NUR155 / NUR 155 Final Exam
NUR155 / NUR 155 FINAL EXAM (LATEST
UPDATE): CRITICAL THINKING FOR THE PRACTICAL
NURSE | QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A - HONDROS
The nurses are caring for a client diagnosed with pneumonia. what interventions can the nurse
anticipate implementing.
pulmonary hygiene, encourage incentive spirometry use, aspiration precautions, proper
positioning, oxygen therapy if ordered to keep sats >90%, encourage fluid and adequate
nutrition, ABX therapy as ordered, monitor sputum for color/consistency
To prevent shoulder subluxation in a patient with L sided hemiplegia after a CVA, the nurse
should implement these interventions
move affected side gently and slowly, encourage use of sling on affected side if indicated, use
pillow to maintain proper body alignment if needed
These are considered risk factors for developing end-stage renal disease (ESRD).
8 things
- Obesity
· Diabetes Mellitus
· Hypertension
· Sickle Cell Disease
· Lupus
· chronic Glomerulonephritis
· Polycystic Kidney Disease
· nephrotoxic drugs
The nurse is preparing to obtain a wound culture of a wound with purulent drainage. What
should the nurse do prior to swabbing the wound?
Cleanse/irrigate the wound with normal saline.
This would be a therapeutic effect of Omeprazole. ( -prazole, PPI, blocks production of gastric
acid)
1|Page
, NUR155 / NUR 155 Final Exam
Relief of burning sensation in the chest after eating a meal
What education should be reviewed with the client to reduce exacerbations of Gastritis?
· smoking cessation
· avoid spicy foods
· No alcohol
· No caffeine
· No coffee
·avoid NSAIDs
The nurse is caring for a client with a nasogastric tube (NG) post abdominal surgery. What lab
value should the nurse monitor for this client?
electrolyte abnormality - low potassium level
The nurse is preparing to discharge a client diagnosed with gastroesophageal reflux disease
(GERD). What should the discharge plan?
· low fat diet (grain, cereal, whole grain/ whole wheat)
· small/frequent meals
· avoid caffeine, alcohol, tobacco, milk, spicy foods, peppermint/spearmint, carbonated
beverages
· avoid eating/drinking 2 hours prior to bedtime
· weight loss
· elevate HOB 30 degrees
The nurse is providing education to a client newly diagnosed with Chronic Kidney Disease (CKD).
What signs and symptoms should the nurse review with the client?
· N/V,
· weakness/fatigue,
· edema
· dry/itchy skin
· decreased urine output
· blood in urine
· shortness of breath
These laboratory values are consistent with a diagnosis of Liver Disease.
· increased ALT/AST
· decreased albumin
· increased bilirubin
2|Page
, NUR155 / NUR 155 Final Exam
· increased ammonia
· increased PT/INR
These are considered "independent" nursing interventions for a client with a bleeding gastric
ulcer.
· complete a physical assessment
· assess for bleeding
· monitor I&Os
A client is post op Whipple procedure. What intervention can the nurse anticipate to implement
related to loss of endocrine function after this procedure?
monitor blood sugars
A client who has a primary IV now has a secondary antibiotic to be infused. What action(s)
should the nurse take?
1. lower the primary IV bag
2. program the volume and time for the secondary IV
3.swab the access port on the primary tubing with alcohol prior to connecting the secondary
tubing
What instructions should the nurse give to a client with a hiatal hernia complaining for
abdominal/sternal pain after eating and when lying down?
· avoid caffeine/spicy foods
· follow a low-fat diet
· maintain normal body weight
The nurse is caring for a client with a diagnosis of Nephrolithiasis. What interventions can the
nurse expect to implement?
· strain all urine
· assess urine for color/clarity/odor
· increase oral fluid intake
· monitor I&Os
These symptoms are associated with a diagnosis of Gastroesophageal Reflux Disease (GERD).
· heartburn
· indigestion
· regurgitation
· dysphagia
3|Page
NUR155 / NUR 155 FINAL EXAM (LATEST
UPDATE): CRITICAL THINKING FOR THE PRACTICAL
NURSE | QUESTIONS AND VERIFIED ANSWERS | 100%
CORRECT | GRADE A - HONDROS
The nurses are caring for a client diagnosed with pneumonia. what interventions can the nurse
anticipate implementing.
pulmonary hygiene, encourage incentive spirometry use, aspiration precautions, proper
positioning, oxygen therapy if ordered to keep sats >90%, encourage fluid and adequate
nutrition, ABX therapy as ordered, monitor sputum for color/consistency
To prevent shoulder subluxation in a patient with L sided hemiplegia after a CVA, the nurse
should implement these interventions
move affected side gently and slowly, encourage use of sling on affected side if indicated, use
pillow to maintain proper body alignment if needed
These are considered risk factors for developing end-stage renal disease (ESRD).
8 things
- Obesity
· Diabetes Mellitus
· Hypertension
· Sickle Cell Disease
· Lupus
· chronic Glomerulonephritis
· Polycystic Kidney Disease
· nephrotoxic drugs
The nurse is preparing to obtain a wound culture of a wound with purulent drainage. What
should the nurse do prior to swabbing the wound?
Cleanse/irrigate the wound with normal saline.
This would be a therapeutic effect of Omeprazole. ( -prazole, PPI, blocks production of gastric
acid)
1|Page
, NUR155 / NUR 155 Final Exam
Relief of burning sensation in the chest after eating a meal
What education should be reviewed with the client to reduce exacerbations of Gastritis?
· smoking cessation
· avoid spicy foods
· No alcohol
· No caffeine
· No coffee
·avoid NSAIDs
The nurse is caring for a client with a nasogastric tube (NG) post abdominal surgery. What lab
value should the nurse monitor for this client?
electrolyte abnormality - low potassium level
The nurse is preparing to discharge a client diagnosed with gastroesophageal reflux disease
(GERD). What should the discharge plan?
· low fat diet (grain, cereal, whole grain/ whole wheat)
· small/frequent meals
· avoid caffeine, alcohol, tobacco, milk, spicy foods, peppermint/spearmint, carbonated
beverages
· avoid eating/drinking 2 hours prior to bedtime
· weight loss
· elevate HOB 30 degrees
The nurse is providing education to a client newly diagnosed with Chronic Kidney Disease (CKD).
What signs and symptoms should the nurse review with the client?
· N/V,
· weakness/fatigue,
· edema
· dry/itchy skin
· decreased urine output
· blood in urine
· shortness of breath
These laboratory values are consistent with a diagnosis of Liver Disease.
· increased ALT/AST
· decreased albumin
· increased bilirubin
2|Page
, NUR155 / NUR 155 Final Exam
· increased ammonia
· increased PT/INR
These are considered "independent" nursing interventions for a client with a bleeding gastric
ulcer.
· complete a physical assessment
· assess for bleeding
· monitor I&Os
A client is post op Whipple procedure. What intervention can the nurse anticipate to implement
related to loss of endocrine function after this procedure?
monitor blood sugars
A client who has a primary IV now has a secondary antibiotic to be infused. What action(s)
should the nurse take?
1. lower the primary IV bag
2. program the volume and time for the secondary IV
3.swab the access port on the primary tubing with alcohol prior to connecting the secondary
tubing
What instructions should the nurse give to a client with a hiatal hernia complaining for
abdominal/sternal pain after eating and when lying down?
· avoid caffeine/spicy foods
· follow a low-fat diet
· maintain normal body weight
The nurse is caring for a client with a diagnosis of Nephrolithiasis. What interventions can the
nurse expect to implement?
· strain all urine
· assess urine for color/clarity/odor
· increase oral fluid intake
· monitor I&Os
These symptoms are associated with a diagnosis of Gastroesophageal Reflux Disease (GERD).
· heartburn
· indigestion
· regurgitation
· dysphagia
3|Page
