Nursing 301: Final Questions With Complete Solutions
A 72-year-old patient was admitted with epigastric pain due to a
gastric ulcer. Which patient assessment warrants an urgent
change in the nursing plan of care? Correct Answer rigid
abdomen and vomitting
A diabetic patient has a blood glucose of 47 mg/dl. Which of the
following manifestations should the nurse expect the patient to
have? Correct Answer Irritability
A nurse is assessing a patient with SLE. Which of the following
findings would the nurse expect to find? Correct Answer Joint
pain (arthralgia)
A nurse is caring for a child diagnosed with contact dermatitis is
teaching the parents. What information should the nurse
include? Correct Answer Place the child in an oatmeal bath
A nurse is providing education to a diabetic patient who is going
to be discharged home from the hospital. What patient education
would you teach the patient regarding home blood glucose
testing? Correct Answer Test your glucose more frequently if
you are feeling ill.
A nurse is reviewing urinalysis results for a patient. What
indicates a UTI? Correct Answer + Leukocyte esterase
A nurse needs to give a patient with type 1 DM their morning
dose of insulin aspart (Humalog). What action should the nurse
,take? Correct Answer Administer the insulin when the
patient's breakfast arrives
A patient has a WBC count of 2,000. Which of the following
does the nurse conclude? Correct Answer Leukopenia
A patient has undergone EGD. The nurse should place highest
priority on Correct Answer assessing for the return of the gag
reflex
A patient with type 2 diabetes is complaining of shakiness and
feeling moody. What would the nurse attribute these
manifestations to? Correct Answer Hypoglycemia
A UTI involving the renal parenchyma or renal pelvis would be
classified as which type of UTI? Correct Answer upper
Abdomen Assessment Correct Answer Inspection
Auscultation
Percussion
Palpation
Abdominal assessment reveals pain with deep palpation of the
RUQ when the patient takes a deep breath. The finding is
referred as Correct Answer Murphy's sign
Acute Pyelonephritis Correct Answer •Caused by bacteria,
fungus, protozoa, viruses
•Interstitial inflammation, tubular cell necrosis, abscess
formation= altered kidney function
,After dinner time, during hourly rounding, a patient awakes to
report they feel like "food is coming up" in the back of their
throat and that there is a bitter taste in their mouth. What nursing
intervention would you perform next? Correct Answer Assist
the patient into semi-fowler's position
Alterations in Immune Health Objectives Correct Answer
•Students will identify factors leading to decreased immune
function and explain reverse isolation.
•Students will explain the ways human immunodeficiency virus
(HIV) affects the body and is transmitted.
•Students will identify the nursing and collaborative
management of the patient with HIV, Systemic Lupus
Erythematosus (SLE), and fibromyalgia.
An EGD looks at which area of the GI tract? Correct Answer
Upper
Antiretroviral Therapy Patient Education Correct Answer
•Adherence to ART regimen
•Inform your provider about any side effects or
new symptoms
•Dangerous and lethal side effects if mixed with some
OTC/herbal medications
•Inform provider if you become pregnant
•Routine labs to test CD4 and viral load
•HIV Viral load
•<200 copies/ml = adequate suppression
•45-70 copies/ml = undetectable
, Appendicitis Correct Answer Most common cause of "acute
abdomen" in the U.S.
Inflammation r/t to being occluded by stool, tumor or foreign
body
Increased pressure -> severe, generalized or periumbilical pain
Pain becomes localized to RLQ
Inflamed appendix -> fills with purulent fluid
Appendicitis Medical Management Correct Answer
Immediate surgery is typically indicated
Ruptured appendix -> emergency surgery
Correct or prevent fluid and electrolyte imbalances
administration of IV fluids
antibiotics
Appendicitis Symptoms Correct Answer RLQ pain, low grade
fever, nausea, tenderness at McBurney's point
Appendix Correct Answer Fills with food and empties into
the cecum
Empties inefficiently and lumen is small, is prone to obstruction
Vulnerable to infection
Basal Cell Carcinoma Correct Answer ¢Abnormal,
uncontrolled growth of basal cells, which line the deepest layer
of the epidermis
¢Waxy/shiny nodule
¢Superficial blood vessels
¢Borders well defined
¢Sores, red patches, or scar like
A 72-year-old patient was admitted with epigastric pain due to a
gastric ulcer. Which patient assessment warrants an urgent
change in the nursing plan of care? Correct Answer rigid
abdomen and vomitting
A diabetic patient has a blood glucose of 47 mg/dl. Which of the
following manifestations should the nurse expect the patient to
have? Correct Answer Irritability
A nurse is assessing a patient with SLE. Which of the following
findings would the nurse expect to find? Correct Answer Joint
pain (arthralgia)
A nurse is caring for a child diagnosed with contact dermatitis is
teaching the parents. What information should the nurse
include? Correct Answer Place the child in an oatmeal bath
A nurse is providing education to a diabetic patient who is going
to be discharged home from the hospital. What patient education
would you teach the patient regarding home blood glucose
testing? Correct Answer Test your glucose more frequently if
you are feeling ill.
A nurse is reviewing urinalysis results for a patient. What
indicates a UTI? Correct Answer + Leukocyte esterase
A nurse needs to give a patient with type 1 DM their morning
dose of insulin aspart (Humalog). What action should the nurse
,take? Correct Answer Administer the insulin when the
patient's breakfast arrives
A patient has a WBC count of 2,000. Which of the following
does the nurse conclude? Correct Answer Leukopenia
A patient has undergone EGD. The nurse should place highest
priority on Correct Answer assessing for the return of the gag
reflex
A patient with type 2 diabetes is complaining of shakiness and
feeling moody. What would the nurse attribute these
manifestations to? Correct Answer Hypoglycemia
A UTI involving the renal parenchyma or renal pelvis would be
classified as which type of UTI? Correct Answer upper
Abdomen Assessment Correct Answer Inspection
Auscultation
Percussion
Palpation
Abdominal assessment reveals pain with deep palpation of the
RUQ when the patient takes a deep breath. The finding is
referred as Correct Answer Murphy's sign
Acute Pyelonephritis Correct Answer •Caused by bacteria,
fungus, protozoa, viruses
•Interstitial inflammation, tubular cell necrosis, abscess
formation= altered kidney function
,After dinner time, during hourly rounding, a patient awakes to
report they feel like "food is coming up" in the back of their
throat and that there is a bitter taste in their mouth. What nursing
intervention would you perform next? Correct Answer Assist
the patient into semi-fowler's position
Alterations in Immune Health Objectives Correct Answer
•Students will identify factors leading to decreased immune
function and explain reverse isolation.
•Students will explain the ways human immunodeficiency virus
(HIV) affects the body and is transmitted.
•Students will identify the nursing and collaborative
management of the patient with HIV, Systemic Lupus
Erythematosus (SLE), and fibromyalgia.
An EGD looks at which area of the GI tract? Correct Answer
Upper
Antiretroviral Therapy Patient Education Correct Answer
•Adherence to ART regimen
•Inform your provider about any side effects or
new symptoms
•Dangerous and lethal side effects if mixed with some
OTC/herbal medications
•Inform provider if you become pregnant
•Routine labs to test CD4 and viral load
•HIV Viral load
•<200 copies/ml = adequate suppression
•45-70 copies/ml = undetectable
, Appendicitis Correct Answer Most common cause of "acute
abdomen" in the U.S.
Inflammation r/t to being occluded by stool, tumor or foreign
body
Increased pressure -> severe, generalized or periumbilical pain
Pain becomes localized to RLQ
Inflamed appendix -> fills with purulent fluid
Appendicitis Medical Management Correct Answer
Immediate surgery is typically indicated
Ruptured appendix -> emergency surgery
Correct or prevent fluid and electrolyte imbalances
administration of IV fluids
antibiotics
Appendicitis Symptoms Correct Answer RLQ pain, low grade
fever, nausea, tenderness at McBurney's point
Appendix Correct Answer Fills with food and empties into
the cecum
Empties inefficiently and lumen is small, is prone to obstruction
Vulnerable to infection
Basal Cell Carcinoma Correct Answer ¢Abnormal,
uncontrolled growth of basal cells, which line the deepest layer
of the epidermis
¢Waxy/shiny nodule
¢Superficial blood vessels
¢Borders well defined
¢Sores, red patches, or scar like
