NR511
NR511 Final Exam Differential Diagnosis and
Primary Care 3 – 450+ Practice Questions with
Verified Answers Latest / NR 511 Final Exam
Prep Test Bank
In developing a plan of care for a client with dementia, the nurse should remember that
confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep –
Correct Answer :B.
often follows relocation to new surroundings (Relocation (B) often results in confusion
among elderly clients-- moving is stressful for anyone. (A) is stereotypical judgement. Stress in
the elderly often manifests itself as confusion, so (C) is wrong. Adequate sleep is not a
prevention (D) for confusion.)
A+ TEST BANK 1
, NR511
A postoperative client will need to perform daily dressing changes after discharge. Which
outcome statement best demonstrates the client's readiness to manage his wound care after
discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care –
Correct Answer :C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's
ability to perform a task, while (A and B) are subjective measures. (D) is important, but is less
of a priority than the the nurse's assessment of the client's ability to complete wound care.)
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" –
Correct Answer :B. "What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature of
the surgery and anesthesia will determine the need for a clear liquid diet (D), rather than the
client's preference.)
During the initial morning assessment, a male client denies dysuria but reports that his urine
appears dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
A+ TEST BANK 2
, NR511
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. –
Correct Answer :D. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention –
Correct Answer :D.
Assess the bladder for distention (Urinary retention is the inability to void all urine collected in
the bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions
to protect the skin of a client with urinary incontinence. (C) may worsen the bladder
distention.)
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as
possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match. –
Correct Answer :D. Ensure the accuracy of the blood type match.
A+ TEST BANK 3
, NR511
(ALL interventions should be implemented prior to administering blood, but (D) has the
highest priority. Any time blood is administered the nurse should ensure the accuracy of the
blood type match in order to prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the bronchodilator theophylline tells the
nurse that he understands he is to take three doses of the medication each day. Since, at the
time of discharge, time-released capsules are not available, which dosing schedule should the
nurse advise the client to follow? - Correct Answer :8 AM, 4 PM, and midnight
(Theophylline should be administered on a regular around the clock schedule to provide the
best bronchodilating effect and reduce the potential for adverse effects.)
A client is to receive 10 mEq of KCl diluted in 250 mL of normal saline over 4 hours. At what
rate should the nurse set the client's intravenous infusion pump? - Correct Answer :63 mL/hr
When evaluating a client's plan of care, the nurse determines that a desire outcome was not
achieved. Which action should the nurse implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes. –
Correct Answer :B. Note which actions were not implemented.
(First, the nurse should review which actions in the original plan were not implemented (B) in
order to determine why the original plan did not produce the desired outcome. Appropriate
revisions can then be made, which may include revising the expected outcome, or identifying
a new nursing diagnosis (A). (C) may be needed if the nursing actions were unsuccessful, or
were unable to be implemented. (D) other members of the healthcare team may be
necessary to collaborate changes once the nurse determines why the original plan did not
produce the desired outcome.
A+ TEST BANK 4
NR511 Final Exam Differential Diagnosis and
Primary Care 3 – 450+ Practice Questions with
Verified Answers Latest / NR 511 Final Exam
Prep Test Bank
In developing a plan of care for a client with dementia, the nurse should remember that
confusion in the elderly
A. is to be expected, and progresses with age
B. often follows relocation to new surroundings
C. is a result of irreversible brain pathology
D. can be prevented with adequate sleep –
Correct Answer :B.
often follows relocation to new surroundings (Relocation (B) often results in confusion
among elderly clients-- moving is stressful for anyone. (A) is stereotypical judgement. Stress in
the elderly often manifests itself as confusion, so (C) is wrong. Adequate sleep is not a
prevention (D) for confusion.)
A+ TEST BANK 1
, NR511
A postoperative client will need to perform daily dressing changes after discharge. Which
outcome statement best demonstrates the client's readiness to manage his wound care after
discharge? The client
A. asks relevant questions regarding the dressing change
B. states he will be able to complete the wound care regimen
C. demonstrates the wound care procedure correctly
D. has all the necessary supplies for wound care –
Correct Answer :C. demonstrates the wound care procedure correctly
(A return demonstration of a procedure (C) provides an objective assessment of the client's
ability to perform a task, while (A and B) are subjective measures. (D) is important, but is less
of a priority than the the nurse's assessment of the client's ability to complete wound care.)
A client who is 5 '5" tall and weighs 200 pounds is scheduled for surgery the next day. What
question is most important for the nurse to include during the preoperative assessment?
A. What is your daily calorie consumption?
B. What vitamin and mineral supplements do you take?"
C. "Do you feel that you are overweight?"
D. "Will a clear liquid diet be okay after surgery?" –
Correct Answer :B. "What vitamin and mineral supplements do you take?"
(Vitamin and mineral supplements (B) may impact medications used during the operative
period. (A and C) are appropriate questions for long-term dietary counseling. The nature of
the surgery and anesthesia will determine the need for a clear liquid diet (D), rather than the
client's preference.)
During the initial morning assessment, a male client denies dysuria but reports that his urine
appears dark amber. Which intervention should the nurse implement?
A. Provide additional coffee on the client's breakfast tray.
A+ TEST BANK 2
, NR511
B. Exchange the client's grape juice for cranberry juice.
C. Bring the client additional fruit at mid-morning.
D. Encourage additional oral intake of juices and water. –
Correct Answer :D. Encourage additional oral intake of juices and water.
Which intervention is most important for the nurse to implement for a male client who is
experiencing urinary retention?
A. Apply a condom catheter
B. Apply a skin protectant
C. Encourage increased fluid intake
D. Assess for bladder distention –
Correct Answer :D.
Assess the bladder for distention (Urinary retention is the inability to void all urine collected in
the bladder, which leads to uncomfortable bladder distention (D). (A and B) are useful actions
to protect the skin of a client with urinary incontinence. (C) may worsen the bladder
distention.)
A client with acute hemorrhagic anemia is to receive four units of packed RBCs as rapidly as
possible. Which intervention is most important for the nurse to implement?
A. Obtain the pre-transfusion hemoglobin level.
B. Prime the tubing and prepare a blood pump set-up
C. Monitor vital signs q 15 min for the first hour.
D. Ensure the accuracy of the blood type match. –
Correct Answer :D. Ensure the accuracy of the blood type match.
A+ TEST BANK 3
, NR511
(ALL interventions should be implemented prior to administering blood, but (D) has the
highest priority. Any time blood is administered the nurse should ensure the accuracy of the
blood type match in order to prevent a possible hemolytic reaction.)
A male client being discharged with a prescription for the bronchodilator theophylline tells the
nurse that he understands he is to take three doses of the medication each day. Since, at the
time of discharge, time-released capsules are not available, which dosing schedule should the
nurse advise the client to follow? - Correct Answer :8 AM, 4 PM, and midnight
(Theophylline should be administered on a regular around the clock schedule to provide the
best bronchodilating effect and reduce the potential for adverse effects.)
A client is to receive 10 mEq of KCl diluted in 250 mL of normal saline over 4 hours. At what
rate should the nurse set the client's intravenous infusion pump? - Correct Answer :63 mL/hr
When evaluating a client's plan of care, the nurse determines that a desire outcome was not
achieved. Which action should the nurse implement first?
A. Establish a new nursing diagnosis.
B. Note which actions were not implemented.
C. Add additional nursing orders to the plan.
D. Collaborate with the HCP to make changes. –
Correct Answer :B. Note which actions were not implemented.
(First, the nurse should review which actions in the original plan were not implemented (B) in
order to determine why the original plan did not produce the desired outcome. Appropriate
revisions can then be made, which may include revising the expected outcome, or identifying
a new nursing diagnosis (A). (C) may be needed if the nursing actions were unsuccessful, or
were unable to be implemented. (D) other members of the healthcare team may be
necessary to collaborate changes once the nurse determines why the original plan did not
produce the desired outcome.
A+ TEST BANK 4
