Nurs 258 Final Questions With Complete Solutions
.What is a cause of the extra heart sounds known as S3?
A. Atrial "kick" due to resistant ventricles caused by
hypertrophic left ventricle
B. Valves defects
C. Mitral Stenosis
D. Ventricle filling due to fluid volume overload or heart failure
Correct Answer D
A patient has a double-barrel colostomy of the transverse colon.
You note on assessment two stomas, a proximal and distal
stoma. What type of stool do you expect to drain from the
proximal and distal stomas?*
A. Proximal: lose to partly formed stool; Distal: mucous
B. Proximal: liquid stool; Distal: mucous
C. Proximal: mucous; Distal: lose to partly formed stool
D. Proximal & Distal: lose to partly formed stool Correct
Answer A
A patient is 8 hours post-opt from a colostomy placement.
Which finding requires immediate nursing action?*
A. The stoma is swollen and large.
B. The stoma is black.
C. The stoma is not draining any stool.
D. The patient states the site is tender. Correct Answer B
A patient, who had a colostomy placed yesterday, calls on the
call light to say their surgical dressing "fell off". You will re-
apply what type of dressing over the stoma?
A. Wet to dressing
, B. No dressing is needed. You will keep it open to air.
C. Petroleum gauze dressing
D. Telfa gauze Correct Answer C.
A petroleum gauze dressing will be kept in place (or a sterile dry
dressing) until a pouch system is in place.
Cranial nerve __________ moves the eyeballs/eyelids and
adjusts the pupils and lens of the eye.
A. VII
B. X
c. I
D. III Correct Answer D
Cranial nerve IV is known as?
A. Oculomotor
B. Trigeminal
C. Hypoglossal
D. Trochlear Correct Answer D
Cranial nerves ________ move the eyeballs.
A. I, II, III
B. III, IV, VI
C. III, V, X
D. III, IV Correct Answer B
During an assessment of an infant, you note that when the
infant's head is turned to the right side, the leg and arm on the
right side will extend, while the leg and arm on the left side will
flex. You document this as what type of reflex?
A. Rooting Reflex
B. Sucking Reflex
.What is a cause of the extra heart sounds known as S3?
A. Atrial "kick" due to resistant ventricles caused by
hypertrophic left ventricle
B. Valves defects
C. Mitral Stenosis
D. Ventricle filling due to fluid volume overload or heart failure
Correct Answer D
A patient has a double-barrel colostomy of the transverse colon.
You note on assessment two stomas, a proximal and distal
stoma. What type of stool do you expect to drain from the
proximal and distal stomas?*
A. Proximal: lose to partly formed stool; Distal: mucous
B. Proximal: liquid stool; Distal: mucous
C. Proximal: mucous; Distal: lose to partly formed stool
D. Proximal & Distal: lose to partly formed stool Correct
Answer A
A patient is 8 hours post-opt from a colostomy placement.
Which finding requires immediate nursing action?*
A. The stoma is swollen and large.
B. The stoma is black.
C. The stoma is not draining any stool.
D. The patient states the site is tender. Correct Answer B
A patient, who had a colostomy placed yesterday, calls on the
call light to say their surgical dressing "fell off". You will re-
apply what type of dressing over the stoma?
A. Wet to dressing
, B. No dressing is needed. You will keep it open to air.
C. Petroleum gauze dressing
D. Telfa gauze Correct Answer C.
A petroleum gauze dressing will be kept in place (or a sterile dry
dressing) until a pouch system is in place.
Cranial nerve __________ moves the eyeballs/eyelids and
adjusts the pupils and lens of the eye.
A. VII
B. X
c. I
D. III Correct Answer D
Cranial nerve IV is known as?
A. Oculomotor
B. Trigeminal
C. Hypoglossal
D. Trochlear Correct Answer D
Cranial nerves ________ move the eyeballs.
A. I, II, III
B. III, IV, VI
C. III, V, X
D. III, IV Correct Answer B
During an assessment of an infant, you note that when the
infant's head is turned to the right side, the leg and arm on the
right side will extend, while the leg and arm on the left side will
flex. You document this as what type of reflex?
A. Rooting Reflex
B. Sucking Reflex
