FULL NUR 2502: ACTUAL MULTIDIMENSIONAL CARE
4 FINAL EXAM (WELL STRUCTURED Q&A 100%
SOLVED) FREQUENTLY TESTED VERIFIED EXAM
ALREADY GRADED A+ |100+ QUESTIONS
1. (correct) Which of the following describes the process of initial surveillance of
victims injury severity when administering first aid in an emergency situation?
a. The Good Samaritan law
b. an emergency interview
c. Triage p. 151 A key process in any multi-casualty or mass casualty response is effective triage to rapidly
sort ill or injured patients into priority categories based on their acuity and survival potential.
d. taking vital signs
2. (CORRECT) The nurse reminds a group of certified nursing assistants (CNA) that for a
client with an elevated temperature, the quickest and simplest technique to reduce a
temperature is which of the following?
a. Apply cool wash cloth to forehead
b. bathe in tepid water
c. remove clothing and bed linen- dumb but I think this is the right answer…
watched another review that said this exactly- BR
d. give chilled drinks- don’t want to give them drinks cuz they could aspirate
3. (CORRECT) Which time of the day should the nurse encourage a client with Parkinson's
disease to schedule the most demanding physical activities to minimize the effects of
hypokinesia?
a. early in the morning when the clients energy level is high
b. to coincide with the peak action of drug therapy
c. immediately after a rest period
d. When family members will be available
4. (correct) A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines
that the drug is effective with which of the following outcomes
a. Induces sleep
b. stimulates the client’s appetite
c. relieve muscular spasticity
d. reduces the urine bacterial count
5.(correct) the nurse is caring for several clients on the Burn Unit who have sustained
, extensive tissue damage. The nurse should monitor for which electrolyte imbalance
that is typically associated with initial third spacing fluid shift?
a. Hypercalcemia
b. Hypernatremia
c. Hyperkalemia p. 485 --- hyperkalemia, hyponatremia, metabolic acidosis, hypovolemia
d. Hypokalemia
6. (correct) When taking a client's vital signs on the first postoperative day, the unlicensed
assistive Personnel reports to the nurse that the oral temperature is 100 degrees. After
encouraging the clients use the incentive spirometer, the nurse should delegate which
activity to the UAP?
a. Apply a ice caps the clients forehead
b. bathe the client with cool water
c. place a hyperthermia blanket on the client's bed
d. continue to monitor the clients temperature
7. (correct) the nurse is assessing a client with multiple traumas who is at risk for
developing acute respiratory distress syndrome(ARDS). the nurse assesses for which
earliest sign of acute respiratory distress syndrome?
a. Bilateral wheezing
b. inspiratory crackles
c. intercostal retractions
d. increased respiratory rate
8. (correct) A client has a jackson-pratt drainage tube in place the first day after surgical
repair of a ruptured diverticula. The client asks the nurse the purpose of the drains.
What is the nurses best response? The drainage tube is used to prevent”:
a. infection in the peritoneal cavity- Okay so fitz week 4 lecture 1hr 56 minutes in
mentions it removes fluid to lower chances of infection
b. Bleeding into the peritoneal cavity---ATI Med-Surg pg356 prevents accumulation
of fluid in the gallbladder bed.
c. Pressure on the bladder
d. Pressure on the gallbladder
10. (correct) An emergency department charge nurse notes an increase in sick calls and
bickering among the staff after a week with multiple trauma incidents. What action would
the nurse take?
a. Organize a pizza party for each shift
b. Remind the staff of the facilities sick leave policy
c. Arrange for critical incident stress debriefing
d. Talk individually with staff members
11. (correct) The nurse is assessing a client for decorticate posturing. What should the
nurse assess the client for?
a. Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
, b. Back hunched over and rigid flexion of all four extremities with supination of arms
and plantar flexion of feet
c. Supination of arms and dorsiflexion of the feet
d. Back arched and rigid extension of all four extremities
12. (Correct) A client with a serious head injury with increased intracranial pressure is to
be discharged to a rehabilitation facility. Which outcome of rehab would be appropriate
for the client? The client will:
a. Exhibit no further episodes of short-term memory loss
b. Be able to return to his construction job in 3 weeks
c. Actively participate in the rehabilitation process as appropriate
d. Be emotionally stable and display preinjury personality traits.
13. (correct) Which findings will the nurse observe in the client in the ictal phase of
generalized tonic-clonic seizure?
a. Jerking in one extremity that spreads gradually to adjacent areas
b. Vacant staring and abruptly ceasing all activity
c. Facial grimaces, patting motions, and lip-smacking
d. Loss of consciousness, body stiffening, and violent muscle contractions
14. (correct)The nurse is aware that the treatment for frostbite includes the
following: (SATA)
Vigorously rubbing the hands in fingers to reestablish circulation
Immersion of hands and feet in warm water – NOT HOT WATER
Tightly wrapping hands in mitten-like dressings to retain warmth - loosely wrap
Administering opioids to reduce pain
Elevating the affected limbs pg 144 - reduces swelling
15.(correct) A nurse is caring for several clients at risk for shock. Which laboratory values
requires the nurse to communicate with the healthcare provider?
a. Creatinine: 0.9 mg/dL -normal
b. Lactate: 54 mg/dL - high (4.5-19.8 is normal)
c. Sodium: 145 mEq/L -normal
d. White Blood cell count: 11,000/mm3 -slightly high
16. (correct) A nurse caring for a client notes the following assessments: white blood cell
count 3800/mm3, blood glucose level 198 mg/dL, and temperature 96.2f. What action
by the nurse takes priority?
a. Document the findings in the client's chart
b. Give the client warmed blankets for comfort
c. Notify the health care provider immediately
d. Prepare to administer insulin per sliding scale
17. (correct) During the first 24 hours after thrombolytic treatment for an ischemic stroke,
4 FINAL EXAM (WELL STRUCTURED Q&A 100%
SOLVED) FREQUENTLY TESTED VERIFIED EXAM
ALREADY GRADED A+ |100+ QUESTIONS
1. (correct) Which of the following describes the process of initial surveillance of
victims injury severity when administering first aid in an emergency situation?
a. The Good Samaritan law
b. an emergency interview
c. Triage p. 151 A key process in any multi-casualty or mass casualty response is effective triage to rapidly
sort ill or injured patients into priority categories based on their acuity and survival potential.
d. taking vital signs
2. (CORRECT) The nurse reminds a group of certified nursing assistants (CNA) that for a
client with an elevated temperature, the quickest and simplest technique to reduce a
temperature is which of the following?
a. Apply cool wash cloth to forehead
b. bathe in tepid water
c. remove clothing and bed linen- dumb but I think this is the right answer…
watched another review that said this exactly- BR
d. give chilled drinks- don’t want to give them drinks cuz they could aspirate
3. (CORRECT) Which time of the day should the nurse encourage a client with Parkinson's
disease to schedule the most demanding physical activities to minimize the effects of
hypokinesia?
a. early in the morning when the clients energy level is high
b. to coincide with the peak action of drug therapy
c. immediately after a rest period
d. When family members will be available
4. (correct) A client with multiple sclerosis(MS) is receiving baclofen. The nurse determines
that the drug is effective with which of the following outcomes
a. Induces sleep
b. stimulates the client’s appetite
c. relieve muscular spasticity
d. reduces the urine bacterial count
5.(correct) the nurse is caring for several clients on the Burn Unit who have sustained
, extensive tissue damage. The nurse should monitor for which electrolyte imbalance
that is typically associated with initial third spacing fluid shift?
a. Hypercalcemia
b. Hypernatremia
c. Hyperkalemia p. 485 --- hyperkalemia, hyponatremia, metabolic acidosis, hypovolemia
d. Hypokalemia
6. (correct) When taking a client's vital signs on the first postoperative day, the unlicensed
assistive Personnel reports to the nurse that the oral temperature is 100 degrees. After
encouraging the clients use the incentive spirometer, the nurse should delegate which
activity to the UAP?
a. Apply a ice caps the clients forehead
b. bathe the client with cool water
c. place a hyperthermia blanket on the client's bed
d. continue to monitor the clients temperature
7. (correct) the nurse is assessing a client with multiple traumas who is at risk for
developing acute respiratory distress syndrome(ARDS). the nurse assesses for which
earliest sign of acute respiratory distress syndrome?
a. Bilateral wheezing
b. inspiratory crackles
c. intercostal retractions
d. increased respiratory rate
8. (correct) A client has a jackson-pratt drainage tube in place the first day after surgical
repair of a ruptured diverticula. The client asks the nurse the purpose of the drains.
What is the nurses best response? The drainage tube is used to prevent”:
a. infection in the peritoneal cavity- Okay so fitz week 4 lecture 1hr 56 minutes in
mentions it removes fluid to lower chances of infection
b. Bleeding into the peritoneal cavity---ATI Med-Surg pg356 prevents accumulation
of fluid in the gallbladder bed.
c. Pressure on the bladder
d. Pressure on the gallbladder
10. (correct) An emergency department charge nurse notes an increase in sick calls and
bickering among the staff after a week with multiple trauma incidents. What action would
the nurse take?
a. Organize a pizza party for each shift
b. Remind the staff of the facilities sick leave policy
c. Arrange for critical incident stress debriefing
d. Talk individually with staff members
11. (correct) The nurse is assessing a client for decorticate posturing. What should the
nurse assess the client for?
a. Internal rotation and adduction of arms with flexion of elbows, wrists, and fingers
, b. Back hunched over and rigid flexion of all four extremities with supination of arms
and plantar flexion of feet
c. Supination of arms and dorsiflexion of the feet
d. Back arched and rigid extension of all four extremities
12. (Correct) A client with a serious head injury with increased intracranial pressure is to
be discharged to a rehabilitation facility. Which outcome of rehab would be appropriate
for the client? The client will:
a. Exhibit no further episodes of short-term memory loss
b. Be able to return to his construction job in 3 weeks
c. Actively participate in the rehabilitation process as appropriate
d. Be emotionally stable and display preinjury personality traits.
13. (correct) Which findings will the nurse observe in the client in the ictal phase of
generalized tonic-clonic seizure?
a. Jerking in one extremity that spreads gradually to adjacent areas
b. Vacant staring and abruptly ceasing all activity
c. Facial grimaces, patting motions, and lip-smacking
d. Loss of consciousness, body stiffening, and violent muscle contractions
14. (correct)The nurse is aware that the treatment for frostbite includes the
following: (SATA)
Vigorously rubbing the hands in fingers to reestablish circulation
Immersion of hands and feet in warm water – NOT HOT WATER
Tightly wrapping hands in mitten-like dressings to retain warmth - loosely wrap
Administering opioids to reduce pain
Elevating the affected limbs pg 144 - reduces swelling
15.(correct) A nurse is caring for several clients at risk for shock. Which laboratory values
requires the nurse to communicate with the healthcare provider?
a. Creatinine: 0.9 mg/dL -normal
b. Lactate: 54 mg/dL - high (4.5-19.8 is normal)
c. Sodium: 145 mEq/L -normal
d. White Blood cell count: 11,000/mm3 -slightly high
16. (correct) A nurse caring for a client notes the following assessments: white blood cell
count 3800/mm3, blood glucose level 198 mg/dL, and temperature 96.2f. What action
by the nurse takes priority?
a. Document the findings in the client's chart
b. Give the client warmed blankets for comfort
c. Notify the health care provider immediately
d. Prepare to administer insulin per sliding scale
17. (correct) During the first 24 hours after thrombolytic treatment for an ischemic stroke,
