NUR 445 EXAM 3 COMPREHENSIVE REVIEW PRACTICE QUESTIONS WITH
DETAILED ANSWERS
A client is hospitalized in ICU after a drug overdose. Which statement would the nurse interpret
as indicating the client has normal mentation? (Select all that apply.)
1. "Which part of the hospital am I in?"
2. "I just want to die."
3. "I should have swallowed the pills with bourbon."
4. "Get that cat out of here."
5. "My feet are cold."
Answer: 1, 2, 3, 5
A client reports feeling very anxious and not being able to sleep. The nurse anticipates initially
administering a drug from which class to treat these disorders?
1. Opiate narcotics
2. Benzodiazepines
3. Antidepressants
4. Neuromuscular blockers
Answer: 2
The nurse is writing a plan of care for a patient who was just admitted with acute pancreatitis.
The nurse would include monitoring for which major pulmonary complications? (Select all that
apply.)
1. Influenza
2. Pleural effusion
3. Hypoxia
4. Respiratory failure
5. Pneumonia
Answer: 2, 3, 4, 5
The nurse closely observes a patient admitted with acute pancreatitis for respiratory
complications related to ineffectiveness of breathing pattern. Which situations will increase the
patient's risk for this problem? (Select all that apply.)
1. The patient's abdominal pain is severe and difficult to manage.
2. The patient has a history of hepatitis C.
3. The patient is taking opioids for pain relief.
4. The patient's diaphragmatic excursion is diminished.
5. The patient's position of comfort is sitting up in bed.
Answer: 1, 3, 4
The nurse is concerned that a patient diagnosed with pancreatitis may be developing
hypocalcemia. How would the nurse perform Chvostek's sign to check for this complication?
1. Tap the patient's facial nerve in front of the ear.
2. Perform deep palpation over the lower half of the patient's abdomen.
3. Inflate a blood pressure cuff placed on the patient's upper arm.
4. Check for a bluish discoloration on the flank.
, Answer: 1
A patient who has been diagnosed with acute pancreatitis states, "I'm not a drinker and I have
never had problems with my gallbladder. Why did I end up having a problem with my
pancreas?" The nurse should consider which other etiologies for pancreatitis before responding?
1. Using chewing tobacco
2. Taking some prescription medications
3. Being significantly underweight
4. Drinking large amounts of carbonated beverages
Answer: 2
A patient who was admitted for treatment of pancreatitis 3 days ago continues to have very
severe pain and nausea. An MRI done today reveals a pancreatic abscess. How does the nurse
interpret this information?
1. The patient will be taken off the proton pump inhibitor.
2. This patient's risk for death is greatly increased.
3. After the abscess is drained, the patient will recover quickly.
4. A pseudocyst is likely also present.
Answer: 2
A patient's burned arm is erythematous and blistered. Capillary refill is brisk and the patient
complains of severe pain. How should the nurse document this burn?
1. Full-thickness
2. Superficial partial-thickness
3. Deep partial-thickness
4. First-degree
Answer: 2
Which assessment finding is most important for the nurse to monitor during initial fluid
resuscitation of a seriously burned patient?
1. Hemoglobin
2. Pain level
3. Thirst
4. Urine output
Answer: 4
A severely burned patient is now in the acute rehabilitative phase of burn care. How can the
nurse help to minimize psychological and emotional problems in this patient?
1. Involve the patient in self-care activities as soon as medically feasible.
2. Keep the patient sedated as long as possible while healing continues.
3. Shelter the patient from any negative interactions about the future.
4. Do not allow mirrors on the burn rehabilitation unit.
Answer: 1
A client with type 1 diabetes is admitted for treatment of influenza. The client is hypotensive and
very weak. Which serum glucose level would suggest that this client is in diabetic ketoacidosis?
DETAILED ANSWERS
A client is hospitalized in ICU after a drug overdose. Which statement would the nurse interpret
as indicating the client has normal mentation? (Select all that apply.)
1. "Which part of the hospital am I in?"
2. "I just want to die."
3. "I should have swallowed the pills with bourbon."
4. "Get that cat out of here."
5. "My feet are cold."
Answer: 1, 2, 3, 5
A client reports feeling very anxious and not being able to sleep. The nurse anticipates initially
administering a drug from which class to treat these disorders?
1. Opiate narcotics
2. Benzodiazepines
3. Antidepressants
4. Neuromuscular blockers
Answer: 2
The nurse is writing a plan of care for a patient who was just admitted with acute pancreatitis.
The nurse would include monitoring for which major pulmonary complications? (Select all that
apply.)
1. Influenza
2. Pleural effusion
3. Hypoxia
4. Respiratory failure
5. Pneumonia
Answer: 2, 3, 4, 5
The nurse closely observes a patient admitted with acute pancreatitis for respiratory
complications related to ineffectiveness of breathing pattern. Which situations will increase the
patient's risk for this problem? (Select all that apply.)
1. The patient's abdominal pain is severe and difficult to manage.
2. The patient has a history of hepatitis C.
3. The patient is taking opioids for pain relief.
4. The patient's diaphragmatic excursion is diminished.
5. The patient's position of comfort is sitting up in bed.
Answer: 1, 3, 4
The nurse is concerned that a patient diagnosed with pancreatitis may be developing
hypocalcemia. How would the nurse perform Chvostek's sign to check for this complication?
1. Tap the patient's facial nerve in front of the ear.
2. Perform deep palpation over the lower half of the patient's abdomen.
3. Inflate a blood pressure cuff placed on the patient's upper arm.
4. Check for a bluish discoloration on the flank.
, Answer: 1
A patient who has been diagnosed with acute pancreatitis states, "I'm not a drinker and I have
never had problems with my gallbladder. Why did I end up having a problem with my
pancreas?" The nurse should consider which other etiologies for pancreatitis before responding?
1. Using chewing tobacco
2. Taking some prescription medications
3. Being significantly underweight
4. Drinking large amounts of carbonated beverages
Answer: 2
A patient who was admitted for treatment of pancreatitis 3 days ago continues to have very
severe pain and nausea. An MRI done today reveals a pancreatic abscess. How does the nurse
interpret this information?
1. The patient will be taken off the proton pump inhibitor.
2. This patient's risk for death is greatly increased.
3. After the abscess is drained, the patient will recover quickly.
4. A pseudocyst is likely also present.
Answer: 2
A patient's burned arm is erythematous and blistered. Capillary refill is brisk and the patient
complains of severe pain. How should the nurse document this burn?
1. Full-thickness
2. Superficial partial-thickness
3. Deep partial-thickness
4. First-degree
Answer: 2
Which assessment finding is most important for the nurse to monitor during initial fluid
resuscitation of a seriously burned patient?
1. Hemoglobin
2. Pain level
3. Thirst
4. Urine output
Answer: 4
A severely burned patient is now in the acute rehabilitative phase of burn care. How can the
nurse help to minimize psychological and emotional problems in this patient?
1. Involve the patient in self-care activities as soon as medically feasible.
2. Keep the patient sedated as long as possible while healing continues.
3. Shelter the patient from any negative interactions about the future.
4. Do not allow mirrors on the burn rehabilitation unit.
Answer: 1
A client with type 1 diabetes is admitted for treatment of influenza. The client is hypotensive and
very weak. Which serum glucose level would suggest that this client is in diabetic ketoacidosis?
