NUR 114 Final Exam Actual Questions And Correct Detailed Answers New Version Graded A+
Real Rxam
A client with severe acne is seen in the clinic, and the primary health care provider (PHCP)
prescribes isotretinoin. The nurse reviews the client's medication record and would collaborate
with the PHCP about the prescription if the client is also taking which medication?
1.Digoxin
2.Phenytoin
3.Vitamin A
4.Furosemide-CORRECT ANSWER-Answer:3
Rationale: Isotretinoin is a metabolite of vitamin A and can produce generalized intensification
of isotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplements
should be discontinued before isotretinoin therapy.There are no contraindications associated
with digoxin, phenytoin, or furosemide.
Test-Taking Strategy: Focus on the subject, the need to collaborate with the PHCP to ensure
client safety. Recall that isotretinoin is a metabolite of vitamin A.Vitamin A is a fatsoluble
vitamin; therefore, it is possible to develop toxic levels.
This will direct you to the correct option.
A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be most
appropriate?
1. "Have you ever had surgery?"
2. "Do you plan to have any other children?"
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3. "Do either of you have diabetes mellitus?"
,32|Page
4. "Do either of you have problems with high blood pressure?"-CORRECT ANSWER-
Answer:2
Rationale: Sterilization is a method of contraception for couples who have completed their
families. It should be considered a permanent end to fertility,because reversal surgery is not
always successful. The nurse would ask the couple about their plans for having children in the
future. Options 1,3, and 4 are unrelated to this procedure.
Test-Taking Strategy: Note the strategic words, most appropriate. Focus on the subject,
sterilization procedure. Note the relationship between the word sterilization and the words
plan to have any other children in the correct option.
A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic
studies are performed to determine the presence of this disease.Which diagnostic test
result wwill confirm the diagnosis of Hodgkin's disease?
1.Elevated vanillylmandelic acid urinary levels
2.The presence of blast cells in the bone marrow
3.The presence of Epstein-Barr virus in the blood
4. The presence of Reed-Sternberg cells in the lymph nodes-CORRECT
ANSWERAnswer:4
Rationale: Hodgkin's disease (a type of lymphoma) is a malignancyof the lymph nodes.The
presence of giant, multinucleated cells (Reed-Sternberg cells) is the classic characteristic of this
disease. Elevated levels of vanillylmandelic acid in the urine may be found in children with
neuroblastoma. The presence of blast cells in the bone marrow indicates leukemia. Epstein-
Barr virus is associated with infectious mononucleosis.
, 33 |Page
Test-Taking Strategy: Focus on the subject, confirmatory diagnostic tests for Hodgkin's
disease. Think about the pathophysiology associated with Hodgkin's disease. Remember
that the Reed-Sternberg cell is characteristic of Hodgkin's disease.
A lumbar puncture is performed on a child suspected to have bacterial meningitis, and
cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF
analysis and determines that which results would verify the diagnosis?
1. Clear CSF, decreased pressure, and elevated protein level
2.Clear CSF, elevated protein, and decreased glucose levels
3. Cloudy CSF,elevated protein, and decreased glucose levels
4. Cloudy CSF,decreased protein,and decreased glucose levels-CORRECT
ANSWER-Answer:3
Rationale: Meningitis is an infectious process of the central nervous system caused by
bacteria and viruses; it may be acquired as a primary disease or as a result of complications
of neurosurgery, trauma, infection of the sinus or ears, or systemic infections. Meningitis is
diagnosed by testing CSF obtained by lumbar puncture. In the case of bacterial meningitis,
findings usually include an elevated pressure; turbid or cloudy CSF; and elevated leukocyte,
elevated protein,and decreased glucose levels.
Test-Taking Strategy:Use knowledge regarding the diagnostic findings in
meningitis.Eliminate options 1 and 2 first because they are comparable or alike;recall that
clear CSF is not likely to be found in an infectious process such as
SSaied
, 34|Page
meningitis. From this point, recall that an elevated protein level indicates a possible
diagnosis of meningitis to direct you to the correct option.
A nonstress test is performed on a client who is pregnant, and the results of the test indicate
nonreactive findings. The primary health care provider prescribes a contraction stress test, and
the results are documented as negative.How would the nurse document this finding?
1.A normal test result
2.An abnormal test result
3. A high risk for fetal demise
4.The need for a cesarean section-CORRECT ANSWER-Answer:1
Rationale: Contraction stress test results may be interpreted as negative (normal), positive
(abnormal), or equivocal. A negative test result indicates that no late decelerations occurred in
the fetal heart rate, although the fetus was stressed by 3 contractions of at least 40 seconds'
duration in a 10-minute period.Options 2, 3, and 4 are incorrect interpretations.
Test-Taking Strategy: Read the options carefully. Note that options 2, 3, and 4are comparable
or alike in that they indicate an abnormal test result finding.
A parent arrives at a clinic with a toddler and tells the nurse how difficult it is to get the child to
go to bed at night. What measure is most appropriate for the nurse to suggest to the parent?
1.Allow the child to set bedtime limits.
2.Allow the child to have temper tantrums.
3. Avoid letting the child nap during the day.
aied
Real Rxam
A client with severe acne is seen in the clinic, and the primary health care provider (PHCP)
prescribes isotretinoin. The nurse reviews the client's medication record and would collaborate
with the PHCP about the prescription if the client is also taking which medication?
1.Digoxin
2.Phenytoin
3.Vitamin A
4.Furosemide-CORRECT ANSWER-Answer:3
Rationale: Isotretinoin is a metabolite of vitamin A and can produce generalized intensification
of isotretinoin toxicity. Because of the potential for increased toxicity, vitamin A supplements
should be discontinued before isotretinoin therapy.There are no contraindications associated
with digoxin, phenytoin, or furosemide.
Test-Taking Strategy: Focus on the subject, the need to collaborate with the PHCP to ensure
client safety. Recall that isotretinoin is a metabolite of vitamin A.Vitamin A is a fatsoluble
vitamin; therefore, it is possible to develop toxic levels.
This will direct you to the correct option.
A couple comes to the family planning clinic and asks about sterilization procedures. Which
question by the nurse would determine whether this method of family planning would be most
appropriate?
1. "Have you ever had surgery?"
2. "Do you plan to have any other children?"
xpects
nursee
3. "Do either of you have diabetes mellitus?"
,32|Page
4. "Do either of you have problems with high blood pressure?"-CORRECT ANSWER-
Answer:2
Rationale: Sterilization is a method of contraception for couples who have completed their
families. It should be considered a permanent end to fertility,because reversal surgery is not
always successful. The nurse would ask the couple about their plans for having children in the
future. Options 1,3, and 4 are unrelated to this procedure.
Test-Taking Strategy: Note the strategic words, most appropriate. Focus on the subject,
sterilization procedure. Note the relationship between the word sterilization and the words
plan to have any other children in the correct option.
A diagnosis of Hodgkin's disease is suspected in a 12-year-old child. Several diagnostic
studies are performed to determine the presence of this disease.Which diagnostic test
result wwill confirm the diagnosis of Hodgkin's disease?
1.Elevated vanillylmandelic acid urinary levels
2.The presence of blast cells in the bone marrow
3.The presence of Epstein-Barr virus in the blood
4. The presence of Reed-Sternberg cells in the lymph nodes-CORRECT
ANSWERAnswer:4
Rationale: Hodgkin's disease (a type of lymphoma) is a malignancyof the lymph nodes.The
presence of giant, multinucleated cells (Reed-Sternberg cells) is the classic characteristic of this
disease. Elevated levels of vanillylmandelic acid in the urine may be found in children with
neuroblastoma. The presence of blast cells in the bone marrow indicates leukemia. Epstein-
Barr virus is associated with infectious mononucleosis.
, 33 |Page
Test-Taking Strategy: Focus on the subject, confirmatory diagnostic tests for Hodgkin's
disease. Think about the pathophysiology associated with Hodgkin's disease. Remember
that the Reed-Sternberg cell is characteristic of Hodgkin's disease.
A lumbar puncture is performed on a child suspected to have bacterial meningitis, and
cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF
analysis and determines that which results would verify the diagnosis?
1. Clear CSF, decreased pressure, and elevated protein level
2.Clear CSF, elevated protein, and decreased glucose levels
3. Cloudy CSF,elevated protein, and decreased glucose levels
4. Cloudy CSF,decreased protein,and decreased glucose levels-CORRECT
ANSWER-Answer:3
Rationale: Meningitis is an infectious process of the central nervous system caused by
bacteria and viruses; it may be acquired as a primary disease or as a result of complications
of neurosurgery, trauma, infection of the sinus or ears, or systemic infections. Meningitis is
diagnosed by testing CSF obtained by lumbar puncture. In the case of bacterial meningitis,
findings usually include an elevated pressure; turbid or cloudy CSF; and elevated leukocyte,
elevated protein,and decreased glucose levels.
Test-Taking Strategy:Use knowledge regarding the diagnostic findings in
meningitis.Eliminate options 1 and 2 first because they are comparable or alike;recall that
clear CSF is not likely to be found in an infectious process such as
SSaied
, 34|Page
meningitis. From this point, recall that an elevated protein level indicates a possible
diagnosis of meningitis to direct you to the correct option.
A nonstress test is performed on a client who is pregnant, and the results of the test indicate
nonreactive findings. The primary health care provider prescribes a contraction stress test, and
the results are documented as negative.How would the nurse document this finding?
1.A normal test result
2.An abnormal test result
3. A high risk for fetal demise
4.The need for a cesarean section-CORRECT ANSWER-Answer:1
Rationale: Contraction stress test results may be interpreted as negative (normal), positive
(abnormal), or equivocal. A negative test result indicates that no late decelerations occurred in
the fetal heart rate, although the fetus was stressed by 3 contractions of at least 40 seconds'
duration in a 10-minute period.Options 2, 3, and 4 are incorrect interpretations.
Test-Taking Strategy: Read the options carefully. Note that options 2, 3, and 4are comparable
or alike in that they indicate an abnormal test result finding.
A parent arrives at a clinic with a toddler and tells the nurse how difficult it is to get the child to
go to bed at night. What measure is most appropriate for the nurse to suggest to the parent?
1.Allow the child to set bedtime limits.
2.Allow the child to have temper tantrums.
3. Avoid letting the child nap during the day.
aied
