NUR1115 FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
A 2 year old child was brought into the emergency
department after ingesting several morphine
tablets from a bottle in his mother's purse. The
nurse knows that the child is at greatest risk for
which acid base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis Correct Answers A.
Respiratory acidosis
A man who was injured six months ago while
serving in the military comes to the emergency
department which complains about feeling sad
about life, and emotionally detached from his
family. He comments that he frequently has
flashbacks of the event that caused his injuries.
The nurse recognizes that these symptoms are
most likely related to;
A. Post traumatic Stress Disorder
B. Identification
C. Regression
D. Developmental crisis Correct Answers A. Post
traumatic Stress Disorder
,A nurse is caring for a 3 year old child who has
prolonged immobilization due to multiple surgeries
and hospitalizations. The parents ask the nurse
why their child cannot do activities, such as putting
a puzzle together like other 3 years. What is the
nurses best response?
a. children who are immobilized commonly have
delayed motor and intellectual skills.
b. you should ask the doctor for a consult with a
phycologist to assess your child's abilities.
c. children who repeatedly receive anesthesia
require a long time to excrete all the medication
and regain normal cognitive function
d. I'm sure that your child does better than you
think with this task Correct Answers a. children
who are immobilized commonly have delayed
motor and intellectual skills.
A nurse is caring for a patient with oxygen via
nasal cannula. Which intervention is most
appropriate to include the patient's plan of care?
a. add humidification when the oxygen flow is 1-2
liters/minute
b. monitor the nostrils and the skin over the ears
for breakdown
c. keep the reservoir bag at least 13/-1/2 full at all
times
,d. remove the nasal cannula while the patient eats
Correct Answers b. monitor the nostrils and the
skin over the ears for breakdown
A nurse is explaining guided imagery to a group of
patients in an outpatient stress reduction class.
Which of the following statements by the nurse
provides the most accurate information?
A. Includes a combination of breathing and muscle
tensing/relaxing that diminishes physiological
tension
B. Is a relax state in which a person actively uses
their imagination to visualize a peaceful setting.
C. Teaches participants how to effectively
communicate your needs and desires to others
D. Helps individuals to identify tasks that are not
necessary and can be delegated to someone else
Correct Answers B. Is a relax state in which a
person actively uses their imagination to visualize
a peaceful setting.
A patient admitted with clinical dehydration is
aggressively rehydrates with sodium free fluids for
a days. Which assessment finding would lead the
nurse to suspect that the patient has developed
hyponatremia ? The patient:
A. Is flush and her skin is dry
B. Complains of a constant headache
, C. Complains of being very thirsty
D. Has a low grade temperature Correct Answers
B. Complains of a constant headache
A patient has a stage III pressure ulcer with yellow
slough and 15% of the wound bed. Which wound
dressing would the nurse suggest to a physician in
order to promote autolytic debridement in this
wound?
a. dry dressing
b. Dakin's solution
c. hydrocolloid
d. wet to dry dressing Correct Answers c.
hydrocolloid
A patient in the ambulatory surgery center is
scheduled for a colonoscopy and is to re receive
conscious sedation. Which effect does the nurse
expect the anesthesia to have on the patient?
A. Loss of sensation below the lumbar spine
B. Immobility
C. Loss of sensation only at the surgical site
D. A depressed level of consciousness Correct
Answers D. A depressed level of consciousness
A patient is brought to the post anesthesia care
unit (PACU) after having his gallbladder removed.
COMPLETE SOLUTIONS
A 2 year old child was brought into the emergency
department after ingesting several morphine
tablets from a bottle in his mother's purse. The
nurse knows that the child is at greatest risk for
which acid base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis Correct Answers A.
Respiratory acidosis
A man who was injured six months ago while
serving in the military comes to the emergency
department which complains about feeling sad
about life, and emotionally detached from his
family. He comments that he frequently has
flashbacks of the event that caused his injuries.
The nurse recognizes that these symptoms are
most likely related to;
A. Post traumatic Stress Disorder
B. Identification
C. Regression
D. Developmental crisis Correct Answers A. Post
traumatic Stress Disorder
,A nurse is caring for a 3 year old child who has
prolonged immobilization due to multiple surgeries
and hospitalizations. The parents ask the nurse
why their child cannot do activities, such as putting
a puzzle together like other 3 years. What is the
nurses best response?
a. children who are immobilized commonly have
delayed motor and intellectual skills.
b. you should ask the doctor for a consult with a
phycologist to assess your child's abilities.
c. children who repeatedly receive anesthesia
require a long time to excrete all the medication
and regain normal cognitive function
d. I'm sure that your child does better than you
think with this task Correct Answers a. children
who are immobilized commonly have delayed
motor and intellectual skills.
A nurse is caring for a patient with oxygen via
nasal cannula. Which intervention is most
appropriate to include the patient's plan of care?
a. add humidification when the oxygen flow is 1-2
liters/minute
b. monitor the nostrils and the skin over the ears
for breakdown
c. keep the reservoir bag at least 13/-1/2 full at all
times
,d. remove the nasal cannula while the patient eats
Correct Answers b. monitor the nostrils and the
skin over the ears for breakdown
A nurse is explaining guided imagery to a group of
patients in an outpatient stress reduction class.
Which of the following statements by the nurse
provides the most accurate information?
A. Includes a combination of breathing and muscle
tensing/relaxing that diminishes physiological
tension
B. Is a relax state in which a person actively uses
their imagination to visualize a peaceful setting.
C. Teaches participants how to effectively
communicate your needs and desires to others
D. Helps individuals to identify tasks that are not
necessary and can be delegated to someone else
Correct Answers B. Is a relax state in which a
person actively uses their imagination to visualize
a peaceful setting.
A patient admitted with clinical dehydration is
aggressively rehydrates with sodium free fluids for
a days. Which assessment finding would lead the
nurse to suspect that the patient has developed
hyponatremia ? The patient:
A. Is flush and her skin is dry
B. Complains of a constant headache
, C. Complains of being very thirsty
D. Has a low grade temperature Correct Answers
B. Complains of a constant headache
A patient has a stage III pressure ulcer with yellow
slough and 15% of the wound bed. Which wound
dressing would the nurse suggest to a physician in
order to promote autolytic debridement in this
wound?
a. dry dressing
b. Dakin's solution
c. hydrocolloid
d. wet to dry dressing Correct Answers c.
hydrocolloid
A patient in the ambulatory surgery center is
scheduled for a colonoscopy and is to re receive
conscious sedation. Which effect does the nurse
expect the anesthesia to have on the patient?
A. Loss of sensation below the lumbar spine
B. Immobility
C. Loss of sensation only at the surgical site
D. A depressed level of consciousness Correct
Answers D. A depressed level of consciousness
A patient is brought to the post anesthesia care
unit (PACU) after having his gallbladder removed.
