NUR 102 FINAL QUESTIONS WITH COMPLETE SOLUTIONS

1. Growth and development, which is considered a single process, continues throughout childhood and into adulthood. Most children are able to perform certain tasks at about the same age, although normal variations exist. A mother asks the nurse what is the first solid food that can be given to the infant. Based on the fact that most children are able to perform certain tasks at about the same age, what would be the best food for the nurse to tell the mother to introduce first to the infant? - ANSWER Iron-fortified cereal 2. A 25-year-old client with symptoms of excessive thirst and an increase in urine is diagnosed with diabetes insipidus. For which of the following client's hormone levels should the nurse monitor? - ANSWER Vasopressin 3. The nurse is reviewing the chemical difference between plasma, glomerular filtrate, and urine with a group of nursing students. What does the nurse tell the students are the components included in glomerular filtrate? 1. Blood cells 2. Protein 3. Glucose 4. Urea - ANSWER 3, 4 4. The client complains to the nurse about having continuous diarrhea. The nurse observes that the client has loose, watery, unformed stools. The nurse recognizes that several factors can contribute to diarrhea. Which factors contribute to a client's continuous diarrhea? 1. Chronic irritation of the colon 2. Food poisoning 3. Parasitic infection 4. Emotional state - ANSWER 1, 2, 3 5. The nurse is educating the family regarding normal behavior for their 2-year-old daughter. Why is it important for the nurse to understand normal behavior in a child? - ANSWER To distinguish between normal and abnormal behavior 6. Following identification of a mass by imaging studies, a client undergoes a needle biopsy of the kidney for a specific diagnosis. Which of the following is a nursing consideration for this procedure? - ANSWER Apply pressure to the site to minimize bleeding. 7. The nurse is caring for an elderly client in a nursing home who has a urinary diversion in which the ureters are brought to the abdominal wall as a stoma. This is known as what type of diversion? - ANSWER Cutaneous ureterostomy 8. The nurse is reviewing the organs and functions of the urinary system with a client who is to have bladder surgery. What information should the nurse give to the client about the function of the urethra? - ANSWER Conducts urine from the bladder to the outside of the body for elimination 9. A client arrives at a healthcare facility complaining that her daughter frequently sucks her thumb. The client wants to know about the adverse effect of thumb sucking. What would be the best response from the nurse to the client? - ANSWER "Thumb sucking in children may cause permanent damage to the child's mouth structure." 10. A nurse is required to document certain information after catheterization. Which information must be documented by the nurse in the electronic medical record? - ANSWER Size and type of catheter inserted 11. Which of the following clients would the nurse monitor for stomatitis? - ANSWER A client with emphysema 12. As part of routine data collection, a nurse is required to observe the characteristics of urine of assigned clients. Which observation would be the most accurate to document in the electronic medical record regarding the characteristics of a client's urine? - ANSWER Change in the normal color of urine may be caused by medications. 13. A nurse is caring for a client with renal calculi. What measure should the nurse employ for this client? - ANSWER Strain all urine through a piece of gauze, cheesecloth, or strainer. 14. A student nurse has placed a sterile gown and sterile gloves on to complete a sterile procedure. The student nurse has to wait while the nurse educator finishes putting on the sterile gown and sterile gloves. While waiting for the faculty member to complete this procedure, where is the best place for the student nurse to place gloved hands? - ANSWER Between the nipples and waist 15. A nurse is caring for a female client with recurrent urinary tract infection (UTI). What measure should the nurse employ with this client? - ANSWER Instruct the client to void before and after intercourse. 16. According to Erikson's theory, at each stage of development, a significant person or group exerts a lasting influence on the ongoing development of the child. The student nurse is preparing a short report for a postclinical conference during the pediatric rotation. The student nurse is doing a case study report on the assigned child and family for which she cared during the clinical experience. The family consists of an infant, school-aged child, teenager, mother, and father. What individuals in this family exert the most lasting influence on the ongoing development of the infant? 1. School-aged child 2. Teenager 3. Mother 4. Father - ANSWER 3, 4 17. According to Piaget's theory of cognitive development, children from ages 2 to 7 are in the preoperational major level of cognitive development. The nurse is collecting data from parents 18. Which would be an appropriate example given by the parents to the nurse of a 4-year-old child. of children in the preoperational stage? - ANSWER Wishing the dog would quit eating their blocks and now feeling responsible because the dog has ran away 19. The nurse helps a client to overcome stress and pressure. A nurse is caring for a client with stress; the client has lost an arm after a motorcycle accident. What issue is most important in relation to the family should the nurse consider when caring for this client? - ANSWER Who will assist in changing the client's bandage until the arm is healed and no infection is present? 20. A mother tells the nurse that her child has been able to recognize a quart of milk whether it is in the milk container or poured into a plastic jug as the same amount. Based on this information that the nurse collected about the child's current cognitive development, this skill most likely is an example of what concrete operation characteristic of Piaget's theory of cognitive development? - ANSWER Conservation of matter 21. The nurse monitoring clients for symptoms of renal failure knows that oliguria is common in the early phases of renal failure. How would the nurse describe this condition? - ANSWER Urinary output is 400 mL in a 24-hour period