NMNC 4310 Exam 2 Questions With Complete Solutions
A charge nurse is reviewing Kubler-Ross: Five Stages of Grief
with a group of newly licensed nurses. Which of the following
stages should the charge nurse include in the teaching? Select all
that apply.
a. Disequilibrium
b. Denial
c. Bargaining
d. Anger
e. Depression Correct Answers b. Denial
c. Bargaining
d. Anger
e. Depression
A client with acquired immunodeficiency syndrome is admitted
with Pneumocystis jiroveci pneumonia. Which medication
would the nurse expect to be prescribed?
a. Vancomycin
b. trimethoprim/sulfamethoxazole (Bactrim)
c. Enoxaparin
d. Methylprednisolone Correct Answers b.
trimethoprim/sulfamethoxazole (Bactrim)
A nurse is caring for a client who has major depressive disorder.
Which of the following should the nurse identify as a risk factor
for depression? (Select all that apply.)
a. Male sex
b. History of chronic bronchitis
c. Recent death in client's family
d. Family history of depression
,e. Personal history of panic disorder Correct Answers b.
History of chronic bronchitis
c. Recent death in client's family
d. Family history of depression
e. Personal history of panic disorder
A nurse is caring for a client who lost a guardian to cancer last
month. The client states, "I'd still have my guardian if the doctor
would have made a diagnosis sooner." Which of the following
responses should the nurse make?
a. "You sound angry. Anger is a normal feeling associated with
loss."
b. "I think you would feel better if you talked about your
feelings with a support group."
c. "I understand just how you feel. I felt the same when my
guardian died."
d. "Do other members of your family also feel this way?"
Correct Answers a. "You sound angry. Anger is a normal
feeling associated with loss."
A nurse is discussing normal grief with a client who recently
lost a child. Which of the following statements made by the
client indicates understanding. Select all that apply.
a. "I may experience feelings of resentment."
b. "I will probably withdraw from others."
c. "I can expect to experience changes in sleep."
d. "It is possible that I will experience suicidal thoughts."
e. "It is expected that I will have a loss of self-esteem." Correct
Answers a. "I may experience feelings of resentment."
b. "I will probably withdraw from others."
c. "I can expect to experience changes in sleep."
,A nurse is working with a client who has recently lost a
guardian. The nurse recognizes that which of the following
factors influence a client's grief and coping ability? Select all
that apply.
a. Interpersonal relationships
b. Culture
c. Birth order
d. Religious beliefs
e. Prior experience with loss Correct Answers a. Interpersonal
relationships
b. Culture
d. Religious beliefs
e. Prior experience with loss
A patient is undergoing plasmapheresis for treatment of
systemic lupus erythematosus. The nurse explains that
plasmapheresis is used in treatment to?
a. remove T lymphocytes in her blood that are producing
antinuclear antibodies.
b. remove normal particles in her blood that are being damaged
by autoantibodies.
c. exchange her plasma that contains antinuclear antibodies with
a substitute fluid.
d. replace viral-damaged cellular components of her blood with
replacement whole blood. Correct Answers c. exchange her
plasma that contains antinuclear antibodies with a substitute
fluid.
, A patient with a sore throat and rhinitis has an elevated level of
IgG in the blood. The nurse explains that the patient's symptoms
are most likely caused by?
a. an allergy
b. exposure to toxic fumes
c. an initial viral infection
d. a re-infection by bacteria Correct Answers d. a re-infection
by bacteria
A patient with Systemic Lupus Erythematosus is experiencing a
complication called Lupus Nephritis. What are some signs and
symptoms that correlate with this complication of SLE? Select
all that apply:
a. Decreased Creatinine
b. Increased BUN
c. 48 hour urinary output of 700 mL
d. Proteinuria
e. Weight loss Correct Answers b. Increased BUN
c. 48 hour urinary output of 700 mL
d. Proteinuria
Adherence to ART drug regimens is critical to prevent what?
Correct Answers -Disease Progression
-Opportunistic Diseases
-Viral Drug Resistance
Antidepressants are effective for most cases especially _____
cases. Correct Answers severe
At the cellular level mood disorders are caused by what?
Correct Answers problems with neurotransmitters
A charge nurse is reviewing Kubler-Ross: Five Stages of Grief
with a group of newly licensed nurses. Which of the following
stages should the charge nurse include in the teaching? Select all
that apply.
a. Disequilibrium
b. Denial
c. Bargaining
d. Anger
e. Depression Correct Answers b. Denial
c. Bargaining
d. Anger
e. Depression
A client with acquired immunodeficiency syndrome is admitted
with Pneumocystis jiroveci pneumonia. Which medication
would the nurse expect to be prescribed?
a. Vancomycin
b. trimethoprim/sulfamethoxazole (Bactrim)
c. Enoxaparin
d. Methylprednisolone Correct Answers b.
trimethoprim/sulfamethoxazole (Bactrim)
A nurse is caring for a client who has major depressive disorder.
Which of the following should the nurse identify as a risk factor
for depression? (Select all that apply.)
a. Male sex
b. History of chronic bronchitis
c. Recent death in client's family
d. Family history of depression
,e. Personal history of panic disorder Correct Answers b.
History of chronic bronchitis
c. Recent death in client's family
d. Family history of depression
e. Personal history of panic disorder
A nurse is caring for a client who lost a guardian to cancer last
month. The client states, "I'd still have my guardian if the doctor
would have made a diagnosis sooner." Which of the following
responses should the nurse make?
a. "You sound angry. Anger is a normal feeling associated with
loss."
b. "I think you would feel better if you talked about your
feelings with a support group."
c. "I understand just how you feel. I felt the same when my
guardian died."
d. "Do other members of your family also feel this way?"
Correct Answers a. "You sound angry. Anger is a normal
feeling associated with loss."
A nurse is discussing normal grief with a client who recently
lost a child. Which of the following statements made by the
client indicates understanding. Select all that apply.
a. "I may experience feelings of resentment."
b. "I will probably withdraw from others."
c. "I can expect to experience changes in sleep."
d. "It is possible that I will experience suicidal thoughts."
e. "It is expected that I will have a loss of self-esteem." Correct
Answers a. "I may experience feelings of resentment."
b. "I will probably withdraw from others."
c. "I can expect to experience changes in sleep."
,A nurse is working with a client who has recently lost a
guardian. The nurse recognizes that which of the following
factors influence a client's grief and coping ability? Select all
that apply.
a. Interpersonal relationships
b. Culture
c. Birth order
d. Religious beliefs
e. Prior experience with loss Correct Answers a. Interpersonal
relationships
b. Culture
d. Religious beliefs
e. Prior experience with loss
A patient is undergoing plasmapheresis for treatment of
systemic lupus erythematosus. The nurse explains that
plasmapheresis is used in treatment to?
a. remove T lymphocytes in her blood that are producing
antinuclear antibodies.
b. remove normal particles in her blood that are being damaged
by autoantibodies.
c. exchange her plasma that contains antinuclear antibodies with
a substitute fluid.
d. replace viral-damaged cellular components of her blood with
replacement whole blood. Correct Answers c. exchange her
plasma that contains antinuclear antibodies with a substitute
fluid.
, A patient with a sore throat and rhinitis has an elevated level of
IgG in the blood. The nurse explains that the patient's symptoms
are most likely caused by?
a. an allergy
b. exposure to toxic fumes
c. an initial viral infection
d. a re-infection by bacteria Correct Answers d. a re-infection
by bacteria
A patient with Systemic Lupus Erythematosus is experiencing a
complication called Lupus Nephritis. What are some signs and
symptoms that correlate with this complication of SLE? Select
all that apply:
a. Decreased Creatinine
b. Increased BUN
c. 48 hour urinary output of 700 mL
d. Proteinuria
e. Weight loss Correct Answers b. Increased BUN
c. 48 hour urinary output of 700 mL
d. Proteinuria
Adherence to ART drug regimens is critical to prevent what?
Correct Answers -Disease Progression
-Opportunistic Diseases
-Viral Drug Resistance
Antidepressants are effective for most cases especially _____
cases. Correct Answers severe
At the cellular level mood disorders are caused by what?
Correct Answers problems with neurotransmitters
