NUR 213 Final Exam Questions With
Complete Solutions 2024
A kclient khas kan kAV kfistula kin kthe kright kupper karm kfor khemodialysis
ktreatments. kWhen kplanning kcare kfor kthis kclient, kwhich kmeasure kshould kthe
knurse kimplement kto kpromote kclient ksafety?
A) kTake kblood kpressures konly kon kthe kright kside kto kensure kaccuracy
B) kUse kthe kfistula kfor kall kvenipunctures kand kIV kinfusions
C) kEnsure kthat ksmall kclamps kare kattached kto kthe kfistula kdressing kat kall
ktimes
D) kAssess kthe kfistula kfor kthe kpresence kof ka kbruit kand ka kthrill kevery k4 khours
k- kANS✓✓-D) kAssess kthe kfistula kfor kthe kpresence kof ka kbruit kand ka kthrill
kevery k4 khours
A kclient kis kscheduled kfor khydrotherapy kfor ka kburn kdressing kchange. kWhich
kaction kshould kthe knurse ktake kto kensure kthat kthe kprocedure kis kmost
ktolerable kfor kthe kclient?
A) kEnsure kthe kclient khas ka krobe kand kslippers
B) kAdminister kan kanalgesic k20 kmins kbefore ktherapy
C) kSend kdressing ksupplies kwith kthe kclient kto khydrotherapy
D) kAdminister kan kIV kantibiotic k30 kmins kprior kto ktherapy k- kANS✓✓-B)
kAdminister kan kanalgesic k20 kmins kbefore ktherapy
A kclient kwith kMyasthenia kGravis kis kadmitted kto kthe khospital, kand kthe
knursing khistory kreveals kthat kthe kclient kis ktaking kpyridostigmine. kWhen
kassessing kthe kclient kfor kthe kside keffects kof kthis kmedication, kthe knurse
kshould kask kthe kclient kabout kthe kpresence kof kwhich koccurance?
A) kMouth kulcers
B) kMuscle kcramps
C) kFeelings kof kdepression
D) kUnexplained kweight kgain k- kANS✓✓-B) kMuscle kCramps
,Rationale: kPyridostigmine kis kan kanticholinesterase kinhibitor kused kto ktreat
kmyasthenia kgravis. kMuscle kcramps kand ksmall kmuscle kcontractions kare
kcommon kside keffects kand koccur kas ka kresult kof koverstimulation kof
kneuromuscular kreceptors.
The knurse knotes kan kisolated kpremature kventricular kcontraction k(PVC) kon kthe
kcardiac kmonitor. kWhich kaction kshould kthe knurse ktake?
A) kPrepare kfor kdefibrillation
B) kContinue kto kmonitor kthe krhythm
C) kNotify kthe kHCP
D) kPrepare kto kadminister klidocaine khydrochloride k- kANS✓✓-B) kContinue kto
kmonitor kthe krhythm
Rationale: kAs kan kisolated koccurance, ka kPVC kis knot klife kthreatening. kThe
knurse kshould kcontinue kto kmonitor kthe kpatients krhythm. kFrequent kPVCs,
khowever, kmaybe kprecursors kof ka kmore klife-threatening krhythm ksuch kas
kvtach kor kvfib.
A kclient kwas kadmitted kto kthe khospital k24 khours kago kafter ksustaining kblunt
kforce ktrauma kto kthe kchest. kWhich kearliest kclinical kmanifestations kof kacute
krespiratory kdistress ksyndrome k(ARDS) kshould kthe knurse kmonitor kfor?
A) kCyanosis kand kpallor
B) kDiffuse kcrackles kand krhonchi kon kchest kauscultation
C) kIncrease kin krespiratory krate kfrom k18 kto k30 kbreaths kper kminute
D) kHaziness kor k"white kout" kappearance kof klungs kon kchest kX-ray k- kANS✓✓-
C) kIncrease kin krespiratory krate kfrom k18 kto k30 kbreaths kper kminute
Rationale: kARDS kusually kdevelops kwithin k24-48 khrs kafter kan kinitiating kevent,
ksuch kas kchest ktrauma. kIn kmost kcases ktachypnea kand kdyspnea kare kthe
kearliest kclinical kmanifestations kas kthe kbody kcompensates kfor kmild
khypoxemia kthrough khyperventiliation. kCyanosis kand kpallor kare kusually klate
ksigns kof ksevere khypoxemia. kIn kARDS klung ksounds kare kinitially kclear kbut
kprogress kto kcrackles kand krhonchi kas kpulmonary kedema koccurs. kXrays kwill
kshouw ka k"white kout" kappearance kmuch klater kin kthe kprogression kof kARDS.
,A kclient khas kdeveloped katrial kfibrillation kand khas ka kventricular krate kof k150
kbeats kper kminute. kThe knurse kshould kassess kthe kclient kfor kwhich keffects kof
kthis kcardiac koccurrence? k
A) kflat kneck kveins
B) knausea kand kvomiting
C) khypotension kand kdizziness
D) khypertension kand kheadache k- kANS✓✓-C) khypotension kand kdizziness
The khome kcare knurse kis kmaking ka kfollow-up kvisit kto ka kclient kafter ka krenal
ktransplant. kThe knurse kshould kassess kthe kclient kfor kwhich kmanifestations kof
kacute kgraft krejection?
A) khypotension, kgraft ktenderness, kand kanemia
B) khypertension, koliguria, kthirst, kand khypothermia
C) kfever, khypertension, kgraft ktenderness, kand kmalaise
D) kfever, kvomiting, khypotension, kand kcopious kamounts kof kdilute kurine koutput
k- kANS✓✓-C) kfever, khypertension, kgraft ktenderness, kand kmalaise
A kclient kwith ka kburn kinjury krecieves ka kprescription kfor ka kregular kdiet. kWhich
kis kthe kbest kmeal kfor kthe knurse kto kprovide kto kthe kclient kto kpromote kwound
khealing?
A) kpeanut kbutter k& kjelly ksandwich, kapple, ktea
B) kchicken kbreast, kbroccoli, kstrawberries, kmilk
C) kveal kchop, kboiled kpotatoes, kjell-o, korange kjuice
D) kpasta kwith ktomato ksauce, kgarlic kbread, kginger kale k- kANS✓✓-B) kchicken
kbreast, kbroccoli, kstrawberries, kmilk
Rationale: kthe kmeal kwith kthe kbest kpotential kto kpromote kwound khealing
kincludes knutrient-rich kfood kchoices kincluding kprotein, ksuch kas kchicken kand
kmilk, kand kvitamin kc, ksuch kas kstrawberries kand kbroccoli. kThe kremaining kfood
koptions kinclude kone kor kmore kitems kwith klow knutritional kvalue, kespecially
kthe kjell-o, ktea, kjelly, kand kginger kale.
An kadult kclient karrives kin kthe kemergency kdepartment kwith kburns kto kboth
kentire klegs kand kthe kperineal karea. kUsing kthe krule kof knines, kthe knurse kcould
kdetermine kthat kapproximately kwhat kpercentage kof kthe kclients kbody ksurface
karea khas kbeen kburned? k- kANS✓✓-37%
, Rationale: kEach kleg kis k18% kand kthe kperineum kis k1% k(18+18+1 k= k37)
A kclient kwho kis kunresponsive kand kpulseless kand khas ka kpossible kneck kinjury
kis kbrought kinto kthe kemergency kdepartment kafter ka kmotor kvehicle kcrash.
kWhat kshould kthe knurse kdo kto kopen kthe kclients kairway?
A) kInsert kan koropharyngeal kairway
B) kTilt kthe khead kand klift kthe kchin
C) kPlace kin kthe krecovery kposition
D) kStabilize kthe kskull kand kpush kup kthe kjaw k- kANS✓✓-D) kStabilize kthe kskull
kand kpush kup kthe kjaw k
Rationale: kthe khealthcare kteam kuses kthe kjaw kthrust kmaneuver kto kopen kthe
kairway kuntil kan kxray kconfirms kthat kthe kcervical kspine kis kstable kin korder kto
kprevent kpotential kaggravation kof kthe kcervical kspine kinjury.
The knurse kassesses kthe kwater kseal kchamber kof ka kclosed kchest kdrainage
ksystem kand knotes kfluctuations kin kthe kchamber. kWhat kdoes kthis kfinding
kindicate?
A) kThe ktubing kis kkinked
B) kAn kair kleak kis kpresent
C) kThe klung khas kreexpanded
D) kThe ksystem kis kfunctioning kas kexpected k- kANS✓✓-D) kThe ksystem kis
kfunctioning kas kexpected
Rationale: kFluctuations k(tidaling) kin kthe kwater kseal kchamber kis knormal kduring
kinhalation kand kexhalation.
The knurse kplans kcare kfor kthe kclient kdiagnosed kwith kend kstage krenal kdisease
k(ESRD). kWhich kfindings kdoes kthe knurse kexpect kto kfind kin kthe kclients
kmedical krecord? kSelect kall kthat kapply: k
A) kEdema
B) kAnemia
C) kPolyuria
Complete Solutions 2024
A kclient khas kan kAV kfistula kin kthe kright kupper karm kfor khemodialysis
ktreatments. kWhen kplanning kcare kfor kthis kclient, kwhich kmeasure kshould kthe
knurse kimplement kto kpromote kclient ksafety?
A) kTake kblood kpressures konly kon kthe kright kside kto kensure kaccuracy
B) kUse kthe kfistula kfor kall kvenipunctures kand kIV kinfusions
C) kEnsure kthat ksmall kclamps kare kattached kto kthe kfistula kdressing kat kall
ktimes
D) kAssess kthe kfistula kfor kthe kpresence kof ka kbruit kand ka kthrill kevery k4 khours
k- kANS✓✓-D) kAssess kthe kfistula kfor kthe kpresence kof ka kbruit kand ka kthrill
kevery k4 khours
A kclient kis kscheduled kfor khydrotherapy kfor ka kburn kdressing kchange. kWhich
kaction kshould kthe knurse ktake kto kensure kthat kthe kprocedure kis kmost
ktolerable kfor kthe kclient?
A) kEnsure kthe kclient khas ka krobe kand kslippers
B) kAdminister kan kanalgesic k20 kmins kbefore ktherapy
C) kSend kdressing ksupplies kwith kthe kclient kto khydrotherapy
D) kAdminister kan kIV kantibiotic k30 kmins kprior kto ktherapy k- kANS✓✓-B)
kAdminister kan kanalgesic k20 kmins kbefore ktherapy
A kclient kwith kMyasthenia kGravis kis kadmitted kto kthe khospital, kand kthe
knursing khistory kreveals kthat kthe kclient kis ktaking kpyridostigmine. kWhen
kassessing kthe kclient kfor kthe kside keffects kof kthis kmedication, kthe knurse
kshould kask kthe kclient kabout kthe kpresence kof kwhich koccurance?
A) kMouth kulcers
B) kMuscle kcramps
C) kFeelings kof kdepression
D) kUnexplained kweight kgain k- kANS✓✓-B) kMuscle kCramps
,Rationale: kPyridostigmine kis kan kanticholinesterase kinhibitor kused kto ktreat
kmyasthenia kgravis. kMuscle kcramps kand ksmall kmuscle kcontractions kare
kcommon kside keffects kand koccur kas ka kresult kof koverstimulation kof
kneuromuscular kreceptors.
The knurse knotes kan kisolated kpremature kventricular kcontraction k(PVC) kon kthe
kcardiac kmonitor. kWhich kaction kshould kthe knurse ktake?
A) kPrepare kfor kdefibrillation
B) kContinue kto kmonitor kthe krhythm
C) kNotify kthe kHCP
D) kPrepare kto kadminister klidocaine khydrochloride k- kANS✓✓-B) kContinue kto
kmonitor kthe krhythm
Rationale: kAs kan kisolated koccurance, ka kPVC kis knot klife kthreatening. kThe
knurse kshould kcontinue kto kmonitor kthe kpatients krhythm. kFrequent kPVCs,
khowever, kmaybe kprecursors kof ka kmore klife-threatening krhythm ksuch kas
kvtach kor kvfib.
A kclient kwas kadmitted kto kthe khospital k24 khours kago kafter ksustaining kblunt
kforce ktrauma kto kthe kchest. kWhich kearliest kclinical kmanifestations kof kacute
krespiratory kdistress ksyndrome k(ARDS) kshould kthe knurse kmonitor kfor?
A) kCyanosis kand kpallor
B) kDiffuse kcrackles kand krhonchi kon kchest kauscultation
C) kIncrease kin krespiratory krate kfrom k18 kto k30 kbreaths kper kminute
D) kHaziness kor k"white kout" kappearance kof klungs kon kchest kX-ray k- kANS✓✓-
C) kIncrease kin krespiratory krate kfrom k18 kto k30 kbreaths kper kminute
Rationale: kARDS kusually kdevelops kwithin k24-48 khrs kafter kan kinitiating kevent,
ksuch kas kchest ktrauma. kIn kmost kcases ktachypnea kand kdyspnea kare kthe
kearliest kclinical kmanifestations kas kthe kbody kcompensates kfor kmild
khypoxemia kthrough khyperventiliation. kCyanosis kand kpallor kare kusually klate
ksigns kof ksevere khypoxemia. kIn kARDS klung ksounds kare kinitially kclear kbut
kprogress kto kcrackles kand krhonchi kas kpulmonary kedema koccurs. kXrays kwill
kshouw ka k"white kout" kappearance kmuch klater kin kthe kprogression kof kARDS.
,A kclient khas kdeveloped katrial kfibrillation kand khas ka kventricular krate kof k150
kbeats kper kminute. kThe knurse kshould kassess kthe kclient kfor kwhich keffects kof
kthis kcardiac koccurrence? k
A) kflat kneck kveins
B) knausea kand kvomiting
C) khypotension kand kdizziness
D) khypertension kand kheadache k- kANS✓✓-C) khypotension kand kdizziness
The khome kcare knurse kis kmaking ka kfollow-up kvisit kto ka kclient kafter ka krenal
ktransplant. kThe knurse kshould kassess kthe kclient kfor kwhich kmanifestations kof
kacute kgraft krejection?
A) khypotension, kgraft ktenderness, kand kanemia
B) khypertension, koliguria, kthirst, kand khypothermia
C) kfever, khypertension, kgraft ktenderness, kand kmalaise
D) kfever, kvomiting, khypotension, kand kcopious kamounts kof kdilute kurine koutput
k- kANS✓✓-C) kfever, khypertension, kgraft ktenderness, kand kmalaise
A kclient kwith ka kburn kinjury krecieves ka kprescription kfor ka kregular kdiet. kWhich
kis kthe kbest kmeal kfor kthe knurse kto kprovide kto kthe kclient kto kpromote kwound
khealing?
A) kpeanut kbutter k& kjelly ksandwich, kapple, ktea
B) kchicken kbreast, kbroccoli, kstrawberries, kmilk
C) kveal kchop, kboiled kpotatoes, kjell-o, korange kjuice
D) kpasta kwith ktomato ksauce, kgarlic kbread, kginger kale k- kANS✓✓-B) kchicken
kbreast, kbroccoli, kstrawberries, kmilk
Rationale: kthe kmeal kwith kthe kbest kpotential kto kpromote kwound khealing
kincludes knutrient-rich kfood kchoices kincluding kprotein, ksuch kas kchicken kand
kmilk, kand kvitamin kc, ksuch kas kstrawberries kand kbroccoli. kThe kremaining kfood
koptions kinclude kone kor kmore kitems kwith klow knutritional kvalue, kespecially
kthe kjell-o, ktea, kjelly, kand kginger kale.
An kadult kclient karrives kin kthe kemergency kdepartment kwith kburns kto kboth
kentire klegs kand kthe kperineal karea. kUsing kthe krule kof knines, kthe knurse kcould
kdetermine kthat kapproximately kwhat kpercentage kof kthe kclients kbody ksurface
karea khas kbeen kburned? k- kANS✓✓-37%
, Rationale: kEach kleg kis k18% kand kthe kperineum kis k1% k(18+18+1 k= k37)
A kclient kwho kis kunresponsive kand kpulseless kand khas ka kpossible kneck kinjury
kis kbrought kinto kthe kemergency kdepartment kafter ka kmotor kvehicle kcrash.
kWhat kshould kthe knurse kdo kto kopen kthe kclients kairway?
A) kInsert kan koropharyngeal kairway
B) kTilt kthe khead kand klift kthe kchin
C) kPlace kin kthe krecovery kposition
D) kStabilize kthe kskull kand kpush kup kthe kjaw k- kANS✓✓-D) kStabilize kthe kskull
kand kpush kup kthe kjaw k
Rationale: kthe khealthcare kteam kuses kthe kjaw kthrust kmaneuver kto kopen kthe
kairway kuntil kan kxray kconfirms kthat kthe kcervical kspine kis kstable kin korder kto
kprevent kpotential kaggravation kof kthe kcervical kspine kinjury.
The knurse kassesses kthe kwater kseal kchamber kof ka kclosed kchest kdrainage
ksystem kand knotes kfluctuations kin kthe kchamber. kWhat kdoes kthis kfinding
kindicate?
A) kThe ktubing kis kkinked
B) kAn kair kleak kis kpresent
C) kThe klung khas kreexpanded
D) kThe ksystem kis kfunctioning kas kexpected k- kANS✓✓-D) kThe ksystem kis
kfunctioning kas kexpected
Rationale: kFluctuations k(tidaling) kin kthe kwater kseal kchamber kis knormal kduring
kinhalation kand kexhalation.
The knurse kplans kcare kfor kthe kclient kdiagnosed kwith kend kstage krenal kdisease
k(ESRD). kWhich kfindings kdoes kthe knurse kexpect kto kfind kin kthe kclients
kmedical krecord? kSelect kall kthat kapply: k
A) kEdema
B) kAnemia
C) kPolyuria
