NURS 225 - Evolve (Exam 1) UPDATED
ACTUAL Exam Questions and CORRECT
Answers
The nurse is inspecting a client's abdominal incision the day after surgery. What does the nurse
expect to observe? - CORRECT ANSWER -Inflammation
A client has a low pH of urine and stomach contents. How should the nurse interpret these
findings? - CORRECT ANSWER -The FIRST line of defense is working
An older adult client had a myocardial infarction yesterday. The client asks, "I understand that
part of my heart muscle is dead, but will it grow back?" What is the best response by the nurse? -
CORRECT ANSWER -"No, but it will heal by forming a scar where the heart muscle
died."
A client has a chronic infection of Listeria that the body cannot fight. Which pathophysiologic
process should the nurse monitor for in this client? - CORRECT ANSWER -Granuloma
A nurse is teaching a health and wellness class about relaxation techniques to reduce stress.
Which techniques should the nurse include? Select all that apply. - CORRECT
ANSWER -Imagery, massage, meditation, biofeedback
A nurse is asked what the difference is between monocytes and macrophages. How should the
nurse respond? - CORRECT ANSWER -Monocytes circulate in the blood, macrophages
are found in tissues
What is a client's first line of defense against infection? - CORRECT ANSWER -
Epithelial cell-derived chemicals
Which laboratory test result will the nurse expect to find in a client with acute inflammation? -
CORRECT ANSWER -Leukocytosis
,When a client is stressed, which immune response can the nurse expect? - CORRECT
ANSWER -Th2 shift
Which findings will the nurse observe in a client with local inflammation of the eye? Select all
that apply. - CORRECT ANSWER -Redness, edema
When should the nurse chart that the client has serous exudate? - CORRECT ANSWER -
When watery exudate, containing few cells and not much protein occurs
The nurse is assessing a client and recognizes which behaviors as an indication of allostatic
overload? Select all that apply. - CORRECT ANSWER -Waking up frequently during the
night; Turning down invitations to dine with friends;
Increasing the number of calories consumed each day
A client has a low pH of urine and stomach contents. How should the nurse interpret these
findings? - CORRECT ANSWER -The first line of defense is working
Several days before abdominal surgery, the client experiences nausea and vomiting and is unable
to eat any food. The nurse closely monitors this client's wound healing after surgery. What is the
rationale for the nurse's actions? - CORRECT ANSWER -Malnutrition causes reduced
tensile strength.
Which information from the client indicates successful teaching by the nurse about the
parasympathetic system? - CORRECT ANSWER -It slows the heart rate
A nurse is describing phagocytosis. In the figure, which step indicates fusion of the phagosome
with lysosome granules? - CORRECT ANSWER -Step 3
An individual has been suffering from sleep deprivation secondary to worrying about an
impending divorce. This individual begins to suffer from an increased evening appetite, which
, eventually leads to increased caloric intake. What is this individual experiencing? - CORRECT
ANSWER -Allostatic overload
When a client's mast cells degranulate, which substance is released? - CORRECT
ANSWER -Histamine
A client has a physiologic response derived from psychologic stressors. Which term should the
nurse use to describe this process? - CORRECT ANSWER -Reactive response
A nurse is teaching about examples of granulocytes. Which cellular class should the nurse
include? - CORRECT ANSWER -Basophils
A nurse is asked by a coworker what an immature macrophage is called. How should the nurse
respond? - CORRECT ANSWER -Monocyte
The nurse is evaluating the education provided to a client about the effects of psychological
stress and heart disease. Which information from the client indicates the nurse needs to follow
up? - CORRECT ANSWER -"I will eventually adapt to long-term psychological stress
without any health problems."
A client has an inflammatory response. Upon assessment, the nurse finds edema in the client's
foot. What caused the edema? - CORRECT ANSWER -Vascular permeability
A client has an injury to the left leg. Which phagocytes will help the client in the early stage of
inflammation? - CORRECT ANSWER -Neutrophils
Which information from the staff indicates successful teaching by the nurse for cytokines? -
CORRECT ANSWER -They include interleukins and interferons.
A nurse is teaching a client about catecholamines. Which information should the nurse include in
the teaching session? - CORRECT ANSWER -They are synthesized in the brain.
ACTUAL Exam Questions and CORRECT
Answers
The nurse is inspecting a client's abdominal incision the day after surgery. What does the nurse
expect to observe? - CORRECT ANSWER -Inflammation
A client has a low pH of urine and stomach contents. How should the nurse interpret these
findings? - CORRECT ANSWER -The FIRST line of defense is working
An older adult client had a myocardial infarction yesterday. The client asks, "I understand that
part of my heart muscle is dead, but will it grow back?" What is the best response by the nurse? -
CORRECT ANSWER -"No, but it will heal by forming a scar where the heart muscle
died."
A client has a chronic infection of Listeria that the body cannot fight. Which pathophysiologic
process should the nurse monitor for in this client? - CORRECT ANSWER -Granuloma
A nurse is teaching a health and wellness class about relaxation techniques to reduce stress.
Which techniques should the nurse include? Select all that apply. - CORRECT
ANSWER -Imagery, massage, meditation, biofeedback
A nurse is asked what the difference is between monocytes and macrophages. How should the
nurse respond? - CORRECT ANSWER -Monocytes circulate in the blood, macrophages
are found in tissues
What is a client's first line of defense against infection? - CORRECT ANSWER -
Epithelial cell-derived chemicals
Which laboratory test result will the nurse expect to find in a client with acute inflammation? -
CORRECT ANSWER -Leukocytosis
,When a client is stressed, which immune response can the nurse expect? - CORRECT
ANSWER -Th2 shift
Which findings will the nurse observe in a client with local inflammation of the eye? Select all
that apply. - CORRECT ANSWER -Redness, edema
When should the nurse chart that the client has serous exudate? - CORRECT ANSWER -
When watery exudate, containing few cells and not much protein occurs
The nurse is assessing a client and recognizes which behaviors as an indication of allostatic
overload? Select all that apply. - CORRECT ANSWER -Waking up frequently during the
night; Turning down invitations to dine with friends;
Increasing the number of calories consumed each day
A client has a low pH of urine and stomach contents. How should the nurse interpret these
findings? - CORRECT ANSWER -The first line of defense is working
Several days before abdominal surgery, the client experiences nausea and vomiting and is unable
to eat any food. The nurse closely monitors this client's wound healing after surgery. What is the
rationale for the nurse's actions? - CORRECT ANSWER -Malnutrition causes reduced
tensile strength.
Which information from the client indicates successful teaching by the nurse about the
parasympathetic system? - CORRECT ANSWER -It slows the heart rate
A nurse is describing phagocytosis. In the figure, which step indicates fusion of the phagosome
with lysosome granules? - CORRECT ANSWER -Step 3
An individual has been suffering from sleep deprivation secondary to worrying about an
impending divorce. This individual begins to suffer from an increased evening appetite, which
, eventually leads to increased caloric intake. What is this individual experiencing? - CORRECT
ANSWER -Allostatic overload
When a client's mast cells degranulate, which substance is released? - CORRECT
ANSWER -Histamine
A client has a physiologic response derived from psychologic stressors. Which term should the
nurse use to describe this process? - CORRECT ANSWER -Reactive response
A nurse is teaching about examples of granulocytes. Which cellular class should the nurse
include? - CORRECT ANSWER -Basophils
A nurse is asked by a coworker what an immature macrophage is called. How should the nurse
respond? - CORRECT ANSWER -Monocyte
The nurse is evaluating the education provided to a client about the effects of psychological
stress and heart disease. Which information from the client indicates the nurse needs to follow
up? - CORRECT ANSWER -"I will eventually adapt to long-term psychological stress
without any health problems."
A client has an inflammatory response. Upon assessment, the nurse finds edema in the client's
foot. What caused the edema? - CORRECT ANSWER -Vascular permeability
A client has an injury to the left leg. Which phagocytes will help the client in the early stage of
inflammation? - CORRECT ANSWER -Neutrophils
Which information from the staff indicates successful teaching by the nurse for cytokines? -
CORRECT ANSWER -They include interleukins and interferons.
A nurse is teaching a client about catecholamines. Which information should the nurse include in
the teaching session? - CORRECT ANSWER -They are synthesized in the brain.
