nurse 612-Exam 1 unit 1, 2, 3 test
questions Advanced Practice Nursing
I | William Paterson University
1. An older adult's dysfunctional temperature regulator function places the client at
greatest risk for:
A) Acute dementia
B) Delayed initiation of appropriate treatment
C) Acute renal failure
D) Misdiagnosis of pathology - CORRECT ANSWERS-B
2. A client asks why his temperature is always below 98.6F. The nurse responds:
A) The best way to bring your body temperature up to normal is to live in a warmer
climate
B) Some people maintain a core body temperature of 41C and that is normal for
them
C) A person's highest point of core temperature is usually first thing in the morning
D) Normal core temperature varies between individuals within the range of 97F to
99.5F - CORRECT ANSWERS-D
3. The nurse assessing a client admitted with a diagnosis of "fever of unknown origin"
notes that the temperature is elevated, but the heart rate is within normal range. What
further assessment will the client require?
A) Test for Legionnaire disease
B) V/Q scan for pulmonary emboli
C) Thyroid scan for nodules
D) Sedimentation rate for RA - CORRECT ANSWERS-A
4. A 24-year-old woman presents with fever and painful swollen cervical lymph nodes. Her
blood work indicates neutrophilia with a shift to the left. She most likely has:
A) A mild viral infection
, B) A mild parasitic infection
C) A severe bacterial infection
D) A severe fungal infection - CORRECT ANSWERS-C
5. A nurse is providing care for several clients on a neurological unit of a hospital. With
which of the following clients would the nurse be justified in predicting a problem with
thermoregulation?
A) A 66 year old male with damage to his thalamus secondary to a cerebral vascular
accident
B) A 22 year old male with damage to his cerebellum secondary to a motorcycle
accident
C) A 45 year old female with a T8 fracture secondary to a diving accident
D) A 68 year old male with end stage neurosyphilis - CORRECT ANSWERS-A
6. While sponging a client who has a high temperature, the nurse observes the client
begins to shiver. At this point, the priority nursing intervention would be to:
A) Administer an extra does of aspirin
B) Stop sponging the client and retake a set of vital signs
C) Increase the room temperature by turning off the air conditioner and continue
sponging the client with warmer water
D) Place a heated electric blanket on the client's bed - CORRECT ANSWERS-B
7. A client has an increase in core body temperature. What assessment findings does the
nurse expect?
A) Flushed skin
B) Decreased skin temperature
C) Blue nail beds
D) Decreased urination - CORRECT ANSWERS-A
8. Which of the following patients is most likely to have impairments to the wound healing
process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired mobility
B) Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
, D) Congenital heart defects and anemia - CORRECT ANSWERS-B
9. A two-day postoperative patient's temperature was 98.5F at 3:00 PM. At 6:00 PM, the
unlicensed assistant notifies the nurse that the patient's temperature is 102F. Which of
the following actions should the nurse take?
A) Increase intravenous fluid rate
B) Notify the physician
C) Document the temperature
D) Offer the client a cold drink - CORRECT ANSWERS-B
10. A patient diagnosed with bacterial pneumonia is admitted to the hospital. The nurse
reviewing the patient's laboratory results notes an increase in the number of bands in
the white blood cell count. Which of the following is the priority action of the nurse?
A) Continuing to monitor the client's laboratory results; this is an expected finding
in an acute infection
B) Placing the client in contact isolation immediately
C) Requesting a repeat blood draw to verify the findings
D) Notifying the physician of the abnormal lab result - CORRECT ANSWERS-A
11. The nurse is caring for a client whose temperature is increasing. The nurse is aware that
the client will also experience an increase in:
A) White blood cell count
B) Heart rate
C) Respiratory rate
D) Blood pressure - CORRECT ANSWERS-B
12. A patient with a rising temperature is pale and has begun to shiver. The nurse reports
that the patient is in which of the following phases of fever development?
A) Prodrome
B) Chill
C) Flush
D) Defervescence - CORRECT ANSWERS-B
, 13. A client is said to be in the chill stage of the fever process when the nurse does which of
the following?
A) Administers an antipyretic medication
B) Observes piloerection on the skin
C) Observes the client is sweating
D) Determines the client will benefit from a cool sponge bath - CORRECT ANSWERS-
B
14. What is the most common cause of drug fever?
A) Increased heat production from PTU
B) Hypersensitivity reaction to medication
C) Impaired peripheral heat dissipation by atropine
D) Serotonin syndrome - CORRECT ANSWERS-B
15. The nurse is assessing a client with diabetes and notes an area on the client's right foot
as inflamed, necrotic, and eroded. The client states he accidentally slammed his foot in a
door 2 weeks ago. The nurse would document this finding as a(n):
A) Fungus
B) Pustule
C) Ulceration
D) Abscess - CORRECT ANSWERS-C
16. A normal response to fever is an elevated heart rate. A client with a fever who is not
exhibiting an elevated heart rate would indicate to the nurse that the cause of the fever
might be which of the following?
A) Hyperthyroidism
B) Flu
C) Pulmonary emboli
D) Legionnaires disease - CORRECT ANSWERS-D
17. The nurse is reviewing assessment documentation of a client's wound and notes
"purulent drainage". The nurse would interpret this as:
A) Exudate containing large amounts of fibrinogen
B) Exudate containing white blood cells, protein, and tissue debris
questions Advanced Practice Nursing
I | William Paterson University
1. An older adult's dysfunctional temperature regulator function places the client at
greatest risk for:
A) Acute dementia
B) Delayed initiation of appropriate treatment
C) Acute renal failure
D) Misdiagnosis of pathology - CORRECT ANSWERS-B
2. A client asks why his temperature is always below 98.6F. The nurse responds:
A) The best way to bring your body temperature up to normal is to live in a warmer
climate
B) Some people maintain a core body temperature of 41C and that is normal for
them
C) A person's highest point of core temperature is usually first thing in the morning
D) Normal core temperature varies between individuals within the range of 97F to
99.5F - CORRECT ANSWERS-D
3. The nurse assessing a client admitted with a diagnosis of "fever of unknown origin"
notes that the temperature is elevated, but the heart rate is within normal range. What
further assessment will the client require?
A) Test for Legionnaire disease
B) V/Q scan for pulmonary emboli
C) Thyroid scan for nodules
D) Sedimentation rate for RA - CORRECT ANSWERS-A
4. A 24-year-old woman presents with fever and painful swollen cervical lymph nodes. Her
blood work indicates neutrophilia with a shift to the left. She most likely has:
A) A mild viral infection
, B) A mild parasitic infection
C) A severe bacterial infection
D) A severe fungal infection - CORRECT ANSWERS-C
5. A nurse is providing care for several clients on a neurological unit of a hospital. With
which of the following clients would the nurse be justified in predicting a problem with
thermoregulation?
A) A 66 year old male with damage to his thalamus secondary to a cerebral vascular
accident
B) A 22 year old male with damage to his cerebellum secondary to a motorcycle
accident
C) A 45 year old female with a T8 fracture secondary to a diving accident
D) A 68 year old male with end stage neurosyphilis - CORRECT ANSWERS-A
6. While sponging a client who has a high temperature, the nurse observes the client
begins to shiver. At this point, the priority nursing intervention would be to:
A) Administer an extra does of aspirin
B) Stop sponging the client and retake a set of vital signs
C) Increase the room temperature by turning off the air conditioner and continue
sponging the client with warmer water
D) Place a heated electric blanket on the client's bed - CORRECT ANSWERS-B
7. A client has an increase in core body temperature. What assessment findings does the
nurse expect?
A) Flushed skin
B) Decreased skin temperature
C) Blue nail beds
D) Decreased urination - CORRECT ANSWERS-A
8. Which of the following patients is most likely to have impairments to the wound healing
process? A patient with:
A) A diagnosis of multiple sclerosis and consequent impaired mobility
B) Poorly controlled blood sugars with small blood vessel disease
C) Chronic obstructive pulmonary disease
, D) Congenital heart defects and anemia - CORRECT ANSWERS-B
9. A two-day postoperative patient's temperature was 98.5F at 3:00 PM. At 6:00 PM, the
unlicensed assistant notifies the nurse that the patient's temperature is 102F. Which of
the following actions should the nurse take?
A) Increase intravenous fluid rate
B) Notify the physician
C) Document the temperature
D) Offer the client a cold drink - CORRECT ANSWERS-B
10. A patient diagnosed with bacterial pneumonia is admitted to the hospital. The nurse
reviewing the patient's laboratory results notes an increase in the number of bands in
the white blood cell count. Which of the following is the priority action of the nurse?
A) Continuing to monitor the client's laboratory results; this is an expected finding
in an acute infection
B) Placing the client in contact isolation immediately
C) Requesting a repeat blood draw to verify the findings
D) Notifying the physician of the abnormal lab result - CORRECT ANSWERS-A
11. The nurse is caring for a client whose temperature is increasing. The nurse is aware that
the client will also experience an increase in:
A) White blood cell count
B) Heart rate
C) Respiratory rate
D) Blood pressure - CORRECT ANSWERS-B
12. A patient with a rising temperature is pale and has begun to shiver. The nurse reports
that the patient is in which of the following phases of fever development?
A) Prodrome
B) Chill
C) Flush
D) Defervescence - CORRECT ANSWERS-B
, 13. A client is said to be in the chill stage of the fever process when the nurse does which of
the following?
A) Administers an antipyretic medication
B) Observes piloerection on the skin
C) Observes the client is sweating
D) Determines the client will benefit from a cool sponge bath - CORRECT ANSWERS-
B
14. What is the most common cause of drug fever?
A) Increased heat production from PTU
B) Hypersensitivity reaction to medication
C) Impaired peripheral heat dissipation by atropine
D) Serotonin syndrome - CORRECT ANSWERS-B
15. The nurse is assessing a client with diabetes and notes an area on the client's right foot
as inflamed, necrotic, and eroded. The client states he accidentally slammed his foot in a
door 2 weeks ago. The nurse would document this finding as a(n):
A) Fungus
B) Pustule
C) Ulceration
D) Abscess - CORRECT ANSWERS-C
16. A normal response to fever is an elevated heart rate. A client with a fever who is not
exhibiting an elevated heart rate would indicate to the nurse that the cause of the fever
might be which of the following?
A) Hyperthyroidism
B) Flu
C) Pulmonary emboli
D) Legionnaires disease - CORRECT ANSWERS-D
17. The nurse is reviewing assessment documentation of a client's wound and notes
"purulent drainage". The nurse would interpret this as:
A) Exudate containing large amounts of fibrinogen
B) Exudate containing white blood cells, protein, and tissue debris
