NURS 5315 Exam
NURS 5315 Exam 1 Comprehensive Practice
Test Bank – a Review of 550+ Questions and
Correct Answers on Cardiovascular,
Pulmonary, and Neuro/ NURS 5315 Advanced
Pathophysiology Exam 3 Prep ()
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. –
Correct Answer :B. A lactating woman nursing her 3-day-old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are
all conditions that require protein but do NOT have the increased metabolic protein demands
of lactation.)
A+ TEST BANK 1
, NURS 5315 Exam
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. –
Correct Answer :B. Blood transfusions are forbidden.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these
practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complimentary healing practices can be used in conjunction with conventional
practices.
D. Conventional medical practices will ultimately replace the use of complimentary healing
practices. –
Correct Answer :C.
Many complimentary healing practices can be used in conjunction with conventional
practices. (Conventional approaches to health care can be depersonalizing and often fail to
take into consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical
practices (C), rather than interfering (A) with conventional practices, causing adverse effects
(B), or replacing conventional medical care (D). )
A+ TEST BANK 2
, NURS 5315 Exam
A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the nurse
implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. –
Correct Answer :A. Give an around-the-clock schedule for administration of analgesics.
(The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing comfort is a priority for the client
who is dying, but sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period allows the serum
drug level to fall, which is not an effective method to manage chronic pain.)
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. –
Correct Answer :A. Assist the ambulating client back to the bed.
(An oxygen saturation below 90% indicates inadequate oxygen. First, the client should be
assisted to return to bed (A) to minimize oxygen demands. Ambulation increases aeration of
the lungs to prevent pooling of respiratory secretions, but the client's activity at this time is
A+ TEST BANK 3
, NURS 5315 Exam
depleting oxygen saturation of the blood, so (B) is contraindicated. Increased activity
increases respiratory effort, and oxygen may be necessary to continue ambulation (C), but
first the client should return to the bed to rest. Oxygen saturation levels at different sites
should be evaluated AFTER the client returns to bed (D). )
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take?
A. Explain that anyone who speaks her language can answer her questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. –
Correct Answer :D.
Request and document the name of the certified translator. (A certified translator should be
requested to ensure the exchanged information is reliable and unaltered. To adhere to legal
requirements in some states, the name of the translator should be documented (D). Client
information that is translated is private and protected under HIPAA rules, so (A) is not the
best action. Although an emergency situation may require extenuating circumstances (B), a
translator should be provided in most situations. Family members may skew info and not
translate the exact information, so (C) is not preferred.)
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering
with "miseries." Based on this statement, which focused assessment should the nurse
conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distention. - Correct Answer :A. Inquire about the source
and type of pain
A+ TEST BANK 4
NURS 5315 Exam 1 Comprehensive Practice
Test Bank – a Review of 550+ Questions and
Correct Answers on Cardiovascular,
Pulmonary, and Neuro/ NURS 5315 Advanced
Pathophysiology Exam 3 Prep ()
The nurse is assessing the nutritional status of several clients. Which client has the greatest
nutritional need for additional intake of protein?
A. A college-age track runner with a sprained ankle.
B. A lactating woman nursing her 3-day-old infant.
C. A school-aged child with Type 2 diabetes.
D. An elderly man being treated for a peptic ulcer. –
Correct Answer :B. A lactating woman nursing her 3-day-old infant.
(A lactating woman (B) has the greatest need for additional protein intake. (A, C, and D) are
all conditions that require protein but do NOT have the increased metabolic protein demands
of lactation.)
A+ TEST BANK 1
, NURS 5315 Exam
A client who is a Jehovah's Witness is admitted to the nursing unit. Which concern should the
nurse have for planning care in terms of the client's beliefs?
A. Autopsy of the body is prohibited.
B. Blood transfusions are forbidden.
C. Alcohol use in any form is not allowed.
D. A vegetarian diet must be followed. –
Correct Answer :B. Blood transfusions are forbidden.
When conducting an admission assessment, the nurse should ask the client about the use of
complimentary healing practices. Which statement is accurate regarding the use of these
practices?
A. Complimentary healing practices interfere with the efficacy of the medical model of
treatment.
B. Conventional medications are likely to interact with folk remedies and cause adverse
effects.
C. Many complimentary healing practices can be used in conjunction with conventional
practices.
D. Conventional medical practices will ultimately replace the use of complimentary healing
practices. –
Correct Answer :C.
Many complimentary healing practices can be used in conjunction with conventional
practices. (Conventional approaches to health care can be depersonalizing and often fail to
take into consideration all aspects of an individual, including body, mind, and spirit. Often
complimentary healing practices can be used in conjunction with conventional medical
practices (C), rather than interfering (A) with conventional practices, causing adverse effects
(B), or replacing conventional medical care (D). )
A+ TEST BANK 2
, NURS 5315 Exam
A client who is in hospice care complains of increasing amounts of pain. The healthcare
provider prescribes an analgesic every four hours as needed. Which action should the nurse
implement?
A. Give an around-the-clock schedule for administration of analgesics.
B. Administer analgesic medication as needed when the pain is severe.
C. Provide medication to keep the client sedated and unaware of stimuli.
D. Offer a medication-free period so that the client can do daily activities. –
Correct Answer :A. Give an around-the-clock schedule for administration of analgesics.
(The most effective management of pain is achieved using an around-the-clock schedule that
provides analgesic medications on a regular basis (A) and in a timely manner. Analgesics are
less effective if pain persists until it is severe, so an analgesic medication should be
administered before the client's pain peaks (B). Providing comfort is a priority for the client
who is dying, but sedation that impairs the client's ability to interact and experience the time
before life ends should be minimized (C). Offering a medication-free period allows the serum
drug level to fall, which is not an effective method to manage chronic pain.)
A client with pneumonia has a decrease in oxygen saturation from 94% to 88% while
ambulating. Based on these findings, which intervention should the nurse implement first?
A. Assist the ambulating client back to the bed
B. Encourage the client to ambulate to resolve pneumonia.
C. Obtain a prescription for portable oxygen while ambulating.
D. Move the oximetry probe from the finger to the earlobe. –
Correct Answer :A. Assist the ambulating client back to the bed.
(An oxygen saturation below 90% indicates inadequate oxygen. First, the client should be
assisted to return to bed (A) to minimize oxygen demands. Ambulation increases aeration of
the lungs to prevent pooling of respiratory secretions, but the client's activity at this time is
A+ TEST BANK 3
, NURS 5315 Exam
depleting oxygen saturation of the blood, so (B) is contraindicated. Increased activity
increases respiratory effort, and oxygen may be necessary to continue ambulation (C), but
first the client should return to the bed to rest. Oxygen saturation levels at different sites
should be evaluated AFTER the client returns to bed (D). )
A female client asks the nurse to find someone who can translate into her native language her
concerns about a treatment. Which action should the nurse take?
A. Explain that anyone who speaks her language can answer her questions.
B. Provide a translator only in an emergency situation.
C. Ask a family member or friend of the client to translate.
D. Request and document the name of the certified translator. –
Correct Answer :D.
Request and document the name of the certified translator. (A certified translator should be
requested to ensure the exchanged information is reliable and unaltered. To adhere to legal
requirements in some states, the name of the translator should be documented (D). Client
information that is translated is private and protected under HIPAA rules, so (A) is not the
best action. Although an emergency situation may require extenuating circumstances (B), a
translator should be provided in most situations. Family members may skew info and not
translate the exact information, so (C) is not preferred.)
An African-American grandmother tells the nurse that her 4-year-old grandson is suffering
with "miseries." Based on this statement, which focused assessment should the nurse
conduct?
A. Inquire about the source and type of pain.
B. Examine the nose for congestion and discharge.
C. Take vital signs for temperature elevation.
D. Explore the abdominal area for distention. - Correct Answer :A. Inquire about the source
and type of pain
A+ TEST BANK 4
