NUR 340 Final – Study Guide, Practice Questions & Comprehensive Nursing
Exam Review
Cerebrum function of all lobes - correct answer ✔✔higher level thinking (speech memory
movement)
frontal-higher cognitive function, memory retention, voluntary eye movements, voluntary
motor movement, and speech in Broca's area.
temporal-somatic, visual, and auditory data and contains Wernicke's speech area
parietal-spatial information and contains the sensory cortex.
occipital-Processing of sight
Brainstem function - correct answer ✔✔vitals- heart & lung function, sneezing, coughing,
hiccupping, vomiting, sucking, and swallowing.
Cerebellum function - correct answer ✔✔coordinates voluntary movement and maintains trunk
stability and equilibrium
gout - correct answer ✔✔pain in big toe is biggest clinical manifestation
can be primary or secondary
urate crystals deposit into joints & subQ tissues
,usually on bedrest from extreme pain
What should be included in the nursing plan for prevention of skin breakdown in a stroke
patient? Select all that apply.
1
Good skin hygiene
2
Minimizing the frequency of position changes
3
Massaging the damaged area
4
Applying emollients to dry skin
5
Administering back rubs with alcohol for a cooling effect - correct answer ✔✔1, 4
The skin of a patient with stroke is particularly susceptible to breakdown related to loss of
sensation, decreased circulation, and immobility. Therefore the nursing prevention plan for skin
breakdown should include pressure relief interventions such as position changes, application of
emollients to dry skin, good skin hygiene, and early mobility. Massage to the damaged area may
cause additional damage and should be avoided. Back rubs can be very relaxing, but should be
done with lotion or oil, not alcohol, which is very drying to the skin.
Text Reference - p. 1405
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action should the
nurse take?
1
Advise no treatment.
,2
Advise treating at home.
3
Consider hospital admission.
4
Consider admission to an intensive care unit. - correct answer ✔✔4
CURB-65 is used in addition to clinical judgment in determining the severity of pneumonia and
the need for advanced medical care. A patient scoring 5 on the CURB-65 scale means the
condition is severe and needs advanced medical care. Hence, the nurse should consider
admission to an intensive care unit. If the patient has symptoms of pneumonia, advising no
treatment is not an option. Treating at home is advised when the score on CURB-65 scale is 0.
Hospital admission is considered when the score on the CURB-65 scale is 1 to 2.
Test-Taking Tip: After choosing an answer, go back and reread the question stem along with your
chosen answer. Does it fit correctly? The choice that grammatically fits the stem and contains
the correct information is the best choice.
Text Reference - p. 523
The nurse is teaching a student nurse about postoperative care for a patient that has undergone
laparoscopic cholecystectomy. Which statements made by the student nurse indicate the need
for further teaching? Select all that apply.
1
"I will monitor for bleeding."
2
"The patient will need to return to the office in 7 to 10 days for removal of stitches."
3
"The patient will use a bedside commode for the first 24 hours after surgery."
4
, "I will encourage the patient to practice deep breathing."
5
"I will most likely need to administer narcotics for pain control." - correct answer ✔✔2, 3, 5
With laparoscopic cholecystectomy, there are small incisions that are covered by small adhesive
bandages that can be removed in about five days. The stitches dissolve over time. Patients who
have undergone laparoscopic cholecystectomy can usually walk to the bathroom, so there is no
need for a bedside commode. Postoperative pain can usually be controlled with over-the-
counter pain relievers. A cholecystectomy may result in changes in prothrombin time and may
cause bleeding. Therefore, the nurse should monitor for bleeding. Deep breathing exercises
should be encouraged to prevent postoperative pneumonia and to help relieve the patient's
discomfort.
Text Reference - p. 1040
A patient with bacterial meningitis has developed delirium and hallucinations. What would be
the cause of these symptoms?
1
Nuchal rigidity
2
Cranial nerve irritation
3
Increased intracranial pressure
4
Residual neurologic dysfunction - correct answer ✔✔3
Increased intracranial pressure can cause altered mental status such as delirium and
hallucinations. Nuchal rigidity (neck stiffness) is a clinical sign of bacterial meningitis. Cranial
nerve irritation occurs due to neurologic dysfunction and increased intracranial pressure.
Residual neurologic dysfunction is a complication of bacterial meningitis but it is not a cause of
altered mental states.
Exam Review
Cerebrum function of all lobes - correct answer ✔✔higher level thinking (speech memory
movement)
frontal-higher cognitive function, memory retention, voluntary eye movements, voluntary
motor movement, and speech in Broca's area.
temporal-somatic, visual, and auditory data and contains Wernicke's speech area
parietal-spatial information and contains the sensory cortex.
occipital-Processing of sight
Brainstem function - correct answer ✔✔vitals- heart & lung function, sneezing, coughing,
hiccupping, vomiting, sucking, and swallowing.
Cerebellum function - correct answer ✔✔coordinates voluntary movement and maintains trunk
stability and equilibrium
gout - correct answer ✔✔pain in big toe is biggest clinical manifestation
can be primary or secondary
urate crystals deposit into joints & subQ tissues
,usually on bedrest from extreme pain
What should be included in the nursing plan for prevention of skin breakdown in a stroke
patient? Select all that apply.
1
Good skin hygiene
2
Minimizing the frequency of position changes
3
Massaging the damaged area
4
Applying emollients to dry skin
5
Administering back rubs with alcohol for a cooling effect - correct answer ✔✔1, 4
The skin of a patient with stroke is particularly susceptible to breakdown related to loss of
sensation, decreased circulation, and immobility. Therefore the nursing prevention plan for skin
breakdown should include pressure relief interventions such as position changes, application of
emollients to dry skin, good skin hygiene, and early mobility. Massage to the damaged area may
cause additional damage and should be avoided. Back rubs can be very relaxing, but should be
done with lotion or oil, not alcohol, which is very drying to the skin.
Text Reference - p. 1405
A patient presenting with pneumonia scores 5 on the CURB-65 scale. What action should the
nurse take?
1
Advise no treatment.
,2
Advise treating at home.
3
Consider hospital admission.
4
Consider admission to an intensive care unit. - correct answer ✔✔4
CURB-65 is used in addition to clinical judgment in determining the severity of pneumonia and
the need for advanced medical care. A patient scoring 5 on the CURB-65 scale means the
condition is severe and needs advanced medical care. Hence, the nurse should consider
admission to an intensive care unit. If the patient has symptoms of pneumonia, advising no
treatment is not an option. Treating at home is advised when the score on CURB-65 scale is 0.
Hospital admission is considered when the score on the CURB-65 scale is 1 to 2.
Test-Taking Tip: After choosing an answer, go back and reread the question stem along with your
chosen answer. Does it fit correctly? The choice that grammatically fits the stem and contains
the correct information is the best choice.
Text Reference - p. 523
The nurse is teaching a student nurse about postoperative care for a patient that has undergone
laparoscopic cholecystectomy. Which statements made by the student nurse indicate the need
for further teaching? Select all that apply.
1
"I will monitor for bleeding."
2
"The patient will need to return to the office in 7 to 10 days for removal of stitches."
3
"The patient will use a bedside commode for the first 24 hours after surgery."
4
, "I will encourage the patient to practice deep breathing."
5
"I will most likely need to administer narcotics for pain control." - correct answer ✔✔2, 3, 5
With laparoscopic cholecystectomy, there are small incisions that are covered by small adhesive
bandages that can be removed in about five days. The stitches dissolve over time. Patients who
have undergone laparoscopic cholecystectomy can usually walk to the bathroom, so there is no
need for a bedside commode. Postoperative pain can usually be controlled with over-the-
counter pain relievers. A cholecystectomy may result in changes in prothrombin time and may
cause bleeding. Therefore, the nurse should monitor for bleeding. Deep breathing exercises
should be encouraged to prevent postoperative pneumonia and to help relieve the patient's
discomfort.
Text Reference - p. 1040
A patient with bacterial meningitis has developed delirium and hallucinations. What would be
the cause of these symptoms?
1
Nuchal rigidity
2
Cranial nerve irritation
3
Increased intracranial pressure
4
Residual neurologic dysfunction - correct answer ✔✔3
Increased intracranial pressure can cause altered mental status such as delirium and
hallucinations. Nuchal rigidity (neck stiffness) is a clinical sign of bacterial meningitis. Cranial
nerve irritation occurs due to neurologic dysfunction and increased intracranial pressure.
Residual neurologic dysfunction is a complication of bacterial meningitis but it is not a cause of
altered mental states.
