NUR 410 Final Exam Questions With Complete Solutions
A 4-year-old boy with acute lymphocytic leukemia (ALL) is to
undergo bone marrow aspiration. While involving the child in
therapeutic play before the procedure, the nurse should help him
understand that:
He needs to have a positive attitude.
His parents are concerned about him.
He did nothing to cause his current illness.
His problem was caused by an environmental factor. Correct
Answer He did nothing to cause his current illness.
A 6-year-old child is in the acute phase of nephrotic syndrome.
The mother asks the nurse about play activities for her child.
What should the nurse suggest?
A.
20 piece puzzles
B.
Hula hoop
C.
Stuffed animal
D.
Video games Correct Answer D.
Video games
A 9-year-old child who has cerebral palsy and scoliosis also is
mentally challenged and blind. The child is incontinent, has
contractures of the elbows and wrists, and sits in a customized
wheelchair most of the day. One goal of nursing care is for the
child's skin integrity to remain intact. Which nursing action will
best achieve this goal?
,A.
Padding the child's lower extremities
B.
Repositioning the child every 4 hours
C.
Replacing the bed linens with sterile linens
D.
Changing disposable diapers every 2 to 3 hours Correct Answer
D.
Changing disposable diapers every 2 to 3 hours
Answers:A.
A child is brought to the emergency room by his mother who
reports the child was stung by a bee while playing in the back
yard. The child has an itchy rash on the face, neck, and chest.
Breathing is labored with audible wheezing. Which of these
medications should the healthcare provider administer first?
A.
Albuterol
B.
Dopamine
C.
Diphenhydramine
D.
Epinephrine Correct Answer D.
Epinephrine
A client admitted for traumatic brain injury with a depressed
skull fracture becomes restless. Which intervention is the
priority related to this finding?
A.
,Perform a focused assessment.
B.
Place the call light within reach.
C.
Prevent skin breakdown while immobile.
D.
Place the client on a bed alarm. Correct Answer A.
Perform a focused assessment.
A client admitted to the emergency room with burns covering
45% of the total body surface area (TBSA) requires aggressive
fluid resuscitation. What is the anticipated duration for fluid
resuscitation intervention?
.
12 hours
B.
24 hours
C.
48 hours
D.
72 hours Correct Answer B.
24 hours
A client develops kidney damage as a result of a transfusion
reaction. What is the most significant clinical response that the
nurse should assess when determining kidney damage?
A.
Glycosuria
B.
Acute flank pain
C.
, Hematuria
D.
Decreased urinary output Correct Answer D.
Decreased urinary output
A client develops thrombophlebitis in the right calf. Bed rest is
prescribed, and an IV of heparin is initiated. When describing
the purpose of this drug to the client, the nurse explains that it:
A.
Facilitates absorption of red blood cells
B.
Dissolves the blood clot in the vein
C.
Reduces the size of the thrombus
D.
Prevents extension of the clot Correct Answer D.
Prevents extension of the clot
A client had a craniotomy for excision of a brain tumor. After
surgery, the nurse monitors the client for increased intracranial
pressure. Which clinical finding supports an increase in
intracranial pressure?
A.
Regular, shallow breathing
B.
Thready, weak pulse
C.
Narrowing pulse pressure
D.
Lowered level of consciousness Correct Answer D.
Lowered level of consciousness
A 4-year-old boy with acute lymphocytic leukemia (ALL) is to
undergo bone marrow aspiration. While involving the child in
therapeutic play before the procedure, the nurse should help him
understand that:
He needs to have a positive attitude.
His parents are concerned about him.
He did nothing to cause his current illness.
His problem was caused by an environmental factor. Correct
Answer He did nothing to cause his current illness.
A 6-year-old child is in the acute phase of nephrotic syndrome.
The mother asks the nurse about play activities for her child.
What should the nurse suggest?
A.
20 piece puzzles
B.
Hula hoop
C.
Stuffed animal
D.
Video games Correct Answer D.
Video games
A 9-year-old child who has cerebral palsy and scoliosis also is
mentally challenged and blind. The child is incontinent, has
contractures of the elbows and wrists, and sits in a customized
wheelchair most of the day. One goal of nursing care is for the
child's skin integrity to remain intact. Which nursing action will
best achieve this goal?
,A.
Padding the child's lower extremities
B.
Repositioning the child every 4 hours
C.
Replacing the bed linens with sterile linens
D.
Changing disposable diapers every 2 to 3 hours Correct Answer
D.
Changing disposable diapers every 2 to 3 hours
Answers:A.
A child is brought to the emergency room by his mother who
reports the child was stung by a bee while playing in the back
yard. The child has an itchy rash on the face, neck, and chest.
Breathing is labored with audible wheezing. Which of these
medications should the healthcare provider administer first?
A.
Albuterol
B.
Dopamine
C.
Diphenhydramine
D.
Epinephrine Correct Answer D.
Epinephrine
A client admitted for traumatic brain injury with a depressed
skull fracture becomes restless. Which intervention is the
priority related to this finding?
A.
,Perform a focused assessment.
B.
Place the call light within reach.
C.
Prevent skin breakdown while immobile.
D.
Place the client on a bed alarm. Correct Answer A.
Perform a focused assessment.
A client admitted to the emergency room with burns covering
45% of the total body surface area (TBSA) requires aggressive
fluid resuscitation. What is the anticipated duration for fluid
resuscitation intervention?
.
12 hours
B.
24 hours
C.
48 hours
D.
72 hours Correct Answer B.
24 hours
A client develops kidney damage as a result of a transfusion
reaction. What is the most significant clinical response that the
nurse should assess when determining kidney damage?
A.
Glycosuria
B.
Acute flank pain
C.
, Hematuria
D.
Decreased urinary output Correct Answer D.
Decreased urinary output
A client develops thrombophlebitis in the right calf. Bed rest is
prescribed, and an IV of heparin is initiated. When describing
the purpose of this drug to the client, the nurse explains that it:
A.
Facilitates absorption of red blood cells
B.
Dissolves the blood clot in the vein
C.
Reduces the size of the thrombus
D.
Prevents extension of the clot Correct Answer D.
Prevents extension of the clot
A client had a craniotomy for excision of a brain tumor. After
surgery, the nurse monitors the client for increased intracranial
pressure. Which clinical finding supports an increase in
intracranial pressure?
A.
Regular, shallow breathing
B.
Thready, weak pulse
C.
Narrowing pulse pressure
D.
Lowered level of consciousness Correct Answer D.
Lowered level of consciousness
