NURS 6565 COMPREHENSIVE EXAM PREP
QUESTIONS AND SOLUTIONS VERIFIED
STUDY RESOURCE
●● A 55-year-old male client has been admitted to the hospital with a
medical diagnosis of chronic obstructive pulmonary disease (COPD).
Which risk factor is the most significant in the development of this
client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years.
Answer: C
Rationale:Smoking, considered to be a modifiable risk factor, is the most
significant risk factor for the development of COPD. The exact
mechanism of genetic and hereditary implications for the development
of COPD is still under investigation, although exposure to similar
predisposing factors (e.g., smoking or inhaling secondhand smoke) may
increase the likelihood of COPD incidence among family members.
,Options B and D do not exceed the risks associated with cigarette
smoking in the development of COPD.
●● In assessing a client diagnosed with primary aldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of
which substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose
Answer: C
Rationale:Clients with primary aldosteronism exhibit a profound decline
in serum levels of potassium; hypokalemia; hypertension is the most
prominent and universal sign. The serum sodium level is normal or
elevated, depending on the amount of water resorbed with the sodium.
Option B is influenced by parathyroid hormone (PTH). Option D is not
affected by primary aldosteronism.
●● The nurse is completing an admission interview for a client with
Parkinson disease. Which question will provide additional information
about manifestations that the client is likely to experience?
,A.
"Have you ever experienced any paralysis of your arms or legs?"
B.
"Do you have frequent blackout spells?"
C.
"Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing pain?"
Answer: C
Rationale:Clients with Parkinson disease frequently experience
difficulty in initiating, maintaining, and performing motor activities.
They may even experience being rooted to the spot and unable to move.
Parkinson disease does not typically cause option A, B, or D.
●● Client census is often used to determine staffing needs. Which
method of obtaining census determination for a particular unit provides
the best formula for determining long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
, D.
Hourly census
Answer: C
Rationale:An average daily census is determined by trend data and takes
into account seasonal and daily fluctuations, so it is the best method for
determining staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is unrealistic to
expect to obtain an hourly census, and such data would only provide
information about a certain point in time.
●● A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required
Answer: B
Rationale:The cuff should be inflated before the feeding to block the
trachea and prevent food from entering if oral feedings are started while
QUESTIONS AND SOLUTIONS VERIFIED
STUDY RESOURCE
●● A 55-year-old male client has been admitted to the hospital with a
medical diagnosis of chronic obstructive pulmonary disease (COPD).
Which risk factor is the most significant in the development of this
client's COPD?
A.
The client's father was diagnosed with COPD in his 50s.
B.
A close family member contracted tuberculosis last year.
C.
The client smokes one to two packs of cigarettes per day.
D.
The client has been 40 pounds overweight for 15 years.
Answer: C
Rationale:Smoking, considered to be a modifiable risk factor, is the most
significant risk factor for the development of COPD. The exact
mechanism of genetic and hereditary implications for the development
of COPD is still under investigation, although exposure to similar
predisposing factors (e.g., smoking or inhaling secondhand smoke) may
increase the likelihood of COPD incidence among family members.
,Options B and D do not exceed the risks associated with cigarette
smoking in the development of COPD.
●● In assessing a client diagnosed with primary aldosteronism, the nurse
expects the laboratory test results to indicate a decreased serum level of
which substance?
A.
Sodium
B.
Phosphate
C.
Potassium
D.
Glucose
Answer: C
Rationale:Clients with primary aldosteronism exhibit a profound decline
in serum levels of potassium; hypokalemia; hypertension is the most
prominent and universal sign. The serum sodium level is normal or
elevated, depending on the amount of water resorbed with the sodium.
Option B is influenced by parathyroid hormone (PTH). Option D is not
affected by primary aldosteronism.
●● The nurse is completing an admission interview for a client with
Parkinson disease. Which question will provide additional information
about manifestations that the client is likely to experience?
,A.
"Have you ever experienced any paralysis of your arms or legs?"
B.
"Do you have frequent blackout spells?"
C.
"Have you ever been frozen in one spot, unable to move?"
D.
"Do you have headaches, especially ones with throbbing pain?"
Answer: C
Rationale:Clients with Parkinson disease frequently experience
difficulty in initiating, maintaining, and performing motor activities.
They may even experience being rooted to the spot and unable to move.
Parkinson disease does not typically cause option A, B, or D.
●● Client census is often used to determine staffing needs. Which
method of obtaining census determination for a particular unit provides
the best formula for determining long-range staffing patterns?
A.
Midnight census
B.
Oncoming shift census
C.
Average daily census
, D.
Hourly census
Answer: C
Rationale:An average daily census is determined by trend data and takes
into account seasonal and daily fluctuations, so it is the best method for
determining staffing needs. Options A and B provide data at a certain
point in time, and that data could change quickly. It is unrealistic to
expect to obtain an hourly census, and such data would only provide
information about a certain point in time.
●● A male client has just undergone a laryngectomy and has a cuffed
tracheostomy tube in place. When initiating bolus tube feedings
postoperatively, when should the nurse inflate the cuff?
A.
Immediately after feeding
B.
Just prior to tube feeding
C.
Continuous inflation is required
D.
Inflation is not required
Answer: B
Rationale:The cuff should be inflated before the feeding to block the
trachea and prevent food from entering if oral feedings are started while
