NUR 102 COMPREHENSIVE FINAL EXAM
Many challenges face the older adult client. A client tells the nurse of concerns about
finances since retirement. The client shares difficulties that are being experienced
because of limited financial resources. Based on these data and the challenges for
older people, what data would be most accurate for incorporation of a discussion about
finances for the client? - Answers :Discuss the reality of living on a fixed income and
how the client's lifestyle might have to change.
Which is the correct sequence for bladder training with closed urinary drainage? -
Answers :Educate patient Informed consent or signed consent Supine position
Head of bed elevated
Follow correct precautions
Clamp catheter
Allow catheter to drain
Record drainage
document
What is the function of the hypothalamus in the endocrine system? - Answers :Release
hormones that either inhibit or promote release of other hormones from the anterior lobe
of the pituitary.
Know the rights of clients about their prescribed medications. - Answers :Dose, drug,
person, route, time, documentation, correct pump programming.
A nurse is preparing to administer Xylocaine to a client. The medication is packaged in
an ampule. What should the nurse do with the unused portion of the Xylocaine? -
Answers :Properly discard the remaining medication.
A couple with young children asks the nurse about the factors that contribute to a strong
family unit. What instruction is of the highest priority for the nurse to provide to the
parents? - Answers :Shared roles/dual parenting
Know the differences between enteral and parenteral medication administration. -
Answers :Enteral is through a tube, parenteral is through an IV/not through the GI tract.
Which hormones are released by the adrenal medulla that mimics the action of the
sympathetic nervous system? - Answers :Norepinephrine and epinephrine.
Which pain medication classification would be appropriate for the nurse to administer to
the client with moderate to severe pain? - Answers :Narcotic analgesic
For which clients is digital removal of feces contraindicated? - Answers :When a client
has cardiac conditions and after reproductive surgery, abdominal repair, rectal surgery,
colostomy, and genitourinary surgery, also when the client is receiving radioactive
isotope therapy or perineal perfusion of anticancer drugs.
, Clients with bleeding tendency (rectal or vaginal), nor pregnant women.
Vagal nerve condition
Age is more than an accumulation of years. The aging process affects people in
different ways. To fully adapt to aging and thrive in this new stage, older adults must
confront many lifestyle changes. A student nurse has been asked to prepare a post
clinical report on lifestyle changes in the older and aging population. What lifestyle
changes should the student nurse incorporate into the report? - Answers :General
change in physiologic, psychological, and sociologic functions and roles
Change in most body functions and abilities
Adaptation to chronic physical or emotional disorders Change in employee or employer
role
Greater amount of leisure time
Reduction of income
What condition would lead inadequate erythropoietin production? - Answers :Anemia,
and renal failure.
Which symptoms of circulatory overload should the nurse carefully monitor the client
during and after a tap water enema is administered? - Answers :SXS circulatory
overload: hypertension, edema, tachycardia, dyspnea, pulmonary edema (hear fluid in
lungs)
Check vital signs- BP, HR
Which technique is appropriate for the placement of a urinary catheter prior to surgery
into a client? - Answers :Sterile technique
A nurse is explaining cognitive development in children to a client, with the help of
Piaget's theory of cognitive development. What would be the best explanation by the
nurse about the formal operations level of cognitive development? - Answers :Complex
problem solving
The nurse is administering prescribed medication to an elderly client who tells the nurse
that "this is not the color of the pill I normally take." What action should the nurse take in
this situation? - Answers :Verify that the order is correct and explain that pills can
change in shape and color depending on the manufacturer.
What is the best description of chronic pain based on the categories identified by The
International Association for the Study of Pain (IASP)? - Answers :Pain that continues
for 6 months or more, this can be persistent, intermittent or limited.
Which individual exerts the most lasting influence on the ongoing development of the
adolescent? - Answers :Peer group/another teenager
At which level would anabolic steroids be placed according to the DEA classification
system of Schedule of Controlled Substances? - Answers :Class C schedule 3 drugs
Many challenges face the older adult client. A client tells the nurse of concerns about
finances since retirement. The client shares difficulties that are being experienced
because of limited financial resources. Based on these data and the challenges for
older people, what data would be most accurate for incorporation of a discussion about
finances for the client? - Answers :Discuss the reality of living on a fixed income and
how the client's lifestyle might have to change.
Which is the correct sequence for bladder training with closed urinary drainage? -
Answers :Educate patient Informed consent or signed consent Supine position
Head of bed elevated
Follow correct precautions
Clamp catheter
Allow catheter to drain
Record drainage
document
What is the function of the hypothalamus in the endocrine system? - Answers :Release
hormones that either inhibit or promote release of other hormones from the anterior lobe
of the pituitary.
Know the rights of clients about their prescribed medications. - Answers :Dose, drug,
person, route, time, documentation, correct pump programming.
A nurse is preparing to administer Xylocaine to a client. The medication is packaged in
an ampule. What should the nurse do with the unused portion of the Xylocaine? -
Answers :Properly discard the remaining medication.
A couple with young children asks the nurse about the factors that contribute to a strong
family unit. What instruction is of the highest priority for the nurse to provide to the
parents? - Answers :Shared roles/dual parenting
Know the differences between enteral and parenteral medication administration. -
Answers :Enteral is through a tube, parenteral is through an IV/not through the GI tract.
Which hormones are released by the adrenal medulla that mimics the action of the
sympathetic nervous system? - Answers :Norepinephrine and epinephrine.
Which pain medication classification would be appropriate for the nurse to administer to
the client with moderate to severe pain? - Answers :Narcotic analgesic
For which clients is digital removal of feces contraindicated? - Answers :When a client
has cardiac conditions and after reproductive surgery, abdominal repair, rectal surgery,
colostomy, and genitourinary surgery, also when the client is receiving radioactive
isotope therapy or perineal perfusion of anticancer drugs.
, Clients with bleeding tendency (rectal or vaginal), nor pregnant women.
Vagal nerve condition
Age is more than an accumulation of years. The aging process affects people in
different ways. To fully adapt to aging and thrive in this new stage, older adults must
confront many lifestyle changes. A student nurse has been asked to prepare a post
clinical report on lifestyle changes in the older and aging population. What lifestyle
changes should the student nurse incorporate into the report? - Answers :General
change in physiologic, psychological, and sociologic functions and roles
Change in most body functions and abilities
Adaptation to chronic physical or emotional disorders Change in employee or employer
role
Greater amount of leisure time
Reduction of income
What condition would lead inadequate erythropoietin production? - Answers :Anemia,
and renal failure.
Which symptoms of circulatory overload should the nurse carefully monitor the client
during and after a tap water enema is administered? - Answers :SXS circulatory
overload: hypertension, edema, tachycardia, dyspnea, pulmonary edema (hear fluid in
lungs)
Check vital signs- BP, HR
Which technique is appropriate for the placement of a urinary catheter prior to surgery
into a client? - Answers :Sterile technique
A nurse is explaining cognitive development in children to a client, with the help of
Piaget's theory of cognitive development. What would be the best explanation by the
nurse about the formal operations level of cognitive development? - Answers :Complex
problem solving
The nurse is administering prescribed medication to an elderly client who tells the nurse
that "this is not the color of the pill I normally take." What action should the nurse take in
this situation? - Answers :Verify that the order is correct and explain that pills can
change in shape and color depending on the manufacturer.
What is the best description of chronic pain based on the categories identified by The
International Association for the Study of Pain (IASP)? - Answers :Pain that continues
for 6 months or more, this can be persistent, intermittent or limited.
Which individual exerts the most lasting influence on the ongoing development of the
adolescent? - Answers :Peer group/another teenager
At which level would anabolic steroids be placed according to the DEA classification
system of Schedule of Controlled Substances? - Answers :Class C schedule 3 drugs
