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The high-accuracy final exam solution for NUR 109, covering Med-Surg and Pediatric Nursing fundamentals. This comprehensive Q&A bank ensures you master critical care interventions. Key topics include priority patient teaching for cast care (long leg cast), post-total hip replacement precautions (THP), principles of skeletal traction, and pediatric contraindications for live-attenuated immunizations (e.g., Varicella vaccine in immunocompromised children). The definitive study guide for musculoskeletal and pediatric final success.

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NUR 109
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Institution
NUR 109
Course
NUR 109

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Uploaded on
October 10, 2025
Number of pages
62
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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NUR 109 FINAL EXAM QUESTIONS AND
ANSWERS LATEST UPDATE 2025/2026
BEST EXAM SOLUTION TOP RATED A+ FOR
SUCCESS

 The nurse is teaching a patient being discharged with a long
leg cast. Which of the following instructions is appropriate?
a. Keep plaster casts covered until thoroughly dry.
b. Apply lotion under cast edges to lubricate the skin.
c. Elevate the cast above the level of the heart whenever
possible.
d. Put talcum powder down the cast to prevent perspiration.


 Ms. R. is a 40 year old woman who underwent total hip
replacement. Which of the following activities would be
appropriate for Ms. R. after discharge?
a. Sitting in only a low chair
b. Resuming all ADLs as soon as possible
c. Sitting at least 8 hours a day
d. Putting a pillow between her legs when sleeping


 Ms. K’s right knee appears to be swollen. To further
evaluate this, the nurse should first:
a. put the knee through range of motion.
b. test muscle strength.
c. compare it to the left knee.
d. palpate for crepitus.

 Ms. E. is a 78 year old woman who was admitted with an
impacted right hip. She was placed in traction. When caring

, for a patient in traction, the nurse is guided by which
principle?
a. Weights should rest on the bed
b. Knots in the ropes should touch the pulley
c. Weights are removed routinely
d. Skeletal traction is never interrupted




 The nurse is assessing the patient for the presence of a
Chvostek’s sign. What electrolyte imbalance does a positive
Chvostek’s sign indicate?
a. Hypermagnesemia
b. Hypercalce
mia c.
Hypocalcemi
a
d. Hyperkalemia


The next 9 question will show your ability to analyze ABG
(arterial blood gas) results. Some questions will give
preview information.


 A patient has arrived at the ER complaining to tingling in her
face, hands, and eet. She stated she feels “light-headed” and has
been studying for NUR 109 Final Exam for 3 straight days.
Assessments reveals BP 165/110, HR 124, RR 36, skin clammy
and pale. ABG’s: pH = 7.49, PaCO2 = 31, HCO3 = 19
a. Respiratory
acidosis b.

, Respiratory
alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis


 You are an ER nurse caring for a trauma patient. Your patient
has the following arterial blood gas results: pH = 7.26, PaCO2
= 28, HCO3 = 11 mEq/L. How would you interpret these
results?
a. Respiratory acidosis with no compensation
b. Metabolic alkalosis with a compensatory alkalosis
c. Metabolic acidosis with no compensation
d. Metabolic acidosis with a compensatory alkalosis


 A patient in the ICU starts complaining of being “short of
breath.” An arterial blood gas (ABG) is drawn. The ABG has
the following values: pH = 7.21, PaCO2
= 64, HCO3 = 24. What does the
ABG reflect? a. Respiratory acidosis
b. Metabolic alkalosis
c. Respiratory alkalosis
d. Metabolic acidosis


 An 16-year-old female is admitted through the ER semi-
conscious, RR = 56, fruity breath, diaphoretic pale skin, blood
glucose is 740, and ketones in her urine. ABG results show pH =
7.21, PaCO2 = 35, and HCO3 = 14. What does the ABG reflect?
a. Respiratory acidosis
b. Respiratory
alkalosis c.
Metabolic acidosis

, d. Metabolic alkalosis
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