N2261 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS
A 33-year old patient is in an outpatient cancer centre for his
first round of chemotherapy. The nurse knows that which
schedule is the most appropriate timing for the IV antiemetic
drug?
a) 4 hours before the chemotherapy begins
b) 30 minutes before the chemotherapy begins
c) At the same time as the chemotherapy drugs
d) At the first sign of nausea Correct Answer b) 30 minutes
before the chemotherapy begins
A 45-year-old woman has been diagnosed with irritable bowel
syndrome (IBS) and has numerous bowel movements each day.
She has been prescribed loperamide. What are the actions of this
drug? Select all that apply.
a) Reduces the daily fecal volume
b) Increases viscosity and bulk of the bowel movements
c) Reduces the loss of fluids and electrolytes associated with
watery bowel movements
d) Cures the disease process by eliminating the infection causing
IBS
e) Reduces bowel incontinence and urgency Correct Answer
a) Reduces the daily fecal volume
b) Increases viscosity and bulk of the bowel movements
,c) Reduces the loss of fluids and electrolytes associated with
watery bowel movements
e) Reduces bowel incontinence and urgency
A 70-year-old man has just been diagnosed with chronic
obstructive pulmonary disease (COPD). At what point should
the nurse begin to include the client's wife in the teaching
around the management of the disease?
A. As soon as possible
B. When the client requests assistance from his spouse and
family
C. When the client becomes unable to manage his symptoms
independently
D. After the client has had the opportunity to adjust to his
treatment regimen Correct Answer A. As soon as possible
A client is admitted to the hospital with a diagnosis of diarrhea
with dehydration. The nurse recognizes that increased peristalsis
resulting in diarrhea can be related to which of the following
mechanisms?
a) Sympathetic inhibition
b) Mixing and propulsion
c) Sympathetic stimulation
d) Parasympathetic stimulation Correct Answer d)
Parasympathetic stimulation
,A client is concerned that he may have asthma. Of the following
symptoms that he relates to the nurse, which ones suggest
asthma or risk factors for asthma? (Select all that apply)
a) Allergic rhinitis
b) Prolonged inhalation
c) History of skin allergies
d) Cough, especially at night
e) Gastric reflux or heartburn Correct Answer a) Allergic
rhinitis
c) History of skin allergies
d) Cough, especially at night
e) Gastric reflux or heartburn
A client scheduled for a prostatectomy for prostate cancer
expresses the fear that he will have erectile dysfunction (ED). In
responding to this client, what should the nurse keep in mind?
a) ED can occur even with a nerve-sparing procedure
b) Retrograde ejaculation affects sexual function more
frequently than erectile dysfunction
c) The most common complication of this surgery is
postoperative bowel incontinence
d) Preoperative sexual function is the most important factor in
determining postoperative erectile dysfunction Correct Answer
a) ED can occur even with a nerve-sparing procedure
, A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a) The client is able to tolerate prolonged immobilization
b) The client cannot tolerate the surgery for a closed reduction
c) A temporary cast would be too unstable to provide normal
mobility
d) Adequate alignment cannot be obtained by other nonsurgical
methods Correct Answer d) Adequate alignment cannot be
obtained by other nonsurgical methods
A client with a recent history of a dry cough has had a chest x-
ray that revealed the presence of nodules. In an effort to
determine whether the nodules are malignant or benign, which
of the following tests is the primary care provider most likely to
prescribe?
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the client's chest
D. Positron emission tomography (PET) Correct Answer D.
Positron emission tomography (PET)
A client with a stable, closed fracture of the humerus caused by
trauma to the arm has a temporary splint with bulky padding
applied with an elastic bandage. For which of the following
symptoms would the nurse suspect compartment syndrome and
notify the physician?
a) Increasing edema of the limb
COMPLETE SOLUTIONS
A 33-year old patient is in an outpatient cancer centre for his
first round of chemotherapy. The nurse knows that which
schedule is the most appropriate timing for the IV antiemetic
drug?
a) 4 hours before the chemotherapy begins
b) 30 minutes before the chemotherapy begins
c) At the same time as the chemotherapy drugs
d) At the first sign of nausea Correct Answer b) 30 minutes
before the chemotherapy begins
A 45-year-old woman has been diagnosed with irritable bowel
syndrome (IBS) and has numerous bowel movements each day.
She has been prescribed loperamide. What are the actions of this
drug? Select all that apply.
a) Reduces the daily fecal volume
b) Increases viscosity and bulk of the bowel movements
c) Reduces the loss of fluids and electrolytes associated with
watery bowel movements
d) Cures the disease process by eliminating the infection causing
IBS
e) Reduces bowel incontinence and urgency Correct Answer
a) Reduces the daily fecal volume
b) Increases viscosity and bulk of the bowel movements
,c) Reduces the loss of fluids and electrolytes associated with
watery bowel movements
e) Reduces bowel incontinence and urgency
A 70-year-old man has just been diagnosed with chronic
obstructive pulmonary disease (COPD). At what point should
the nurse begin to include the client's wife in the teaching
around the management of the disease?
A. As soon as possible
B. When the client requests assistance from his spouse and
family
C. When the client becomes unable to manage his symptoms
independently
D. After the client has had the opportunity to adjust to his
treatment regimen Correct Answer A. As soon as possible
A client is admitted to the hospital with a diagnosis of diarrhea
with dehydration. The nurse recognizes that increased peristalsis
resulting in diarrhea can be related to which of the following
mechanisms?
a) Sympathetic inhibition
b) Mixing and propulsion
c) Sympathetic stimulation
d) Parasympathetic stimulation Correct Answer d)
Parasympathetic stimulation
,A client is concerned that he may have asthma. Of the following
symptoms that he relates to the nurse, which ones suggest
asthma or risk factors for asthma? (Select all that apply)
a) Allergic rhinitis
b) Prolonged inhalation
c) History of skin allergies
d) Cough, especially at night
e) Gastric reflux or heartburn Correct Answer a) Allergic
rhinitis
c) History of skin allergies
d) Cough, especially at night
e) Gastric reflux or heartburn
A client scheduled for a prostatectomy for prostate cancer
expresses the fear that he will have erectile dysfunction (ED). In
responding to this client, what should the nurse keep in mind?
a) ED can occur even with a nerve-sparing procedure
b) Retrograde ejaculation affects sexual function more
frequently than erectile dysfunction
c) The most common complication of this surgery is
postoperative bowel incontinence
d) Preoperative sexual function is the most important factor in
determining postoperative erectile dysfunction Correct Answer
a) ED can occur even with a nerve-sparing procedure
, A client with a comminuted fracture of the femur is to have an
open reduction with internal fixation (ORIF) of the fracture. In
which of the following situations is an ORIF indicated?
a) The client is able to tolerate prolonged immobilization
b) The client cannot tolerate the surgery for a closed reduction
c) A temporary cast would be too unstable to provide normal
mobility
d) Adequate alignment cannot be obtained by other nonsurgical
methods Correct Answer d) Adequate alignment cannot be
obtained by other nonsurgical methods
A client with a recent history of a dry cough has had a chest x-
ray that revealed the presence of nodules. In an effort to
determine whether the nodules are malignant or benign, which
of the following tests is the primary care provider most likely to
prescribe?
A. Thoracentesis
B. Pulmonary angiogram
C. CT scan of the client's chest
D. Positron emission tomography (PET) Correct Answer D.
Positron emission tomography (PET)
A client with a stable, closed fracture of the humerus caused by
trauma to the arm has a temporary splint with bulky padding
applied with an elastic bandage. For which of the following
symptoms would the nurse suspect compartment syndrome and
notify the physician?
a) Increasing edema of the limb
