NUR 210 ADVANCED CLINICAL
NURSING - EXAM 4 QUESTIONS &
ANSWERS (CHAMBERLAIN) 100%
GUARANTEE PASS
1. A nurse is assessing a patient with suspected open-angle glaucoma. Which clinical
manifestation should the nurse expect to find?
A. Sudden, severe eye pain and nausea
B. Gradual loss of peripheral vision
C. Seeing bright flashes of light
D. Floating spots in the visual field
Answer: B
Conceptual Explanation: Open-angle glaucoma is characterized by a slow, painless
increase in intraocular pressure resulting in a gradual loss of peripheral vision. Sudden
pain is characteristic of angle-closure glaucoma, while flashes and floaters are associated
with retinal detachment.
2. Following a Transurethral Resection of the Prostate (TURP), a patient has a continuous
bladder irrigation (CBI) system in place. The nurse notes the drainage is bright red with
numerous large clots. Which action is the priority?
A. Decrease the rate of the irrigation fluid
,B. Administer an analgesic for bladder spasms
C. Increase the rate of the irrigation fluid
D. Notify the surgeon immediately for surgical intervention
Answer: C
Conceptual Explanation: In CBI, the rate should be adjusted to keep the output light pink.
Bright red blood with clots indicates active bleeding, and increasing the rate helps prevent
catheter obstruction from clot formation.
3. A patient in the oliguric phase of Acute Kidney Injury (AKI) has a potassium level of 6.8
mEq/L. Which medication should the nurse anticipate administering first to stabilize the
cardiac membrane?
A. Sodium polystyrene sulfonate
B. Regular insulin and D50W
C. Sodium bicarbonate
D. Calcium gluconate
Answer: D
Conceptual Explanation: While insulin and sodium polystyrene sulfonate help lower
potassium levels, calcium gluconate is administered first in severe hyperkalemia to protect
the heart by stabilizing the cardiac cell membrane and preventing arrhythmias.
, 4. A patient has just returned from surgery with a new plaster cast on the right lower leg.
Which nursing intervention is appropriate for cast care?
A. Handle the wet cast with the fingertips to ensure a firm grip
B. Cover the cast with a heavy blanket to keep the limb warm
C. Use the palms of the hands when moving the casted limb
D. Dry the cast quickly using a hairdryer on the high-heat setting
Answer: C
Conceptual Explanation: A wet plaster cast should be handled with the palms of the
hands to prevent indentations that could cause pressure injuries. It should be left
uncovered to air dry, and heat should never be applied.
5. A client is diagnosed with Meniere’s Disease. Which dietary modification should the nurse
emphasize in the teaching plan?
A. Low-sodium diet
B. High-protein diet
C. Restriction of potassium-rich foods
D. Avoidance of gluten-containing grains
Answer: A
NURSING - EXAM 4 QUESTIONS &
ANSWERS (CHAMBERLAIN) 100%
GUARANTEE PASS
1. A nurse is assessing a patient with suspected open-angle glaucoma. Which clinical
manifestation should the nurse expect to find?
A. Sudden, severe eye pain and nausea
B. Gradual loss of peripheral vision
C. Seeing bright flashes of light
D. Floating spots in the visual field
Answer: B
Conceptual Explanation: Open-angle glaucoma is characterized by a slow, painless
increase in intraocular pressure resulting in a gradual loss of peripheral vision. Sudden
pain is characteristic of angle-closure glaucoma, while flashes and floaters are associated
with retinal detachment.
2. Following a Transurethral Resection of the Prostate (TURP), a patient has a continuous
bladder irrigation (CBI) system in place. The nurse notes the drainage is bright red with
numerous large clots. Which action is the priority?
A. Decrease the rate of the irrigation fluid
,B. Administer an analgesic for bladder spasms
C. Increase the rate of the irrigation fluid
D. Notify the surgeon immediately for surgical intervention
Answer: C
Conceptual Explanation: In CBI, the rate should be adjusted to keep the output light pink.
Bright red blood with clots indicates active bleeding, and increasing the rate helps prevent
catheter obstruction from clot formation.
3. A patient in the oliguric phase of Acute Kidney Injury (AKI) has a potassium level of 6.8
mEq/L. Which medication should the nurse anticipate administering first to stabilize the
cardiac membrane?
A. Sodium polystyrene sulfonate
B. Regular insulin and D50W
C. Sodium bicarbonate
D. Calcium gluconate
Answer: D
Conceptual Explanation: While insulin and sodium polystyrene sulfonate help lower
potassium levels, calcium gluconate is administered first in severe hyperkalemia to protect
the heart by stabilizing the cardiac cell membrane and preventing arrhythmias.
, 4. A patient has just returned from surgery with a new plaster cast on the right lower leg.
Which nursing intervention is appropriate for cast care?
A. Handle the wet cast with the fingertips to ensure a firm grip
B. Cover the cast with a heavy blanket to keep the limb warm
C. Use the palms of the hands when moving the casted limb
D. Dry the cast quickly using a hairdryer on the high-heat setting
Answer: C
Conceptual Explanation: A wet plaster cast should be handled with the palms of the
hands to prevent indentations that could cause pressure injuries. It should be left
uncovered to air dry, and heat should never be applied.
5. A client is diagnosed with Meniere’s Disease. Which dietary modification should the nurse
emphasize in the teaching plan?
A. Low-sodium diet
B. High-protein diet
C. Restriction of potassium-rich foods
D. Avoidance of gluten-containing grains
Answer: A
