NURS 660 Final Exam with |! |! |! |! |!
precise detailed answers |! |!
When caring for a patient with essential hypertension what instruction
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should the nurse provide to the patient to normalize blood pressure?
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a. Reduce sodium intake.
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b. Increase iodine intake
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c. Increase intake of fluids.
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d. Avoid intake of low fat diet. - Correct answer ✔A. Reduce sodium intake.
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A patient has been diagnosed with prehypertension and has been encouraged
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to exercise regularly and begin a weight loss program. What other healthcare
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professional may be helpful for the client to see?
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a. social worker
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b. occupational therapist
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c. pharmacist
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d. registered dietitian - Correct answer ✔D. registered dietitian
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The nurse is caring for a patient newly diagnosed with hypertension. Which
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statement by the patient indicates the need for further teaching?
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,a. "I think I'm going to sign up for a yoga class twice a week to help reduce
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my stress." |!
b. "I will consult a dietician to help get my weight under control."
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c. "If I take my blood pressure and it is normal, I don't have to take my blood
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pressure pills." |!
d. "When getting up from bed, I will sit for a short period before standing up."
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- Correct answer ✔c. "If I take my blood pressure and it is normal, I don't
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have to take my blood pressure pills."
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The nurse observes a certified nursing assistant (CNA) obtaining a blood
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pressure reading with a cuff that is too small for the patient. The nurse
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informs the CNA that using a cuff that is too small can affect the reading
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results in what way? |! |! |!
A. It will be significantly different with each reading.
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B. The results will be falsely decreased.
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C. It will give an accurate reading.
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D. The results will be falsely elevated. - Correct answer ✔D. The results will
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be falsely elevated.
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A nurse is reviewing the laboratory results for a client who has a history of
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
atherosclerosis and notes elevated cholesterol levels. Which of the following |! |! |! |! |! |! |! |! |! |!
statements by the client indicates the nurse should plan follow-up teaching |! |! |! |! |! |! |! |! |! |! |!
on a low-cholesterol diet?
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a. "I flavor my fish with lemon juice."
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,b. "I eat two eggs for breakfast each morning."
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c. "I cook my food with canola oil."
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d. "I take an omega-3 supplement daily." - Correct answer ✔b. "I eat two eggs
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for breakfast each morning"
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Which laboratory test result will the nurse review to determine the effects of
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therapy for a patient being treated for heart failure?
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a. Troponin
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b. Homocysteine (HCY)
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c. Low-density lipoprotein (LDL)
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d. B-type natriuretic peptide (BNP) - Correct answer ✔D. BNP
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A nurse is caring for a client who is postoperative and is at risk for
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developing venous thromboembolism (VTE). The nurse should instruct the
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client to avoid which of the following unsafe actions?
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a. Elevating her feet
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b. Massaging her legs
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c. Flexing her ankles
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d. Ambulating too soon after surgery - Correct answer ✔B. Massaging her
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legs
When teaching the patient with PAD about modifying risk factors associated
|! |! |! |! |! |! |! |! |! |! |!
with the condition, what should the nurse emphasize?
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, a. Maintenance of normal body weight is the most important factor in
|! |! |! |! |! |! |! |! |! |! |! |!
controlling arterial disease. |! |!
b. Amputation is the ultimate outcome if the patient does not alter lifestyle
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behaviors.
c. Risk-reducing behaviors initiated after angioplasty can stop the progression
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of the disease.
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d. Modifications will reduce the risk of other atherosclerotic conditions such
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as stroke. - Correct answer ✔d. Modifications will reduce the risk of other
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atherosclerotic conditions such as stroke. |! |! |! |!
A nurse is caring for a client with left-sided heart failure. Which of the
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
following findings should the nurse expect? (Select all)
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a. Hepatomegaly
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b. S3 and S4 heart sounds.
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c. Crackles heard in the auscultation of the lungs
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d. Cough (dry or pink-tinged)
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e. Jugular venous distension
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f. Restlessness and confusion - Correct answer ✔B, C, D, F
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(JVD is a sign of right-sided heart failure)
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A nurse is caring for a client who receives furosemide (Lasix) to treat heart
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failure. Which of the following laboratory values should the nurse monitor
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for this client due to this medication?
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precise detailed answers |! |!
When caring for a patient with essential hypertension what instruction
|! |! |! |! |! |! |! |! |! |!
should the nurse provide to the patient to normalize blood pressure?
|! |! |! |! |! |! |! |! |! |!
a. Reduce sodium intake.
|! |! |!
b. Increase iodine intake
|! |! |!
c. Increase intake of fluids.
|! |! |! |!
d. Avoid intake of low fat diet. - Correct answer ✔A. Reduce sodium intake.
|! |! |! |! |! |! |! |! |! |! |! |! |!
A patient has been diagnosed with prehypertension and has been encouraged
|! |! |! |! |! |! |! |! |! |! |!
to exercise regularly and begin a weight loss program. What other healthcare
|! |! |! |! |! |! |! |! |! |! |! |!
professional may be helpful for the client to see?
|! |! |! |! |! |! |! |!
a. social worker
|! |!
b. occupational therapist
|! |!
c. pharmacist
|!
d. registered dietitian - Correct answer ✔D. registered dietitian
|! |! |! |! |! |! |! |!
The nurse is caring for a patient newly diagnosed with hypertension. Which
|! |! |! |! |! |! |! |! |! |! |! |!
statement by the patient indicates the need for further teaching?
|! |! |! |! |! |! |! |! |!
,a. "I think I'm going to sign up for a yoga class twice a week to help reduce
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
my stress." |!
b. "I will consult a dietician to help get my weight under control."
|! |! |! |! |! |! |! |! |! |! |! |!
c. "If I take my blood pressure and it is normal, I don't have to take my blood
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
pressure pills." |!
d. "When getting up from bed, I will sit for a short period before standing up."
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
- Correct answer ✔c. "If I take my blood pressure and it is normal, I don't
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
have to take my blood pressure pills."
|! |! |! |! |! |!
The nurse observes a certified nursing assistant (CNA) obtaining a blood
|! |! |! |! |! |! |! |! |! |! |!
pressure reading with a cuff that is too small for the patient. The nurse
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
informs the CNA that using a cuff that is too small can affect the reading
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
results in what way? |! |! |!
A. It will be significantly different with each reading.
|! |! |! |! |! |! |! |!
B. The results will be falsely decreased.
|! |! |! |! |! |!
C. It will give an accurate reading.
|! |! |! |! |! |!
D. The results will be falsely elevated. - Correct answer ✔D. The results will
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
be falsely elevated.
|! |!
A nurse is reviewing the laboratory results for a client who has a history of
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
atherosclerosis and notes elevated cholesterol levels. Which of the following |! |! |! |! |! |! |! |! |! |!
statements by the client indicates the nurse should plan follow-up teaching |! |! |! |! |! |! |! |! |! |! |!
on a low-cholesterol diet?
|! |! |!
a. "I flavor my fish with lemon juice."
|! |! |! |! |! |! |!
,b. "I eat two eggs for breakfast each morning."
|! |! |! |! |! |! |! |!
c. "I cook my food with canola oil."
|! |! |! |! |! |! |!
d. "I take an omega-3 supplement daily." - Correct answer ✔b. "I eat two eggs
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
for breakfast each morning"
|! |! |!
Which laboratory test result will the nurse review to determine the effects of
|! |! |! |! |! |! |! |! |! |! |! |! |!
therapy for a patient being treated for heart failure?
|! |! |! |! |! |! |! |!
a. Troponin
|!
b. Homocysteine (HCY)
|! |!
c. Low-density lipoprotein (LDL)
|! |! |!
d. B-type natriuretic peptide (BNP) - Correct answer ✔D. BNP
|! |! |! |! |! |! |! |! |!
A nurse is caring for a client who is postoperative and is at risk for
|! |! |! |! |! |! |! |! |! |! |! |! |! |! |!
developing venous thromboembolism (VTE). The nurse should instruct the
|! |! |! |! |! |! |! |! |!
client to avoid which of the following unsafe actions?
|! |! |! |! |! |! |! |!
a. Elevating her feet
|! |! |!
b. Massaging her legs
|! |! |!
c. Flexing her ankles
|! |! |!
d. Ambulating too soon after surgery - Correct answer ✔B. Massaging her
|! |! |! |! |! |! |! |! |! |! |! |!
legs
When teaching the patient with PAD about modifying risk factors associated
|! |! |! |! |! |! |! |! |! |! |!
with the condition, what should the nurse emphasize?
|! |! |! |! |! |! |!
, a. Maintenance of normal body weight is the most important factor in
|! |! |! |! |! |! |! |! |! |! |! |!
controlling arterial disease. |! |!
b. Amputation is the ultimate outcome if the patient does not alter lifestyle
|! |! |! |! |! |! |! |! |! |! |! |! |!
behaviors.
c. Risk-reducing behaviors initiated after angioplasty can stop the progression
|! |! |! |! |! |! |! |! |! |!
of the disease.
|! |!
d. Modifications will reduce the risk of other atherosclerotic conditions such
|! |! |! |! |! |! |! |! |! |! |!
as stroke. - Correct answer ✔d. Modifications will reduce the risk of other
|! |! |! |! |! |! |! |! |! |! |! |! |!
atherosclerotic conditions such as stroke. |! |! |! |!
A nurse is caring for a client with left-sided heart failure. Which of the
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
following findings should the nurse expect? (Select all)
|! |! |! |! |! |! |!
a. Hepatomegaly
|!
b. S3 and S4 heart sounds.
|! |! |! |! |!
c. Crackles heard in the auscultation of the lungs
|! |! |! |! |! |! |! |!
d. Cough (dry or pink-tinged)
|! |! |! |!
e. Jugular venous distension
|! |! |!
f. Restlessness and confusion - Correct answer ✔B, C, D, F
|! |! |! |! |! |! |! |! |! |!
(JVD is a sign of right-sided heart failure)
|! |! |! |! |! |! |!
A nurse is caring for a client who receives furosemide (Lasix) to treat heart
|! |! |! |! |! |! |! |! |! |! |! |! |! |!
failure. Which of the following laboratory values should the nurse monitor
|! |! |! |! |! |! |! |! |! |! |!
for this client due to this medication?
|! |! |! |! |! |!
