NR 226 FINAL EXAM QUESTIONS AND ANSWERS
1. The RN is assessing a client who has hypercalcemia. Which of
the following findings would the nurse expect? Select all that
apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor: A. Nausea and vomiting
B. Confusion
2. The RN is reviewing lab values for a group of clients and
notices a sodium level of 130 mEq/L. The nurse understands
that which client is at highest risk for the development of this lab
value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D. The client who was admitted to hospice: A. The client who is taking
, furosemide (a diuretic)
3. The body's fluid and electrolyte balance is maintained partially by
hormonal regulation. Which of the following statements shows an
understanding of this mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone.": D. "The pituitary
gland secretes antidiuretic hormone."
4. While reviewing a client's progress notes, the RN reads
"insensible fluid loss of approximately 700 mL daily". The RN
understands that this type of fluid loss can occur through:
A. The GI tract
B. Urine output
,C. Wound drainage
D. The skin
E. Emesis: D. The skin
5. A senior student nurse delegates the task of intake and
output to a new unlicensed assistive personnel (UAP). The
student will verify that the UAP understands the task of I&O
when the UAP states
A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large
amount.": A. "I will record the amount of all voided urine."
6. A nurse is inserting an IV line into a client's vein. After the
initial stick the nurse continues to advance the catheter if the
nurse notes that:
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort: B. Blood returns shows
in the flashback chamber
7. You are caring for a client who is depressed because the only
child has gone away to college. The nurse will assess this type of
depression as:
A. actual loss
B. perceived loss
, C. situational loss
D. maturational loss: D. maturational loss
8. Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her
husband's clothes from the closet
B. A teenage client dies from a car accident and the client's
mother is crying
loudly in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a
newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several
months after the death: C. A client verbalizes being upset by voluntarily
giving a newborn up for adoption
9. A client has been told by the healthcare provider that
remaining life ex-pectancy is approximately 3 months. The client
tells the immediate family that the doctor is incorrect and that he
"will get better by my birthday in a month". Which stage of
grieving is this client experiencing?
A. Acceptance
B. Denial
C. Depression
D. Anger: B. Denial
10. Which of the following are appropriate in regard to
postmortem care? Select all that apply.
1. The RN is assessing a client who has hypercalcemia. Which of
the following findings would the nurse expect? Select all that
apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor: A. Nausea and vomiting
B. Confusion
2. The RN is reviewing lab values for a group of clients and
notices a sodium level of 130 mEq/L. The nurse understands
that which client is at highest risk for the development of this lab
value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D. The client who was admitted to hospice: A. The client who is taking
, furosemide (a diuretic)
3. The body's fluid and electrolyte balance is maintained partially by
hormonal regulation. Which of the following statements shows an
understanding of this mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
D. "The pituitary gland secretes antidiuretic hormone.": D. "The pituitary
gland secretes antidiuretic hormone."
4. While reviewing a client's progress notes, the RN reads
"insensible fluid loss of approximately 700 mL daily". The RN
understands that this type of fluid loss can occur through:
A. The GI tract
B. Urine output
,C. Wound drainage
D. The skin
E. Emesis: D. The skin
5. A senior student nurse delegates the task of intake and
output to a new unlicensed assistive personnel (UAP). The
student will verify that the UAP understands the task of I&O
when the UAP states
A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large
amount.": A. "I will record the amount of all voided urine."
6. A nurse is inserting an IV line into a client's vein. After the
initial stick the nurse continues to advance the catheter if the
nurse notes that:
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort: B. Blood returns shows
in the flashback chamber
7. You are caring for a client who is depressed because the only
child has gone away to college. The nurse will assess this type of
depression as:
A. actual loss
B. perceived loss
, C. situational loss
D. maturational loss: D. maturational loss
8. Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her
husband's clothes from the closet
B. A teenage client dies from a car accident and the client's
mother is crying
loudly in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a
newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several
months after the death: C. A client verbalizes being upset by voluntarily
giving a newborn up for adoption
9. A client has been told by the healthcare provider that
remaining life ex-pectancy is approximately 3 months. The client
tells the immediate family that the doctor is incorrect and that he
"will get better by my birthday in a month". Which stage of
grieving is this client experiencing?
A. Acceptance
B. Denial
C. Depression
D. Anger: B. Denial
10. Which of the following are appropriate in regard to
postmortem care? Select all that apply.
