NURS 341 EXAM 2 ACTUAL PRACTICE QUESTIONS (COMPLETE & VERIFIED) WITH WELL
DETAILED SOLUTIONS -GRADED A+
Which of the following is most important when assessing a client's pain
a. The physical location of pain
b. The clients perception of the pain
b. The clients perception of the pain
When asked about pain client complains of having severe discomfort from arthritis. Vital
signs are unchanged, and client is calmly watching
Chronic pain
While waiting to perform x-rays on an individuals right hand according to
nonpharmacological pain management practice, pain can be moderated or reduced if the
nurse:
c) Applies ice to the right hand
Nurse is evaluating the sites of a client in skeletal traction. The nurse is concerned with
B) Serous drainage
The nurse is completing an admission assessment of a new patient to the unit. The nurse
notes a long, thin, fading scar on the patient's abdomen in the right lower quadrant. The
nurse knows that scar tissue results from
A. Optimal functioning of the inflammatory process after an injury.
,B. Fibrous tissue replacing damaged tissue when injury is extensive.
C. The development of chronic inflammation.
D. A surgical incision.
B. Fibrous tissue replacing damaged tissue when injury is extensive.
A client is grieving after the death of his 6-year-old daughter following a fall. He has been
completely distraught, lying in bed, and crying for the past week. Today, the client says, "I
feel better because I'll soon be with my daughter." The priority nursing diagnosis for this
client is:
A. Self-care deficit
B. Risk for self-directed violence
C. Ineffective coping
D. Disturbed sensory perception
B. Risk for self-directed violence
A health care provider who has not been immunized for hepatitis B is exposed to the
hepatitis B virus (HBV) through a needle stick from an infected patient. The infection
control nurse informs the individual that treatment for the exposure should include
a. Baseline hepatitis B antibody testing now and in 2 months.
b. Active immunization with hepatitis B vaccine.
c. Hepatitis B immune globulin (HBIG) injection.
d. Both the hepatitis B vaccine and HBIG injection.
d. Both the hepatitis B vaccine and HBIG injection.
A patient in the outpatient clinic has positive serologic testing for anti-HCV. Which action
by the nurse is appropriate?
,a. Schedule the patient for HCV genotype testing.
b. Teach the patient that the HCV will resolve in 2 to 4 months.
c. Administer immune globulin and the HCV vaccine.
d. Instruct the patient on self-administration of α-interferon.
a. Schedule the patient for HCV genotype testing.
A homeless patient with severe anorexia, fatigue, jaundice, and hepatomegaly is diagnosed
with viral hepatitis and has just been admitted to the hospital. In planning care for the
patient, the nurse assigns the highest priority to the patient outcome of
a. Maintaining adequate nutrition.
b. Establishing a stable home environment.
c. Increasing activity level.
d. Identifying the source of exposure to hepatitis.
a. Maintaining adequate nutrition
A patient with acute hepatitis B asks the nurse if treatment is available for the condition.
The nurse explains to the patient that
• A. Because no medication is available to treat acute viral hepatitis, adequate nutrition
and rest are the most important treatments.
• B. Lamivudine (Epivir) can decrease viral load and liver damage in patients with acute
hepatitis B, but it must be taken for at least 1 year.
• C. Patients with acute hepatitis B can be given HBIG to help reduce the symptoms.
• D. Various antiviral drugs are available to treat acute hepatitis B, but serious side effects
limit their use.
•
, A. Because no medication is available to treat acute viral hepatitis, adequate nutrition and
rest are the most important treatments.
What type of precautions should the nurse implement to protect from being exposed to any
of the hepatitis viruses?
A. Airborne precaution
B. Standard precaution
C. Droplet precaution
D. Exposure precaution
B. Standard precaution
A Nurse is preparing to perform an abdominal examination of a patient. The best position to
place the client is?.
Supine with head raised slightly and knees slightly flexed
A client with acute liver failure exhibits confusion, a declining level of consciousness, and
slowed respirations. The nurse finds him very difficult to arouse. The diagnostic information
which best explains the client's behavior is:
A. Elevated liver enzymes and low serum protein level.
B. Subnormal clotting factors and platelet count.
C. Elevated blood urea nitrogen and creatinine levels and hyperglycemia.
D. Subnormal serum glucose and elevated serum ammonia levels.
D. Subnormal serum glucose and elevated serum ammonia levels.
DETAILED SOLUTIONS -GRADED A+
Which of the following is most important when assessing a client's pain
a. The physical location of pain
b. The clients perception of the pain
b. The clients perception of the pain
When asked about pain client complains of having severe discomfort from arthritis. Vital
signs are unchanged, and client is calmly watching
Chronic pain
While waiting to perform x-rays on an individuals right hand according to
nonpharmacological pain management practice, pain can be moderated or reduced if the
nurse:
c) Applies ice to the right hand
Nurse is evaluating the sites of a client in skeletal traction. The nurse is concerned with
B) Serous drainage
The nurse is completing an admission assessment of a new patient to the unit. The nurse
notes a long, thin, fading scar on the patient's abdomen in the right lower quadrant. The
nurse knows that scar tissue results from
A. Optimal functioning of the inflammatory process after an injury.
,B. Fibrous tissue replacing damaged tissue when injury is extensive.
C. The development of chronic inflammation.
D. A surgical incision.
B. Fibrous tissue replacing damaged tissue when injury is extensive.
A client is grieving after the death of his 6-year-old daughter following a fall. He has been
completely distraught, lying in bed, and crying for the past week. Today, the client says, "I
feel better because I'll soon be with my daughter." The priority nursing diagnosis for this
client is:
A. Self-care deficit
B. Risk for self-directed violence
C. Ineffective coping
D. Disturbed sensory perception
B. Risk for self-directed violence
A health care provider who has not been immunized for hepatitis B is exposed to the
hepatitis B virus (HBV) through a needle stick from an infected patient. The infection
control nurse informs the individual that treatment for the exposure should include
a. Baseline hepatitis B antibody testing now and in 2 months.
b. Active immunization with hepatitis B vaccine.
c. Hepatitis B immune globulin (HBIG) injection.
d. Both the hepatitis B vaccine and HBIG injection.
d. Both the hepatitis B vaccine and HBIG injection.
A patient in the outpatient clinic has positive serologic testing for anti-HCV. Which action
by the nurse is appropriate?
,a. Schedule the patient for HCV genotype testing.
b. Teach the patient that the HCV will resolve in 2 to 4 months.
c. Administer immune globulin and the HCV vaccine.
d. Instruct the patient on self-administration of α-interferon.
a. Schedule the patient for HCV genotype testing.
A homeless patient with severe anorexia, fatigue, jaundice, and hepatomegaly is diagnosed
with viral hepatitis and has just been admitted to the hospital. In planning care for the
patient, the nurse assigns the highest priority to the patient outcome of
a. Maintaining adequate nutrition.
b. Establishing a stable home environment.
c. Increasing activity level.
d. Identifying the source of exposure to hepatitis.
a. Maintaining adequate nutrition
A patient with acute hepatitis B asks the nurse if treatment is available for the condition.
The nurse explains to the patient that
• A. Because no medication is available to treat acute viral hepatitis, adequate nutrition
and rest are the most important treatments.
• B. Lamivudine (Epivir) can decrease viral load and liver damage in patients with acute
hepatitis B, but it must be taken for at least 1 year.
• C. Patients with acute hepatitis B can be given HBIG to help reduce the symptoms.
• D. Various antiviral drugs are available to treat acute hepatitis B, but serious side effects
limit their use.
•
, A. Because no medication is available to treat acute viral hepatitis, adequate nutrition and
rest are the most important treatments.
What type of precautions should the nurse implement to protect from being exposed to any
of the hepatitis viruses?
A. Airborne precaution
B. Standard precaution
C. Droplet precaution
D. Exposure precaution
B. Standard precaution
A Nurse is preparing to perform an abdominal examination of a patient. The best position to
place the client is?.
Supine with head raised slightly and knees slightly flexed
A client with acute liver failure exhibits confusion, a declining level of consciousness, and
slowed respirations. The nurse finds him very difficult to arouse. The diagnostic information
which best explains the client's behavior is:
A. Elevated liver enzymes and low serum protein level.
B. Subnormal clotting factors and platelet count.
C. Elevated blood urea nitrogen and creatinine levels and hyperglycemia.
D. Subnormal serum glucose and elevated serum ammonia levels.
D. Subnormal serum glucose and elevated serum ammonia levels.
