NUR 200 Final Exam Review
A client requires a dressing change. The LPN/LVN assigned to care for the client reports never
having performed the procedure before to the nurse. The nurse takes which action? - 100%
correct answer Completes the dressing change while the LPN/LVN observes.
1. The nurse helps a client to cough and deep breathe after surgery. It is desirable for the client to
assume which position for coughing and deep breathing to be most effective? - 100% correct
answer a. High Fowler's
1. The nurse knows which statement is an important fact about warfarin? - 100% correct answer a.
It has a prolonged action
1. On the first postoperative day, a client develops a fever. The nurse auscultates crackles
bilaterally in the lower lobes. The nurse understands which complication of surgery is probably
developing? - 100% correct answer a. Atelectasis
1. The nurse prepares 4 clients for surgery. The nurse is most concerned about the psychological
adjustment of which client? - 100% correct answer a. A young adult client scheduled for the
Whipple procedure due to cancer of the pancreas.
1. The nurse provides care for a client with a nasogastric tube. Which assessment by the nurse is
the most reliable indication the nasogastric tube is correctly positioned? - 100% correct answer a.
pH of aspirate is 3
1. the nurse provides for a client with a body mass index (BMI) of 38 kg/m2. Which is the best
description of the client's body weight? - 100% correct answer a. Obese
1. Which action is essential for the nurse to take after administration of a preoperative sedative
medication to a client? - 100% correct answer a. Raise the side rails of the bed
1. The nurse observes a staff member prepare to leave the room of a client on droplet precautions.
The nurse intervenes if which action is observed? - 100% correct answer a. The staff member
holds onto the outer surface of the face mask while pulling mask away from face.
,1. A client returns from abdominal surgery with a prescription for morphine sulfate IV q 3 hours
PRN for pain. During the first 24 hours after surgery, which action by the nurse is best? - 100%
correct answer a. Offer pain medication every 3 hours.
1. A client is admitted to the hospital with a temperature of 101* F and a WBC count of 3,000/mm3.
The nurse institutes which precaution? - 100% correct answer a. Neutropenic precautions.
1. The nurse identifies which lab finding reflects the signs and symptoms of infection? - 100%
correct answer a. White blood cell count of 16,000/mm3
1. The nurse provides education to an adult client to facilitate bowel elimination. Which action
should the nurse encourage? - 100% correct answer a. Increasing dietary bulk
1. An adult client comes to the emergency department after puncturing a foot with a dirty, rusty
nail. The client states the last tetanus vaccination (Td) 6 years ago. Which action does the nurse
take first? - 100% correct answer a. Determine how many Td immunizations the client has
received.
1. The nurse identifies which diet best meets the needs of a client with multiple wounds? - 100%
correct answer a. High-vitamin C, high-protein, high-carbohydrate diet
1. The nurse observes a staff member enter the client's room wearing a fit-tested respiratory
device. The nurse determines care is appropriate if the staff member is caring for which client? -
100% correct answer a. A client diagnosed with varicella
1. The nurse instructs the adult client how to successfully establish a regular exercise program.
The nurse determines further teaching is needed if the client makes which statement? - 100%
correct answer should start by running 5 miles every day
1. The home care nurse visits an elderly client living alone on a limited income. The client's diet
consists primarily of carbohydrates. Based on an understanding of the nutritional needs of the
elderly, which interpretation of the client's diet by the nurse is most justified? - 100% correct
answer a. The client should increase the intake of protein.
1. A two-day postoperative client reports pain, tenderness and redness of the right calf. Which
findings would be critical for the nurse to report to the health care provider regarding the client's
signs and symptoms? - 100% correct answer a. Chest pain and shortness of breath
, 1. The nurse identifies which findings are characteristic of chronic pain? - 100% correct answer a.
Withdrawal and fatigue
1. The nurse provides care for a client that has taken aspirin in high, prolonged dosages. Which
physiological change should the nurse anticipate? - 100% correct answer a. GI bleeding
1. The nurse performs discharge teaching for a client receiving warfarin. The nurse determines
further teaching is required if the client makes which statement? - 100% correct answer a. I should
increase my intake of leafy green vegetables
1. In which situation does the nurse consider withholding morphine until further assessment is
completed? - 100% correct answer a. Client's level of consciousness fluctuates from alert to
lethargic.
1. The nurse teaches a client how to maintain an adequate intake of protein. The nurse determines
further teaching is required if the client chooses which foods? - 100% correct answer a. Orange
juice and white toast
1. The nurse notes and elderly client has a reddened area on the coccyx. Which action does the
nurse take first? - 100% correct answer a. Repositions the client every 1-2 hours
1. A client returns from surgery with a drain sutured into the surgical wound. Which explanation is
the purpose of the drain? - 100% correct answer a. Decreases fluid accumulation within the
tissues.
1. A client with acute pain has a prescription for morphine 8 mg IV every 3-4 hours. The client asks
the nurse for the medication at bedtime. Prior to administering the pain medication, the nurse
takes which action. - 100% correct answer a. Assesses location, character, and intensity of pain.
1. The nurse explains to the client the most vitamin C can be found in which juice? - 100% correct
answer a. Fresh orange juice
1. To promote evening rest and sleep for clients who are immobilized and in bed, it is most
important for the nurse to provide which care? - 100% correct answer a. Daytime activities.
1. The nurse cares for the client diagnosed with a fractured humerus due to a fall in the home.
Which nursing observation requires an immediate intervention? - 100% correct answer a. The
client ambulates wearing socks.
A client requires a dressing change. The LPN/LVN assigned to care for the client reports never
having performed the procedure before to the nurse. The nurse takes which action? - 100%
correct answer Completes the dressing change while the LPN/LVN observes.
1. The nurse helps a client to cough and deep breathe after surgery. It is desirable for the client to
assume which position for coughing and deep breathing to be most effective? - 100% correct
answer a. High Fowler's
1. The nurse knows which statement is an important fact about warfarin? - 100% correct answer a.
It has a prolonged action
1. On the first postoperative day, a client develops a fever. The nurse auscultates crackles
bilaterally in the lower lobes. The nurse understands which complication of surgery is probably
developing? - 100% correct answer a. Atelectasis
1. The nurse prepares 4 clients for surgery. The nurse is most concerned about the psychological
adjustment of which client? - 100% correct answer a. A young adult client scheduled for the
Whipple procedure due to cancer of the pancreas.
1. The nurse provides care for a client with a nasogastric tube. Which assessment by the nurse is
the most reliable indication the nasogastric tube is correctly positioned? - 100% correct answer a.
pH of aspirate is 3
1. the nurse provides for a client with a body mass index (BMI) of 38 kg/m2. Which is the best
description of the client's body weight? - 100% correct answer a. Obese
1. Which action is essential for the nurse to take after administration of a preoperative sedative
medication to a client? - 100% correct answer a. Raise the side rails of the bed
1. The nurse observes a staff member prepare to leave the room of a client on droplet precautions.
The nurse intervenes if which action is observed? - 100% correct answer a. The staff member
holds onto the outer surface of the face mask while pulling mask away from face.
,1. A client returns from abdominal surgery with a prescription for morphine sulfate IV q 3 hours
PRN for pain. During the first 24 hours after surgery, which action by the nurse is best? - 100%
correct answer a. Offer pain medication every 3 hours.
1. A client is admitted to the hospital with a temperature of 101* F and a WBC count of 3,000/mm3.
The nurse institutes which precaution? - 100% correct answer a. Neutropenic precautions.
1. The nurse identifies which lab finding reflects the signs and symptoms of infection? - 100%
correct answer a. White blood cell count of 16,000/mm3
1. The nurse provides education to an adult client to facilitate bowel elimination. Which action
should the nurse encourage? - 100% correct answer a. Increasing dietary bulk
1. An adult client comes to the emergency department after puncturing a foot with a dirty, rusty
nail. The client states the last tetanus vaccination (Td) 6 years ago. Which action does the nurse
take first? - 100% correct answer a. Determine how many Td immunizations the client has
received.
1. The nurse identifies which diet best meets the needs of a client with multiple wounds? - 100%
correct answer a. High-vitamin C, high-protein, high-carbohydrate diet
1. The nurse observes a staff member enter the client's room wearing a fit-tested respiratory
device. The nurse determines care is appropriate if the staff member is caring for which client? -
100% correct answer a. A client diagnosed with varicella
1. The nurse instructs the adult client how to successfully establish a regular exercise program.
The nurse determines further teaching is needed if the client makes which statement? - 100%
correct answer should start by running 5 miles every day
1. The home care nurse visits an elderly client living alone on a limited income. The client's diet
consists primarily of carbohydrates. Based on an understanding of the nutritional needs of the
elderly, which interpretation of the client's diet by the nurse is most justified? - 100% correct
answer a. The client should increase the intake of protein.
1. A two-day postoperative client reports pain, tenderness and redness of the right calf. Which
findings would be critical for the nurse to report to the health care provider regarding the client's
signs and symptoms? - 100% correct answer a. Chest pain and shortness of breath
, 1. The nurse identifies which findings are characteristic of chronic pain? - 100% correct answer a.
Withdrawal and fatigue
1. The nurse provides care for a client that has taken aspirin in high, prolonged dosages. Which
physiological change should the nurse anticipate? - 100% correct answer a. GI bleeding
1. The nurse performs discharge teaching for a client receiving warfarin. The nurse determines
further teaching is required if the client makes which statement? - 100% correct answer a. I should
increase my intake of leafy green vegetables
1. In which situation does the nurse consider withholding morphine until further assessment is
completed? - 100% correct answer a. Client's level of consciousness fluctuates from alert to
lethargic.
1. The nurse teaches a client how to maintain an adequate intake of protein. The nurse determines
further teaching is required if the client chooses which foods? - 100% correct answer a. Orange
juice and white toast
1. The nurse notes and elderly client has a reddened area on the coccyx. Which action does the
nurse take first? - 100% correct answer a. Repositions the client every 1-2 hours
1. A client returns from surgery with a drain sutured into the surgical wound. Which explanation is
the purpose of the drain? - 100% correct answer a. Decreases fluid accumulation within the
tissues.
1. A client with acute pain has a prescription for morphine 8 mg IV every 3-4 hours. The client asks
the nurse for the medication at bedtime. Prior to administering the pain medication, the nurse
takes which action. - 100% correct answer a. Assesses location, character, and intensity of pain.
1. The nurse explains to the client the most vitamin C can be found in which juice? - 100% correct
answer a. Fresh orange juice
1. To promote evening rest and sleep for clients who are immobilized and in bed, it is most
important for the nurse to provide which care? - 100% correct answer a. Daytime activities.
1. The nurse cares for the client diagnosed with a fractured humerus due to a fall in the home.
Which nursing observation requires an immediate intervention? - 100% correct answer a. The
client ambulates wearing socks.
