9/3/2021 NUR 155 (MS 1 LEC) A4 P2 EXAMINATION PART 2 9/3

NUR 155 (MS 1 LEC) A4 P2 EXAMINATION

PART 2 9/3
* Required

MULTIPLE CHOICE QUESTIONS 1 - 50

For a female client with newly diagnosed cancer, the nurse formulates a 1 point
nursing diagnosis of Anxiety related to the threat of death secondary to
cancer diagnosis. Which expected outcome would be appropriate for this
client? *

“Client doesn’t guess at prognosis.”

“Client verbalizes feelings of anxiety.”

“Client uses any effective method to reduce tension.”

“Client stops seeking information.”

Which patient with type 1 diabetes mellitus would be at the highest risk for 1 point
developing hypoglycemic unawareness? *

A 58-year-old patient with diabetic retinopathy

A 24-year-old patient with a hemoglobin A1C of 8.9%

A 73-year-old patient who takes propranolol (Inderal)

A 19-year-old patient who is on the school track team

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y p

An optimal teaching plan for an outpatient with stomach cancer receiving 1 point

radiation therapy should include information about *

Cancer support groups

Prosthetic devices, skin conductance, and grief counseling

Avitaminosis, ostomy care, and community resources

Wound and skin care, nutrition, drugs, and community resources

In the client with terminal lung cancer, the focus of nursing care is on which 1 point
of the following nursing interventions? *

Provide pain control

Provide nutritional support

Prepare the client’s will

Provide emotional support

Erwin, a clinical instructor is having a lecture about chemotherapy. Which 1 point

of the following statements is correct about the rate of cell growth in
relation to chemotherapy? *

Faster growing cells are less susceptible to chemotherapy

Faster growing cells are more susceptible to chemotherapy

Slower growing cells are more susceptible to chemotherapy

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Non-dividing cells are more susceptible to chemotherapy

Giving instructions for breast self-examination is particularly important for 1 point

clients with which of the following medical problems? *

Ovarian cancer

A dermoid cyst

Cervical dysplasia

Endometrial polyps

Type 2 diabetes can cause long-term damage in the... * 1 point

Kidneys

All of the above

Nerves

Eyes

The client is being discharged after a left modified radical mastectomy. 1 point

Which discharge instructions should the nurse include? Select all that
apply: *

Try to keep the arm as still as possible until seen by health care provider.

Do not go to church or anywhere with crowds.

Have a mammogram of the right and left breast yearly

Carry large purses and bundles with the right hand

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Carry large purses and bundles with the right hand.

Notify health care provider of temperature of 100 F

The client is admitted to the outpatient surgery center for a bronchoscopy 1 point
to rule out lung cancer. Which info should the nurse teach? *

The client can eat and drink immediately after the test.

The Health Care Provider can do a biopsy of the tumor through the scope.

The test will confirm the MRI results.

There is no discomfort associated with this procedure.

The registered nurse is teaching a nursing student about the importance of 1 point
observing for bone marrow suppression during chemotherapy. Select the
person who displays bone marrow suppression. *

Client with 5000 white blood cells/mm3

Client with hemoglobin of 7.4 and hematocrit of 21.8

Client with 250,000 platelets

Client with diarrhea and potassium level of 2.9 mEq/L

Which of the following confirmed values meet the diagnostic threshold for 1 point
diabetes? *

Fasting blood glucose > 140 mg/dl

Random glucose > 160 mg/dl

Fasting blood glucose ≥ 126 mg/dl

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2 hour post prandial glucose ≥ to 126 mg/dl

Lino, with a nagging cough makes an appointment to see the physician 1 point

after reading that this symptom is one of the seven warning signs of
cancer. What is another warning sign of cancer? *

Chronic ache or pain

Indigestion

Persistent nausea

Rash

The nurse has identified the nursing diagnosis of imbalanced nutrition: less 1 point

than body requirements related to altered taste sensation in a patient with

lung cancer who has had a 10% loss in weight. An appropriate nursing
intervention that addresses the etiology of this problem is to *

Adds strained baby meats to foods such as soups and casseroles.

Provides foods that are highly spiced to stimulate the taste buds.

Avoids presenting foods for which the patient has a strong dislike.

Teaches the patient to eat whatever is nutritious since food is tasteless.

During a routine physical examination, a firm mass is palpated in the right 1 point

breast of a 37-year-old woman. Which of the following findings or client

history would suggest cancer of the breast as opposed to fibrocystic
disease? *

Cyclic changes in mass size

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History of early menarche

Increased vascularity of the breast

History of anovulatory cycles

The nurse is caring for a patient with thyroid cancer suffering from 1 point

anorexia secondary to chemotherapy. Which of the following strategies

would be most appropriate for the nurse to use to increase the patient's
nutritional intake? *

Serve three large meals per day plus snacks between each meal.

Add items such as skim milk powder, cheese, honey, or peanut butter to selected
foods.

Avoid the use of liquid protein supplements to encourage eating at mealtime.

Increase intake of liquids at mealtime to stimulate the appetite.

. Contact of client on radiation therapy should be limited only to how many 1 point

minutes to promote safety of the therapy personnel? *

5 minutes

3 minutes

10 minutes

1 minute

A female client with cancer is scheduled for radiation therapy. The nurse 1 point
knows that radiation at any treatment site may cause a certain adverse
effect. Therefore, the nurse should prepare the client to expect: *

Hair loss

Vomiting
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Vomiting

Fatigue

Stomatitis

Radiation protection is very important to implement when performing 1 point

nursing procedures. When the nurse is not performing any nursing
procedures what distance should be maintained from the client? *

3 feet

1 feet

2 feet

2.5 feet

When caring for a client receiving chemotherapy, the nurse plans care 1 point
during the nadir of bone marrow activity to prevent which complication? *

Infection

Dose-limiting side effects

Polycythemia

Drug toxicity

The pathogenesis of hyperglycemia in type 2 diabetes includes all the 1 point

following mechanisms except for: *

Decreased glucose uptake from the skeletal muscle

Increased glucose production by the liver

All of the options given are correct

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Impaired insulin secretion

Nurse Kate is interviewing a male client about his past medical history. 1 point
Which preexisting condition may lead nurse Kate to suspect that a client
has colorectal cancer? *

Polyps

Hemorrhoids

Weight gain

Duodenal ulcers

The client with cancer is receiving chemotherapy and develops 1 point

thrombocytopenia. The nurse identifies which intervention is the highest
priority in the nursing plan of care? *

Ambulation three times a day

Monitoring for pathological factors

Monitoring the platelet count

Monitoring temperature

Warning signs and symptoms of lung cancer include persistent cough, 1 point

bloody sputum, dyspnea, and which of the other following symptoms? *

Dizziness

Recurrent pleural effusion

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Hypotension

Generalized weakness

The nurse corrects the nursing student when caring for a client with 1 point

neutropenia secondary to chemotherapy in which circumstance? *

The student scrubs the hub of IV tubing before administering an antibiotic.

The nurse observes the student providing oral hygiene and perineal care

The student teaches the client that symptoms of neutropenia include fatigue and
weakness.

The nurse overhears the student explaining to the client the importance of
handwashing.

The client frequently finds lumps in her breasts, especially around the time 1 point
of her period. Which information should the nurse teach the client
regarding breast self-care? *

Practice breast self-exam monthly.

Eliminate chocolate and caffeine from diet.

This is how breast cancer starts and she needs surgery.

This is a benign process that does not need follow up.

According to trials on diabetes prevention, high-risk individuals can reduce 1 point

their risk to develop diabetes by doing the following: *

Initiating metformin 850 mg BID and practicing daily vigorous exercise

Losing 5-7% of body weight through a hypocaloric low fat diet and 30 minutes of daily
activity
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activity

Eating a very low carbohydrate diet

Consuming a diet high in monounsaturated fats

Which of the following interventions is the key to increasing the survival 1 point
rates of clients with lung cancer? *

Smoking cessation

Early detection

High-dose chemotherapy

Early bronchoscopy

Nurse Rose is teaching a client who suspects that she has a lump in her 1 point
breast. The nurse instructs the client that a diagnosis of breast cancer is
confirmed by: *

Chest X-ray

Mammography

Fine needle aspiration

Breast self-examination

Elmer is suffering from acute pyelonephritis. Most specific urinary finding 1 point

will be *

Glucosuria

Protein in the urine

W.B.C. casts
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Bacteremia

The nurse is teaching a patient who will begin receiving targeted therapy 1 point
for cancer. The patient asks how targeted therapy differs from other types
of chemotherapies. The nurse will explain that targeted therapy *

Directly kills or damages cancerous cells.

Prevents metastasis of cancer cells.

Interferes with specific molecules in cancer cells.

Damages cancer cell DNA to prevent cell replication.

A 54-year-old patient admitted with type 2 diabetes asks the nurse what 1 point
"type 2" means. What is the most appropriate response by the nurse? *

"With type 2 diabetes, the body of the pancreas becomes inflamed."

"With type 2 diabetes, insulin secretion is decreased, and insulin resistance is

increased."

"With type 2 diabetes, the patient is totally dependent on an outside source of insulin."

"With type 2 diabetes, the body produces autoantibodies that destroy β-cells in the
pancreas."

The community nurse is conducting a health promotion program at a local 1 point

school and is discussing the risk factors associated with cancer. Which of
the following, if identified by the client as a risk factor, indicates a need for
further instructions? *

Viral factors
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Exposure to radiation

Stress

Low-fat and high-fiber diet

The test for checking mean plasma glucose concentration over the 1 point
previous 8-10 weeks is: *

Fasting plasma glucose concentration

Fructosamine test

Hemoglobin A1c

Oral glucose tolerance test (OGTT)

Nurse Daisy is teaching a group of women to perform breast self- 1 point

examination. The nurse should explain that the purpose of performing the
examination is to discover: *

Areas of thickness or fullness

Cancerous lumps

Changes from previous self-examinations

Fibrocystic masses

A nurse teaches a client who is at risk for colon cancer. Which dietary 1 point
recommendation should the nurse teach this client? *

White rice and bread are easier to digest.

Add vegetables such as broccoli and cauliflower to your new diet.

Eat low-fiber and low-residual foods.

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Food high in animal fat help to protect the intestinal mucosa.

A 60-year-old man is going to have chemotherapy for lung cancer. He asks 1 point
the nurse how the chemotherapeutic drugs will work. The most accurate
explanation the nurse can give is which of the following? *

“The molecular structure of the DNA is altered.”

“Cancer cells are susceptible to drug toxins.”

“Chemotherapy affects all rapidly dividing cells.”

“Chemotherapy encourages cancer cells to divide.”

When the body does not respond to the insulin it makes, this is called? * 1 point

Type 2 diabetes mellitus

None of the above

Type 1 Diabetes Mellitus

Both Type 1 and 2

After teaching a client who is recovering from a colon resection, the nurse 1 point
assesses the client's understanding. Which statements by the client
indicate a correct understanding of the teaching? Select all that apply. *

I must change the ostomy appliance daily and as needed.

I must avoid dairy products to reduce gas and odor in the pouch.

Cutting the flange will help it fit snugly around the stoma to avoid skin breakdown.

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I might start bicycling and swimming again once my incision has healed.

I will check the stoma regularly to make sure that it stays a deep red color.

I will use warm water and a soft washcloth to clean around the stoma.

Which of the following causes the majority of UTI’s in hospitalized patients? 1 point
*

Inadequate perineal care

Invasive procedures

Immunosuppression

Lack of fluid intake

The most common early sign of kidney disease is: * 1 point

Inability to dilute or concentrate urine

Sodium retention

Elevated BUN level

Development of metabolic acidosis

The nurse has received in report that the client receiving chemotherapy for 1 point
thyroid cancer has severe neutropenia. Which of the following does the
nurse plan to implement? Select all that apply. *

Observe for bleeding.

Assess for fever.

Administer pegfilgrastim (Neulasta).

Do not permit fresh flowers or plants in the room

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Do not permit fresh flowers or plants in the room.

Teach the client to omit raw fruits and vegetables from his diet.

Do not allow his 16-year-old son to visit.

The nurse has been teaching a patient with diabetes mellitus how to 1 point
perform self-monitoring of blood glucose (SMBG). During evaluation of the
patient's technique, the nurse identifies a need for additional teaching
when the patient does what? *

Warms the finger before puncturing the finger to obtain a drop of blood.

Tells the nurse that the result of 110 mg/dL indicates good control of diabetes.

Chooses a puncture site in the center of the finger pad.

Washes hands with soap and water to cleanse the site to be used.

The nurse is teaching a 19-year old client and the client’s family about what 1 point
to expect with high-dose chemotherapy and the effects of neutropenia.
What should the nurse teach as the most reliable early indicator of
infection in a neutropenic client? *

Fever

Dyspnea

Tachycardia

Chills

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Luz, age 41, visits the gynecologist. After examining her, the physician 1 point
suspects cervical cancer. The nurse reviews the client’s history for risk
factors for this disease. Which history finding is a risk factor for cervical
cancer? *

Human papillomavirus infection at age 32

Pregnancy complicated with eclampsia at age 27

Spontaneous abortion at age 19

Onset of sporadic sexual activity at age 17

Tommy with stomach cancer is admitted to the oncology unit after 1 point
vomiting for 3 days. Physical assessment findings include irregular pulse,
muscle twitching, and complaints of prickling sensations in the fingers and
hands. Laboratory results include a potassium level of 2.9 mEq/L, a pH of
7.48, and a bicarbonate level of 30 mEq/L. The client is experiencing: *

Metabolic acidosis

Respiratory acidosis

Respiratory alkalosis

Metabolic alkalosis

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A female client with cancer is scheduled for radiation therapy. The nurse 1 point
knows that radiation at any treatment site may cause a certain adverse
effect. Therefore, the nurse should prepare the client to expect: *

Hair loss

Fatigue

Stomatitis

Vomiting

A 33-yr-old patient has recently been diagnosed with stage II cervical 1 point
cancer. Which statement by the nurse best explains the diagnosis? *

"The cancer is found at the point of origin only."

"The cancer has been identified in the cervix and the liver."

"Your cancer was identified in the cervix and has limited local spread."

"Tumor cells have been identified in the cervical region."

The nurse is teaching a 60-year-old woman with type 2 diabetes mellitus 1 point
how to prevent diabetic nephropathy. Which statement made by the
patient indicates that teaching has been successful? *

"I will avoid hypoglycemia by keeping my blood sugar above 180 mg/dL."

"Smokeless tobacco products decrease the risk of kidney damage."

"I can help control my blood pressure by avoiding foods high in salt "
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I can help control my blood pressure by avoiding foods high in salt.

"I should have yearly dilated eye examinations by an ophthalmologist."

A client is taking Cyclophosphamide (Cytoxan) for the treatment of 1 point

lymphoma. The nurse is very cautious in administering the medication

because this drug poses the fatal side effect of: *

Myeloma

Hemorrhagic cystitis

CNS toxicity

Alopecia

The nurse is administering a combination of three different antineoplastic 1 point

drugs to a patient who has metastatic breast cancer. Which statement best
describes the rationale for combination therapy? *

Combination therapy reduces the need for radiation therapy.

The drugs will prevent metastasis.

There will be less nausea and vomiting.

Increased cancer-cell killing will occur.

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

NUR 155 P1 EXAMINATION PART 2

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MULTIPLE CHOICE: QUESTIONS 1 - 50 48 of 50 points

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How can the spread of filoviruses be restricted? * 1/1

New antivirals

New humanized monoclonal antibodies

Hygiene and social distancing

New vaccine

An 85-year-old patient with a feeding tube has been experiencing severe 1/1
watery stool. The patient is lethargic and has poor skin turgor, a pulse of
120 bpm, and hyperactive reflexes. Nursing interventions would include: *

administering sedatives.

measuring and recording intake and output and daily weights.

applying wrist restraints to avoid displacement of the feeding tube.

administering salt tablets and monitoring hypertonic parenteral solutions.

Patient Mimi was diagnosed with an imbalance in calcium and has a 1/1
serum level of 7.5 mg/dL. Upon assessment, there was flexion of the wrist
and adduction of metacarpal and phalanges after BP taking. This
assessment refers to: *

Trousseau’s sign

Chvostek’s sign

Homan's sign

Kernig's sign

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A patient is admitted with 1.000 mL of diarrhea per day for the last 3 1/1
days. An IV of 0.45% NaCl with 5% dextrose is infused. Which of the
following nursing interventions is the most appropriate? *

Assess the patient for signs of hyperkalemia.

Get an infusion controller from central supply.

Mix all antibiotics in 0.45% NaCl with 5% dextrose.

Check the patient’s potassium level and contact the doctor for IV additive orders.

Which of the following organisms most commonly causes community- 1/1

acquired pneumonia in adults? *

Heamophilus influenzae

Klebsiella pneumoniae

Streptococcus pneumoniae

Staphylococcus pneumoniae

A client with COPD is admitted to the hospital with acute exacerbation. 1/1
Which of the following blood gas results would the nurse most likely
expect to note? *

pH 7.48, PaCO2 30

pH 7.19, PaCO2 51

pH 7.22, HCO3 20

pH 7.53, HCO3 29

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A 25-year-old client has active pulmonary tuberculosis (PTB). Which of 1/1

the following symptoms will he exhibit? *

chest and lower back pain

headache and photophobia

chills, fever, night sweats, and hemoptysis

fever, altered mental status, and non-productive sputum

Which information will the nurse include in the patient teaching plan for a 1/1
patient who is receiving rifampin (Rifadin) for treatment of tuberculosis?
*

"Your urine, sweat, and tears will be orange colored."

"Read a newspaper daily to check for changes in vision."

"Take vitamin B6 daily to prevent peripheral nerve damage."

"Call the health care provider if you notice any hearing loss."

Which of the following pathophysiological mechanisms that occurs in the 1/1

lung parenchyma allows pneumonia to develop? *

Atelectasis

Bronchiectasis

Effusion

Inflammation

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A patient who is on Lasix therapy asks the nurse about potassium-rich 1/1
foods, which of the following foods would the nurse recommend? *

oranges

apples

pears

peaches

A client with atherosclerosis asks the nurse about dietary modifications 1/1
to lower the risk of heart disease. The nurse instructs the client to eat
which of the following foods? *

roast beef

cheese burger

fresh cantaloupe

mashed potato with gravy

When planning care for the patient with hypertrophic CMP, what should 1/1
the nurse include? *

Ventricular pacing

Administration of vasodilators

Teach the patient to avoid strenuous activity and dehydration

Surgery for cardiac transplantation will need to be done soon

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When performing discharge teaching for a patient with any type of CMP, 1/1
what should the nurse instruct the patient to do (select all that apply)? *

Eat a low-sodium diet.

Go to the gym every day.

Engage in stress reduction activities.

Abstain from alcohol and caffeine intake.

Avoid strenuous activity and allow for periods of rest.

Suggest that caregivers learn cardiopulmonary resuscitation (CPR).

The nurse has been assigned to a client with Raynaud’s disease. The 1/1
nurse realizes that the underlying etiology of Raynaud’s disease is
unknown but that it is characterized by: *

episodic vasospastic disorder of the aorta.

episodic vasospastic disorder of the capillaries.

episodic vasospastic disorder of the small veins.

episodic vasospastic disorder of the small arteries.

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When teaching your patient with hypomagnesemia about a proper diet, 1/1
you should recommend that he consume plenty of: *

seafood.

fruits.

corn products.

dairy products.

A patient who is lethargic and exhibits deep, rapid respirations has the 1/1
following arterial blood gas (ABG) results: pH 7.32, PaO2 88 mm Hg,
PaCO2 37 mm Hg, and HCO3 16 mEq/L. How should the nurse interpret
these results? *

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

A client who has fallen from a ladder and fractured three ribs has arterial 1/1
blood gas (ABG) results of pH 7.38, PaCO2 38 mmHg, and HCO3 23
mEq/L. The nurse interprets that the client’s ABGs indicate which of the
following? *

normal results

metabolic acidosis

metabolic alkalosis

respiratory acidosis

A patient with tented skin turgor, dry mucous membranes, and 1/1
decreased urinary output is under nurse Mark’s care. Which nursing
intervention should be included the care plan of Mark for his patient? *

Administering I.V. and oral fluids

Clustering necessary activities throughout the day

Assessing color, odor, and amount of sputum

Monitoring serum albumin and total protein levels

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

Which of the following nursing diagnoses might apply to a patient with 1/1
fluid volume deficit? *

altered bowel elimination

urinary incontinence

decreased cardiac output

increased cardiac output

In patients with fluid volume excess and circulating overload, the 1/1
potential outcome is: *

cell swelling

cerebral cell dehydration

water intoxication

congestive heart failure (CHF)

A patient who was involved in a motor vehicle crash has had a 0/1
tracheostomy placed to allow for continued mechanical ventilation. How
should the nurse interpret the following arterial blood gas results: pH
7.48, PaO2 85 mm Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L? *

Respiratory acidosis

Respiratory alkalosis

Metabolic acidosis

Metabolic alkalosis

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

The home care nurse screens a group of residents in a dependent living 1/1
facility for risk factors to pneumonia. The nurse determines that which of
the following clients is MOST at risk to develop pneumonia? *

An 87-year-old male who smokes and has a history of lung cancer.

A 76-year-old male who has a history of hypertension and type II diabetes.

A 72-year-old female who has left-sided hemiparesis after a cerebrovascular

accident.

An 80-year-old female who walks one mile every day and has a history of depression.

Patient X is diagnosed with constipation. As a knowledgeable nurse, 1/1

which nursing intervention is appropriate for maintaining normal bowel
function? *

Assessing dietary intake

Decreasing fluid intake

Providing limited physical activity

Turning, coughing, and deep breathing

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

When caring for a patient during the oliguric phase of acute kidney 1/1
injury, what would be an appropriate nursing intervention? *

Weigh patient three times weekly

Increase dietary sodium and potassium

Provide a low-protein, high-carbohydrate diet

Restrict fluids according to the previous day's fluid loss

A patient with respiratory alkalosis is sedated. The nurse knows this 0/1
intervention is effective when the: *

PO2 is 80%

HCO3 is 50 mEq/L

pH is 7.36

PaCO2 is 33

The nurse recognizes that the goals of teaching regarding the 1/1
transmission of pulmonary tuberculosis (TB) have been met when the
patient with TB *

demonstrates correct use of a nebulizer.

washes dishes and personal items after use.

covers the mouth and nose when coughing.

reports daily to the public health department.

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 11/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

Daniel who is a marathon runner is at high risk for fluid volume deficit. 1/1
Which one of the following is a related factor? *

decreased diuresis

disease-related process

decreased breathing and perspiration

increased breathing and perspiration

Pulmonary tuberculosis (PTB) is a communicable disease transmitted by 1/1

which of the following methods? *

sexual contact

using dirty needles

using an infected person’s eating utensils

inhaling droplets exhaled from an infected person

A client is diagnosed with thromboangiitis obliterans (Buerger’s disease). 1/1

The nurse places highest priority on teaching the client about
modifications of which risk factor related to this disease? *

exposure to heat

cigarette smoking

excessive water intake

diet low in vitamin C

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

Because smoking cessation is a critical strategy for the client diagnosed 1/1
with Buerger’s disease, the nurse anticipates that the client will go home
with a prescription for which of the following medications? *

Nitroglycerin

Nicotine (Nicotrol)

Ibuprofen

Furosemide (Lasix)

Following teaching about medications for PAD, the nurse determines that1/1
additional instruction is necessary when the patient makes which
statement? *

“I should take one aspirin a day to prevent clotting in my legs.”

“The lisinopril I use for my blood pressure may help me walk further without pain.”

“I will need to have frequent blood tests to evaluate the effect of the Coumadin I
will be taking.”

“Pletal should help me increase my walking distance and help prevent clots from
forming in my legs.”

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 13/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

A 79-year-old client is admitted with pneumonia. Which nursing 1/1

diagnosis should take priority? *

Anxiety related to dyspnea and chest pain

Ineffective airway clearance related to retained secretions

Acute pain related to lung expansion secondary to lung infection

Risk for imbalanced fluid volume related to increased insensible fluid losses

Which of the following controllable risk factors for coronary artery 1/1
disease (CAD) appears most closely linked to the development of the
disease? *

age

gender

smoking

high cholesterol levels

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

Maria, an 85-year-old patient with a feeding tube, has been experiencing 1/1
severe watery stool. The patient is lethargic and has poor skin turgor, a
pulse of 120, and hyperactive reflexes. Nursing interventions would
include: *

measuring and recording intake and output and daily weights

administering salt tablets and monitoring hypertonic parenteral solutions

administering sedatives

applying wrist restraints to avoid displacement of the feeding tube

The nurse assessed the client and noted shortness of breath and recent 1/1
trip to China. The client is strongly suspected of having Middle East
Respiratory Syndrome (MERS-CoV). Which of these prescribed actions
will the nurse take first? *

Place the client on airborne and contact precautions

Introduce normal saline at 75 mL/hr

Give methylprednisolone (SOLU-Medrol) 1 g intravenously (IV)

Take blood, urine, sputum cultures

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

A patient with PAD has a nursing diagnosis of ineffective peripheral 1/1

tissue perfusion. What should be included in the teaching plan for this
patient (select all that apply)? *

Keep legs and feet warm.

Apply cold compresses when the legs become swollen.

Walk at least 30 minutes per day to the point of discomfort.

Use nicotine replacement therapy as a substitute for smoking.

Inspect lower extremities for pulses, temperature, and any injury.

The health care provider writes an order for bacteriologic testing for a 1/1
patient who has a positive tuberculosis skin test. Which action will the
nurse take? *

Repeat the tuberculin skin testing.

Teach about the reason for the blood tests.

Obtain consecutive sputum specimens from the patient for 3 days.

Instruct the patient to expectorate three specimens as soon as possible.

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 16/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

A nurse is developing a teaching plan for the client with Raynaud’s 1/1
disease. The nurse plans to tell the client that the symptoms may
improve with: *

daily cool baths, which will provide an analgesic effect.

a high-protein diet, which will minimize tissue malnutrition.

vitamin K administration which will prevent tendencies toward bleeding.

keeping the hands and feet warm and dry, which will prevent vasoconstriction.

Lassa and Ebola are emergent viruses in W. Africa. What is their origin? * 1/1

Humans

Primates

Fruit bats

Pigs

Which patient has the greatest risk for pre-renal AKI? * 1/1

The patient is hypovolemic because of hemorrhage.

The patient relates a history of chronic urinary tract obstruction.

The patient has vascular changes related to coagulopathies.

The patient is receiving antibiotics such as gentamicin.

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 17/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

Which of the following conditions most commonly results in coronary 1/1

artery disease? *

atherosclerosis

diabetes mellitus

myocardial infarction

renal failure

Atherosclerosis impedes coronary blood flow by which of the following 1/1

mechanisms? *

Plaques obstruct the vein.

Plaques obstruct the artery.

Blood clots form outside the vessel wall.

Hardened vessels dilate to allow blood to flow through.

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

The nurse is caring for a client with heart failure who is receiving high 1/1
doses of a diuretic. On assessment, the nurse notes that the client has
flat neck veins, generalized muscle weakness, and diminished deep
tendon reflexes. The nurse suspects hyponatremia. What additional signs
would the nurse expect to note in a client with hyponatremia? *

Muscle twitches

Decreased Urinary output

Hyperactive bowel sounds

Increased specific gravity of the urine

Which of the following arterial blood gas values indicates 1/1

uncompensated metabolic alkalosis? *

pH 7.48, PaCO2 42, HCO3 30

pH 7.48, PaCO2 46, HCO3 30

pH 7.48, PaCO2 34, HCO3 20

pH 7.48, PaCO2 34, HCO3 26

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 19/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

During assessment of the chest in a patient with pneumococcal 1/1

pneumonia, the nurse would expect to find *

vesicular breath sounds.

increased tactile fremitus.

dry, nonproductive cough.

hyperresonance to percussion.

If your patient is hypercalcemic, you would expect to: * 1/1

administer I.V. sodium bicarbonate.

administer vitamin D.

hydrate the patient.

administer digoxin.

A nurse is planning care for a client with hypokalemia. Which 1/1

interventions should be included in the plan of care? Select all that apply.
*

Ensure adequate fluid intake.

Implement safety measures to prevent falls

Encourage low fiber foods to prevent diarrhea.

Instruct the client about foods that contain potassium.

Encourage the client to obtain assistance to ambulate.

https://docs.google.com/forms/d/e/1FAIpQLSfzr_vNaqc69SigoPUMMU1eEOSkQTNf4wb7yx2ehKk-gom46w/viewscore?viewscore=AE0zAgBLXiDs… 20/22
9/5/2021 NUR 155 P1 EXAMINATION PART 2

A client seeks treatment in an ambulatory care center for symptoms of 1/1

Raynaud’s disease. The nurse instructs the client to: *

Decrease cigarette smoking by one-half.

Alternate exposures to both heat and cold.

Continue activity during vasospasm for quicker relief of symptoms.

Wear protective items, such as gloves and warm socks, as necessary.

An elderly client with pneumonia may appear with which of the following 1/1
symptoms first? *

Altered mental status and dehydration

Fever and chills

Hemoptysis and dyspnea

Pleuritic chest pain and cough

A nurse is admitting a client suspected of having pulmonary tuberculosis 1/1

(PTB) to the hospital. The nurse understands that the MOST accurate
method for confirming the diagnosis is: *

A chest x-ray positive for lung lesions.

A positive purified protein derivative test (PPD).

A sputum culture positive for Mycobacterium tuberculosis.

Obtaining data about the client’s long history of hemoptysis.

This form was created inside of Phinma Education.

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9/5/2021 NUR 155 P1 EXAMINATION PART 2

 Forms

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

NUR 155 P2 EXAMINATION PART 1

Total points 42/50

INSTRUCTIONS:

-This is a 50 ITEM MULTIPLE CHOICE EXAMS

-Students are GIVEN 1 HOUR TO ANSWER THE EXAM

-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY

REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY.

-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES, TEXTS

UNLESS IT IS AN EMERGENCY SITUATION.

-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX PROVIDED

-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

Email *

lymo.noval.swu@phinmaed.com

0 of 0 points

STUDENT NUMBER *

05-1819-06232

FULL NAME (LASTNAME, FIRSTNAME MIDDLE INITIAL) *

NOVAL, LYN-JE KIRSTENE M.

PROGRAM AND SECTION (EX: BSN 3-A1) *

BSN 3-A1

MULTIPLE CHOICE QUESTIONS 1 - 50 42 of 50 points

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

A client who has been diagnosed with renal calculi reports that the pain 1/1
is intermittent and less colicky. Which of the following nursing actions is
most important at this time? *

A. Report hematuria to the physician.

B. Strain the urine carefully.

C. Administer meperidine (Demerol) every 3 hours.

D. Apply warm compresses to the flank area.

A client asks what causes gallstones to form. Which factor should the 1/1
nurse explain as being present when these stones are formed? (Select all
that apply.) *

A. Rapid weight gain

B. Abnormal bile composition

C. Excess cholesterol

D. Inflammation of the gallbladder

E. Biliary stasis

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 2/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

A client with acute appendicitis develops a fever, tachycardia, and 1/1

hypotension. Based on these assessment findings, the nurse should
further assess the client for which of the following complications? *

A. Deficient fluid volume.

B. Intestinal obstruction.

C. Bowel ischemia.

D. Peritonitis.

When counseling a client in the ways to prevent cholecystitis, which of 1/1

the following guidelines is most important? *

A. Eat a low-protein diet

B. Eat a high-cholesterol diet

C. Limit exercise to 10 minutes a day

D. Keep weight proportional to height

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 3/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

A nurse encourages a client with an immunologic disorder to eat a 1/1

nutritionally balanced diet to promote optimal immunologic function.
Which snacks have the greatest probability of stimulating autoimmunity?
*

A. Applesauce and dried apricots

B. Potato chips and chocolate milk shakes

C. Raisins and carrot sticks

D. Fruit salad and mineral water

A patient is recovering after having an appendectomy. The patient is 48 1/1

hours post-opt from surgery and is tolerating full liquids. The physician
orders for the patient to try solid foods. What types of foods should the
patient incorporate in their diet? *

A. Foods high in fiber

B. Foods low in fiber

C. Foods high in carbohydrates

D. Foods low in protein

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 4/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

The client is diagnosed with acute pancreatitis. What health-care 1/1

provider's admitting order should the nurse question? *

A. Bedrest with bathroom privileges

B. Initiate IV therapy of D5W at 125 mL/hr.

C. Weight client daily

D. Low fat, low carb diet

The “rapid” HIV antibody testing is performed on a patient at high risk for 1/1
HIV infection. What should the nurse explain about this test? *

A. The test measures the activity of the HIV and reports viral loads as real numbers.

B. This test is highly reliable, and in 5 minutes the patient will know if HIV infection is
present.

C. If the results are positive, another blood test and a return appointment for
results will be necessary.

D. This test detects drug-resistant viral mutations that are present in viral genes to
evaluate resistance to antiretroviral drugs

Which of the following conditions is most likely to directly cause 0/1

peritonitis? *

A. Cholelithiasis

B. Gastritis

C. Perforated ulcer

D. Hiatal hernia

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 5/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

If a client had irritable bowel syndrome, which of the following diagnostic 1/1
tests would determine if the diagnosis is Crohn's disease or ulcerative
colitis? *

A. Abdominal computed tomography (CT) scan

B. Abdominal x-ray

C. Barium swallow

D. Colonoscopy with biopsy

A 23 year old patient is admitted with suspected appendicitis. The 1/1

patient states he is having pain around the umbilicus that extends into
the lower part of his abdomen. In addition, he says that the pain is worst
on the right lower quadrant. The patient points to his abdomen at a
location which is about a one-third distance between the anterior
superior iliac spine and umbilicus. What other signs and symptoms are
associated with appendicitis. Select all that apply. *

A. Increased red blood Cells

B. Patient has the desire to be positioned in the prone position to relieve pain

C. Umbilical pain that extends in the right lower quadrant

D. Abdominal rebound tenderness

E. Abdominal Flaccidity

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 6/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following should the nurse assess when completing the 1/1
history and physical examination of a client diagnosed with
osteoarthritis? *

A. Anemia.

B. Osteoporosis.

C. Weight loss.

D. Local joint pain.

A nurse is caring for a client with systemic lupus erythematous (SLE) who 1/1
is taking hydroxychloroquine (Plaquenil). The nurse understands that the
primary concern with this drug is: *

A. Pulmonary fibrosis.

B. Cushingoid effects.

C. Retinal toxicity.

D. Renal toxicity.

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2YH… 7/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

During a school party a child with a known food allergy has an itchy 1/1
throat, is wheezing, and reports not feeling "quite right." The nurse
should do the following in what order from first to last? All options must
be used. *

A. Assess vital signs.

B. Position to facilitate breathing.

C. Send someone to activate the Emergency Management Systems (EMS).

D. Administer the child's epinephrine.

E. Notify the parents.

Gout is caused by the buildup of what substance in the body? * 1/1

A. White blood cells

B Synovial fluid (found in joints)

C Uric acid

D Blood plasma

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Surgical management of ulcerative colitis may be performed to treat 1/1

which of the following complications? *

A. Gastritis

B. Bowel herniation

C. Bowel outpoutching

D. Bowel perforation

Which of the following statements shows that a client does not 1/1
understand the cause of an exacerbation of systemic lupus
erythematosus (SLE) *

A. "I need to stay away from sunlight."

B. "I don't have to worry if I get a strep throat."

C. "I need to work on managing stress in my life."

D. "I don't have to worry about changing my diet."

In cystitis to minimize experiencing nocturia, the nurse would teach the 1/1
patient to: *

A. Perform perineal hygiene after urinating.

B. Set up a toileting schedule.

C. Double void.

D. Limit fluids before bedtime.

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Of the clients listed below, who is at risk for developing rheumatoid 1/1
arthritis (RA)? Select all that apply. *

A. Adults between the ages of 20 and 50 years.

B. Adults who have had an infectious disease with the Epstein-Barr virus.

C. Adults that are of the male gender.

D. Adults who possess the genetic link, specifically HLA-DR4.

E. Adults who also have osteoarthritis.

Which of the following symptoms is associated with ulcerative colitis? * 1/1

A. Fistulas

B. Soft stools

C. Rectal bleeding

D. Dumping syndrome

In which of the following groups is most important for the client to 0/1
understand the importance of an annual Papanicolaou test? *

A. Clients with a pregnancy before age 20

B. Clients with a history of recurrent candidiasis

C. Clients with a long history of oral contraceptive use

D. clients infected with the human papillomavirus (HPV)

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following complications is thought to be the most common 0/1

cause of appendicitis? *

A. A fecalith

B. Bowel kinking

C. Internal bowel occlusion

D. Abdominal wall swelling

The nurse is preparing health promotion teaching for a client with 1/1
gallbladder disease. Which topic should the nurse include in the teaching
session? (Select all that apply.) *

A. Role of a high-cholesterol diet on gallstone formation

B. Role of hypolipidemia on gallstone formation

C. Importance of a low-cholesterol diet

D. Dangers of rapid weight loss

E. Importance of a high-fiber diet

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

During a home health visit you are helping a patient with gout identify 0/1
foods in their pantry they should avoid eating. Select all the foods below
the patient should avoid: *

A. Sardines

B. Whole wheat bread

C. Sweetbreads

D. Crackers

E. Craft beer

F. Bananas

Which of the following laboratory results would be expected in a client 1/1

with peritonitis? *

A. Partial thromboplastin time above 100 seconds

B. Hemoglobin level below 10 mg/dl

C. Potassium level above 5.5 mEq/L

D. White blood cell count above 15,000/ul

https://docs.google.com/forms/d/e/1FAIpQLSe_QcGjmCKW1wEz0u8-zev_cAF55sANkc0y5oAVLv_1scf_xw/viewscore?viewscore=AE0zAgDj3X2Y… 12/22
9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following factors is most commonly associated with the 1/1
development of pancreatitis? *

A. Alcohol abuse

B. Hypercalcemia

C. Hyperlipidemia

D. Pancreatic duct obstruction

On a visit to the clinic, a client reports the onset of early symptoms of 1/1
rheumatoid arthritis. The nurse should conduct a focused assessment
for: *

A. Limited motion of joints.

B. Deformed joints of the hands.

C. Early morning stiffness.

D. Rheumatoid nodules.

The client is admitted to the medical department with a diagnosis of R/O 1/1
acute pancreatitis. What laboratory values should the nurse monitor to
confirm this diagnosis? *

A. Creatinine and BUN

B. Troponin and CK-MB

C. Serum amylase and lipase

D. Serum bilirubin and calcium

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following conditions is most likely to cause hepatitis? * 1/1

A. Metastasis

B. Viral infection

C. Bacterial infection

D. Biliary dysfunction

Which of the following symptoms may be exhibited by a client with 0/1

Crohn's disease? *

A. bloody diarrhea

B. narrow stools

C. nausea and vomiting

D. steatorrhea

A patient with hepatitis B is being discharged in 2 days. In the discharge 1/1

teaching plan the nurse should include instructions to: *

A. Avoid alcohol for the first 3 weeks

B. Use a condom during sexual intercourse

C. Have family members get an injection of immunoglobin

D. Follow a low-protein, moderate-carbohydrate, moderate-fat diet

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following body substances most easily transmits human 1/1
immunodeficiency virus (HIV)? *

A. Feces and saliva

B. Blood and semen

C. Breastmilk and tears

D. vaginal secretions and urine

Which of the following interventions should be included in the medical 1/1

management of Crohn's disease? *

A. Increasing oral intake of fiber

B. Administering laxatives

C. Using long-term steroid therapy

D. Increasing physical activity

Which of the following associated disorders may the client with Crohn's 1/1
disease exhibit? *

A. Ankylosing spondylitis

B. Colon cancer

C. Malabsorption

D. Lactase deficiency

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

When evaluating a male client for complications of acute pancreatitis, 1/1

the nurse would observe for: *

A. increased intracranial pressure.

B. decreased urine output.

C. bradycardia.

D. hypertension.

A client with viral hepatitis may exhibit which of the following symptoms? 1/1
*

A. Arthralgia

B. Excitability

C. Headache

D. Polyphagia

A nurse is caring for a client with the following laboratory values: white 1/1
blood cell count (WBC) 4,500/mm3, neutrophils 15%, and bands 1%.
Based on the client's absolute neutrophil count (ANC), the nurse knows
that the clients risk for infection is: *

A. No increased risk

B. Significant risk

C. low risk

D. intermediate risk

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following instructions should the nurse give a client with 1/1
pancreatitis during discharge teaching? *

A. Consume high-fat meals

B. Consume low-calorie meals

C. Limit daily intake of alcohol

D. Avoid beverages that contain caffeine

Which of the following factors should the focus of nursing management 0/1
in a client with acute pancreatitis? *

A. Pain control

B. Dietary management

C. Fluid and electrolyte balance

D. Management of hypoglycemia

The nurse is taking the history of a client who has had benign prostatic 1/1
hyperplasia in the past. To determine whether the client currently is
experiencing difficulty, the nurse asks the client about the presence of
which of the following early symptoms? *

A. Urge incontinence

B. Nocturia

C. Decreased force in the stream of urine

D. Urinary retention

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Copious amounts of frothy, greenish vaginal discharge would be a 1/1

symptom with which of the following infections? *

A. Gonorrhea

B. Candidiasis

C. Herpes simplex

D. Trichomoniasis

The nurse is providing care for a newly married woman with systemic 1/1
lupus erythematosus (SLE). Which client statement indicates plan of care
understanding? *

A. "I will take birth control pills while I am taking cytotoxic medications."

B. "I do not need to contact the doctor if I develop a fever or rash."

C. "I plan to go to the movies this weekend so that I get out of the house."

D. "I can take ibuprofen as indicated for pain."

Which of the following symptoms is a classic sign of systemic lupus 1/1

erythematosus (SLE)? *

A. Vomiting

B. Weight loss

C. Difficulty urinating

D. Superficial lesions over the cheeks and nose

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Which of the following tests is most commonly used to diagnose 0/1

cholecystitis? *

A. Endoscopy

B. Barium swallow

C. Abdominal ultrasound

D. Abdominal computed tomography scan

To prevent the spread of hepatitis A virus (HAV) infection the nurse is 1/1
especially careful when: *

A. Disposing of food trays

B. Emptying bed pans

C. Taking an oral temperature

D. Changing IV

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

A nurse is caring for a client diagnosed with a chlamydia infection. The 1/1
nurse teaches the client about disease transmission and advises the
client to inform his sexual partners of the infection. The client refuses,
stating, "This is my business and I'm not telling anyone. Besides,
chlamydia doesn't cause any harm like the other STDs." How should the
nurse proceed? *

A. Do nothing because the client's sexual habits place him at risk for contracting
other STDs.

B. Educate the client about why it's important to inform sexual contacts so they
can receive treatment.

C. Inform the health department that this client contracted an STD.

D. Inform the client's sexual contacts of their possible exposure to chlamydia.

Which of the following goals for medications prescribed to treat 1/1

rheumatoid arthritis is accurate? *

A. To cure the disease

B. To prevent osteoporosis

C. To control inflammation

D. To encourage bone regeneration

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

Systemic lupus erythematosus (SLE) primarily attacks which of the 1/1

following tissues? *

A. Lung

B. Heart

C. Nerve

D. Connective

Which of the following medications is most effective for treating the pain 0/1
associated with irritable bowel disease? *

A. Acetaminophen

B. Opiates

C. Steroids

D. Stool softeners

The nurse recognizes that urinary elimination changes may occur even in 1/1
healthy elders because: *

A. the bladder distends, and its capacity increases.

B. elders ignore the need to void.

C. the amount of urine retained after voiding increases.

D. urine becomes more concentrated.

This form was created inside of Phinma Education.

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9/5/2021 NUR 155 P2 EXAMINATION PART 1

 Forms

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

NUR 155: P1 EXAMINATION PART 1

Total points 49/50

INSTRUCTIONS:

-This is a 50 ITEM MULTIPLE CHOICE EXAMS

-Students are GIVEN 1 HOUR TO ANSWER THE EXAM

-Students are HIGHLY DISCOURAGED TO OPEN BOOKS, MODULES, JOURNALS OR ANY

REFERENCES FOR THIS IS A FORM OF CHEATING. THIS COULD ENFORCE YOUR LEVEL OF
HONESTY.

-Students are HIGHLY DISCOURAGED TO ENTERTAIN CALLS, CHATS, MESSAGES, TEXTS

UNLESS IT IS AN EMERGENCY SITUATION.

-Students are REMINDED TO ENCODE THEIR NAME AND SECTION ON THE BOX PROVIDED

-ONCE IT IS DONE, CLICK THE SUBMIT BUTTON

Email *

lymo.noval.swu@phinmaed.com

Questions 1 to 50 49 of 50 points

Which of the following is the most common symptom of myocardial 1/1

infarction (MI)? *

Chest pain

Dyspnea

Edema

Palpitations

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

While obtaining patient histories, which patient does the nurse identify as1/1
having the highest risk for CAD? *

A white man, age 54, who is a smoker and has a stressful lifestyle

A white woman, age 68, with a BP of 172/100 mm Hg and who is physically

inactive

An Asian woman, age 45, with a cholesterol level of 240 mg/dL and a BP of 130/74
mm Hg

An obese African American man, age 65, with a cholesterol level of 195 mg/dL and a
BP of 128/76 mm Hg

A nurse is assisting the health care provider who is intubating a client. 1/1
The provider has been attempting to intubate for 40 seconds. What
action by the nurse takes priority? *

Ensure the client has adequate sedation.

Find another provider to intubate.

Interrupt the procedure to give oxygen.

Monitor the client’s oxygen saturation.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

The nurse is caring for a patient whose recent unexplained weight loss 1/1
and history of smoking have prompted diagnostic testing for cancer.
What symptom is most closely associated with the early stages of
laryngeal cancer? *

Hoarseness

Dyspnea

Dysphagia

Frequent nosebleeds

Which of the following rationale best explains maintaining NPO (nothing 1/1
per orem) status on a client preoperatively? *

To avoid reaction to the anesthetic drugs

To prevent risk for aspiration

To monitor intake and output accurately

To prevent inappropriate bowel during surgery

Which of the following statements about myocardial infarction pain is 1/1

incorrect? *

It is relieved by rest and inactivity.

It is substernal in location.

It is sudden in onset and prolonged in duration.

It is viselike and radiates to the shoulders and arms.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Concerted work efforts among members of the surgical team is 1/1

essential to the success of the surgical procedure. The sterile nurse or
sterile personnel touch only sterile supplies and instruments. When there
is a need for sterile supply which is not in the sterile field, who hands out
these items by opening its outer cover? *

Circulating nurse

Anesthesiologist

Surgeon

Nursing aide

A nurse is providing diet teaching to a client with congestive heart failure 1/1
(CHF). The nurse tells the client to avoid: *

potatoes

apples

steak sauce

green leafy vegetables

Which of the following statements best describes pleural effusion? * 1/1

collapse of alveoli

collapse of a bronchiole

fluid in the alveolar space

fluid accumulation between the linings of the pleural space

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Which of the following is an uncontrollable risk factor that has been 1/1
linked to the development of coronary artery disease (CAD)? *

stress

obesity

exercise

heredity

Another nursing check that should not be missed before the induction of 1/1
general anesthesia is: *

check for presence underwear

check for presence dentures

check patient’s blood studies

check baseline vital signs

Nurses hold a variety of roles when providing care to a perioperative 1/1

patient. Which of the following role would be the responsibility of the
scrub nurse? *

Assess the readiness of the client prior to surgery

Ensure that the airway is adequate

Account for the number of sponges, needles, supplies, Used during the surgical
procedure

Evaluate the type of anesthesia appropriate for the surgical client

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Which of the following is included in the treatment of asthma? * 1/1

oxygen, corticosteroid, and anticholinergic

bronchodilator, oxygen, and corticosteroid

bronchodilator, corticosteroid, and sedative

sedative, anticholinergic, and bronchodilator

Which serum lipid elevation, along with elevated LDL, is strongly 1/1
associated with CAD? *

Apolipoproteins

Fasting triglycerides

Total serum cholesterol

High-density lipoprotein (HDL)

A preoperative client expresses anxiety to the nurse about the upcoming 1/1
surgery. Which of the following responses by the nurse is most likely to
stimulate further discussion between the client and the nurse? *

“I will be happy to explain the entire surgical procedure to you.”

“Let me tell you about the care you’ll receive after surgery and the amount of pain
you can anticipate.”

“If it’s any help, everyone is nervous before surgery.”

“Can you share with me what you’ve been told about your surgery?”

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Which patient is most likely to be in the fibrous stage of development of 1/1

coronary artery disease (CAD)? *

Age 40, thrombus adhered to the coronary artery wall

Age 50, rapid onset of disease with hypercholesterolemia

Age 32, thickened coronary arterial walls with narrowed vessel lumen

Age 19, elevated low-density lipoprotein (LDL) cholesterol, lipid-filled smooth muscle
cells

Which statements accurately describe heart failure (select all that 1/1
apply)? *

A common cause of diastolic failure is left ventricular hypertrophy.

A primary risk factor for heart failure is coronary artery disease (CAD).

Systolic heart failure results in a normal left ventricular ejection fraction.

Systolic failure is characterized by abnormal resistance to ventricular filling.

Hypervolemia precipitates heart failure by decreasing cardiac output and increasing

oxygen consumption.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Mr. Alejandro is scheduled for a prostatectomy and the anesthesiologist 1/1

plans to use a spinal (subarachnoid) block during surgery. In the
operating room, the nurse positions the client according to the
anesthesiologist's instructions. Why does the client require special
positioning for this type of anesthesia? *

To prevent confusion

To prevent seizures

To prevent cerebrospinal fluid (CSF) leakage

To prevent cardiac arrhythmias

Which manifestation is an indication that a patient is having a 1/1

hypertensive emergency? *

Symptoms of a stroke with an elevated BP

A systolic BP >200 mm Hg and a diastolic BP >120 mm Hg

A sudden rise in BP accompanied by neurologic impairment

A severe elevation of BP that occurs over several days or weeks

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Which of the following medications is prescribed after a pulmonary 1/1

embolism is diagnosed? *

Warfarin (Coumadin)

Urokinase

Heparin

Streptokinase

The nurse teaches a client who has deep vein thrombosis (DVT) about 1/1
elastic stockings. Which of the following statements, if made by the
client, indicates to the nurse that teaching was SUCCESSFUL? *

“I should wear the stockings even when I am asleep.”

“Every 4 hours I should remove the stockings for a half hour.”

“I will wear the stockings until the physician tells me to remove them.”

“I should put on the stockings before getting out of bed in the morning.”

Which individual is at high risk for a cobalamin (vitamin B12) deficiency 1/1
anemia? *

A 47-year-old man who had a gastrectomy (removal of the stomach)

A 54-year-old man with a history of irritable bowel disease and ulcerative colitis

A 26-year-old woman who complains of heavy menstrual periods

A 15-year-old girl who is a vegetarian

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

The OR team performs distinct roles for one surgical procedure to be 1/1
accomplished within a prescribed time frame and deliver a standard
patient outcome. White the surgeon performs the surgical procedure,
who monitors the status of the client like urine output, blood loss? *

Scrub nurse

Surgeon

Anesthesiologist

Circulating nurse

While team effort is needed in the OR for efficient and quality patient 1/1
care delivery, we should limit the number of people in the room for
infection control. Who comprise this team? *

Surgeon, anesthesiologist, scrub nurse, radiologist, orderly

Surgeon, assistants, scrub nurse, circulating nurse, anesthesiologist

Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist

Surgeon, assistant surgeon, anesthesiologist, intern, scrub nurse

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

The nurse performs discharge teaching with a client with emphysema. 1/1
Which statement, if made by the client, indicates that teaching was
successful? *

“Cold weather will help my breathing problems.”

“I should eat three balanced meals but limit my fluid intake.”

“My outside activity should be limited when pollution levels are high.”

“An intensive exercise program is important in regaining my strength.”

During an acute exacerbation of mild COPD, the patient is severely short 1/1
of breath and the nurse identifies a nursing diagnosis of ineffective
breathing pattern related to obstruction of airflow and anxiety. What is
the best action by the nurse? *

Prepare and administer routine bronchodilator medications.

Perform chest physiotherapy to promote removal of secretions.

Administer oxygen at 5 L/min until the shortness of breath is relieved.

Position the patient upright with the elbows resting on the over-the-bed table.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Sublingual nitroglycerin tablets begin to work within 1 to 2 minutes. How 1/1

should the nurse instruct the client to use the drug when chest pain
occurs? *

Take 1 tablet every 2 to 5 minutes until the pain stops.

Take 1 tablet and rest for 10 minutes. Call the physician if pain persists after 10
minutes.

Take 1 tablet. If pain persists after 5 minutes, take 2 tablets. If pain still persists 5
minutes later, call the physician.

Take 1 tablet, then an additional tablet every 5 minutes for a total of 3 tablets.
Call the physician if pain persists after 3 tablets.

Option 5

Which of the following should be given highest priority when receiving 1/1
patient in the OR? *

Assess level of consciousness

Verify patient identification and informed consent

Assess vital signs

Check for jewelry, gown, manicure and dentures

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Priority Decision: A patient in the PACU has emergence delirium 1/1

manifested by agitation and thrashing. What should the nurse assess for
first in the patient? *

Hypoxemia

Neurologic injury

Distended bladder

Cardiac dysrhythmias

What should the nurse emphasize when teaching a patient who is newly 1/1
prescribed clonidine (Catapres)? *

The drug should never be stopped abruptly.

The drug should be taken early in the day to prevent nocturia.

The first dose should be taken when the patient is in bed for the night.

Because aspirin will decrease the drug’s effectiveness, Tylenol should be used
instead.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Like any nursing interventions, counts should be documented. To whom 1/1

does the scrub nurse report any discrepancy of country so that
immediate ‘and appropriate action is instituted? *

Anesthesiologist

Surgeon

OR nurse supervisor

Circulating nurse

The acronym FACES is used to help educate patients to identify 1/1

symptoms of heart failure. What does this acronym mean? *

Frequent activity leads to cough in the elderly and swelling

Factors of risk: activity, cough, emotional upsets, salt intake

Follow activity plan, continue exercise, and know signs of problems

Fatigue, limitation of activities, chest congestion/cough, edema, shortness of

breath

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

The nurse is planning the care of a patient who is scheduled for a 1/1
laryngectomy. The nurse should assign the highest priority to which
postoperative nursing diagnosis? *

Anxiety related to diagnosis of cancer

Altered nutrition related to swallowing difficulties

Ineffective airway clearance related to airway alterations

Impaired verbal communication related to removal of the larynx

In planning care for the patient with bronchiectasis, which nursing 1/1
intervention should the nurse include? *

Relieve or reduce pain

Prevent paroxysmal coughing

Prevent spread of the disease to others

Promote drainage and removal of mucus

Which of the following interventions would be most appropriate when 1/1

caring for a client experiencing an acute exacerbation of asthma who is
dyspneic and irritable? *

Administer an antitussive agent.

Withhold fluids to prevent aspiration.

Have the client breathe into a paper bag.

Elevate the head of the bed to ease breathing.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

The Recovery Room nurse should monitor for the most common 1/1
postoperative complication of: *

hemorrhage

endotracheal tube perforation

esopharyngeal edema

epiglottis

A nurse is reviewing the physician’s order sheet for the preoperative 1/1
client, which states that the client must be on nothing per mouth (NPO)
status after midnight. The nurse would clarify whether which of the
following medications should be given to the client and not withheld? *

Conjugated estrogen (Premarin)

Atenolol (Tenormin)

Cyclobenzaprine (Flexeril)

Ferrous sulfate

Which of the following measures to prevent pulmonary embolism after 1/1

lower extremity surgery is the BEST? *

early ambulation

frequent chest x-rays

increase fluid intake

frequent lower extremity scan

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

Which foods should you encourage patients with folic acid deficiency to 1/1
include in their daily food intake (select all that apply)? *

Ready-to-eat cereal

Wheat tortillas

Lentils

Strawberries

Potatoes

Which of the following would be important to include in the discharge 0/1

teaching plan for a client diagnosed with pulmonary embolism? *

Maintain peripheral circulation with leg exercises.

Avoid bending when attempting to pick up objects.

Soak feet nightly in warm water to increase circulation.

Reduce walking to necessary activities around the house.

What is the most important postoperative instruction nurse Nikki must 1/1
give to Mrs. Serrano who has just returned from the operating room after
receiving a subarachnoid block? *

"Avoid drinking liquids until the gag reflex returns."

"Avoid eating milk products for 24 hours."

"Notify a nurse if you experience blood in your urine."

"Remain supine for the time specified by the physician."

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

A 52-year-old man is admitted to the emergency department with 1/1

severe chest pain. On what basis would the nurse suspect an MI? *

He has pale, cool, clammy skin.

He reports nausea and vomited once at home.

He says he is anxious and has a feeling of impending doom.

He reports he has had no relief of the pain with rest or position change.

For a client with history of angina, which of the following should the 1/1
nurse teach the patient to do FIRST should the client develop pain at
home? *

Take the sublingual nitroglycerin (NTG) and lie down.

Take an extra- long-acting nitrate tablet immediately.

Perform mild breathing and range of motion exercises.

Sit down and relax, using guided imagery or distraction.

Which initial physical assessment finding would the nurse expect to be 1/1
present in a patient with acute left-sided heart failure? *

Bubbling crackles and tachycardia

Hepatosplenomegaly and tachypnea

Peripheral edema and cool, diaphoretic skin

Frothy blood-tinged sputum and distended jugular veins

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Which of the following methods is the best way to confirm the diagnosis 1/1
of a pneumothorax? *

auscultate breath sounds

take a chest x-ray

use of incentive spirometer

ABG analysis

A 67-year-old client is in distress after being admitted with an 1/1

exacerbation of COPD. In which position should the nurse put the client
to promote optimal lung expansion? *

prone

reverse trendelenburg

supine

high fowler's

Controlling of hemorrhage after a motor vehicular accident is classified 1/1

according to urgency as: *

Emergent

Urgent

Required

Elective

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

To prevent airway obstruction in the postoperative patient who is 1/1

unconscious or semiconscious, what will the nurse do? *

Encourage deep breathing

Elevate the head of the bed

Administer oxygen per mask

Position the patient in a side-lying position

Which of the following ECG changes would be present in a myocardial 1/1

attack? *

Inverted T wave, and inverted P wave

Inverted T wave, and elevated P wave

Inverted T wave, and elevated ST segment

Inverted T wave, and depressed QRS complex

A client has a pulmonary embolism and is started on oxygen. The student 1/1
nurse asks why the client’s oxygen saturation has not significantly
improved. What response by the nurse is best? *

Breathing so rapidly interferes with oxygenation.

Maybe the client has respiratory distress syndrome.

The blood clot interferes with perfusion in the lungs.

The client needs immediate intubation and mechanical ventilation.

This form was created inside of Phinma Education.

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9/5/2021 NUR 155: P1 EXAMINATION PART 1

 Forms

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