wound healing includes nutrient-rich
food choices including protein, such as chicken and milk, and vitamin c, such as strawberries
and broccoli. The remaining food options include one or more items with low nutritional value,
especially the jell-o, tea, jelly, and ginger ale.
An adult client arrives in the emergency department with burns to both entire legs and the
perineal area. Using the rule of nines, the nurse could determine that approximately what
percentage of the clients body surface area has been burned? - ANSWER-37%
Rationale: Each leg is 18% and the perineum is 1% (18+18+1 = 37)
A client who is unresponsive and pulseless and has a possible neck injury is brought into the
emergency department after a motor vehicle crash. What should the nurse do to open the
clients airway?
A) Insert an oropharyngeal airway
B) Tilt the head and lift the chin
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C) Place in the recovery position
D) Stabilize the skull and push up the jaw - ANSWER-D) Stabilize the skull and push up the jaw
Rationale: the healthcare team uses the jaw thrust maneuver to open the airway until an xray
confirms that the cervical spine is stable in order to prevent potential aggravation of the cervical
spine injury.
The nurse assesses the water seal chamber of a closed chest drainage system and notes
fluctuations in the chamber. What does this finding indicate?
A) The tubing is kinked
B) An air leak is present
C) The lung has reexpanded
D) The system is functioning as expected - ANSWER-D) The system is functioning as expected
Rationale: Fluctuations (tidaling) in the water seal chamber is normal during inhalation and
exhalation.
The nurse plans care for the client diagnosed with end stage renal disease (ESRD). Which
findings does the nurse expect to find in the clients medical record? Select all that apply:
A) Edema
B) Anemia
C) Polyuria
D) Bradycardia
E) Hypotension - ANSWER-A & B
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Rationale: Two functions of the kidneys are fluid maintenance and excretion of erythropoietin,
which stimulates RBC formation in the bone marrow. Impairment of these functions causes
edema and anemia. Kidney impairment results in hypertension and decreased urine production.
Tachycardia will result from increased fluid load on the heart.
The nurse suspects that a client who had a myocardial infarction is developing cardiogenic
shock. The nurse should assess for which peripheral vascular manifestation of this complication?
A) flushed, dry skin, with bounding pedal pulses
B) warm, moist skin, with irregular pedal pulses
C) cool, clammy skin, with weak or thready pedal pulses
D) cool, dry skin, with alternating weak and strong pedal pulses - ANSWER-C) cool, clammy skin,
with weak or thready pedal pulses
A client with chronic kidney disease is receiving epoetin alpha to support erythropoiesis. The
nurse should question the client about compliance with taking which medication that supports
red blood cell formation?
A) zinc supplement
B) magnesium supplement
C) iron supplement
D) calcium supplement - ANSWER-C) Iron supplement
The home health nurse is taking an initial assessment on a client who has arrived home after
the insertion of a permanent pacemaker. Which client statement indicates that an
understanding of self-care is evident?
A) "I will never be able to operate a microwave oven ever again"
B) "I should expect occasional feelings of dizziness and fatigue"
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C) "I will take my pulse in the wrist or the neck daily and record it in a log"
D) "Moving my arms and shoulders vigorously helps check my pacemaker functioning" -
ANSWER-C) "I will take my pulse in the wrist or the neck daily and record it in a log"
Rationale: clients should be able to take their pulse in their neck and arm in order to report any
variances to their HCP.
The nurse is assisting the client with hepatic encephalopathy to fill out the dietary menu. The
nurse advises the client to avoid which entree items that could aggravate the clients existing
condtion?
A) tomato soup
B) fresh fruit plate
C) vegetable lasagna
D) ground beef patty - ANSWER-D) ground beef patty
Rationale: Clients with hepatic encephalopathy have an impaired ability to convert ammonia to
urea and must limit intake of protein and ammonia-containing foods in the diet.
A client admitted to the hospital with a diagnosis of cirrhosis has massive ascites and difficulty
breathing. The nurse performs which intervention as a priority measure to assist the client with
breathing?
A) Repositions the client from side to side every 2 hours
B) Elevates the head of the bed to 60 degrees
C) Auscultates the lung fields every 4 hours
D) Encourages deep breathing exercises every 2 hours - ANSWER-B) Elevates the head of the
bed to 60 degrees
NUR 213 FINAL AND MOCK EXAMS | COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH EXPLANATIONS |, EXAMS OF NURSING
A client with a burn injury recieves a prescription for a regular diet. Which is the best meal for
the nurse to provide to the client to promote wound healing?
A) peanut butter & jelly sandwich, apple, tea
B) chicken breast, broccoli, strawberries, milk
C) veal chop, boiled potatoes, jell-o, orange juice
D) pasta with tomato sauce, garlic bread, ginger ale - ANSWER-B) chicken breast, broccoli,
strawberries, milk
Rationale: the meal with the best potential to promote wound healing includes nutrient-rich
food choices including protein, such as chicken and milk, and vitamin c, such as strawberries
and broccoli. The remaining food options include one or more items with low nutritional value,
especially the jell-o, tea, jelly, and ginger ale.
An adult client arrives in the emergency department with burns to both entire legs and the
perineal area. Using the rule of nines, the nurse could determine that approximately what
percentage of the clients body surface area has been burned? - ANSWER-37%
Rationale: Each leg is 18% and the perineum is 1% (18+18+1 = 37)
A client who is unresponsive and pulseless and has a possible neck injury is brought into the
emergency department after a motor vehicle crash. What should the nurse do to open the
clients airway?
A) Insert an oropharyngeal airway
B) Tilt the head and lift the chin
,2|Page
C) Place in the recovery position
D) Stabilize the skull and push up the jaw - ANSWER-D) Stabilize the skull and push up the jaw
Rationale: the healthcare team uses the jaw thrust maneuver to open the airway until an xray
confirms that the cervical spine is stable in order to prevent potential aggravation of the cervical
spine injury.
The nurse assesses the water seal chamber of a closed chest drainage system and notes
fluctuations in the chamber. What does this finding indicate?
A) The tubing is kinked
B) An air leak is present
C) The lung has reexpanded
D) The system is functioning as expected - ANSWER-D) The system is functioning as expected
Rationale: Fluctuations (tidaling) in the water seal chamber is normal during inhalation and
exhalation.
The nurse plans care for the client diagnosed with end stage renal disease (ESRD). Which
findings does the nurse expect to find in the clients medical record? Select all that apply:
A) Edema
B) Anemia
C) Polyuria
D) Bradycardia
E) Hypotension - ANSWER-A & B
,3|Page
Rationale: Two functions of the kidneys are fluid maintenance and excretion of erythropoietin,
which stimulates RBC formation in the bone marrow. Impairment of these functions causes
edema and anemia. Kidney impairment results in hypertension and decreased urine production.
Tachycardia will result from increased fluid load on the heart.
The nurse suspects that a client who had a myocardial infarction is developing cardiogenic
shock. The nurse should assess for which peripheral vascular manifestation of this complication?
A) flushed, dry skin, with bounding pedal pulses
B) warm, moist skin, with irregular pedal pulses
C) cool, clammy skin, with weak or thready pedal pulses
D) cool, dry skin, with alternating weak and strong pedal pulses - ANSWER-C) cool, clammy skin,
with weak or thready pedal pulses
A client with chronic kidney disease is receiving epoetin alpha to support erythropoiesis. The
nurse should question the client about compliance with taking which medication that supports
red blood cell formation?
A) zinc supplement
B) magnesium supplement
C) iron supplement
D) calcium supplement - ANSWER-C) Iron supplement
The home health nurse is taking an initial assessment on a client who has arrived home after
the insertion of a permanent pacemaker. Which client statement indicates that an
understanding of self-care is evident?
A) "I will never be able to operate a microwave oven ever again"
B) "I should expect occasional feelings of dizziness and fatigue"
, 4|Page
C) "I will take my pulse in the wrist or the neck daily and record it in a log"
D) "Moving my arms and shoulders vigorously helps check my pacemaker functioning" -
ANSWER-C) "I will take my pulse in the wrist or the neck daily and record it in a log"
Rationale: clients should be able to take their pulse in their neck and arm in order to report any
variances to their HCP.
The nurse is assisting the client with hepatic encephalopathy to fill out the dietary menu. The
nurse advises the client to avoid which entree items that could aggravate the clients existing
condtion?
A) tomato soup
B) fresh fruit plate
C) vegetable lasagna
D) ground beef patty - ANSWER-D) ground beef patty
Rationale: Clients with hepatic encephalopathy have an impaired ability to convert ammonia to
urea and must limit intake of protein and ammonia-containing foods in the diet.
A client admitted to the hospital with a diagnosis of cirrhosis has massive ascites and difficulty
breathing. The nurse performs which intervention as a priority measure to assist the client with
breathing?
A) Repositions the client from side to side every 2 hours
B) Elevates the head of the bed to 60 degrees
C) Auscultates the lung fields every 4 hours
D) Encourages deep breathing exercises every 2 hours - ANSWER-B) Elevates the head of the
bed to 60 degrees
