PRN e3 Exam Questions With Complete Solutions
A 65-year-old woman has fallen while sweeping her driveway,
sustaining a tissue injury. She describes her condition as an
aching, throbbing back. This is characteristic of
A. Neuropathic pain.
B. Nociceptive pain.
C. Chronic pain.
D. Mixed pain syndrome. Correct Answer B--Nociceptive pain.
A cardiac patient talks with the nurse about bowel elimination.
The nurse stresses to the patient not to strain during bowel
movements. Straining can put pressure on the vagas nerve and
cause bradycardia. This is known as
A. First-degree heart block.
B. Eupnea.
C. Valsalva maneuver.
D. Tachypnea. Correct Answer The Valsalva maneuver
happens when the cardiac patient strains to have a bowel
movement.
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. The nurse manager should
intervene immediately when the child's nurse:
A. Places a hypothermia blanket at the bedside.
B. Adjusts the bed to the Trendelenburg position.
C. Obtains electronic equipment for monitoring the vital signs.
D. Secures a pump to administer the ordered intravenous fluids.
Correct Answer Adjusts the bed to the Trendelenburg position.
,It is not safe to put the bed in the Trendelenburg position,
because raising the foot increases blood flow to the brain,
thereby increasing intracranial pressure.
A child must experience mobility so he or she can explore and
learn about the world. Immobilization can interfere with
A. Physiologic bonding and growth.
B. Speech and hearing development.
C. Intellectual and psychomotor function.
D. Childhood play interaction. Correct Answer C--Intellectual
and psychomotor function.
A child uses 2- to 4-word sentences. The nurse interprets this
data as expected development for a child the age of
A. 2 months.
B. 1 year.
C. 2 years.
D. 3 years. Correct Answer C--2 years; A child of 2 years is
expected to say several single words and use simple phrases and
2- to 4-word sentences
A client is brought by ambulance to the emergency department
with suspected heat exhaustion. Which temperature
measurement approach should the nurse use to quickly obtain
the client's core temperature?
Axillary
Tympanic membrane
Rectal
Oral Correct Answer tympanic membrane
,A client is experiencing increased urinary urgency and
incontinence. Which medication does the nurse anticipate will
be prescribed for this client?
Diuretic
Cholinergic agent
Antiflatulent
Anticholinergic agent Correct Answer Anticholinergic agent--
Anticholinergics are used to relieve symptoms associated with
voiding in clients who have urge incontinence.
A diabetic patient has proliferative retinopathy, nephropathy,
and peripheral neuropathy. What should the nurse teach this
patient about exercise?
A. "Jogging for 20 minutes 5 to 7 days a week would most
efficiently help you to lose weight."
B. "One hour of vigorous exercise daily is needed to prevent
progression of disease."
C. "Avoid all forms of exercise because of your diabetic
complications."
D. "Swimming or water aerobics 30 minutes each day would be
the safest exercise routine for you." Correct Answer
"Swimming or water aerobics 30 minutes each day would be the
safest exercise routine for you."
A diabetic patient is receiving intravenous insulin. Which
laboratory results should the nurse anticipate as a potential
problem?
A. Serum chloride level of 90 mmol/L.
B. Serum calcium level of 8 mg/dL.
C. Serum sodium level of 132 mmol/L.
, D. Serum potassium level of 2.5 mmol/L. Correct Answer
Serum potassium level of 2.5 mmol/L.
A diabetic patient who is hospitalized asks the nurse what
factors are associated with increased blood glucose levels while
one is in the hospital. Which of the following responses by the
nurse would be appropriate? SATA
A. Blood glucose (sugar) levels may be higher while one is in
the hospital due to the increased amount of rest.
B. Stressors such as illness cause the release of hormones that
increase blood glucose levels.
C. Increased blood glucose levels occur because the kidneys are
not able to metabolize glucose as well during stressful times.
D. A patient's diet is different in the hospital than it is at home,
and that is the most likely cause of the increased glucose levels.
E. Medications such as steroids may increase glucose levels.
Correct Answer A.B.E--Blood glucose (sugar) levels may be
higher while one is in the hospital due to the increased amount
of rest. Stressors such as illness cause the release of hormones
that increase blood glucose levels. Medications such as steroids
may increase glucose levels.
A female client is experiencing problems with urinary
elimination. After an initial assessment interview, the nurse
performs a physical examination. Which specific assessment
will the nurse include?
Perianal assessment
Dietary assessment
Inguinal area assessment
Skin assessment Correct Answer Skin assessment --A focused
nursing assessment of the urinary system includes a skin
A 65-year-old woman has fallen while sweeping her driveway,
sustaining a tissue injury. She describes her condition as an
aching, throbbing back. This is characteristic of
A. Neuropathic pain.
B. Nociceptive pain.
C. Chronic pain.
D. Mixed pain syndrome. Correct Answer B--Nociceptive pain.
A cardiac patient talks with the nurse about bowel elimination.
The nurse stresses to the patient not to strain during bowel
movements. Straining can put pressure on the vagas nerve and
cause bradycardia. This is known as
A. First-degree heart block.
B. Eupnea.
C. Valsalva maneuver.
D. Tachypnea. Correct Answer The Valsalva maneuver
happens when the cardiac patient strains to have a bowel
movement.
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. The nurse manager should
intervene immediately when the child's nurse:
A. Places a hypothermia blanket at the bedside.
B. Adjusts the bed to the Trendelenburg position.
C. Obtains electronic equipment for monitoring the vital signs.
D. Secures a pump to administer the ordered intravenous fluids.
Correct Answer Adjusts the bed to the Trendelenburg position.
,It is not safe to put the bed in the Trendelenburg position,
because raising the foot increases blood flow to the brain,
thereby increasing intracranial pressure.
A child must experience mobility so he or she can explore and
learn about the world. Immobilization can interfere with
A. Physiologic bonding and growth.
B. Speech and hearing development.
C. Intellectual and psychomotor function.
D. Childhood play interaction. Correct Answer C--Intellectual
and psychomotor function.
A child uses 2- to 4-word sentences. The nurse interprets this
data as expected development for a child the age of
A. 2 months.
B. 1 year.
C. 2 years.
D. 3 years. Correct Answer C--2 years; A child of 2 years is
expected to say several single words and use simple phrases and
2- to 4-word sentences
A client is brought by ambulance to the emergency department
with suspected heat exhaustion. Which temperature
measurement approach should the nurse use to quickly obtain
the client's core temperature?
Axillary
Tympanic membrane
Rectal
Oral Correct Answer tympanic membrane
,A client is experiencing increased urinary urgency and
incontinence. Which medication does the nurse anticipate will
be prescribed for this client?
Diuretic
Cholinergic agent
Antiflatulent
Anticholinergic agent Correct Answer Anticholinergic agent--
Anticholinergics are used to relieve symptoms associated with
voiding in clients who have urge incontinence.
A diabetic patient has proliferative retinopathy, nephropathy,
and peripheral neuropathy. What should the nurse teach this
patient about exercise?
A. "Jogging for 20 minutes 5 to 7 days a week would most
efficiently help you to lose weight."
B. "One hour of vigorous exercise daily is needed to prevent
progression of disease."
C. "Avoid all forms of exercise because of your diabetic
complications."
D. "Swimming or water aerobics 30 minutes each day would be
the safest exercise routine for you." Correct Answer
"Swimming or water aerobics 30 minutes each day would be the
safest exercise routine for you."
A diabetic patient is receiving intravenous insulin. Which
laboratory results should the nurse anticipate as a potential
problem?
A. Serum chloride level of 90 mmol/L.
B. Serum calcium level of 8 mg/dL.
C. Serum sodium level of 132 mmol/L.
, D. Serum potassium level of 2.5 mmol/L. Correct Answer
Serum potassium level of 2.5 mmol/L.
A diabetic patient who is hospitalized asks the nurse what
factors are associated with increased blood glucose levels while
one is in the hospital. Which of the following responses by the
nurse would be appropriate? SATA
A. Blood glucose (sugar) levels may be higher while one is in
the hospital due to the increased amount of rest.
B. Stressors such as illness cause the release of hormones that
increase blood glucose levels.
C. Increased blood glucose levels occur because the kidneys are
not able to metabolize glucose as well during stressful times.
D. A patient's diet is different in the hospital than it is at home,
and that is the most likely cause of the increased glucose levels.
E. Medications such as steroids may increase glucose levels.
Correct Answer A.B.E--Blood glucose (sugar) levels may be
higher while one is in the hospital due to the increased amount
of rest. Stressors such as illness cause the release of hormones
that increase blood glucose levels. Medications such as steroids
may increase glucose levels.
A female client is experiencing problems with urinary
elimination. After an initial assessment interview, the nurse
performs a physical examination. Which specific assessment
will the nurse include?
Perianal assessment
Dietary assessment
Inguinal area assessment
Skin assessment Correct Answer Skin assessment --A focused
nursing assessment of the urinary system includes a skin
