Page 1 of 147
NUR 445 Exam 1, 2, 3 & 4 Exam ACTUAL EXAM ALL
500 QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
NUR445 Exam 1
QUESTION: A nurse is concerned that a hospitalized client may be developing delirium. Which
interventions are indicated? (Select all that apply.)
1. Ask the family to bring the client's eyeglasses from home.
2. Turn room lights down at night to encourage sleep.
3. Maintain bed rest until mentation improves.
4. Remove the television from the room.
5. Review the client's medication list. - ANSWER-Answer: 1, 2, 5
QUESTION: The nurse discovers a client having a seizure. What should be the nurse's initial
action?
1. Roll the client onto his or her side.
2. Intubate the client immediately.
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3. Administer pentobarbital.
4. Establish an IV line. - ANSWER-Answer: 1
QUESTION: A client experiencing continued seizure activity is to be given propofol. The nurse
should prepare for which other intervention?
1. Administration of insulin
2. Mechanical ventilation
3. Placement of an oral airway
4. Administration of a neuromuscular blocking agent - ANSWER-Answer: 2
QUESTION: A client experienced an episode of vision loss and right-side weakness that lasted 4
hours before totally resolving. What information should the nurse provide to this client?
1. "Your symptoms indicate that you have had a subarachnoid hemorrhage."
2. "While these symptoms have resolved, your risk for a stroke is higher."
3. "These symptoms often occur in older clients and are nothing to worry about."
4. "Your stroke involved the occipital lobe and your vision will dim over the next few weeks." -
ANSWER-Answer: 2
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QUESTION: A client suffered a stroke yesterday and has recovered partial function. The client's
spouse says, "I don't understand what is happening. When my mother had a stroke, she was
left in a coma for years before she died." What is the nurse's best response?
1. "All strokes are different."
2. "Each client responds differently."
3. "There are different levels of damage done by strokes."
4. "Your mother must have had some additional medical problems." - ANSWER-Answer: 3
QUESTION: An 82-year-old African American man has a history of hypertension, type 1
diabetes, and had a stroke two years ago. He is a smoker and admits to leading a sedentary life
style. The nurse analyzes this information to determine that the client has ________ non-
modifiable risk factors for stroke. - ANSWER-4: age, gender, ethnicity, and history of previous
stroke.
QUESTION: A nurse's neighbor calls and reports that her 64-year-old husband is complaining
about loss of vision in one eye after mowing the lawn on a hot Sunday afternoon. He is awake
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and alert and says the vision loss came on slowly over about an hour. What advice should the
nurse give?
1. "Have him lie down and cool off and see if his vision is better."
2. "Call his physician's answering service and ask them to relay the information to the doctor."
3. "Give him a cold drink and I will be over as soon as I finish lunch to check on him."
4. "Take him to urgent care or the emergency room." - ANSWER-Answer: 4
QUESTION: A patient who had a stroke has decreased level of consciousness, headache, and is
vomiting. Using this information, which nursing diagnosis should the nurse assign?
1. Impaired Skin Integrity
2. Acute Pain
3. Decreased Intracranial Adaptive Capacity
4. Activity Intolerance - ANSWER-Answer: 3
Q; A client is hospitalized in ICU after a drug overdose. Which statement would the nurse
interpret as indicating the client has normal mentation? (Select all that apply.)
1. "Which part of the hospital am I in?"
4
NUR 445 Exam 1, 2, 3 & 4 Exam ACTUAL EXAM ALL
500 QUESTIONS and CORRECT ANSWERS LATEST
UPDATE THIS YEAR
NUR445 Exam 1
QUESTION: A nurse is concerned that a hospitalized client may be developing delirium. Which
interventions are indicated? (Select all that apply.)
1. Ask the family to bring the client's eyeglasses from home.
2. Turn room lights down at night to encourage sleep.
3. Maintain bed rest until mentation improves.
4. Remove the television from the room.
5. Review the client's medication list. - ANSWER-Answer: 1, 2, 5
QUESTION: The nurse discovers a client having a seizure. What should be the nurse's initial
action?
1. Roll the client onto his or her side.
2. Intubate the client immediately.
1
, Page 2 of 147
3. Administer pentobarbital.
4. Establish an IV line. - ANSWER-Answer: 1
QUESTION: A client experiencing continued seizure activity is to be given propofol. The nurse
should prepare for which other intervention?
1. Administration of insulin
2. Mechanical ventilation
3. Placement of an oral airway
4. Administration of a neuromuscular blocking agent - ANSWER-Answer: 2
QUESTION: A client experienced an episode of vision loss and right-side weakness that lasted 4
hours before totally resolving. What information should the nurse provide to this client?
1. "Your symptoms indicate that you have had a subarachnoid hemorrhage."
2. "While these symptoms have resolved, your risk for a stroke is higher."
3. "These symptoms often occur in older clients and are nothing to worry about."
4. "Your stroke involved the occipital lobe and your vision will dim over the next few weeks." -
ANSWER-Answer: 2
2
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QUESTION: A client suffered a stroke yesterday and has recovered partial function. The client's
spouse says, "I don't understand what is happening. When my mother had a stroke, she was
left in a coma for years before she died." What is the nurse's best response?
1. "All strokes are different."
2. "Each client responds differently."
3. "There are different levels of damage done by strokes."
4. "Your mother must have had some additional medical problems." - ANSWER-Answer: 3
QUESTION: An 82-year-old African American man has a history of hypertension, type 1
diabetes, and had a stroke two years ago. He is a smoker and admits to leading a sedentary life
style. The nurse analyzes this information to determine that the client has ________ non-
modifiable risk factors for stroke. - ANSWER-4: age, gender, ethnicity, and history of previous
stroke.
QUESTION: A nurse's neighbor calls and reports that her 64-year-old husband is complaining
about loss of vision in one eye after mowing the lawn on a hot Sunday afternoon. He is awake
3
, Page 4 of 147
and alert and says the vision loss came on slowly over about an hour. What advice should the
nurse give?
1. "Have him lie down and cool off and see if his vision is better."
2. "Call his physician's answering service and ask them to relay the information to the doctor."
3. "Give him a cold drink and I will be over as soon as I finish lunch to check on him."
4. "Take him to urgent care or the emergency room." - ANSWER-Answer: 4
QUESTION: A patient who had a stroke has decreased level of consciousness, headache, and is
vomiting. Using this information, which nursing diagnosis should the nurse assign?
1. Impaired Skin Integrity
2. Acute Pain
3. Decreased Intracranial Adaptive Capacity
4. Activity Intolerance - ANSWER-Answer: 3
Q; A client is hospitalized in ICU after a drug overdose. Which statement would the nurse
interpret as indicating the client has normal mentation? (Select all that apply.)
1. "Which part of the hospital am I in?"
4
