Final Exam! NUR 122 Questions With Complete Solutions
A 13 year old just returned from surgery for scoliosis. All of the
following nurse interventions are appropriate in the first 24
hours except?
a. Assess for pain
b. Logroll to change position
c. Get up to bathroom 12-24 hours post surgery
d. Check neurological status
e. Monitor blood pressure Correct Answer C
Wait at least 24 hours to get them up
A client is admitted to a medical nursing unit with a diagnosis of
acute blindness after being involved in a hit and run accident.
When diagnostic testing cannot identify any organic reason why
this client cannot see, a mental health consult is prescribed.
Which condition will be the focus of this consult?
a. Psychosis
b. Repression
c. Conversion disorder
d. Dissociative disorder Correct Answer C
A client is admitted to the mental health unit after an attempted
suicide by hanging. The nurse can best ensure client safety by
which action?
a. Requesting that a peer remain with the client at all times
b. Removing the client's clothing and placing a client in a
hospital gown
c. Assigning a staff member to the client who will remain with
the client at all times
,d. Admitting the client to a seclusion room where all potentially
dangerous articles are removed Correct Answer C
A client is admitted to the mental health unit with a diagnosis of
depression. The nurse should develop a plan of care for the
client that includes which intervention?
a. Encouraging quiet reading and writing for the first few days
b. Identification of physical activities that will provide exercise
c. No socializing activities, until the client asks to participate in
milieu
d. A structured program of activities in which the client can
participate Correct Answer D
A client with schizophrenia has been started on medication
therapy with clozapine (Clozaril). The nurse should assess the
results of which lab study to monitor for adverse effects from
this medication?
a. Platelet count
b. Blood glucose level
c. Liver function studies
d. WBC count Correct Answer D
A hospitalized client is started on phenelzine (Nardil) for the
treatment of depression. The nurse should instruct the client that
which food are acceptable to consume while taking this
medication? Select all that apply.
a. Figs
b. Yogurt
c. Crackers
d. Aged cheese
e. Tossed salad
, f. Oatmeal raisin cookies Correct Answer C, E
A hydrocele is a fluid filled mass in the scrotum, what is the
expected treated? Correct Answer Often resolves
spontaneously by 1 year
May need surgery if not resolved
A nurse is caring for a child with acute glomerulonephritis, what
interventions would be implemented when caring for this child?
Correct Answer Limit activity
Symptom management r/t Hypertension and Edema
Monitor BP frequently
Weight daily
Monitor urine output and color
Perform neurologic evaluation
A nurse is caring for a patient with cystic fibrosis, what
interventions would be appropriate for this patient? Correct
Answer Hydration
Pancreatic enzymes and fat soluble vitamins
Chest physiotherapy/Suction
Bronchodilators/oxygen
Monitor stools and weight
A nurse is caring for a patient with nephrotic syndrome. What
medications would the nurse expect to be order as treatment?
Correct Answer Corticosteroids and diuretics
A nurse is caring for a pregnant woman. Her recent test results
are in and the nurse notices that her AFP marker test is
abnormal. What would the nurse expect to happen seeing this
A 13 year old just returned from surgery for scoliosis. All of the
following nurse interventions are appropriate in the first 24
hours except?
a. Assess for pain
b. Logroll to change position
c. Get up to bathroom 12-24 hours post surgery
d. Check neurological status
e. Monitor blood pressure Correct Answer C
Wait at least 24 hours to get them up
A client is admitted to a medical nursing unit with a diagnosis of
acute blindness after being involved in a hit and run accident.
When diagnostic testing cannot identify any organic reason why
this client cannot see, a mental health consult is prescribed.
Which condition will be the focus of this consult?
a. Psychosis
b. Repression
c. Conversion disorder
d. Dissociative disorder Correct Answer C
A client is admitted to the mental health unit after an attempted
suicide by hanging. The nurse can best ensure client safety by
which action?
a. Requesting that a peer remain with the client at all times
b. Removing the client's clothing and placing a client in a
hospital gown
c. Assigning a staff member to the client who will remain with
the client at all times
,d. Admitting the client to a seclusion room where all potentially
dangerous articles are removed Correct Answer C
A client is admitted to the mental health unit with a diagnosis of
depression. The nurse should develop a plan of care for the
client that includes which intervention?
a. Encouraging quiet reading and writing for the first few days
b. Identification of physical activities that will provide exercise
c. No socializing activities, until the client asks to participate in
milieu
d. A structured program of activities in which the client can
participate Correct Answer D
A client with schizophrenia has been started on medication
therapy with clozapine (Clozaril). The nurse should assess the
results of which lab study to monitor for adverse effects from
this medication?
a. Platelet count
b. Blood glucose level
c. Liver function studies
d. WBC count Correct Answer D
A hospitalized client is started on phenelzine (Nardil) for the
treatment of depression. The nurse should instruct the client that
which food are acceptable to consume while taking this
medication? Select all that apply.
a. Figs
b. Yogurt
c. Crackers
d. Aged cheese
e. Tossed salad
, f. Oatmeal raisin cookies Correct Answer C, E
A hydrocele is a fluid filled mass in the scrotum, what is the
expected treated? Correct Answer Often resolves
spontaneously by 1 year
May need surgery if not resolved
A nurse is caring for a child with acute glomerulonephritis, what
interventions would be implemented when caring for this child?
Correct Answer Limit activity
Symptom management r/t Hypertension and Edema
Monitor BP frequently
Weight daily
Monitor urine output and color
Perform neurologic evaluation
A nurse is caring for a patient with cystic fibrosis, what
interventions would be appropriate for this patient? Correct
Answer Hydration
Pancreatic enzymes and fat soluble vitamins
Chest physiotherapy/Suction
Bronchodilators/oxygen
Monitor stools and weight
A nurse is caring for a patient with nephrotic syndrome. What
medications would the nurse expect to be order as treatment?
Correct Answer Corticosteroids and diuretics
A nurse is caring for a pregnant woman. Her recent test results
are in and the nurse notices that her AFP marker test is
abnormal. What would the nurse expect to happen seeing this
