VN 140 Final Exam Questions With Complete Solutions
A client has sustained a head injury. Which of the following is
part of the nursing plan? Select all that apply.
A. Evaluate level of consciousness
B. Monitor electrolytes
C. Obtain an EKG
D. Regulate hydration according to the intake and output
E. Implement seizure precautions Correct Answers A. Evaluate
level of consciousness
D. Regulate hydration according to the intake and output
E. Implement seizure precautions
A nurse is caring for a client who has a hemorrhagic stroke. The
nurse knows that which of the following is the most concerning?
A. Hypotension
B. Bradycardia
C. Tachycardia
D. Hypertension Correct Answers D. Hypertension
High BP with hemorrhagic strokes are concerning for causing
increased amount of brain bleeding. Hypertension is the most
common cause of a hemorrhagic stroke.
A nurse is caring for a client who is undergoing prostate surgery.
Which best describes the elements of informed consent?
A. Whether the client understands what the procedure involves
B. The provider's view of whether the client should have the
procedure
C. The risks, benefits, and alternatives to having the procedure
,D. Whether the client approves of staying in the hospital for the
procedure Correct Answers C. The risks, benefits, and
alternatives to having the procedure
An informed consent basically describes a consent that the client
signs that says the client understands and agrees to having the
procedure. The term "informed" means that the client has been
educated about the procedure, its risks and benefits, and choices
that the client has if the client wants to seek another opinion or
have a different procedure.
A nurse is caring for two clients that have been admitted to the
unit with a hemorrhagic stroke. The nurse assistant gives the the
following vitals for the two clients. Which of the following
abnormal vital signs is the most concerning?
A. 210/112 mmHg BP
B. 130 heart rate
C. 90/53 mmHg BP
D. 55 heart rate Correct Answers A. 210/112 mmHg BP
High BP with hemorrhagic strokes are concerning for causing
increased amount of brain bleeding. Hypertension is the main
cause of hemorrhagic stroke and this increases the risk of
bleeding more.
A nurse is completing a neurological assessment in a client with
a back injury. Which of the following steps would be part of a
test of motor function in this client? Select all that apply.
A. Assess whether the client knows the date and time
B. Ask the client to squeeze the nurse's fingers
C. Have the client flex and extend the feet
D. Tell the client to push his or her arms away from the nurse
, E. Determine if the client opens his or her eyes spontaneously
Correct Answers B. Ask the client to squeeze the nurse's fingers
C. Have the client flex and extend the feet
D. Tell the client to push his or her arms away from the nurse
A nurse is helping a client to develop a sleep hygiene program to
improve sleep habits. Which of the following would the nurse
suggest for this client as part of sleep hygiene? Select all that
apply.
A. The client should develop a familiar nighttime routine
B. The client should go to bed later than usual
C. The client should try to wake up at an earlier time than usual
D. The client may sleep better if another person is in the room
E. The client should try to find a comfortable position for
sleeping Correct Answers A. The client should develop a
familiar nighttime routine.
E. The client should try to find a comfortable position for
sleeping
A nurse manager has to make a decision about scheduling and
asks the nurses on the unit before making a decision. This
demonstrates which style of leadership?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Coaching Correct Answers B. Democratic
A patient began experiencing symptoms of a stroke at 1800
hours. By which time should thrombolytic medications be
provided to reverse stroke symptoms?
A. 2230 hours
A client has sustained a head injury. Which of the following is
part of the nursing plan? Select all that apply.
A. Evaluate level of consciousness
B. Monitor electrolytes
C. Obtain an EKG
D. Regulate hydration according to the intake and output
E. Implement seizure precautions Correct Answers A. Evaluate
level of consciousness
D. Regulate hydration according to the intake and output
E. Implement seizure precautions
A nurse is caring for a client who has a hemorrhagic stroke. The
nurse knows that which of the following is the most concerning?
A. Hypotension
B. Bradycardia
C. Tachycardia
D. Hypertension Correct Answers D. Hypertension
High BP with hemorrhagic strokes are concerning for causing
increased amount of brain bleeding. Hypertension is the most
common cause of a hemorrhagic stroke.
A nurse is caring for a client who is undergoing prostate surgery.
Which best describes the elements of informed consent?
A. Whether the client understands what the procedure involves
B. The provider's view of whether the client should have the
procedure
C. The risks, benefits, and alternatives to having the procedure
,D. Whether the client approves of staying in the hospital for the
procedure Correct Answers C. The risks, benefits, and
alternatives to having the procedure
An informed consent basically describes a consent that the client
signs that says the client understands and agrees to having the
procedure. The term "informed" means that the client has been
educated about the procedure, its risks and benefits, and choices
that the client has if the client wants to seek another opinion or
have a different procedure.
A nurse is caring for two clients that have been admitted to the
unit with a hemorrhagic stroke. The nurse assistant gives the the
following vitals for the two clients. Which of the following
abnormal vital signs is the most concerning?
A. 210/112 mmHg BP
B. 130 heart rate
C. 90/53 mmHg BP
D. 55 heart rate Correct Answers A. 210/112 mmHg BP
High BP with hemorrhagic strokes are concerning for causing
increased amount of brain bleeding. Hypertension is the main
cause of hemorrhagic stroke and this increases the risk of
bleeding more.
A nurse is completing a neurological assessment in a client with
a back injury. Which of the following steps would be part of a
test of motor function in this client? Select all that apply.
A. Assess whether the client knows the date and time
B. Ask the client to squeeze the nurse's fingers
C. Have the client flex and extend the feet
D. Tell the client to push his or her arms away from the nurse
, E. Determine if the client opens his or her eyes spontaneously
Correct Answers B. Ask the client to squeeze the nurse's fingers
C. Have the client flex and extend the feet
D. Tell the client to push his or her arms away from the nurse
A nurse is helping a client to develop a sleep hygiene program to
improve sleep habits. Which of the following would the nurse
suggest for this client as part of sleep hygiene? Select all that
apply.
A. The client should develop a familiar nighttime routine
B. The client should go to bed later than usual
C. The client should try to wake up at an earlier time than usual
D. The client may sleep better if another person is in the room
E. The client should try to find a comfortable position for
sleeping Correct Answers A. The client should develop a
familiar nighttime routine.
E. The client should try to find a comfortable position for
sleeping
A nurse manager has to make a decision about scheduling and
asks the nurses on the unit before making a decision. This
demonstrates which style of leadership?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Coaching Correct Answers B. Democratic
A patient began experiencing symptoms of a stroke at 1800
hours. By which time should thrombolytic medications be
provided to reverse stroke symptoms?
A. 2230 hours
