NUR 230 FINAL EXAM QUIZ
QUESTIONS
A client 90 years of age has been in an automobile crash and sustained four fractured ribs on
the left side of the thorax. Based on age and the injury, the client is at risk for what
complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza - ANS -Pneumonia
\A client calls a sleep clinic "helpline" and describes her 46-year-old husband's sleep patterns:
snoring loudly, then becoming startled and waking up 5 or 6 times a night. The wife is asking
how to improve his sleep patterns. The nurse concludes:
the husband may be exhibiting signs of sleep apnea.
the wife needs interventions to promote Stage II sleep for herself.
the husband should only eat a small carbohydrate snack before bed.
the wife should consider wearing ear plugs to bed. - ANS -the husband may be exhibiting signs
of sleep apnea.
\A client has been asked to undergo a series of diagnostic tests following a routine blood test
that indicates leukemia. The client refuses to believe the diagnosis and feels that there has
been an error in the reports. Which stage of grief is the client going through?
denial
anger
bargaining
depression - ANS -denial
\A client has been diagnosed with a terminal illness and has made an appointment with an
attorney to complete a will. How will the nurse document this stage of grief according the
Kübler-Ross Model?
depression
acceptance
bargaining
denial - ANS -acceptance
\A client has received a temporary ostomy during her treatment for colon cancer. Which
technique is most likely to facilitate the client's ability to independently empty and change the
ostomy after discharge?
Demonstration
Lecture
Discussion
A brochure - ANS -Demonstration
\A client is meeting with the nurse to discuss options for smoking cessation. Which statement by
the nurse is most appropriate for this client?
,"Reduce your stress and it will be easy."
"What do you see as your biggest hurdle to stopping?"
"I think you should just go cold turkey."
"Did you know that smoking can cause lung cancer?" - ANS -"What do you see as your biggest
hurdle to stopping?"
\A client is using prayer to assist in relieving stress. The use of prayer allows the client to:
Cope
Understand
Plan
Recover - ANS -Cope
\A client says, "I thought my period was late because I was drinking heavily and did cocaine a
couple of times lately. But my pregnancy test is positive and I am scared about what I may have
done to the baby." What information should the nurse provide about the possible effects of
substance use on the baby? Select all that apply.1. As long as you were eating well, the baby is
probably fine2. There is a risk for birth defects in the baby3. There is a risk the baby will be born
with a low birth weight4. Your baby may be born prematurely
2,3,4
1,2,3
1,3,4
2,3 - ANS -2,3,4
\A client who has had a recent below-knee amputation tells the nurse that he feels as though his
toes are cramping. What would the nurse say in return?
"Oh, that is all in your mind. Just forget it."
"That is called phantom pain, and it is not unusual."
"Well, that is really strange. I will notify the doctor."
"I think it might be good to refer you to a psychiatrist." - ANS -"That is called phantom pain, and
it is not unusual."
\A client who previously was a smoker has recently stopped smoking but reports having much
trouble sleeping at night. How would the nurse respond?
"You have to decide what is more important: smoking or sleep."
"If you are sleep deprived, it might be better to smoke."
"Sleep problems from stopping smoking are temporary."
"Since you were a smoker, this will always be a problem." - ANS -"Sleep problems from
stopping smoking are temporary."
\A client who utilizes a portable oxygen device reports planning to attend an upcoming bonfire
on the beach. What is the appropriate nursing response?
"Have an enjoyable time."
"You should not leave the house with portable oxygen."
"Be sure to avoid the actual area of fire, and anyone who is smoking."
"Saltwater can increase the potential for oxygen toxicity." - ANS -"Be sure to avoid the actual
area of fire, and anyone who is smoking."
\A client who was assaulted in the street is brought to the emergency room for observation. A
nurse documents the client has difficulty communicating verbally, is agitated, and reports chest
pain and a sense of impending doom. The client is perspiring, has a heart rate of 120 beats/min,
,and a respiratory rate of 30 breaths/min. What type of anxiety does the nurse identify the client
is experiencing?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic - ANS -Panic
\A client will be transferred from the surgical unit to the rehabilitation unit for further care. Which
information would the nurse expect to include when preparing the verbal handoff report?
Current client assessment
Client's admission number
Client's family members
Client's intake for previous meal - ANS -Current client assessment
\A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common
side effect, what would the nurse recommend to the client?
"Only take morphine when you have the most severe pain."
"Increase fluids and high-fiber foods, and use a mild laxative."
"Administer an enema to yourself every third day."
"Constipation is nothing to worry about; take your medicine." - ANS -"Increase fluids and
high-fiber foods, and use a mild laxative."
\A client's bed partner reports the client often has irregular snoring and silence followed by a
snort. Does this warrant further assessment?
No, snoring has varied patterns.
No, this is a description of normal snoring.
Yes, this is an indicator of obstructive apnea.
Yes, the bed partner is unable to sleep at night. - ANS -Yes, this is an indicator of obstructive
apnea.
\A factory worker has a work schedule involving rotating work hours between days, evenings,
and nights. The client tells the nurse he is a "morning" person, and is not sleeping well when he
has to work nights. The nurse recommends:
obtaining a prescription for methylphenidate, a nervous system stimulant.
modifying the sleep environment to simulate quiet and darkness.
applying for a promotion to a day shift supervisor position.
increasing caffeine intake on days when he feels fatigued. - ANS -modifying the sleep
environment to simulate quiet and darkness.
\A female adolescent is being taught about changing her abdominal dressing as part of the
education for her care at home. When she removes the dressing, she becomes tearful when
she sees her surgical incision. What knowledge deficit is best to address for this client at this
moment?
Infection related to surgical incision
Pain related to surgical incision
Altered body image related to surgical incision
Self-care deficit secondary to surgical incision - ANS -Altered body image related to surgical
incision
, \A female client asks the nurse why she urinates more frequently as she is getting older. Which
of the following is the nurse's best response?
"Your bladder capacity decreases with age."
"As you age, you have increased blood flow to your kidneys."
"The number of filtering units (nephrons) in your kidneys increases with age."
"It is your body's natural way of keeping the genital tract lubricated as you age." - ANS -"Your
bladder capacity decreases with age."
\A group of nursing students are reviewing information about asepsis in preparation for a test.
The students demonstrate understanding of the topic when they identify which of the following
as the primary rationale for asepsis?
Break the chain of infection
Maintain skin integrity
Enhance wound healing
Control the amount of body fluids - ANS -Break the chain of infection
\A group of nursing students are reviewing information about medications. The students
demonstrate understanding of the information when they identify which of the following as the
most common type of medication?
Suppository
Eye drops
Oral medications
Transdermal patch - ANS -Oral medications
\A group of nursing students are reviewing information related to forms of medication and
administration. The students demonstrate understanding of the material when they identify
which of the following as an appropriate form that can be split?
Extended-release tablet
Scored tablet
Capsule
Enteric coated tablet - ANS -Scored tablet
\A group of students are reviewing the steps associated with administering a transdermal patch.
Which statement by the students indicates a need for additional review?
A new site should be used each time a new patch is applied
Gloves do not need to be worn when applying the patch
The old patch needs to be removed before putting on a new one
The skin should be dry and free of irritation or breakdown. - ANS -Gloves do not need to be
worn when applying the patch
\A health care provider approaches the nurse caring for the client in room 25 and states, "The
client is a friend of mine. What treatment is being given?" Which response by the nurse is most
appropriate?
Inform the health care provider that client permission is needed to release any information.
Open the health care record for the doctor to review the treatment ordered.
Tell the health care provider to contact the provider caring for the client to obtain any
information.
QUESTIONS
A client 90 years of age has been in an automobile crash and sustained four fractured ribs on
the left side of the thorax. Based on age and the injury, the client is at risk for what
complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza - ANS -Pneumonia
\A client calls a sleep clinic "helpline" and describes her 46-year-old husband's sleep patterns:
snoring loudly, then becoming startled and waking up 5 or 6 times a night. The wife is asking
how to improve his sleep patterns. The nurse concludes:
the husband may be exhibiting signs of sleep apnea.
the wife needs interventions to promote Stage II sleep for herself.
the husband should only eat a small carbohydrate snack before bed.
the wife should consider wearing ear plugs to bed. - ANS -the husband may be exhibiting signs
of sleep apnea.
\A client has been asked to undergo a series of diagnostic tests following a routine blood test
that indicates leukemia. The client refuses to believe the diagnosis and feels that there has
been an error in the reports. Which stage of grief is the client going through?
denial
anger
bargaining
depression - ANS -denial
\A client has been diagnosed with a terminal illness and has made an appointment with an
attorney to complete a will. How will the nurse document this stage of grief according the
Kübler-Ross Model?
depression
acceptance
bargaining
denial - ANS -acceptance
\A client has received a temporary ostomy during her treatment for colon cancer. Which
technique is most likely to facilitate the client's ability to independently empty and change the
ostomy after discharge?
Demonstration
Lecture
Discussion
A brochure - ANS -Demonstration
\A client is meeting with the nurse to discuss options for smoking cessation. Which statement by
the nurse is most appropriate for this client?
,"Reduce your stress and it will be easy."
"What do you see as your biggest hurdle to stopping?"
"I think you should just go cold turkey."
"Did you know that smoking can cause lung cancer?" - ANS -"What do you see as your biggest
hurdle to stopping?"
\A client is using prayer to assist in relieving stress. The use of prayer allows the client to:
Cope
Understand
Plan
Recover - ANS -Cope
\A client says, "I thought my period was late because I was drinking heavily and did cocaine a
couple of times lately. But my pregnancy test is positive and I am scared about what I may have
done to the baby." What information should the nurse provide about the possible effects of
substance use on the baby? Select all that apply.1. As long as you were eating well, the baby is
probably fine2. There is a risk for birth defects in the baby3. There is a risk the baby will be born
with a low birth weight4. Your baby may be born prematurely
2,3,4
1,2,3
1,3,4
2,3 - ANS -2,3,4
\A client who has had a recent below-knee amputation tells the nurse that he feels as though his
toes are cramping. What would the nurse say in return?
"Oh, that is all in your mind. Just forget it."
"That is called phantom pain, and it is not unusual."
"Well, that is really strange. I will notify the doctor."
"I think it might be good to refer you to a psychiatrist." - ANS -"That is called phantom pain, and
it is not unusual."
\A client who previously was a smoker has recently stopped smoking but reports having much
trouble sleeping at night. How would the nurse respond?
"You have to decide what is more important: smoking or sleep."
"If you are sleep deprived, it might be better to smoke."
"Sleep problems from stopping smoking are temporary."
"Since you were a smoker, this will always be a problem." - ANS -"Sleep problems from
stopping smoking are temporary."
\A client who utilizes a portable oxygen device reports planning to attend an upcoming bonfire
on the beach. What is the appropriate nursing response?
"Have an enjoyable time."
"You should not leave the house with portable oxygen."
"Be sure to avoid the actual area of fire, and anyone who is smoking."
"Saltwater can increase the potential for oxygen toxicity." - ANS -"Be sure to avoid the actual
area of fire, and anyone who is smoking."
\A client who was assaulted in the street is brought to the emergency room for observation. A
nurse documents the client has difficulty communicating verbally, is agitated, and reports chest
pain and a sense of impending doom. The client is perspiring, has a heart rate of 120 beats/min,
,and a respiratory rate of 30 breaths/min. What type of anxiety does the nurse identify the client
is experiencing?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic - ANS -Panic
\A client will be transferred from the surgical unit to the rehabilitation unit for further care. Which
information would the nurse expect to include when preparing the verbal handoff report?
Current client assessment
Client's admission number
Client's family members
Client's intake for previous meal - ANS -Current client assessment
\A client with cancer pain is taking morphine for pain relief. Knowing constipation is a common
side effect, what would the nurse recommend to the client?
"Only take morphine when you have the most severe pain."
"Increase fluids and high-fiber foods, and use a mild laxative."
"Administer an enema to yourself every third day."
"Constipation is nothing to worry about; take your medicine." - ANS -"Increase fluids and
high-fiber foods, and use a mild laxative."
\A client's bed partner reports the client often has irregular snoring and silence followed by a
snort. Does this warrant further assessment?
No, snoring has varied patterns.
No, this is a description of normal snoring.
Yes, this is an indicator of obstructive apnea.
Yes, the bed partner is unable to sleep at night. - ANS -Yes, this is an indicator of obstructive
apnea.
\A factory worker has a work schedule involving rotating work hours between days, evenings,
and nights. The client tells the nurse he is a "morning" person, and is not sleeping well when he
has to work nights. The nurse recommends:
obtaining a prescription for methylphenidate, a nervous system stimulant.
modifying the sleep environment to simulate quiet and darkness.
applying for a promotion to a day shift supervisor position.
increasing caffeine intake on days when he feels fatigued. - ANS -modifying the sleep
environment to simulate quiet and darkness.
\A female adolescent is being taught about changing her abdominal dressing as part of the
education for her care at home. When she removes the dressing, she becomes tearful when
she sees her surgical incision. What knowledge deficit is best to address for this client at this
moment?
Infection related to surgical incision
Pain related to surgical incision
Altered body image related to surgical incision
Self-care deficit secondary to surgical incision - ANS -Altered body image related to surgical
incision
, \A female client asks the nurse why she urinates more frequently as she is getting older. Which
of the following is the nurse's best response?
"Your bladder capacity decreases with age."
"As you age, you have increased blood flow to your kidneys."
"The number of filtering units (nephrons) in your kidneys increases with age."
"It is your body's natural way of keeping the genital tract lubricated as you age." - ANS -"Your
bladder capacity decreases with age."
\A group of nursing students are reviewing information about asepsis in preparation for a test.
The students demonstrate understanding of the topic when they identify which of the following
as the primary rationale for asepsis?
Break the chain of infection
Maintain skin integrity
Enhance wound healing
Control the amount of body fluids - ANS -Break the chain of infection
\A group of nursing students are reviewing information about medications. The students
demonstrate understanding of the information when they identify which of the following as the
most common type of medication?
Suppository
Eye drops
Oral medications
Transdermal patch - ANS -Oral medications
\A group of nursing students are reviewing information related to forms of medication and
administration. The students demonstrate understanding of the material when they identify
which of the following as an appropriate form that can be split?
Extended-release tablet
Scored tablet
Capsule
Enteric coated tablet - ANS -Scored tablet
\A group of students are reviewing the steps associated with administering a transdermal patch.
Which statement by the students indicates a need for additional review?
A new site should be used each time a new patch is applied
Gloves do not need to be worn when applying the patch
The old patch needs to be removed before putting on a new one
The skin should be dry and free of irritation or breakdown. - ANS -Gloves do not need to be
worn when applying the patch
\A health care provider approaches the nurse caring for the client in room 25 and states, "The
client is a friend of mine. What treatment is being given?" Which response by the nurse is most
appropriate?
Inform the health care provider that client permission is needed to release any information.
Open the health care record for the doctor to review the treatment ordered.
Tell the health care provider to contact the provider caring for the client to obtain any
information.
