NUR 260 Final Exam - Questions With Precise
Solutions
1. A patient with type one diabetes mellitus is seeing the nurse fto
review foot care. What would the priority instruction for the nurse
to give the patient? Correct Answer - a. Avoid hot water bottles
and heating pads
2. The nurse is participating in the care for a patient with acute
coronary syndrome. What goal should guide the care teams
selection of assessments, interventions, and treatments? (all about
supply and demand) Correct Answer - a. Balancing myocardial
oxygen supply with demand
3. A patient is postop day one following CABG has produced twenty
mL of urine in the past three hours and the nurse has confirmed the
patency of urinary catheter. What is the nurses most appropriate
action? Correct Answer - a. Contact the physician and suggest
assessment of fluid balance and renal function
4. A patient is admitted to med unit with heart failure is exhibiting
s/s of pulmonary edema. The nurse is aware that positioning will
promote circulation. How should the nurse best position the
patient? Correct Answer - a. High fowlers
5. The nurse is providing discharge education to patient diagnosed
with heart failure. What should the nurse teach the patient do to
assess her fluid balance in the home setting Correct Answer -
a. Monitor weight
6. The nurse is performing a physical assessment suspected heart
failure Correct Answer - a. S3 sound
, 7. Assessment of patient with heart failure. Assesses sensorium and
LOC. Why is the assessment of the patient sensorium and LOC is
important in patients with heart failure? Correct Answer - a.
Affected oxygen transport to brain
8. A cardiac patient resistance to the left ventricular filling has
caused blood to back up into the patients circulatory system. What
health problem is the result? Correct Answer - a. Acute
pulmonary edema
9. A patient who is at high risk for developing intracardiac thrombi
(in the heart blood clot) has been placed on long term
anticoagulation. What aspect of patient health history creates
heightened risk of intracardiac thrombi? Correct Answer - a. A
fib
10. A care aide in long term care assures the family of a resident that
their father's increasing forgetfulness is a part of normal aging
process. How can a nurse best respond? Correct Answer - a.
Further assessment
11. Thinning of skin sub Q fat layer makes older adults more
sensitive to: Correct Answer - cold
12. What characteristic of the facility needs most modification?
Correct Answer - area rugs
Restraints Correct Answer - alternatives first
14. An older patient who enjoys good health and has experience a
decline in stamina despite being physically active over the years.
The nurse recognizes which age related change affecting Correct
Answer - a. Reduced heart contractility and prolonged cardiac
cycle
Solutions
1. A patient with type one diabetes mellitus is seeing the nurse fto
review foot care. What would the priority instruction for the nurse
to give the patient? Correct Answer - a. Avoid hot water bottles
and heating pads
2. The nurse is participating in the care for a patient with acute
coronary syndrome. What goal should guide the care teams
selection of assessments, interventions, and treatments? (all about
supply and demand) Correct Answer - a. Balancing myocardial
oxygen supply with demand
3. A patient is postop day one following CABG has produced twenty
mL of urine in the past three hours and the nurse has confirmed the
patency of urinary catheter. What is the nurses most appropriate
action? Correct Answer - a. Contact the physician and suggest
assessment of fluid balance and renal function
4. A patient is admitted to med unit with heart failure is exhibiting
s/s of pulmonary edema. The nurse is aware that positioning will
promote circulation. How should the nurse best position the
patient? Correct Answer - a. High fowlers
5. The nurse is providing discharge education to patient diagnosed
with heart failure. What should the nurse teach the patient do to
assess her fluid balance in the home setting Correct Answer -
a. Monitor weight
6. The nurse is performing a physical assessment suspected heart
failure Correct Answer - a. S3 sound
, 7. Assessment of patient with heart failure. Assesses sensorium and
LOC. Why is the assessment of the patient sensorium and LOC is
important in patients with heart failure? Correct Answer - a.
Affected oxygen transport to brain
8. A cardiac patient resistance to the left ventricular filling has
caused blood to back up into the patients circulatory system. What
health problem is the result? Correct Answer - a. Acute
pulmonary edema
9. A patient who is at high risk for developing intracardiac thrombi
(in the heart blood clot) has been placed on long term
anticoagulation. What aspect of patient health history creates
heightened risk of intracardiac thrombi? Correct Answer - a. A
fib
10. A care aide in long term care assures the family of a resident that
their father's increasing forgetfulness is a part of normal aging
process. How can a nurse best respond? Correct Answer - a.
Further assessment
11. Thinning of skin sub Q fat layer makes older adults more
sensitive to: Correct Answer - cold
12. What characteristic of the facility needs most modification?
Correct Answer - area rugs
Restraints Correct Answer - alternatives first
14. An older patient who enjoys good health and has experience a
decline in stamina despite being physically active over the years.
The nurse recognizes which age related change affecting Correct
Answer - a. Reduced heart contractility and prolonged cardiac
cycle
