NR 324 FINAL EXAM REVIEW
PRACTICE QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT; GRADE A
A 62-year-old woman who lives alone tripped on a rug in
her home and fractured her hip. Which predisposing factor
most likely contributed to the fracture in the proximal end of
her femur?
A. Failing eyesight resulting in an unsafe environment
B. Renal osteodystrophy resulting from chronic kidney
disease (CKD)
C. Osteoporosis resulting from declining hormone levels
D. Cerebral vessel changes causing transient ischemic
attacks - correct answer- C. Osteoporosis resulting
from declining hormone levels
The most common cause of a fractured hip in older women
is osteoporosis, resulting from reduced calcium in the
bones as a result of hormonal changes in the
perimenopausal years
A client asks a nurse, "Why am I taking nitroglycerin?"
Which of the following is the best response by the nurse?
,a. "Nitroglycerin relieves nausea and prevents vomiting
which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood
clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small
airways and decrease shortness of breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver
more oxygen to the heart." - correct answer-
"Nitroglycerin dilates cardiac blood vessels to deliver more
oxygen to the heart."
A client comes to the emergency department via
ambulance to report severe radiating chest pain and
shortness of breath. The client appears restless, frightened,
and slightly cyanotic. The provider prescribes oxygen by
nasal cannula at 4 L/min stat, cardiac enzyme levels, IV
fluids, and a 12-lead ECG. Which of the following actions
should the nurse assisting with this client's care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
,c. Initiate oxygen therapy.
d. Insert the IV catheter. - correct answer- c. Initiate
oxygen therapy.
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this
finding, the nurse anticipates assisting the physician with
which treatment?
A. Administer lidocaine,75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. -
correct answer- B. Perform synchronized cardioversion.
With uncontrolled atrial fibrillation, the treatment of choice is
synchronized cardioversion
A hospitalized client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
begins to cough and produces a moderate amount of white
sputum. Which action should the nurse take FIRST?
A. Auscultate the client's breath sounds.
, B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
D. Measure the amount of residual feeding - correct
answer- B. Turn off the continuous feeding pump.
A productive cough may indicate that the feeding has been
aspirated. The nurse should first stop the feeding to prevent
further aspiration.
A nurse educator is reviewing expected findings in a client
who has right-sided valvular heart disease with a group of
nurses. Which of the following should be included in the
discussion? - correct answer- -Dyspnea
-Client report of fatigue
-Peripheral edema
A nurse in a clinic is caring for a client who has suspected
anemia. The nurse should anticipate a prescription from the
provider for which of the following tests? - correct
answer- Hgb
A nurse in a provider's office is caring for a client who
requests sildenafil to treat erectile dysfunction. Which of the
following statements should the nurse make? - correct
PRACTICE QUESTIONS AND VERIFIED
ANSWERS; 100% CORRECT; GRADE A
A 62-year-old woman who lives alone tripped on a rug in
her home and fractured her hip. Which predisposing factor
most likely contributed to the fracture in the proximal end of
her femur?
A. Failing eyesight resulting in an unsafe environment
B. Renal osteodystrophy resulting from chronic kidney
disease (CKD)
C. Osteoporosis resulting from declining hormone levels
D. Cerebral vessel changes causing transient ischemic
attacks - correct answer- C. Osteoporosis resulting
from declining hormone levels
The most common cause of a fractured hip in older women
is osteoporosis, resulting from reduced calcium in the
bones as a result of hormonal changes in the
perimenopausal years
A client asks a nurse, "Why am I taking nitroglycerin?"
Which of the following is the best response by the nurse?
,a. "Nitroglycerin relieves nausea and prevents vomiting
which could lead to aspiration."
b. "Nitroglycerin decreases chest pain by dissolving blood
clots that are occluding the arteries."
c. "Nitroglycerin acts as a bronchodilator to open small
airways and decrease shortness of breath."
d. "Nitroglycerin dilates cardiac blood vessels to deliver
more oxygen to the heart." - correct answer-
"Nitroglycerin dilates cardiac blood vessels to deliver more
oxygen to the heart."
A client comes to the emergency department via
ambulance to report severe radiating chest pain and
shortness of breath. The client appears restless, frightened,
and slightly cyanotic. The provider prescribes oxygen by
nasal cannula at 4 L/min stat, cardiac enzyme levels, IV
fluids, and a 12-lead ECG. Which of the following actions
should the nurse assisting with this client's care take first?
a. Attach the leads for a 12-lead ECG.
b. Obtain the blood sample.
,c. Initiate oxygen therapy.
d. Insert the IV catheter. - correct answer- c. Initiate
oxygen therapy.
A client on telemetry has a pattern of uncontrolled atrial
fibrillation with a rapid ventricular response. Based on this
finding, the nurse anticipates assisting the physician with
which treatment?
A. Administer lidocaine,75 mg intravenous push.
B. Perform synchronized cardioversion.
C. Defibrillate the client as soon as possible.
D. Administer atropine, 0.4 mg intravenous push. -
correct answer- B. Perform synchronized cardioversion.
With uncontrolled atrial fibrillation, the treatment of choice is
synchronized cardioversion
A hospitalized client is receiving nasogastric tube feedings
via a small-bore tube and a continuous pump infusion. He
begins to cough and produces a moderate amount of white
sputum. Which action should the nurse take FIRST?
A. Auscultate the client's breath sounds.
, B. Turn off the continuous feeding pump.
C. Check placement of the nasogastric tube.
D. Measure the amount of residual feeding - correct
answer- B. Turn off the continuous feeding pump.
A productive cough may indicate that the feeding has been
aspirated. The nurse should first stop the feeding to prevent
further aspiration.
A nurse educator is reviewing expected findings in a client
who has right-sided valvular heart disease with a group of
nurses. Which of the following should be included in the
discussion? - correct answer- -Dyspnea
-Client report of fatigue
-Peripheral edema
A nurse in a clinic is caring for a client who has suspected
anemia. The nurse should anticipate a prescription from the
provider for which of the following tests? - correct
answer- Hgb
A nurse in a provider's office is caring for a client who
requests sildenafil to treat erectile dysfunction. Which of the
following statements should the nurse make? - correct
