NUR 156 Comprehensive Exam || With
Questions & 100% Accurate Answers
laboratory assessment is a subjective way of assessing nutritional status
A: true
B: false - ANSWER - B: false
hair analysis may be helpful in assessing levels of which nutrient?
A: magnesium
B: Zinc
C: Potassium
D: Iodine - ANSWER - B: Zinc
urinary excretion is a good indicator of chronic nutritional status
A: true
B: false - ANSWER - B: false
where is somatic protein found in the body?
A: skeletal muscle
B: organs
C: skin
D: connective tissue - ANSWER - A: skeletal muscle
serum protein lab tests are based on the assumption that decreases in serum protein
indicate decreased production from which organ?
A: kidneys
B: gallbladder
C: liver
D: pancreas - ANSWER - C: liver
which of the following decreases during the acute-phase response (APR)?
A: albumin
B: transferrin
C: retinol-binding protein
D: all of the above - ANSWER - D: all of the above: albumin, transferrin, retinol-binding
protein
which of the following is an example of a positive acute-phase respondent?
A: transthyretin
B: c-reactive protein (CRP)
C: prealbumin
D: all of the above - ANSWER - B: c-reactive protein (CRP)
,prealbumin (transthyretin) transport the thyroid hormone thyroxine (T4) as well as T4-
binding globulin.
A: true
B: false - ANSWER - A: true
which hepatic protein has the shortest half life?
A: albumin
B: prealbumin
C: retinol-binding protein
D: transferrin - ANSWER - C: retinol-binding protein
increased c-reactive protein levels indicate the beginning of the anabolic period of the
inflammatory response.
A: true
B: false - ANSWER - B: false
which of the following is a marker for malabsorption?
A: fecal fat
B: fat-soluble vitamins
C: vitamin D
D: all of the above - ANSWER - D: all of the above: fecal fat, fat-soluble vitamins,
vitamin D
The major electrolytes in the extracellular fluid are ____ and chloride. - ANSWER -
sodium
The primary cause of decreased colloid osmotic pressure is low ____. - ANSWER -
albumin
A nurse is aware that a high phosphorus level is common in clients with ____. -
ANSWER - renal failure
T/F: The nurse knows that a common sign of hyponatremia is altered mental status. -
ANSWER - True
T/F: Hypovolemia is loss of water & electrolytes from the body. - ANSWER - True
The IV fluid of choice for fluid boluses & emergencies is ____. - ANSWER - normal
saline
T/F: A nurse should assess a client with hypervolemia for indicators of hypotension,
oliguria & bradypnea. - ANSWER - False
The primary electrolyte lost with diaphoresis is ____. - ANSWER - sodium
The primary electrolyte lost through the GI tract is ____. - ANSWER - potassium
, T/F: A medication that is commonly given to decrease magnesium in the body is
Calcium Gluconate. - ANSWER - True
Sodium Polystyrene Sulfonate is a binder that is administered to decrease ____ levels
in the body. - ANSWER - potassium
T/F: When monitoring a client's potassium level, the nurse is aware that tall, tented T
waves on a cardiac monitor are indicative of hypokalemia. - ANSWER - False
T/F: One symptom of hypocalcemia is constipation. - ANSWER - False
T/F: A medication given to increase calcium levels is calcitonin. - ANSWER – False
When assessing the patient for pain, which factors should the nurse consider? (Select
all that apply.)
a. Previous medical history
b. Physical appearance
c. Age, gender, and culture
d. Lifestyle and loss of appetite
e. Hair color and style - ANSWER - a, b, c, d
Medical history, physical appearance, age, gender, culture, lifestyle, and loss of appetite
should be considered when conducting a pain assessment. Hair color and style are not
necessary components of a pain assessment.
Which statement best describes the dosage of prescribed pain medication that a nurse
should administer given pharmacologic treatment considerations?
a. The smallest dose possible to avoid opioid addiction
b. The smallest dose possible to decrease adverse effects
c. A dose that best manages pain with fewest side effects
d. A large dose initially to decrease the initial level of pain - ANSWER - c. Based on the
patient's report of pain, the nurse administers the dose of medication that is effective in
relieving pain without causing adverse side effects. Administering too small of a dose
does not relieve pain. Administering a large dose may result in unwanted side effects.
Addiction to narcotics is rare.
Which method is the most accurate way to determine the pain level of a patient who is
alert and oriented?
a. Evaluate whether the patient is crying or grimacing.
b. Assess the patient's heart rate and blood pressure.
c. Consider the seriousness of the patient's condition.
d. Ask the patient to describe the pain and rate its level. - ANSWER - d. Because pain is
defined as what a patient says it is, a patient's report based on the pain scale is
currently the most accurate way to determine the pain level of a cognitively alert patient.
Crying or grimacing may be considered on a noncognitive scale for a nonverbal patient.
Questions & 100% Accurate Answers
laboratory assessment is a subjective way of assessing nutritional status
A: true
B: false - ANSWER - B: false
hair analysis may be helpful in assessing levels of which nutrient?
A: magnesium
B: Zinc
C: Potassium
D: Iodine - ANSWER - B: Zinc
urinary excretion is a good indicator of chronic nutritional status
A: true
B: false - ANSWER - B: false
where is somatic protein found in the body?
A: skeletal muscle
B: organs
C: skin
D: connective tissue - ANSWER - A: skeletal muscle
serum protein lab tests are based on the assumption that decreases in serum protein
indicate decreased production from which organ?
A: kidneys
B: gallbladder
C: liver
D: pancreas - ANSWER - C: liver
which of the following decreases during the acute-phase response (APR)?
A: albumin
B: transferrin
C: retinol-binding protein
D: all of the above - ANSWER - D: all of the above: albumin, transferrin, retinol-binding
protein
which of the following is an example of a positive acute-phase respondent?
A: transthyretin
B: c-reactive protein (CRP)
C: prealbumin
D: all of the above - ANSWER - B: c-reactive protein (CRP)
,prealbumin (transthyretin) transport the thyroid hormone thyroxine (T4) as well as T4-
binding globulin.
A: true
B: false - ANSWER - A: true
which hepatic protein has the shortest half life?
A: albumin
B: prealbumin
C: retinol-binding protein
D: transferrin - ANSWER - C: retinol-binding protein
increased c-reactive protein levels indicate the beginning of the anabolic period of the
inflammatory response.
A: true
B: false - ANSWER - B: false
which of the following is a marker for malabsorption?
A: fecal fat
B: fat-soluble vitamins
C: vitamin D
D: all of the above - ANSWER - D: all of the above: fecal fat, fat-soluble vitamins,
vitamin D
The major electrolytes in the extracellular fluid are ____ and chloride. - ANSWER -
sodium
The primary cause of decreased colloid osmotic pressure is low ____. - ANSWER -
albumin
A nurse is aware that a high phosphorus level is common in clients with ____. -
ANSWER - renal failure
T/F: The nurse knows that a common sign of hyponatremia is altered mental status. -
ANSWER - True
T/F: Hypovolemia is loss of water & electrolytes from the body. - ANSWER - True
The IV fluid of choice for fluid boluses & emergencies is ____. - ANSWER - normal
saline
T/F: A nurse should assess a client with hypervolemia for indicators of hypotension,
oliguria & bradypnea. - ANSWER - False
The primary electrolyte lost with diaphoresis is ____. - ANSWER - sodium
The primary electrolyte lost through the GI tract is ____. - ANSWER - potassium
, T/F: A medication that is commonly given to decrease magnesium in the body is
Calcium Gluconate. - ANSWER - True
Sodium Polystyrene Sulfonate is a binder that is administered to decrease ____ levels
in the body. - ANSWER - potassium
T/F: When monitoring a client's potassium level, the nurse is aware that tall, tented T
waves on a cardiac monitor are indicative of hypokalemia. - ANSWER - False
T/F: One symptom of hypocalcemia is constipation. - ANSWER - False
T/F: A medication given to increase calcium levels is calcitonin. - ANSWER – False
When assessing the patient for pain, which factors should the nurse consider? (Select
all that apply.)
a. Previous medical history
b. Physical appearance
c. Age, gender, and culture
d. Lifestyle and loss of appetite
e. Hair color and style - ANSWER - a, b, c, d
Medical history, physical appearance, age, gender, culture, lifestyle, and loss of appetite
should be considered when conducting a pain assessment. Hair color and style are not
necessary components of a pain assessment.
Which statement best describes the dosage of prescribed pain medication that a nurse
should administer given pharmacologic treatment considerations?
a. The smallest dose possible to avoid opioid addiction
b. The smallest dose possible to decrease adverse effects
c. A dose that best manages pain with fewest side effects
d. A large dose initially to decrease the initial level of pain - ANSWER - c. Based on the
patient's report of pain, the nurse administers the dose of medication that is effective in
relieving pain without causing adverse side effects. Administering too small of a dose
does not relieve pain. Administering a large dose may result in unwanted side effects.
Addiction to narcotics is rare.
Which method is the most accurate way to determine the pain level of a patient who is
alert and oriented?
a. Evaluate whether the patient is crying or grimacing.
b. Assess the patient's heart rate and blood pressure.
c. Consider the seriousness of the patient's condition.
d. Ask the patient to describe the pain and rate its level. - ANSWER - d. Because pain is
defined as what a patient says it is, a patient's report based on the pain scale is
currently the most accurate way to determine the pain level of a cognitively alert patient.
Crying or grimacing may be considered on a noncognitive scale for a nonverbal patient.
