NSG 120 Final Exam Study guide
1. A client is admitted to the emergency department that has acute Guil- lain-Barre
Syndrome. The nurse knows which of the following are character-istics of this disease? select
all: · Autoimmune disease
· Often follows a viral infection or immunization
· Causes Semi-paralysis in an ascending fashion
2. The nurse is caring for a client with photophobia, fever, spontaneous flexion of the knees
when the knees are bent, resistance to extension of the leg and hip flexed. which of the
following does the nurse anticipate will be thediagnosis of this client?: Meningitis
3. The client has a history of seizures and reports seeing flashing lights immediately prior to
the seizure. The nurse should recognize this as which ofthe following?: Aura
4. The client has reported pain localized to the right great toe additionally the radiographic
reports revealed inflammation and uric acid crystals in the joint of the great toe. Which disorder
does the client have?: Gout
5. The nurse is conducting health screening for osteoporosis. Which client is at greatest risk?:
65-year-old woman who is sanitary and smokes cigarettes
6. While teaching a group of student nurses about different types of fracturesthe nursing
instructor says the fracture is characterized by the bone being exposed to air through a break in
the skin.Which type of fracture is this?: OpenFacture
7. The nurses caring for a client with left ankle sprain. The nurse knows that the best therapy
to treat the inflammation that occurs with the sprain is which of the following?: RICE treatment
(Rest, Ice, Compression, and Elevation)
8. Nurse is caring for a child with sickle cell anemia experiencing vaso-occlu- sive episode.
Which of the following should be the primary nursing objective while caring for this child?:
Pain management
9. An older client was presented to the emergency department after falling down the stairs
and injuring the knee.Which assessment findings are cardinalsigns that the client is experiencing
inflammation? Select all that apply: · Clientknee is visibly red
· The knee appears to be swollen
· The knee is warmer than the unaffected knee
· The client is experiencing pain
10. what is correct about an opportunistic infection?: infections that occur more often or are
more severe in people with weakened immune systems than in people with healthy immune
systems.
11. Chronic obstructive pulmonary disease is a disease comprised of which the following?: ·
, Chronic bronchitis
· Emphysema
· Asthma
12. The nurse is assessing a client who is suspected of having iron deficiencyanemia. The nurse
assesses the client for which of the following or symp- toms?: Concave and rigged fingernails
13. The nurse is caring for a pediatric client whose parent reports that the child has been pulling
at the ears, has a fever, and has been crying more than usual. The nurse suspects the client has
which of the following?: Acute Otitis media
14. The nurse is checking lab values to evaluate a client's clotting process and notices a
decrease in prothrombin and fibrinogen levels the nurse shouldcheck if the client is deficient in
which of the following?: Vitamin K
15. The nurse is caring for a client with the following ABG's of pH of 7.49, PC02 45 and
HCO3 30.The nurse interprets this as which of the following?: Metabolicalkalosis
16. The nurse is performing a skin assessment and notes a red area on the client coccyx that
does not blanch but has no broken skin the nurse correctlydocuments this as which of the
following?: Decubitus pressure ulcer
17. Which of the following describes:
carbon dioxide levels in the blood increase lowering pH and stimulating the respiratory center
resulting in increased rate and depth of respirations andhyperventilation?: Hypercapnia
18. Which of the following would be considered an autoimmune disease?: -
Rheumatoid arthritis (RA)Pernicious anemia
AIDs
19. The nurse is caring for a client with longstanding Type 2 diabetes which ofthe following
is a potential long-term complication of the disease?: Diabetic Retinopathy
20. What is the common warnings of a myocardial infarction? Select all thatapply: · Feeling
of pressure in chest
· Nausea
· Anxiety & Fear
· Diaphoresis (sweating), SOB
21. Which of the following are the cardinal signs of congestive heart failure?: ·Exercise
intolerance and Dysrhythmias
22. The nurse has a client with heart failure the client would like the nurse to explain what
the diagnosis means. Which of the following responses shouldthe nurse make?: The heart is
unable to pump sufficient blood to meet the meta-bolic needs of the body
23. A client with obstructive pulmonary disease COPD presents to the emer- gency room
with difficulty breathing. The physical examination reveals bluishskin nailbeds and mucous
1. A client is admitted to the emergency department that has acute Guil- lain-Barre
Syndrome. The nurse knows which of the following are character-istics of this disease? select
all: · Autoimmune disease
· Often follows a viral infection or immunization
· Causes Semi-paralysis in an ascending fashion
2. The nurse is caring for a client with photophobia, fever, spontaneous flexion of the knees
when the knees are bent, resistance to extension of the leg and hip flexed. which of the
following does the nurse anticipate will be thediagnosis of this client?: Meningitis
3. The client has a history of seizures and reports seeing flashing lights immediately prior to
the seizure. The nurse should recognize this as which ofthe following?: Aura
4. The client has reported pain localized to the right great toe additionally the radiographic
reports revealed inflammation and uric acid crystals in the joint of the great toe. Which disorder
does the client have?: Gout
5. The nurse is conducting health screening for osteoporosis. Which client is at greatest risk?:
65-year-old woman who is sanitary and smokes cigarettes
6. While teaching a group of student nurses about different types of fracturesthe nursing
instructor says the fracture is characterized by the bone being exposed to air through a break in
the skin.Which type of fracture is this?: OpenFacture
7. The nurses caring for a client with left ankle sprain. The nurse knows that the best therapy
to treat the inflammation that occurs with the sprain is which of the following?: RICE treatment
(Rest, Ice, Compression, and Elevation)
8. Nurse is caring for a child with sickle cell anemia experiencing vaso-occlu- sive episode.
Which of the following should be the primary nursing objective while caring for this child?:
Pain management
9. An older client was presented to the emergency department after falling down the stairs
and injuring the knee.Which assessment findings are cardinalsigns that the client is experiencing
inflammation? Select all that apply: · Clientknee is visibly red
· The knee appears to be swollen
· The knee is warmer than the unaffected knee
· The client is experiencing pain
10. what is correct about an opportunistic infection?: infections that occur more often or are
more severe in people with weakened immune systems than in people with healthy immune
systems.
11. Chronic obstructive pulmonary disease is a disease comprised of which the following?: ·
, Chronic bronchitis
· Emphysema
· Asthma
12. The nurse is assessing a client who is suspected of having iron deficiencyanemia. The nurse
assesses the client for which of the following or symp- toms?: Concave and rigged fingernails
13. The nurse is caring for a pediatric client whose parent reports that the child has been pulling
at the ears, has a fever, and has been crying more than usual. The nurse suspects the client has
which of the following?: Acute Otitis media
14. The nurse is checking lab values to evaluate a client's clotting process and notices a
decrease in prothrombin and fibrinogen levels the nurse shouldcheck if the client is deficient in
which of the following?: Vitamin K
15. The nurse is caring for a client with the following ABG's of pH of 7.49, PC02 45 and
HCO3 30.The nurse interprets this as which of the following?: Metabolicalkalosis
16. The nurse is performing a skin assessment and notes a red area on the client coccyx that
does not blanch but has no broken skin the nurse correctlydocuments this as which of the
following?: Decubitus pressure ulcer
17. Which of the following describes:
carbon dioxide levels in the blood increase lowering pH and stimulating the respiratory center
resulting in increased rate and depth of respirations andhyperventilation?: Hypercapnia
18. Which of the following would be considered an autoimmune disease?: -
Rheumatoid arthritis (RA)Pernicious anemia
AIDs
19. The nurse is caring for a client with longstanding Type 2 diabetes which ofthe following
is a potential long-term complication of the disease?: Diabetic Retinopathy
20. What is the common warnings of a myocardial infarction? Select all thatapply: · Feeling
of pressure in chest
· Nausea
· Anxiety & Fear
· Diaphoresis (sweating), SOB
21. Which of the following are the cardinal signs of congestive heart failure?: ·Exercise
intolerance and Dysrhythmias
22. The nurse has a client with heart failure the client would like the nurse to explain what
the diagnosis means. Which of the following responses shouldthe nurse make?: The heart is
unable to pump sufficient blood to meet the meta-bolic needs of the body
23. A client with obstructive pulmonary disease COPD presents to the emer- gency room
with difficulty breathing. The physical examination reveals bluishskin nailbeds and mucous
