NUR1213 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the
development of cerebral edema after surgery, the nurse should expect the use of:
a. Diuretics
b. Antihypertensive
c. Steroids
d. Anticonvulsants - CORRECT ANSWER c. Steroids
Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the
development of edema.
Halfway through the administration of blood, the female client complains of lumbar pain. After
stopping the infusion Nurse Hazel should:
a. Increase the flow of normal saline
b. Assess the pain further
c. Notify the blood bank
d. Take vital signs - CORRECT ANSWER a. Increase the flow of normal saline
The blood must be stopped at once, and then normal saline should be infused to keep the line patent
and maintain blood volume.
Nurse Maureen knows that the positive diagnosis of HIV infection is made based on which of the
following:
a. A history of high-risk sexual behaviors
b. Positive ELISA and western blot test
c. Identification of a positive associated opportunistic infection
d. Evidence of extreme weight loss and high fever - CORRECT ANSWER b. Positive ELISA
and western blot test
These tests confirm the presence of HIV antibodies that occur in response to the presence of the
human immunodeficiency virus (HIV).
,Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an
adequate amount of high-biologic-value protein when the food the client selected from the menu was:
a. Raw carrots
b. Apple juice
c. Whole wheat bread
d. Cottage Cheese - CORRECT ANSWER d. Cottage Cheese
One cup of cottage cheese contains approximately 225 calories, 27 g of protein, 9 g of fat, 30 mg
cholesterol, and 6 g of carbohydrate. Proteins of high biologic value (HBV) contain optimal levels of
amino acids essential for life.
Kenneth who was diagnosed with uremic syndrome has the potential to develop complications. Which
among the following complications should the nurse anticipates:
a. Flapping hand tremors
b. An elevated hematocrit level
c. Hypotension
d. Hypokalemia - CORRECT ANSWER a. Flapping hand tremors
Elevation of uremic waste products causes irritation of the nerves, resulting in flapping hand tremors.
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant
assessment would be:
a. Flank pain radiating in the groin
b. Distention of the lower abdomen
c. Perineal edema
d. Urethral discharge - CORRECT ANSWER b. Distention of the lower abdomen
This indicates that the bladder is distended with urine, therefore palpable.
A client has undergone with penile implant. After 24 hrs of surgery, the client's scrotum was
edematous and painful. The nurse should:
a. Assist the client with sitz bath
, b. Apply warm soaks into the scrotum
c. Elevate the scrotum using a soft support
d. Prepare for a possible incision and drainage - CORRECT ANSWER c. Elevate the scrotum
using a soft support
Elevation increases lymphatic drainage, reducing edema and pain.
Nurse Hazel receives emergency laboratory results for a client with chest pain and immediately
informs the physician. An increased myoglobin level suggests which of the following?
a. Liver disease
b. Myocardial damage
c. Hypotension
d. Cancer - CORRECT ANSWER b. Myocardial damage
Detection of myoglobin is a diagnostic tool to determine whether myocardial damage has occurred.
Nurse Maureen would expect a client with mitral stenosis would demonstrate symptoms associated
with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary - CORRECT ANSWER d. Pulmonary
When mitral stenosis is present, the left atrium has difficulty emptying its contents into the left
ventricle because there is no valve to prevent backward flow into the pulmonary vein, the pulmonary
circulation is under pressure.
A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be:
a. Ineffective health maintenance
b. Impaired skin integrity
c. Deficient fluid volume
d. Pain - CORRECT ANSWER a. Ineffective health maintenance
QUESTIONS AND CORRECT ANSWERS
Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the
development of cerebral edema after surgery, the nurse should expect the use of:
a. Diuretics
b. Antihypertensive
c. Steroids
d. Anticonvulsants - CORRECT ANSWER c. Steroids
Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the
development of edema.
Halfway through the administration of blood, the female client complains of lumbar pain. After
stopping the infusion Nurse Hazel should:
a. Increase the flow of normal saline
b. Assess the pain further
c. Notify the blood bank
d. Take vital signs - CORRECT ANSWER a. Increase the flow of normal saline
The blood must be stopped at once, and then normal saline should be infused to keep the line patent
and maintain blood volume.
Nurse Maureen knows that the positive diagnosis of HIV infection is made based on which of the
following:
a. A history of high-risk sexual behaviors
b. Positive ELISA and western blot test
c. Identification of a positive associated opportunistic infection
d. Evidence of extreme weight loss and high fever - CORRECT ANSWER b. Positive ELISA
and western blot test
These tests confirm the presence of HIV antibodies that occur in response to the presence of the
human immunodeficiency virus (HIV).
,Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an
adequate amount of high-biologic-value protein when the food the client selected from the menu was:
a. Raw carrots
b. Apple juice
c. Whole wheat bread
d. Cottage Cheese - CORRECT ANSWER d. Cottage Cheese
One cup of cottage cheese contains approximately 225 calories, 27 g of protein, 9 g of fat, 30 mg
cholesterol, and 6 g of carbohydrate. Proteins of high biologic value (HBV) contain optimal levels of
amino acids essential for life.
Kenneth who was diagnosed with uremic syndrome has the potential to develop complications. Which
among the following complications should the nurse anticipates:
a. Flapping hand tremors
b. An elevated hematocrit level
c. Hypotension
d. Hypokalemia - CORRECT ANSWER a. Flapping hand tremors
Elevation of uremic waste products causes irritation of the nerves, resulting in flapping hand tremors.
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant
assessment would be:
a. Flank pain radiating in the groin
b. Distention of the lower abdomen
c. Perineal edema
d. Urethral discharge - CORRECT ANSWER b. Distention of the lower abdomen
This indicates that the bladder is distended with urine, therefore palpable.
A client has undergone with penile implant. After 24 hrs of surgery, the client's scrotum was
edematous and painful. The nurse should:
a. Assist the client with sitz bath
, b. Apply warm soaks into the scrotum
c. Elevate the scrotum using a soft support
d. Prepare for a possible incision and drainage - CORRECT ANSWER c. Elevate the scrotum
using a soft support
Elevation increases lymphatic drainage, reducing edema and pain.
Nurse Hazel receives emergency laboratory results for a client with chest pain and immediately
informs the physician. An increased myoglobin level suggests which of the following?
a. Liver disease
b. Myocardial damage
c. Hypotension
d. Cancer - CORRECT ANSWER b. Myocardial damage
Detection of myoglobin is a diagnostic tool to determine whether myocardial damage has occurred.
Nurse Maureen would expect a client with mitral stenosis would demonstrate symptoms associated
with congestion in the:
a. Right atrium
b. Superior vena cava
c. Aorta
d. Pulmonary - CORRECT ANSWER d. Pulmonary
When mitral stenosis is present, the left atrium has difficulty emptying its contents into the left
ventricle because there is no valve to prevent backward flow into the pulmonary vein, the pulmonary
circulation is under pressure.
A client has been diagnosed with hypertension. The nurse priority nursing diagnosis would be:
a. Ineffective health maintenance
b. Impaired skin integrity
c. Deficient fluid volume
d. Pain - CORRECT ANSWER a. Ineffective health maintenance
