Nurs 370 final Exam Questions with Correct Answers (Grade A+)
Question 1: The nurse is caring for a client who has returned to post- surgical suite after postanesthetic
recovery from a nephrectomy. The nurse's most recent assessment reveals increased sedation,
shortness of breath, hypotension, and low urine output over the last 2 hours.
Answer: What is the nurse's best response? Assess the client for signs of bleeding and inform the primary
care provider.
Question 2: The highest priority for intervention during the first 30 minutes in treating an acute
myocardial infarction including the following(s). Select All That Apply
Answer: Oxygen therapy Morphine administration Nitroglycerin (NTG) Aspirin (ASA)
Question 3: A nurse on a busy medical unit provides care for many client who requires indwelling
urinary catheter at some points during their hospital care.
Answer: The nurse should recognize a heightened risk of injury associated with indwelling catheter are in
which client? A client who has Alzheimer disease and who is acutely agitated
Question 4: While auscultating the heart of a patient admitted for complications following a
myocardial infarction three weeks ago, the nurse notes the presence of a new S3 heart sounds.
Answer: Based on this finding, what is the nurse's best action at this time? Assess symptoms of left-sided
heart failure
Question 5: A patient hospitalized for worsening renal failure suddenly becomes restless and agitated.
Your assessment reveals tachycardia, hypertension, and crackles bilaterally scattered throughout the
lung fields.
Answer: What do these symptoms suggest? The patient is developing pulmonary edema
Question 6: A client with advanced venous insufficiency is confined to bedrest following orthopedic
surgery. How can the nurse best prevent skin breakdown in the client's lower extremities?
Answer: Ensure the client's heels are supported and protected.
Question 7: A nurse has a client with a spinal cord injury and is tailoring the care plan to prevent the
major cause of death for this client. The nurse's care plan includes assisted coughing techniques,
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, Question 7 (continued):
applied sequential compression device, and prevented pressure injuries.
Answer: Which are the most likely possible causes of death for this client? Pneumonia, pulmonary
embolism, and sepsis
Question 8: After a sudden decline in cognition, a 77-year-old client who has been diagnosed with
vascular dementia is receiving care at home. To reduce this client's risk of future infarcts, which action
should the nurse most strongly encourage?
Answer: Rigorous control of the client's blood pressure and lipid levels.
Question 9: The nurse is caring for a 78- year-old client who has had an outpatient cholecystectomy.
The nurse is getting the client up for the first walk postoperatively.
Answer: To decrease the potential of orthostatic hypotension and consequent falls, what should the nurse
have the client do? Sit in a chair for 10 minutes prior to ambulating.
Question 10: The nurse is administering medication to a client through a feeding tube. Which action
should the nurse take?
Answer: Flush with 50 mL of water between each medication.
Question 11: A patient with ischemic brain attack (stroke) is susceptible to post stroke complications.
Which complications are sensitive to nursing care? Select all that apply.
Answer: Extremity contractures Urinary tract infection Impaired skin integrity
Question 12: Which of the following should be included in an interprofessional symptom management
care plan for patients undergoing intravenous chemotherapy for a malignancy? Select all that apply.
Answer: Mucositis Neutropenia Thrombocytopenia Anemia Pruritis
Question 13: A client has become legally blind as a result of macular degeneration. When attempting to
meet this client's psychosocial needs, what nursing action is most appropriate?
Answer: Assess and promote the client's coping skills during interactions with the client.
Question 14: A client has recently received a diagnosis of gastric cancer; the nurse is aware of the
importance of assessing the client's level of anxiety. Which of the following actions is most likely to
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Question 1: The nurse is caring for a client who has returned to post- surgical suite after postanesthetic
recovery from a nephrectomy. The nurse's most recent assessment reveals increased sedation,
shortness of breath, hypotension, and low urine output over the last 2 hours.
Answer: What is the nurse's best response? Assess the client for signs of bleeding and inform the primary
care provider.
Question 2: The highest priority for intervention during the first 30 minutes in treating an acute
myocardial infarction including the following(s). Select All That Apply
Answer: Oxygen therapy Morphine administration Nitroglycerin (NTG) Aspirin (ASA)
Question 3: A nurse on a busy medical unit provides care for many client who requires indwelling
urinary catheter at some points during their hospital care.
Answer: The nurse should recognize a heightened risk of injury associated with indwelling catheter are in
which client? A client who has Alzheimer disease and who is acutely agitated
Question 4: While auscultating the heart of a patient admitted for complications following a
myocardial infarction three weeks ago, the nurse notes the presence of a new S3 heart sounds.
Answer: Based on this finding, what is the nurse's best action at this time? Assess symptoms of left-sided
heart failure
Question 5: A patient hospitalized for worsening renal failure suddenly becomes restless and agitated.
Your assessment reveals tachycardia, hypertension, and crackles bilaterally scattered throughout the
lung fields.
Answer: What do these symptoms suggest? The patient is developing pulmonary edema
Question 6: A client with advanced venous insufficiency is confined to bedrest following orthopedic
surgery. How can the nurse best prevent skin breakdown in the client's lower extremities?
Answer: Ensure the client's heels are supported and protected.
Question 7: A nurse has a client with a spinal cord injury and is tailoring the care plan to prevent the
major cause of death for this client. The nurse's care plan includes assisted coughing techniques,
Page 1
, Question 7 (continued):
applied sequential compression device, and prevented pressure injuries.
Answer: Which are the most likely possible causes of death for this client? Pneumonia, pulmonary
embolism, and sepsis
Question 8: After a sudden decline in cognition, a 77-year-old client who has been diagnosed with
vascular dementia is receiving care at home. To reduce this client's risk of future infarcts, which action
should the nurse most strongly encourage?
Answer: Rigorous control of the client's blood pressure and lipid levels.
Question 9: The nurse is caring for a 78- year-old client who has had an outpatient cholecystectomy.
The nurse is getting the client up for the first walk postoperatively.
Answer: To decrease the potential of orthostatic hypotension and consequent falls, what should the nurse
have the client do? Sit in a chair for 10 minutes prior to ambulating.
Question 10: The nurse is administering medication to a client through a feeding tube. Which action
should the nurse take?
Answer: Flush with 50 mL of water between each medication.
Question 11: A patient with ischemic brain attack (stroke) is susceptible to post stroke complications.
Which complications are sensitive to nursing care? Select all that apply.
Answer: Extremity contractures Urinary tract infection Impaired skin integrity
Question 12: Which of the following should be included in an interprofessional symptom management
care plan for patients undergoing intravenous chemotherapy for a malignancy? Select all that apply.
Answer: Mucositis Neutropenia Thrombocytopenia Anemia Pruritis
Question 13: A client has become legally blind as a result of macular degeneration. When attempting to
meet this client's psychosocial needs, what nursing action is most appropriate?
Answer: Assess and promote the client's coping skills during interactions with the client.
Question 14: A client has recently received a diagnosis of gastric cancer; the nurse is aware of the
importance of assessing the client's level of anxiety. Which of the following actions is most likely to
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