NUR 2241 FINAL EXAM STUDY GUIDE WITH CORRE
ANSWERS
A cboy cwith cleukemia cscreams cwhenever che cneeds cto cbe cturned cor cmoved.
The cmost cprobable ccause cof cthis cpain cis:
A cEdema. c
B. cBone cinvolvement. c
C. cPetechial chemorrhages.
D. cChanges cwithin cthe cmuscles. c- cCORRECT cANS✔✔B. cBone cinvolvement. c
The cmost cfrequent cpresenting csigns cand csymptoms cof cleukemia care ca cresult cof cinfiltration cof c
cinclude cfever, cpallor, cfatigue, canorexia, chemorrhage c(usually cpetechiae), cand cbone cand cjoint cp
A c3-year-old cchild cis chospitalized cafter ca cnear-drowning caccident. cThe
child's cmother ccomplains cto cthe cnurse, cThis cseems cunnecessary cwhen che
is cperfectly cfine. cThe cnurses cbest creply cis:
a. cHe cstill cneeds ca clittle cextra coxygen.
B. cI'm csure che cis cfine, cbut cthe cdoctor cwants cto cmake csure.
C cThe creason cfor cthis cis cthat ccomplications ccould cstill coccur.
d.It cis cimportant cto cobserve cfor cpossible ccentral cnervous csystem cproblems. c- cCORRECT cANS
cthat ccomplications ccould cstill coccur.
All cchildren cwho chave ca cnear-drowning cexperience cshould cbe cadmitted cto cthe chospital cfor cob
cchildren cdo cnot cappear cto chave csuffered cadverse ceffects cfrom cthe cevent, ccomplications csuch
cand ccerebral cedema cmay coccur cup cto c24 chours cafter cthe cincident
Which cchildren cadmitted cto cthe cpediatric cunit cwould cthe cnurse cmonitor cclosely
for cdevelopment cof csyndrome cof cinappropriate cantidiuretic chormone c(SIADH)
(SATA)?
A. cA cnewly cdiagnosed cpreschooler cwith ctype c1 cdiabetes
B. cA cschool-age cchild creturning cfrom csurgery cfor cremoval cof ca cbrain ctumor
C. cAn cinfant cwith csuspected cmeningitis
D. cAn cadolescent cwith cblunt cabdominal ctrauma cfollowing ca ccar caccident
E. cA cschool-age cchild cwith chead ctrauma c- cCORRECT cANS✔✔B. cA cschool-age cchild creturning
ca cbrain ctumor
C. cAn cinfant cwith csuspected cmeningitis
E. cA cschool-age cchild cwith chead ctrauma
,C. cLeukocytosis
D. cProteinuria c- cCORRECT cANS✔✔D. cProteinuria
Large camounts cof cprotein care clost cthrough cthe curine cas ca cresult cof can
increased cpermeability cof cthe cglomerular cbasement cmembrane.
A cschool-age cchild chas cbeen cadmitted cto cthe chospital cwith can cexacerbation cof
nephrotic csyndrome. cWhich cclinical cmanifestations cshould cthe cnurse cexpect cto
assess c(Select call cthat capply)?
A. cWeight closs
B. cFacial cedema
C. cCloudy, csmoky cbrown-colored curine
D. cFatigue
E. cFrothy-appearing curine c- cCORRECT cANS✔✔B. cFacial cedema
D. cFatigue
E. cFrothy-appearing curine
A cchild cwith cnephrotic csyndrome cwill cpresent cwith cfacial cedema, cfatigue, cand
frothy-appearing curine c(proteinuria). cWeight cgain, cnot closs, cis cexpected
because cof cfluid cretention. cCloudy, csmoky cbrown-colored curine cis cseen cwith
acute cglomerulonephritis cbut cnot cwith cnephrotic csyndrome cbecause cthere cis
no cgross chematuria cassociated cwith cnephrotic csyndrome
A cnursing cstudent cis ccaring cfor ca cchild cdiagnosed cwith cWilms ctumor.
Which caction cby cthe cstudent ccauses cthe cfaculty cmember cto cintervene?
a. cAssesses curinary coutput cper cprotocol
b. cInvolves cthe cparents cin cthe cchild's ccare
c. cPalpates cthe cabdomen cin call cfour cquadrants
d. cProvides cfrequent cnutritious csnacks c- cCORRECT cANS✔✔c. cPalpates cthe cabdomen cin call cf
What cfood cchoice cby cthe cparent cof ca c2-year-old cchild cwith cceliac cdisease
indicates ca cneed cfor cfurther cteaching?
A. cOatmeal c
B. cRice ccake c
C. cCorn cmuffin
D. cMeat cpatty c- cCORRECT cANS✔✔A. cOatmeal c
The cchild cwith cceliac cdisease cis cunable cto cfully cdigest cgluten, cthe cprotein cfound cin cwheat, cba
A ccommon, cserious ccomplication cof crheumatic cfever cis:
A. cSeizures.
B. cCardiac carrhythmias.
C. cPulmonary chypertension.
D. cCardiac cvalve cdamage. c- cCORRECT cANS✔✔D. cCardiac cvalve cdamage.
Cardiac cvalve cdamage cis cthe cmost csignificant ccomplication cof crheumatic cfever
A cnurse cis ccaring cfor can cobese cpatient cwith cright clower clobe cpneumonia.
Which cposition cwill cbe cbest cto cimprove cgas cexchange?
A. cOn cthe cleft cside
B. cOn cthe cright cside
C. cIn cthe ctripod cposition
D. cIn cthe cHigh-Fowler's cposition c- cCORRECT cANS✔✔A. cOn cthe cleft cside
The cpatient cshould cbe cpositioned cwith cthe cgood clung cin cthe cdependent cposition cto cimprove cth
cand cperfusion.
, B. cPlace cthe cinfant cin ca cknee-chest cposition.
C. cRemain ccalm.
D. cGive cmorphine csubcutaneously cor cby can cexisting cintravenous cline c- cCORRECT cANS✔✔AN
The cinfant cshould cfirst cbe cplaced cin cthe cknee-chest cposition cto
reduce cblood creturning cto cthe cheart.
Next, c100% coxygen cis cgiven cto calleviate cthe chypoxemia.
Morphine cis cnext cadministered cto creduce cinfundibular cspasms.
Last, cthe cnurse cshould cremain ccalm.
The cnurse cis cconducting cdischarge cteaching cabout csigns cand csymptoms
of cheart cfailure cto cparents cof can cinfant cwith ca crepaired ctetralogy cof cFallot.
Which csigns cand csymptoms cshould cthe cnurse cinclude c(Select call cthat
apply)?
a. cWarm cflushed cextremities
b. cWeight closs
c. cDecreased curinary coutput
d. cSweating c(inappropriate)
e. cFatigue c- cCORRECT cANS✔✔ANS: cC, cD c,E
A cpatient cis cadmitted cto cthe chospital cwith cacute crejection cof ca ckidney
transplant. cWhich cintervention cwill cthe cnurse cprepare cfor cthis cpatient?
A. cTesting cfor chuman cleukocyte cantigen c(HLA) cmatch
B. cAdministration cof cimmunosuppressant cmedications
C. cInsertion cof can carteriovenous cgraft cfor chemodialysis
D. cPlacement cof cthe cpatient con cthe ctransplant cwaiting clist c- cCORRECT cANS✔✔B. cAdministra
cmedications
The ccharge cnurse cis cassigning csemi-private crooms cfor cnew
admissions. cWhich cpatient ccould csafely cbe cassigned cas ca croommate
for ca cpatient cwho chas cacute crejection cof can corgan ctransplant?
a. cA cpatient cwho chas cviral cpneumonia
b. cA cpatient cwith csecond-degree cburns
c. cA cpatient cwho cis crecovering cfrom can canaphylactic creaction cto ca cbee
sting
d. cA cpatient cwith cgraft-versus-host cdisease cafter ca crecent cbone
marrow ctransplant c- cCORRECT cANS✔✔c. cA cpatient cwho cis crecovering cfrom can canaphylactic c
A cpatient cwho cis cdiagnosed cwith cacquired cimmunodeficiency csyndrome
(AIDS) ctells cthe cnurse, cI cfeel cobsessed cwith cthoughts cabout cdying. cDo cyou
think cI cam cjust cbeing cmorbid? cWhich cresponse cby cthe cnurse cis cbest?
A. cThinking cabout cdying cwill cnot cimprove cthe ccourse cof cAIDS.
B. cIt cis cimportant cto cfocus con cthe cgood cthings cabout cyour clife cnow.
C. cDo cyou cthink cthat ctaking can cantidepressant cmight cbe chelpful cto cyou?
D. cCan cyou ctell cme cmore cabout cthe ckind cof cthoughts cthat cyou care
having? c- cCORRECT cANS✔✔D. cCan cyou ctell cme cmore cabout cthe ckind cof cthoughts cthat cyou c
More cassessment cof cthe cpatients cpsychosocial cstatus cis cneeded cbefore
taking cany cother caction.
A cpatient cwith ca cpositive crapid cantibody ctest cresult cfor chuman
immunodeficiency cvirus c(HIV) cis canxious cand cdoes cnot cappear cto chear
what cthe cnurse cis csaying. cWhat caction cby cthe cnurse cis cmost cimportant cat
this ctime?
A. cTeach cthe cpatient cabout cthe cmedications cavailable cfor ctreatment.
ANSWERS
A cboy cwith cleukemia cscreams cwhenever che cneeds cto cbe cturned cor cmoved.
The cmost cprobable ccause cof cthis cpain cis:
A cEdema. c
B. cBone cinvolvement. c
C. cPetechial chemorrhages.
D. cChanges cwithin cthe cmuscles. c- cCORRECT cANS✔✔B. cBone cinvolvement. c
The cmost cfrequent cpresenting csigns cand csymptoms cof cleukemia care ca cresult cof cinfiltration cof c
cinclude cfever, cpallor, cfatigue, canorexia, chemorrhage c(usually cpetechiae), cand cbone cand cjoint cp
A c3-year-old cchild cis chospitalized cafter ca cnear-drowning caccident. cThe
child's cmother ccomplains cto cthe cnurse, cThis cseems cunnecessary cwhen che
is cperfectly cfine. cThe cnurses cbest creply cis:
a. cHe cstill cneeds ca clittle cextra coxygen.
B. cI'm csure che cis cfine, cbut cthe cdoctor cwants cto cmake csure.
C cThe creason cfor cthis cis cthat ccomplications ccould cstill coccur.
d.It cis cimportant cto cobserve cfor cpossible ccentral cnervous csystem cproblems. c- cCORRECT cANS
cthat ccomplications ccould cstill coccur.
All cchildren cwho chave ca cnear-drowning cexperience cshould cbe cadmitted cto cthe chospital cfor cob
cchildren cdo cnot cappear cto chave csuffered cadverse ceffects cfrom cthe cevent, ccomplications csuch
cand ccerebral cedema cmay coccur cup cto c24 chours cafter cthe cincident
Which cchildren cadmitted cto cthe cpediatric cunit cwould cthe cnurse cmonitor cclosely
for cdevelopment cof csyndrome cof cinappropriate cantidiuretic chormone c(SIADH)
(SATA)?
A. cA cnewly cdiagnosed cpreschooler cwith ctype c1 cdiabetes
B. cA cschool-age cchild creturning cfrom csurgery cfor cremoval cof ca cbrain ctumor
C. cAn cinfant cwith csuspected cmeningitis
D. cAn cadolescent cwith cblunt cabdominal ctrauma cfollowing ca ccar caccident
E. cA cschool-age cchild cwith chead ctrauma c- cCORRECT cANS✔✔B. cA cschool-age cchild creturning
ca cbrain ctumor
C. cAn cinfant cwith csuspected cmeningitis
E. cA cschool-age cchild cwith chead ctrauma
,C. cLeukocytosis
D. cProteinuria c- cCORRECT cANS✔✔D. cProteinuria
Large camounts cof cprotein care clost cthrough cthe curine cas ca cresult cof can
increased cpermeability cof cthe cglomerular cbasement cmembrane.
A cschool-age cchild chas cbeen cadmitted cto cthe chospital cwith can cexacerbation cof
nephrotic csyndrome. cWhich cclinical cmanifestations cshould cthe cnurse cexpect cto
assess c(Select call cthat capply)?
A. cWeight closs
B. cFacial cedema
C. cCloudy, csmoky cbrown-colored curine
D. cFatigue
E. cFrothy-appearing curine c- cCORRECT cANS✔✔B. cFacial cedema
D. cFatigue
E. cFrothy-appearing curine
A cchild cwith cnephrotic csyndrome cwill cpresent cwith cfacial cedema, cfatigue, cand
frothy-appearing curine c(proteinuria). cWeight cgain, cnot closs, cis cexpected
because cof cfluid cretention. cCloudy, csmoky cbrown-colored curine cis cseen cwith
acute cglomerulonephritis cbut cnot cwith cnephrotic csyndrome cbecause cthere cis
no cgross chematuria cassociated cwith cnephrotic csyndrome
A cnursing cstudent cis ccaring cfor ca cchild cdiagnosed cwith cWilms ctumor.
Which caction cby cthe cstudent ccauses cthe cfaculty cmember cto cintervene?
a. cAssesses curinary coutput cper cprotocol
b. cInvolves cthe cparents cin cthe cchild's ccare
c. cPalpates cthe cabdomen cin call cfour cquadrants
d. cProvides cfrequent cnutritious csnacks c- cCORRECT cANS✔✔c. cPalpates cthe cabdomen cin call cf
What cfood cchoice cby cthe cparent cof ca c2-year-old cchild cwith cceliac cdisease
indicates ca cneed cfor cfurther cteaching?
A. cOatmeal c
B. cRice ccake c
C. cCorn cmuffin
D. cMeat cpatty c- cCORRECT cANS✔✔A. cOatmeal c
The cchild cwith cceliac cdisease cis cunable cto cfully cdigest cgluten, cthe cprotein cfound cin cwheat, cba
A ccommon, cserious ccomplication cof crheumatic cfever cis:
A. cSeizures.
B. cCardiac carrhythmias.
C. cPulmonary chypertension.
D. cCardiac cvalve cdamage. c- cCORRECT cANS✔✔D. cCardiac cvalve cdamage.
Cardiac cvalve cdamage cis cthe cmost csignificant ccomplication cof crheumatic cfever
A cnurse cis ccaring cfor can cobese cpatient cwith cright clower clobe cpneumonia.
Which cposition cwill cbe cbest cto cimprove cgas cexchange?
A. cOn cthe cleft cside
B. cOn cthe cright cside
C. cIn cthe ctripod cposition
D. cIn cthe cHigh-Fowler's cposition c- cCORRECT cANS✔✔A. cOn cthe cleft cside
The cpatient cshould cbe cpositioned cwith cthe cgood clung cin cthe cdependent cposition cto cimprove cth
cand cperfusion.
, B. cPlace cthe cinfant cin ca cknee-chest cposition.
C. cRemain ccalm.
D. cGive cmorphine csubcutaneously cor cby can cexisting cintravenous cline c- cCORRECT cANS✔✔AN
The cinfant cshould cfirst cbe cplaced cin cthe cknee-chest cposition cto
reduce cblood creturning cto cthe cheart.
Next, c100% coxygen cis cgiven cto calleviate cthe chypoxemia.
Morphine cis cnext cadministered cto creduce cinfundibular cspasms.
Last, cthe cnurse cshould cremain ccalm.
The cnurse cis cconducting cdischarge cteaching cabout csigns cand csymptoms
of cheart cfailure cto cparents cof can cinfant cwith ca crepaired ctetralogy cof cFallot.
Which csigns cand csymptoms cshould cthe cnurse cinclude c(Select call cthat
apply)?
a. cWarm cflushed cextremities
b. cWeight closs
c. cDecreased curinary coutput
d. cSweating c(inappropriate)
e. cFatigue c- cCORRECT cANS✔✔ANS: cC, cD c,E
A cpatient cis cadmitted cto cthe chospital cwith cacute crejection cof ca ckidney
transplant. cWhich cintervention cwill cthe cnurse cprepare cfor cthis cpatient?
A. cTesting cfor chuman cleukocyte cantigen c(HLA) cmatch
B. cAdministration cof cimmunosuppressant cmedications
C. cInsertion cof can carteriovenous cgraft cfor chemodialysis
D. cPlacement cof cthe cpatient con cthe ctransplant cwaiting clist c- cCORRECT cANS✔✔B. cAdministra
cmedications
The ccharge cnurse cis cassigning csemi-private crooms cfor cnew
admissions. cWhich cpatient ccould csafely cbe cassigned cas ca croommate
for ca cpatient cwho chas cacute crejection cof can corgan ctransplant?
a. cA cpatient cwho chas cviral cpneumonia
b. cA cpatient cwith csecond-degree cburns
c. cA cpatient cwho cis crecovering cfrom can canaphylactic creaction cto ca cbee
sting
d. cA cpatient cwith cgraft-versus-host cdisease cafter ca crecent cbone
marrow ctransplant c- cCORRECT cANS✔✔c. cA cpatient cwho cis crecovering cfrom can canaphylactic c
A cpatient cwho cis cdiagnosed cwith cacquired cimmunodeficiency csyndrome
(AIDS) ctells cthe cnurse, cI cfeel cobsessed cwith cthoughts cabout cdying. cDo cyou
think cI cam cjust cbeing cmorbid? cWhich cresponse cby cthe cnurse cis cbest?
A. cThinking cabout cdying cwill cnot cimprove cthe ccourse cof cAIDS.
B. cIt cis cimportant cto cfocus con cthe cgood cthings cabout cyour clife cnow.
C. cDo cyou cthink cthat ctaking can cantidepressant cmight cbe chelpful cto cyou?
D. cCan cyou ctell cme cmore cabout cthe ckind cof cthoughts cthat cyou care
having? c- cCORRECT cANS✔✔D. cCan cyou ctell cme cmore cabout cthe ckind cof cthoughts cthat cyou c
More cassessment cof cthe cpatients cpsychosocial cstatus cis cneeded cbefore
taking cany cother caction.
A cpatient cwith ca cpositive crapid cantibody ctest cresult cfor chuman
immunodeficiency cvirus c(HIV) cis canxious cand cdoes cnot cappear cto chear
what cthe cnurse cis csaying. cWhat caction cby cthe cnurse cis cmost cimportant cat
this ctime?
A. cTeach cthe cpatient cabout cthe cmedications cavailable cfor ctreatment.
