WILKE S NSG FINAL EXAM 2024 QUESTIONS WITH CORRECT ANSWERS ALREADY PASSED AND VERIFIED 1. an adolescent male client is diagnosed with testicular torsion. the nurse should prepare the client for which treatment? a. schedule routine follow -up appointment b. emergency surgery c. antibiotic therapy d. prostate specific antigen lab work: b. emergency surgery 2. the acute care nurse is caring for a client who is at risk for falling. which desired outcome is most appropriate for this client? a. the client will wear nonskid footwear b. the client will not experience a fall and remains free of injury c. the client will not ambulate without assistance d. the client will stay in bed: b. the client will not experience a fall and remains free of injury 3. the nurse considers applying restrains to an agitated client. which actions should the nurse take first? a. assess the client for existing injuries to the wrists and hands b. call a family member to come and sit with the client c. dim the lights and speak softly about something the client enjoys d. ensure the client cannot reach any objects in the room: c. dim the lights and speak softly about something the client enjoys - decreased stimuli because they are agitated 4. which of the following assessment findings is most likely benign on breast examination? WILKE S NSG FINAL EXAM 2024 QUESTIONS WITH CORRECT ANSWERS ALREADY PASSED AND VERIFIED a. dimpling of the skin resembling that of an orange b. one breast larger than the other c. one nipple inverted d. one breast with dimple when the client leans forward: b. one breast larger than the other 5. a 14 year old boy comes into the clinic and is noted to have breast develop - ment. what is the most likely cause of his gynecomastia? a. imbalance of hormones of puberty b. STD c. breast cancer d. drug use: a. imbalance of hormones of puberty 6. when the nurse is assessing a client, the client states, "I haven't slept well the past few nights." which is a therapeutic response by the nurse? a. "that is not good that you haven't slept in several days." b. "you are having trouble sleeping at night?" c. "I always have trouble sleeping at night too." d. "everyone has trouble sleeping while in the hospital/": b. "you are having trouble sleeping at night?" 7. a nurse is rapidly assessing a patient in distress and collecting only the most important information. what type of assessment is the nurse doing? a. focused b. comprehensive WILKE S NSG FINAL EXAM 2024 QUESTIONS WITH CORRECT ANSWERS ALREADY PASSED AND VERIFIED c. emergency d. functional : c. emergency 8. the nurse is caring for a 77 year old woman who has been admitted with a fractured hip. while doing the admission assessment, the patient states "I tripped while going to the bathroom in the middle of the night." what teaching is needed during the patient's hospital stay? a. the need for the patient to use a walker at night b. the need for adequate lighting at night in the patient's home c. the need for the patient to be in a wheelchair: b. the need for adequate lighting at night in the patient's home 9. which of the following statements best describes the relationship between nursing diagnosis and medical diagnosis? a. the nursing diagnosis duplicates the medical diagnosis b. the nursing diagnosis confirms the medical diagnosis c. the nursing diagnosis is based on the client's symptoms d. there is no relationship between nursing and medical diagnosis: c. the nursing diagnosis is based on the client's symptoms 10. a 19 year old college football player has been hospitalized with a knee injury. when calling the physician to obtain diet orders, the nurse anticipates that an order for which of the following would be given? a. extra servings of protein WILKE S NSG FINAL EXAM 2024 QUESTIONS WITH CORRECT ANSWERS ALREADY PASSED AND VERIFIED b. extra servings of fat c. extra servings of grains d. extra servings of carbohydrates : a. extra servings of protein 11. a 21 year old patient has a frontal lobe injury resulting from trauma and is unconscious. there are no other injuries. during the assessment what would the nurse expect to find when testing the patient's deep tendon reflexes? a. reflexes will not be able to be elicited b. some would be present depending on the area of injury c. all reflexes would be diminished but present d. reflexes would be normal: d. reflexes would be normal 12. a 26 year old male nurse is assessing a 14 year old girl newly admitted to the pediatric unit. the nurse knows that to provide the most modest and efficient physical exam, he should use which framework for assessment? a. body systems b. head to toe c. functional d. emergency: b. head to toe 13. a patient has admitted to be feeling hopelessness and depression. she has attempted self-
mutilation and has a history of prior suicide attempts. she describes difficulty sleeping at night and has lost 10lbs in the past month. which of the following is the nurse's best response in this situation?
mutilation and has a history of prior suicide attempts. she describes difficulty sleeping at night and has lost 10lbs in the past month. which of the following is the nurse's best response in this situation?
