NURS 1871 FINL REVIEW QUESTIONS WITH ACCURATE
ANSWERS
A nurse is caring for a patient in intensive care unit ICU and finds out the patient is
restless, anxious and inattentive. The nurse understands that the patient is
experiencing sensory overload. Which measure would the nurse take to make the
patient comfortable? Select all that apply.
provide constant reorientation
administer high dose sedation
control excessive stimuli
keep the patient engaged with constant discussion
divert the patient attention with additional visual stimuli correct answer provide
constant reorientation
control excessive stimuli
A nursing instructor is discussing compassion fatigue with a student nurse which
statement by the student nurse indicates a need for further teaching?
a) "It results in feelings of hopelessness and anxiety"
b)"it means that posttraumatic stress disorder is present"
c)"it affects the health and wellness of nurses and the quality of care provided to
patients
,d)"it results in a decrease in the ability to take pleasure from previously enjoyable
activities" correct answer b)"it means that posttraumatic stress disorder is
present"
A patient has been told that she has cancer and she's crying which action facilitate
therapeutic communication? Select all that apply.
a) Turning on the television to her favorite show
b) pulling the curtain to provide for privacy
c) offering to discuss information about her condition
d) asking her why she is crying
e) sitting quietly by her bed and holding her hand correct answer b) pulling the
curtain to provide for privacy
c) offering to discuss information about her condition
e) sitting quietly by her bed and holding her hand
A patient reports no bowel movements for 3 days and a feeling of abdominal
fullness. Upon palpating the patient's abdomen, the nurse find that the left lower
quadrant is firm. Which instruction given by the nurse will be beneficial for the
patient? Select all that apply.
a) "Take loperamide as prescribed"
b) "Include high-fiber foods in your diet"
c) "Consider eating white bread for breakfast"
d) "Try to defecate at the same time every day"
e) "Ensure that your daily fluid intake is at least 1.5 L" correct answer b) "Include
high-fiber foods in your diet"
,d) "Try to defecate at the same time every day"
e) "Ensure that your daily fluid intake is at least 1.5 L"
A patient scheduled for coronary artery bypass graft surgery. While going through
the patient's medical records, the nurse finds that the patient has a medical
condition that may affect the outcome of the surgery. Which condition is the
patient likely suffering from?
Cervical spondylosis
Thrombocytopenia
History of urinary tract infection in the last six months
Hormone replacement therapy postmenopause seven years ago correct answer
Thrombocytopenia
A patient who is comatose is admitted to the hospital with an unknown history.
Respirations are deep and rapid. Arterial blood gas levels on admission are pH of
7.20; partial pressure of carbon dioxide (PaCO2) of 21 mm Hg; partial pressure of
oxygen (PaO2) of 92 mm Hg; and bicarbonate (HCO3) of 8 mEq/L. Which
conditions do these laboratory values indicate.
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis correct answer a) Metabolic acidosis
, A patient with dementia often screams and hits while receiving hygiene care.
Which technique would the nurse use to reduce stress during the bathing
experience? Select all that apply.
Give the patient options for making decisions
Administer any prescribed analgesic 30 minutes before the bath.
Consider an alternative to traditional bathing, such as the bag bath.
Use restraints to prevent the patient from injuring self or the nurse.
Act quickly to keep the bath as short as possible. correct answer Give the patient
options for making decisions
Administer any prescribed analgesic 30 minutes before the bath.
Consider an alternative to traditional bathing, such as the bag bath.
After an assessment of a patient, the nurse finds that the patient is malnourished.
Which clinical manifestation would be observed during the patient's assessment?
Select all that apply.
Body mass index (BMI) of 26
Poor muscle tone
Smooth, supple skin
ANSWERS
A nurse is caring for a patient in intensive care unit ICU and finds out the patient is
restless, anxious and inattentive. The nurse understands that the patient is
experiencing sensory overload. Which measure would the nurse take to make the
patient comfortable? Select all that apply.
provide constant reorientation
administer high dose sedation
control excessive stimuli
keep the patient engaged with constant discussion
divert the patient attention with additional visual stimuli correct answer provide
constant reorientation
control excessive stimuli
A nursing instructor is discussing compassion fatigue with a student nurse which
statement by the student nurse indicates a need for further teaching?
a) "It results in feelings of hopelessness and anxiety"
b)"it means that posttraumatic stress disorder is present"
c)"it affects the health and wellness of nurses and the quality of care provided to
patients
,d)"it results in a decrease in the ability to take pleasure from previously enjoyable
activities" correct answer b)"it means that posttraumatic stress disorder is
present"
A patient has been told that she has cancer and she's crying which action facilitate
therapeutic communication? Select all that apply.
a) Turning on the television to her favorite show
b) pulling the curtain to provide for privacy
c) offering to discuss information about her condition
d) asking her why she is crying
e) sitting quietly by her bed and holding her hand correct answer b) pulling the
curtain to provide for privacy
c) offering to discuss information about her condition
e) sitting quietly by her bed and holding her hand
A patient reports no bowel movements for 3 days and a feeling of abdominal
fullness. Upon palpating the patient's abdomen, the nurse find that the left lower
quadrant is firm. Which instruction given by the nurse will be beneficial for the
patient? Select all that apply.
a) "Take loperamide as prescribed"
b) "Include high-fiber foods in your diet"
c) "Consider eating white bread for breakfast"
d) "Try to defecate at the same time every day"
e) "Ensure that your daily fluid intake is at least 1.5 L" correct answer b) "Include
high-fiber foods in your diet"
,d) "Try to defecate at the same time every day"
e) "Ensure that your daily fluid intake is at least 1.5 L"
A patient scheduled for coronary artery bypass graft surgery. While going through
the patient's medical records, the nurse finds that the patient has a medical
condition that may affect the outcome of the surgery. Which condition is the
patient likely suffering from?
Cervical spondylosis
Thrombocytopenia
History of urinary tract infection in the last six months
Hormone replacement therapy postmenopause seven years ago correct answer
Thrombocytopenia
A patient who is comatose is admitted to the hospital with an unknown history.
Respirations are deep and rapid. Arterial blood gas levels on admission are pH of
7.20; partial pressure of carbon dioxide (PaCO2) of 21 mm Hg; partial pressure of
oxygen (PaO2) of 92 mm Hg; and bicarbonate (HCO3) of 8 mEq/L. Which
conditions do these laboratory values indicate.
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis correct answer a) Metabolic acidosis
, A patient with dementia often screams and hits while receiving hygiene care.
Which technique would the nurse use to reduce stress during the bathing
experience? Select all that apply.
Give the patient options for making decisions
Administer any prescribed analgesic 30 minutes before the bath.
Consider an alternative to traditional bathing, such as the bag bath.
Use restraints to prevent the patient from injuring self or the nurse.
Act quickly to keep the bath as short as possible. correct answer Give the patient
options for making decisions
Administer any prescribed analgesic 30 minutes before the bath.
Consider an alternative to traditional bathing, such as the bag bath.
After an assessment of a patient, the nurse finds that the patient is malnourished.
Which clinical manifestation would be observed during the patient's assessment?
Select all that apply.
Body mass index (BMI) of 26
Poor muscle tone
Smooth, supple skin
