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? - ANSWER-✔✔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? - ANSWER-✔✔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
For which clients is digital removal of feces contraindicated? - ANSWER-✔✔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? - ANSWER-
✔✔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 is the function of the hypothalamus in the endocrine system? - ANSWER-✔✔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. - ANSWER-✔✔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? - ANSWER-✔✔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? - ANSWER-✔✔Shared
roles/dual parenting
Know the differences between enteral and parenteral medication administration. - ANSWER-✔✔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? - ANSWER-✔✔Norepinephrine and epinephrine.
Which pain medication classification would be appropriate for the nurse to administer to the client with
moderate to severe pain? - ANSWER-✔✔Narcotic analgesic
, What condition would lead inadequate erythropoietin production? - ANSWER-✔✔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? - ANSWER-✔✔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? -
ANSWER-✔✔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? - ANSWER-✔✔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? - ANSWER-
✔✔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)? - ANSWER-✔✔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? -
ANSWER-✔✔Peer group/another teenager
At which level would anabolic steroids be placed according to the DEA classification system of Schedule
of Controlled Substances? - ANSWER-✔✔Class C schedule 3 drugs
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? - ANSWER-✔✔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? - ANSWER-✔✔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
For which clients is digital removal of feces contraindicated? - ANSWER-✔✔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? - ANSWER-
✔✔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 is the function of the hypothalamus in the endocrine system? - ANSWER-✔✔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. - ANSWER-✔✔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? - ANSWER-✔✔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? - ANSWER-✔✔Shared
roles/dual parenting
Know the differences between enteral and parenteral medication administration. - ANSWER-✔✔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? - ANSWER-✔✔Norepinephrine and epinephrine.
Which pain medication classification would be appropriate for the nurse to administer to the client with
moderate to severe pain? - ANSWER-✔✔Narcotic analgesic
, What condition would lead inadequate erythropoietin production? - ANSWER-✔✔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? - ANSWER-✔✔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? -
ANSWER-✔✔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? - ANSWER-✔✔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? - ANSWER-
✔✔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)? - ANSWER-✔✔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? -
ANSWER-✔✔Peer group/another teenager
At which level would anabolic steroids be placed according to the DEA classification system of Schedule
of Controlled Substances? - ANSWER-✔✔Class C schedule 3 drugs
