NUR 642 Final Questions and Answers
Which of the following RBC indices and laboratory markers are consistent with the diagnosis
of iron-deficiency anemia?
Low MCV
Elevated RDW
Low reticulocyte count
Low iron
Elevated TIBC
Low ferritin
High transferrin
A 68-year-old female patient, who is otherwise healthy, presents complaining of feeling short
of breath and tired during her normal activities. She says all her friends have been telling her
she looks pale lately. Her lungs are clear and she has no history of pulmonary disease. Her HR
is 108 bpm and RR 18 bpm. You suspect which of the following is the problem?
Blood loss
Based on the current clinical practice guidelines for treatment of acute sinusitis, which is the
first line antibiotic therapy for patients with acute bacterial sinusitis?
Augmentin (amoxicillin-clavulanic acid)
A nurse is assigned to care for a client admitted for treatment of cholecystitis. The nurse
would expect the client's history to include intolerance to which of the following?
Fatty foods
An 18-year-old female arrives at the office with UTI like symptoms. Which of the following
accounts for 80-90% of UTIs in non-pregnant women?
Escherichia Coli
, An elderly patient presents with complaining of urinary incontinence, which worsens when
she sneezes, coughs, or laughs. She is wondering which causes this and asks about treatment
options. A patient with weak pelvic-floor muscles is at risk for which type of incontinence?
Stress
An 81-year-old male patient is admitted to the hospital for treatment of community acquired
pneumonia. Prior to admission, he was semi-independent in his activities of daily living and
lived at home with his daughter and her family. His family suspects he may have mild
dementia since he seems to be more forgetful than in the past. During his hospitalization, he
had periods of confusion and combativity that are significantly different from his baseline,
particularly at night. There are times when he is lucid and appears to be at his baseline. What
differentiates delirium from dementia?
Reversibility
When examining the ears of an adult client, the nurse practitioner determines that the
tympanic membrane is gray and translucent. This is interpreted as:
Normal characteristics of the adult ear
A client with acute pancreatitis is admitted with nausea, vomiting, and epigastric pain.
Assessment reveals HR 110 bpm, temperature 100, and elevated serum amylase and lipase
levels. Which of the following interventions does the nurse anticipate?
IV hydration with isotonic crystalloid solution
IV opioid analgesic
A nurse is assigned to a client admitted to the ED with a suspected diagnosis of acute
pancreatitis. Which region will most likely be painful for this client?
Epigastric pain that radiates to the back
What kind of anemia would a patient with a GFR < 30 mL/min be at risk of?
Anemia of chronic disease
Which of the following RBC indices and laboratory markers are consistent with the diagnosis
of iron-deficiency anemia?
Low MCV
Elevated RDW
Low reticulocyte count
Low iron
Elevated TIBC
Low ferritin
High transferrin
A 68-year-old female patient, who is otherwise healthy, presents complaining of feeling short
of breath and tired during her normal activities. She says all her friends have been telling her
she looks pale lately. Her lungs are clear and she has no history of pulmonary disease. Her HR
is 108 bpm and RR 18 bpm. You suspect which of the following is the problem?
Blood loss
Based on the current clinical practice guidelines for treatment of acute sinusitis, which is the
first line antibiotic therapy for patients with acute bacterial sinusitis?
Augmentin (amoxicillin-clavulanic acid)
A nurse is assigned to care for a client admitted for treatment of cholecystitis. The nurse
would expect the client's history to include intolerance to which of the following?
Fatty foods
An 18-year-old female arrives at the office with UTI like symptoms. Which of the following
accounts for 80-90% of UTIs in non-pregnant women?
Escherichia Coli
, An elderly patient presents with complaining of urinary incontinence, which worsens when
she sneezes, coughs, or laughs. She is wondering which causes this and asks about treatment
options. A patient with weak pelvic-floor muscles is at risk for which type of incontinence?
Stress
An 81-year-old male patient is admitted to the hospital for treatment of community acquired
pneumonia. Prior to admission, he was semi-independent in his activities of daily living and
lived at home with his daughter and her family. His family suspects he may have mild
dementia since he seems to be more forgetful than in the past. During his hospitalization, he
had periods of confusion and combativity that are significantly different from his baseline,
particularly at night. There are times when he is lucid and appears to be at his baseline. What
differentiates delirium from dementia?
Reversibility
When examining the ears of an adult client, the nurse practitioner determines that the
tympanic membrane is gray and translucent. This is interpreted as:
Normal characteristics of the adult ear
A client with acute pancreatitis is admitted with nausea, vomiting, and epigastric pain.
Assessment reveals HR 110 bpm, temperature 100, and elevated serum amylase and lipase
levels. Which of the following interventions does the nurse anticipate?
IV hydration with isotonic crystalloid solution
IV opioid analgesic
A nurse is assigned to a client admitted to the ED with a suspected diagnosis of acute
pancreatitis. Which region will most likely be painful for this client?
Epigastric pain that radiates to the back
What kind of anemia would a patient with a GFR < 30 mL/min be at risk of?
Anemia of chronic disease
