NURS 6541, FINAL EXAM Questions &
Answers - Primary Care Adolescent &
Children
A nurse is preparing a presentation about muscle function for a group of newly licensed
nurses. Which of the following information should the nurse plan to include?
Muscles assist with thermoregulation in the body
A nurse is planning care for a client who is postoperative. In which of the following
positions should the nurse place the client to prevent atelectasis?
Fowler's
A nurse in a long term facility is caring for an older adult client and notes their muscles
have become smaller and weaker. Which of the following should the nurse suspect the
client is experiencing?
Atrophy
A nurse is performing a skin assessment on a client who has a wound on their heel that is
blistered and lighter in color than the client's skin tone. The nurse should identify that the
wound is in which of the following stages of damage?
Damage into the skin layer
A nurse is discussing proper body mechanics with a group of assistive personnel. Which of
the following information should the nurse include?
1. A stable center of gravity increases stability and balance
2. A wide base lowers the center of gravity
3. Proper body alignment involves tightening the abdomen
A nurse is caring for a client who requires total assistance with mobility. When using the
Mobility Assessment Tool (MAT), which of the following pieces of equipment should the
nurse use to transfer the client?
Mechanical lift
A nurse is preparing to transfer a client from a bed to a wheel chair. Which of the
following actions by the nurse demonstrates proper use of body mechanics?
Looking at the client face-to-face when transferring the client
A nurse is completing the Mobility Assessment Tool (MAT) for a client and determines that
the client is at a Level 1 Mobility. The nurse should identify that the client is unable to
perform which of the following tasks?
Sit on the edge of the bed for 1 min
A nurse is providing teaching for a client who has kyphosis. Which of the following
information should the nurse include?
Kyphosis is a rounded upper back with the pelvis tilted forward
A nurse is caring for a client who had stroke and is immobile. The nurse should identify
that the client is at risk for which of the following conditions?
Deep vein thrombosis
A nurse is caring for a client who requires assistance with ADLs. Which of the following
referrals should the nurse recommend for this client?
,Occupational Therapist
A nurse is providing care to a client who is recovering from severe sepsis. The nurse should
monitor which of the following manifestations that could indicate post-sepsis syndrome? *
Reduced organ function
A nurse is discussing with a health care provider the care of a client with light skin who has
been exposed to a known allergen. Which of the following pathophysiological occurrences
should indicate to the nurse that anaphylaxis has progressed to anaphylactic shock? *
Cardiac arrythmia
A nurse is discussing risk factors for osteoarthritis with a client. Which of the following
factors increases the risk of developing osteoarthritis? *
History of injury
A community health nurse is planning education on ways to reduce opportunistic infections
for a client who has HIV. Which of the following interventions should the nurse include as
an example of how to prevent respiratory infections? *
avoid smoking
Which statements are true regarding the client and the client's treatment needs?
Select all that apply. *
All are correct!!!
-CBC
-Labs
-require routine testing
-sputum culture should be obtained
-indicative of active TB
A nurse is caring for a client on the medical-surgical unit. *
The client is at risk for developing (opportunistic infections) due to (CD4-T-cell count)
A nurse is caring for an adult client in the emergency department (ED).
Select the 5 findings that require immediate follow-up.*
-Vital signs
-Pain Characteristics
-Abdominal Findings
-Radiographic Imaging
-Electrolytes
A nurse is caring for an adult client in the critical care unit.
For each assessment finding, click to specify if the finding indicates the client's condition
has improved, had no change, or declined. *
-Blood pressure: declined
-Breath sounds: no change
-Peripheral circulation: declined
-Temperature: improved
-Follows commands: declined
-Edema: declined
-Sodium level: declined
A nurse is providing discharge teaching to an adult client in the orthopedic clinic.
For each potential provider's prescription, click to specify if the potential prescription is
anticipated or not anticipated. *
,-naproxen: yes
-dexamethasone: yes
-infliximab: yes
-hydroxychloroquine: no
-azathioprine: no
-opioid: no
Which of the following has been identified as a priority outcome of ensuring a nurse's
physical and mental well-being?
A growing and sustainable future nursing workforce
A nurse is caring for a client who was recently diagnosed with prolonged grief disorder
(PGD). Which of the following client statements should the nurse address?
"There is nothing to do; I just can't go on living without my child."
A nurse is conducting a follow-up visit with a client whose child was recently killed in a
school shooting. The client states, "I don't know how to act or what to say. My child was
the shooter." The nurse should determine that the client's statement is consistent with
which of the following?
Disenfranchised grief
A nurse is caring for a client who has end-stage pancreatic cancer. The client has decided
to forgo any additional treatment and be allowed to die. Which of the following responses
should the nurse make to honor the client's request?
"This action is supported by your right of self-determination."
A charge nurse is reviewing the medical records of a client.
Select the 3 findings found in the medical record that require immediate follow-up by the
charge nurse.
-Nurse's reference to euthanasia
-Nurse's comment regarding their faith
-Nurse's reference to client's age
A nurse is providing teaching for a client who injured their ankle. Which of the following
information should the nurse include?
Tendons connect muscle to bone
A nurse is teaching an in-service about the use of ergonomics to a group of staff members.
Which of the following information should the nurse include?
The use of ergonomics increases job satisfactions
A nurse is performing a focused assessment to an older adult client's mobility. Which of the
following findings should indicate to the nurse that the client is experiencing and age-
related change to their musculoskeletal system?
Increased curvature of the thoracic spine
A nurse is evaluating a client who has a broken leg and is using crutches. Which of the
following actions by the client demonstrates proper use of the crutches?
The client has the crutches resting 5 cm (2 in) below their axilla
A nurse is preparing a presentation for a group of clients who are scheduled for joint
replacement surgery. Which of the following information should the nurse plan to include
regarding flexion of a joint?
The contraction of a muscle results in flexion of a joint
A nurse is caring for a client who requires maximum assistance to transfer from the bed to
a chair. Which of the following pieces of equipment should the nurse use?
, Slide board
A nurse is caring for a client who had a stroke and reports having difficulty with
proprioception. The nurse should plan to assess the client for which of the following?
Diminished awareness of body position and balance
A nurse is educating college students at a clinic regarding the risks of contracting
meningitis. Which of the following factors should the nurse explain is most responsible for
transmitting bacterial meningitis infection in college-age students?
Prolonged Contact
A clinic nurse is performing an assessment on a client. Which of the following assessment
findings should indicate to the nurse that the client is experiencing acute sinusitis? *
Facial Pressure
A nurse is providing education to a client about acute sinusitis infection. Which of the
following risk factors should the nurse explain may be the cause of their sinusitis?
Recently having a cold
A nurse is assisting in the care of a client who reports having a butterfly-shaped facial rash,
fatigue, and recent hair loss. Which laboratory testing should the nurse anticipate the
healthcare provider ordering to assist with a diagnosis?
Antinuclear antibody (ANA) assay
A nurse is providing education to a client regarding antimicrobial resistance (AMR).
Which of the following statements should the nurse include in the teaching?
"Antibiotics used to treat AMR may have more serious adverse effects."
A nurse at a clinic is providing care to multiple clients with seasonal influenza infections.
Which of the following clients is at increased risk for developing severe health
complications?
A client with a history of diabetes
A nurse is assisting in the care of a client who is experiencing fever, stiff neck, and
photosensitivity. Which of the following diagnostic tests should the nurse anticipate being
prescribed by the health care provider? *
Lumbar Puncture
A nurse is providing care to a newly diagnosed HIV-positive client. Which of the following
barriers to care should the nurse address with the client? *
Fear of social stigma
A nurse is preparing a presentation about decreasing the spread of influenza to a group of
clients at a community center. Which of the following recommendations should the nurse
encourage clients to follow during flu season? *
Disinfect surfaces frequently
A nurse is providing education to a client who has experienced wheezing after an insect
bite. Which of the following interventions should the nurse include to prevent future
reactions?
Avoid walking outside barefoot
A nurse is caring for a client who is hospitalized with influenza. Which of the following
cues related to influenza should the nurse be most concerned about? *
Compromised alveolar function in the lungs
A nurse is educating clients and family members in a nursing care facility about
antimicrobial resistance (AMR) in drugs. Which of the following actions should the nurse
identify can contribute to AMR in pathogens? *
Answers - Primary Care Adolescent &
Children
A nurse is preparing a presentation about muscle function for a group of newly licensed
nurses. Which of the following information should the nurse plan to include?
Muscles assist with thermoregulation in the body
A nurse is planning care for a client who is postoperative. In which of the following
positions should the nurse place the client to prevent atelectasis?
Fowler's
A nurse in a long term facility is caring for an older adult client and notes their muscles
have become smaller and weaker. Which of the following should the nurse suspect the
client is experiencing?
Atrophy
A nurse is performing a skin assessment on a client who has a wound on their heel that is
blistered and lighter in color than the client's skin tone. The nurse should identify that the
wound is in which of the following stages of damage?
Damage into the skin layer
A nurse is discussing proper body mechanics with a group of assistive personnel. Which of
the following information should the nurse include?
1. A stable center of gravity increases stability and balance
2. A wide base lowers the center of gravity
3. Proper body alignment involves tightening the abdomen
A nurse is caring for a client who requires total assistance with mobility. When using the
Mobility Assessment Tool (MAT), which of the following pieces of equipment should the
nurse use to transfer the client?
Mechanical lift
A nurse is preparing to transfer a client from a bed to a wheel chair. Which of the
following actions by the nurse demonstrates proper use of body mechanics?
Looking at the client face-to-face when transferring the client
A nurse is completing the Mobility Assessment Tool (MAT) for a client and determines that
the client is at a Level 1 Mobility. The nurse should identify that the client is unable to
perform which of the following tasks?
Sit on the edge of the bed for 1 min
A nurse is providing teaching for a client who has kyphosis. Which of the following
information should the nurse include?
Kyphosis is a rounded upper back with the pelvis tilted forward
A nurse is caring for a client who had stroke and is immobile. The nurse should identify
that the client is at risk for which of the following conditions?
Deep vein thrombosis
A nurse is caring for a client who requires assistance with ADLs. Which of the following
referrals should the nurse recommend for this client?
,Occupational Therapist
A nurse is providing care to a client who is recovering from severe sepsis. The nurse should
monitor which of the following manifestations that could indicate post-sepsis syndrome? *
Reduced organ function
A nurse is discussing with a health care provider the care of a client with light skin who has
been exposed to a known allergen. Which of the following pathophysiological occurrences
should indicate to the nurse that anaphylaxis has progressed to anaphylactic shock? *
Cardiac arrythmia
A nurse is discussing risk factors for osteoarthritis with a client. Which of the following
factors increases the risk of developing osteoarthritis? *
History of injury
A community health nurse is planning education on ways to reduce opportunistic infections
for a client who has HIV. Which of the following interventions should the nurse include as
an example of how to prevent respiratory infections? *
avoid smoking
Which statements are true regarding the client and the client's treatment needs?
Select all that apply. *
All are correct!!!
-CBC
-Labs
-require routine testing
-sputum culture should be obtained
-indicative of active TB
A nurse is caring for a client on the medical-surgical unit. *
The client is at risk for developing (opportunistic infections) due to (CD4-T-cell count)
A nurse is caring for an adult client in the emergency department (ED).
Select the 5 findings that require immediate follow-up.*
-Vital signs
-Pain Characteristics
-Abdominal Findings
-Radiographic Imaging
-Electrolytes
A nurse is caring for an adult client in the critical care unit.
For each assessment finding, click to specify if the finding indicates the client's condition
has improved, had no change, or declined. *
-Blood pressure: declined
-Breath sounds: no change
-Peripheral circulation: declined
-Temperature: improved
-Follows commands: declined
-Edema: declined
-Sodium level: declined
A nurse is providing discharge teaching to an adult client in the orthopedic clinic.
For each potential provider's prescription, click to specify if the potential prescription is
anticipated or not anticipated. *
,-naproxen: yes
-dexamethasone: yes
-infliximab: yes
-hydroxychloroquine: no
-azathioprine: no
-opioid: no
Which of the following has been identified as a priority outcome of ensuring a nurse's
physical and mental well-being?
A growing and sustainable future nursing workforce
A nurse is caring for a client who was recently diagnosed with prolonged grief disorder
(PGD). Which of the following client statements should the nurse address?
"There is nothing to do; I just can't go on living without my child."
A nurse is conducting a follow-up visit with a client whose child was recently killed in a
school shooting. The client states, "I don't know how to act or what to say. My child was
the shooter." The nurse should determine that the client's statement is consistent with
which of the following?
Disenfranchised grief
A nurse is caring for a client who has end-stage pancreatic cancer. The client has decided
to forgo any additional treatment and be allowed to die. Which of the following responses
should the nurse make to honor the client's request?
"This action is supported by your right of self-determination."
A charge nurse is reviewing the medical records of a client.
Select the 3 findings found in the medical record that require immediate follow-up by the
charge nurse.
-Nurse's reference to euthanasia
-Nurse's comment regarding their faith
-Nurse's reference to client's age
A nurse is providing teaching for a client who injured their ankle. Which of the following
information should the nurse include?
Tendons connect muscle to bone
A nurse is teaching an in-service about the use of ergonomics to a group of staff members.
Which of the following information should the nurse include?
The use of ergonomics increases job satisfactions
A nurse is performing a focused assessment to an older adult client's mobility. Which of the
following findings should indicate to the nurse that the client is experiencing and age-
related change to their musculoskeletal system?
Increased curvature of the thoracic spine
A nurse is evaluating a client who has a broken leg and is using crutches. Which of the
following actions by the client demonstrates proper use of the crutches?
The client has the crutches resting 5 cm (2 in) below their axilla
A nurse is preparing a presentation for a group of clients who are scheduled for joint
replacement surgery. Which of the following information should the nurse plan to include
regarding flexion of a joint?
The contraction of a muscle results in flexion of a joint
A nurse is caring for a client who requires maximum assistance to transfer from the bed to
a chair. Which of the following pieces of equipment should the nurse use?
, Slide board
A nurse is caring for a client who had a stroke and reports having difficulty with
proprioception. The nurse should plan to assess the client for which of the following?
Diminished awareness of body position and balance
A nurse is educating college students at a clinic regarding the risks of contracting
meningitis. Which of the following factors should the nurse explain is most responsible for
transmitting bacterial meningitis infection in college-age students?
Prolonged Contact
A clinic nurse is performing an assessment on a client. Which of the following assessment
findings should indicate to the nurse that the client is experiencing acute sinusitis? *
Facial Pressure
A nurse is providing education to a client about acute sinusitis infection. Which of the
following risk factors should the nurse explain may be the cause of their sinusitis?
Recently having a cold
A nurse is assisting in the care of a client who reports having a butterfly-shaped facial rash,
fatigue, and recent hair loss. Which laboratory testing should the nurse anticipate the
healthcare provider ordering to assist with a diagnosis?
Antinuclear antibody (ANA) assay
A nurse is providing education to a client regarding antimicrobial resistance (AMR).
Which of the following statements should the nurse include in the teaching?
"Antibiotics used to treat AMR may have more serious adverse effects."
A nurse at a clinic is providing care to multiple clients with seasonal influenza infections.
Which of the following clients is at increased risk for developing severe health
complications?
A client with a history of diabetes
A nurse is assisting in the care of a client who is experiencing fever, stiff neck, and
photosensitivity. Which of the following diagnostic tests should the nurse anticipate being
prescribed by the health care provider? *
Lumbar Puncture
A nurse is providing care to a newly diagnosed HIV-positive client. Which of the following
barriers to care should the nurse address with the client? *
Fear of social stigma
A nurse is preparing a presentation about decreasing the spread of influenza to a group of
clients at a community center. Which of the following recommendations should the nurse
encourage clients to follow during flu season? *
Disinfect surfaces frequently
A nurse is providing education to a client who has experienced wheezing after an insect
bite. Which of the following interventions should the nurse include to prevent future
reactions?
Avoid walking outside barefoot
A nurse is caring for a client who is hospitalized with influenza. Which of the following
cues related to influenza should the nurse be most concerned about? *
Compromised alveolar function in the lungs
A nurse is educating clients and family members in a nursing care facility about
antimicrobial resistance (AMR) in drugs. Which of the following actions should the nurse
identify can contribute to AMR in pathogens? *
