NUR 1211 Final Cumulative Exam Questions
and Verified Answers
Question 1
A public health nurse is teaching a health promotion workshop that focuses on vision
and eye health. What should this nurse cite as the most common causes of blindness
and visual impairment among adults over the age of 40? (Select all that apply)
A). Diabetic retinopathy
B). Trauma
C). Macular degeneration
D). Cytomegalovirus
E). Glaucoma
Correct Answer
A). Diabetic retinopathy
C). Macular degeneration
E). Glaucoma
Rationale:
The most common causes of blindness and visual impairment among adults 40
years of age or older are diabetic retinopathy, macular degeneration,
glaucoma, and
cataracts. Therefore, trauma and cytomegalovirus are incorrect.
Page 1 of 313
,Question 2
A patients large bowel obstruction has failed to resolve spontaneously and the
patients worsening condition has warranted admission to the medical unit. Which of
the following aspects of nursing care is most appropriate for this patient?
A). Administering bowel stimulants as ordered
B). Administering bulk-forming laxatives as ordered
C). Performing deep palpation as ordered to promote peristalsis
D). Preparing the patient for surgical bowel resection
Correct Answer
D). Preparing the patient for surgical bowel resection
Rationale:
The usual treatment for a large bowel obstruction is surgical resection to
remove the obstructing lesion. Administration of laxatives or bowel stimulants
are contraindicated if the bowel is obstructed. Palpation would be painful and
has no therapeutic benefit.
Page 2 of 313
,Question 3
You are the nurse caring for a 77-year-old male patient who has been involved in a
motor vehicle accident. You and your colleague note that the patient's labs indicate
minimally elevated serum creatinine levels, which your colleague dismisses. What can
this increase in creatinine indicate in older adults?
A). Substantially reduced renal function
B). Acute kidney injury
C). Decreased cardiac output
D). Alterations in ratio of body fluids to muscle mass
Correct Answer
A). Substantially reduced renal function
Rationale:
Normal physiologic changes of aging, including reduced cardiac, renal, and
respiratory function, and reserve and alterations in the ratio of body fluids to
muscle mass, may alter the responses of elderly people to fluid and electrolyte
changes and acid-base disturbances. Renal function declines with age, as do
muscle mass and daily exogenous creatinine production. Therefore, high-
normal and minimally elevated serum creatinine values may indicate
substantially reduced renal function in older adults. Acute kidney injury is
likely to cause a more significant increase in serum creatinine.
Page 3 of 313
, Question 4
Traditionally, nurses have been involved with tertiary cancer prevention. However, an
increasing emphasis is being placed on both primary and secondary prevention. What
would be an example of primary prevention?
A). Yearly Pap tests
B). Testicular self-examination
C). Teaching patients to wear sunscreen
D). Screening mammograms
Correct Answer
C). Teaching patients to wear sunscreen
Rationale:
Primary prevention is concerned with reducing the risks of cancer in healthy
people through practices such as use of sunscreen. Secondary prevention
involves detection and screening to achieve early diagnosis, as demonstrated
by Pap tests, mammograms, and testicular exams.
Page 4 of 313
and Verified Answers
Question 1
A public health nurse is teaching a health promotion workshop that focuses on vision
and eye health. What should this nurse cite as the most common causes of blindness
and visual impairment among adults over the age of 40? (Select all that apply)
A). Diabetic retinopathy
B). Trauma
C). Macular degeneration
D). Cytomegalovirus
E). Glaucoma
Correct Answer
A). Diabetic retinopathy
C). Macular degeneration
E). Glaucoma
Rationale:
The most common causes of blindness and visual impairment among adults 40
years of age or older are diabetic retinopathy, macular degeneration,
glaucoma, and
cataracts. Therefore, trauma and cytomegalovirus are incorrect.
Page 1 of 313
,Question 2
A patients large bowel obstruction has failed to resolve spontaneously and the
patients worsening condition has warranted admission to the medical unit. Which of
the following aspects of nursing care is most appropriate for this patient?
A). Administering bowel stimulants as ordered
B). Administering bulk-forming laxatives as ordered
C). Performing deep palpation as ordered to promote peristalsis
D). Preparing the patient for surgical bowel resection
Correct Answer
D). Preparing the patient for surgical bowel resection
Rationale:
The usual treatment for a large bowel obstruction is surgical resection to
remove the obstructing lesion. Administration of laxatives or bowel stimulants
are contraindicated if the bowel is obstructed. Palpation would be painful and
has no therapeutic benefit.
Page 2 of 313
,Question 3
You are the nurse caring for a 77-year-old male patient who has been involved in a
motor vehicle accident. You and your colleague note that the patient's labs indicate
minimally elevated serum creatinine levels, which your colleague dismisses. What can
this increase in creatinine indicate in older adults?
A). Substantially reduced renal function
B). Acute kidney injury
C). Decreased cardiac output
D). Alterations in ratio of body fluids to muscle mass
Correct Answer
A). Substantially reduced renal function
Rationale:
Normal physiologic changes of aging, including reduced cardiac, renal, and
respiratory function, and reserve and alterations in the ratio of body fluids to
muscle mass, may alter the responses of elderly people to fluid and electrolyte
changes and acid-base disturbances. Renal function declines with age, as do
muscle mass and daily exogenous creatinine production. Therefore, high-
normal and minimally elevated serum creatinine values may indicate
substantially reduced renal function in older adults. Acute kidney injury is
likely to cause a more significant increase in serum creatinine.
Page 3 of 313
, Question 4
Traditionally, nurses have been involved with tertiary cancer prevention. However, an
increasing emphasis is being placed on both primary and secondary prevention. What
would be an example of primary prevention?
A). Yearly Pap tests
B). Testicular self-examination
C). Teaching patients to wear sunscreen
D). Screening mammograms
Correct Answer
C). Teaching patients to wear sunscreen
Rationale:
Primary prevention is concerned with reducing the risks of cancer in healthy
people through practices such as use of sunscreen. Secondary prevention
involves detection and screening to achieve early diagnosis, as demonstrated
by Pap tests, mammograms, and testicular exams.
Page 4 of 313
