final Nurs 2320 Exam Questions With Complete Solutions
. A child with cystic fibrosis is receiving recombinant human
deoxyribonuclease (rhDNase). This drug:
a.May cause mucus to thicken.
b.May cause voice alterations.
c.Is given subcutaneously.
d.Is not indicated for children younger than 12 years. Correct
Answers b.May cause voice alterations.
. A client has Hodgkin's lymphoma, Ann Arbor stage Ib. For
what manifestations should the nurse assess the client? (Select
all that apply.)
a. Headaches
b. Night sweats
c. Persistent fever
d. Urinary frequency
e. Weight loss Correct Answers b. Night sweats
c. Persistent fever
e. Weight loss
. A nurse assesses clients on the medical-surgical unit. Which
client is at greatest risk for the development of carcinoma of the
liver?
a. A 22-year-old with a history of blunt liver trauma
b. A 48-year-old with a history of diabetes mellitus
c. A 66-year-old who has a history of cirrhosis
d. An 82-year-old who has chronic malnutrition Correct
Answers c. A 66-year-old who has a history of cirrhosis
,. A nurse obtains a client's health history at a community health
clinic. Which statement alerts the nurse to provide health
teaching to this client?
a. "I drink two glasses of red wine each week."
b. "I take a lot of Tylenol for my arthritis pain."
c. "I have a cousin who died of liver cancer."
d. "I got a hepatitis vaccine before traveling." Correct Answers
b. "I take a lot of Tylenol for my arthritis pain."
. The nurse is assessing a patient's differential white blood cell
count. What implications would this test have on evaluating the
adequacy of a patient's gas exchange?
a.
An elevation of the total white cell count indicates generalized
inflammation.
b.
Eosinophil count will assist to identify the presence of a
respiratory infection.
c.
White cell count will differentiate types of respiratory bacteria.
d.
Level of neutrophils provides guidelines to monitor a chronic
infection. Correct Answers a.
An elevation of the total white cell count indicates generalized
inflammation.
A 3-month-old infant is at increased risk for developing anemia.
The nurse would identify which principle contributing to this
risk?
a.
The infant is becoming more active.
,b.
There is an increase in intake of breast milk or formula.
c.
The infant is unable to maintain an adequate iron intake.
d.
A depletion of fetal hemoglobin occurs. Correct Answers d.
A depletion of fetal hemoglobin occurs.
A boy with leukemia screams whenever he needs to be turned or
moved. The most probable cause of this pain is:
a.
Edema.
c.
Petechial hemorrhages.
b.
Bone involvement.
d.
Changes within the muscles. Correct Answers b.
Bone involvement.
A child with cystic fibrosis (CF) receives aerosolized
bronchodilator medication. When should this medication be
administered?
a.Before chest physiotherapy (CPT)
b.Before receiving 100% oxygen
c.After CPT
D.After receiving 100% oxygen Correct Answers a.Before
chest physiotherapy (CPT)
, A client arrives in the emergency department after being in a car
crash with fatalities. The client has a nearly amputated leg that is
bleeding profusely. What action by the nurse takes priority?
a. Apply direct pressure to the bleeding.
b. Ensure the client has a patent airway.
c. Obtain consent for emergency surgery.
d. Start two large-bore IV catheters. Correct Answers b.
Ensure the client has a patent airway.
A client has a brain abscess and is receiving phenytoin
(Dilantin). The spouse questions the use of the drug, saying the
client does not have a seizure disorder. What response by the
nurse is best?
a. "Increased pressure from the abscess can cause seizures."
b. "Preventing febrile seizures with an abscess is important."
c. "Seizures always occur in clients with brain abscesses."
d. "This drug is used to sedate the client with an abscess."
Correct Answers a. "Increased pressure from the abscess can
cause seizures."
A client has a platelet count of 9800/mm3. What action by the
nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective isolation precautions. Correct
Answers b. Instruct the client to call for help to get out of bed.
A client has a traumatic brain injury. The nurse assesses the
following: pulse change from 82 to 60 beats/min, pulse pressure
. A child with cystic fibrosis is receiving recombinant human
deoxyribonuclease (rhDNase). This drug:
a.May cause mucus to thicken.
b.May cause voice alterations.
c.Is given subcutaneously.
d.Is not indicated for children younger than 12 years. Correct
Answers b.May cause voice alterations.
. A client has Hodgkin's lymphoma, Ann Arbor stage Ib. For
what manifestations should the nurse assess the client? (Select
all that apply.)
a. Headaches
b. Night sweats
c. Persistent fever
d. Urinary frequency
e. Weight loss Correct Answers b. Night sweats
c. Persistent fever
e. Weight loss
. A nurse assesses clients on the medical-surgical unit. Which
client is at greatest risk for the development of carcinoma of the
liver?
a. A 22-year-old with a history of blunt liver trauma
b. A 48-year-old with a history of diabetes mellitus
c. A 66-year-old who has a history of cirrhosis
d. An 82-year-old who has chronic malnutrition Correct
Answers c. A 66-year-old who has a history of cirrhosis
,. A nurse obtains a client's health history at a community health
clinic. Which statement alerts the nurse to provide health
teaching to this client?
a. "I drink two glasses of red wine each week."
b. "I take a lot of Tylenol for my arthritis pain."
c. "I have a cousin who died of liver cancer."
d. "I got a hepatitis vaccine before traveling." Correct Answers
b. "I take a lot of Tylenol for my arthritis pain."
. The nurse is assessing a patient's differential white blood cell
count. What implications would this test have on evaluating the
adequacy of a patient's gas exchange?
a.
An elevation of the total white cell count indicates generalized
inflammation.
b.
Eosinophil count will assist to identify the presence of a
respiratory infection.
c.
White cell count will differentiate types of respiratory bacteria.
d.
Level of neutrophils provides guidelines to monitor a chronic
infection. Correct Answers a.
An elevation of the total white cell count indicates generalized
inflammation.
A 3-month-old infant is at increased risk for developing anemia.
The nurse would identify which principle contributing to this
risk?
a.
The infant is becoming more active.
,b.
There is an increase in intake of breast milk or formula.
c.
The infant is unable to maintain an adequate iron intake.
d.
A depletion of fetal hemoglobin occurs. Correct Answers d.
A depletion of fetal hemoglobin occurs.
A boy with leukemia screams whenever he needs to be turned or
moved. The most probable cause of this pain is:
a.
Edema.
c.
Petechial hemorrhages.
b.
Bone involvement.
d.
Changes within the muscles. Correct Answers b.
Bone involvement.
A child with cystic fibrosis (CF) receives aerosolized
bronchodilator medication. When should this medication be
administered?
a.Before chest physiotherapy (CPT)
b.Before receiving 100% oxygen
c.After CPT
D.After receiving 100% oxygen Correct Answers a.Before
chest physiotherapy (CPT)
, A client arrives in the emergency department after being in a car
crash with fatalities. The client has a nearly amputated leg that is
bleeding profusely. What action by the nurse takes priority?
a. Apply direct pressure to the bleeding.
b. Ensure the client has a patent airway.
c. Obtain consent for emergency surgery.
d. Start two large-bore IV catheters. Correct Answers b.
Ensure the client has a patent airway.
A client has a brain abscess and is receiving phenytoin
(Dilantin). The spouse questions the use of the drug, saying the
client does not have a seizure disorder. What response by the
nurse is best?
a. "Increased pressure from the abscess can cause seizures."
b. "Preventing febrile seizures with an abscess is important."
c. "Seizures always occur in clients with brain abscesses."
d. "This drug is used to sedate the client with an abscess."
Correct Answers a. "Increased pressure from the abscess can
cause seizures."
A client has a platelet count of 9800/mm3. What action by the
nurse is most appropriate?
a. Assess the client for calf pain, warmth, and redness.
b. Instruct the client to call for help to get out of bed.
c. Obtain cultures as per the facility's standing policy.
d. Place the client on protective isolation precautions. Correct
Answers b. Instruct the client to call for help to get out of bed.
A client has a traumatic brain injury. The nurse assesses the
following: pulse change from 82 to 60 beats/min, pulse pressure
