NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The client diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. Which action should the nurse
implement first?
A) Administer sublingual nitroglycerin.
B) Obtain a STAT electrocardiogram (ECG).
C) Have the client sit down immediately.
D) Assess the client's vital signs. - CORRECT ANSWERS Answer = C
Rationale:
-stopping all activity will decrease the need of the myocardium for oxygen
(may decrease chest pain)
-An ECG should be ordered, but not before having the client sit down.
-taking vital signs will not help the client relieve chest pain.
Which diagnostic test is used to confirm the diagnosis of Amyotropic
Lateral Sclerosis (ALS)?
A) Electromyogram (EMG).
B) Muscle biopsy.
C) Serum creatine kinase (CK).
D) Pulmonary function test. - CORRECT ANSWERS Answer = B
Rationale:
-a biopsy can confirm presence of muscle atrophy and loss of muscle fiber.
-an EMG does not confirm ALS; it is done to differentiate a neuropathy from
a myopathy.
-CK may or may not be elevated in ALS, however it does not diagnose ALS.
,NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The client had a right-sided chest tube inserted 2 hours ago for a
pneumothorax. Which action should the nurse implement if there is no
fluctuation in the water-seal compartment?
A) Obtain an order for a STAT chest x-ray.
B) Increase the amount of wall suction.
C) Check the tubing for kinks or clots.
D) Monitor the client's pulse oximeter reading. - CORRECT ANSWERS
Answer = C
Rationale:
-The air from the pleural space is not getting to the water seal
compartment. Checking the tubing is appropriate in finding out why this is,
and usually it's because the client is lying on the tubing, it is kinked, or
there is a dependent loop. (Note: the key here is '2 hours ago')
-increasing the amount of wall suction will not address WHY there is no
fluctuation in the water-seal compartment. Need to find out what is causing
this before taking action.
The nurse writes a problem of "impaired gas exchange" for a client
diagnosed with cancer of the lung. Which interventions should be included
in the plan of care? Select all that apply.
A) Apply O2 via nasal cannula.
B) Have the dietitian plan for 6 small meals per day.
C) Place the client in respiratory isolation.
D) Assess vital signs for fever.
E) Listen to lung sounds every shift. - CORRECT ANSWERS Answer = A, B,
D, E.
Rationale:
-O2 will help expand the lungs and get enough oxygenation to the tissues.
,NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
-lung cancer pts commonly become fatigued trying to eat, so 6 small meals
spaced out throughout the day can help.
-Cancer is non communicable so no need for isolation.
-Checking fevers are important. Clients with lung cancer are at increased
risk for developing infection from lowered resistance as a result of
treatments or from the tumor blocking secretions in the lung.
-Assessment of lungs should be routine.
The client diagnosed with ARF is admitted to the intensive care department
and placed on a therapeutic diet. Which diet is most appropriate for this
client?
A) A high-potassium and low-calcium diet.
B) A low-fat and low-cholesterol diet.
C) A high-carbohydrate and restricted-protein diet.
D) A regular diet with 6 small feedings a day. - CORRECT ANSWERS
Answer = C
Rationale:
-Carbohydrates are increased in ARF in order to provide the high caloric
needs. Protein is restricted to minimize protein breakdown in the kidneys
which will cause the kidneys to work harder.
-Potassium should be restricted/decreased for clients with ARF, and
calcium is not restricted.
-Low fat and low cholesterol is a diet recommended for cardiac
disease/atherosclerosis; not relevant to ARF.
-Small feedings are not required here.
, NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The nurse is caring for the client diagnosed with chronic kidney disease
(CKD) who is experiencing metabolic acidosis. Which statement best
describes the scientific rationale for metabolic acidosis in this client?
A) There is an increased excretion of phosphates and organic acids, which
leads to an increase in arterial blood pH.
B) A shortened life span of red blood cells because of damage secondary to
dialysis treatments in turn leads to metabolic acidosis.
C) The kidney cannot excrete increased levels of acid because they cannot
excrete ammonia or cannot reabsorb sodium bicarbonate.
D) An increase in nausea and vomiting causes a loss of hydrochloric acid
and the respiratory system cannot compensate adequately. - CORRECT
ANSWERS Answer = C
Rationale:
-There is a decrease in the excretion of phosphates and organic acids; not an
increase.
-RBC destruction doesn't affect the arterial blood pH.
-Compensatory mechanisms occur in order to maintain the blood pH
between 7.35 and 7.45. However it does not occur as a direct result of CKD.
The male client diagnosed with CKD has received the initial dose of
erythropoietin, a biologic response modifier, 1 week ago. Which complain
by the client indicates the need to notify the health care provider?
A) The client complains of flu-like symptoms.
B) The client complains of being tired all the time.
C) The client reports an elevation in his blood pressure.
D) The client reports discomfort in his legs and back. - CORRECT
ANSWERS Answer = C
Rationale:
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The client diagnosed with rule-out myocardial infarction is experiencing
chest pain while walking to the bathroom. Which action should the nurse
implement first?
A) Administer sublingual nitroglycerin.
B) Obtain a STAT electrocardiogram (ECG).
C) Have the client sit down immediately.
D) Assess the client's vital signs. - CORRECT ANSWERS Answer = C
Rationale:
-stopping all activity will decrease the need of the myocardium for oxygen
(may decrease chest pain)
-An ECG should be ordered, but not before having the client sit down.
-taking vital signs will not help the client relieve chest pain.
Which diagnostic test is used to confirm the diagnosis of Amyotropic
Lateral Sclerosis (ALS)?
A) Electromyogram (EMG).
B) Muscle biopsy.
C) Serum creatine kinase (CK).
D) Pulmonary function test. - CORRECT ANSWERS Answer = B
Rationale:
-a biopsy can confirm presence of muscle atrophy and loss of muscle fiber.
-an EMG does not confirm ALS; it is done to differentiate a neuropathy from
a myopathy.
-CK may or may not be elevated in ALS, however it does not diagnose ALS.
,NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The client had a right-sided chest tube inserted 2 hours ago for a
pneumothorax. Which action should the nurse implement if there is no
fluctuation in the water-seal compartment?
A) Obtain an order for a STAT chest x-ray.
B) Increase the amount of wall suction.
C) Check the tubing for kinks or clots.
D) Monitor the client's pulse oximeter reading. - CORRECT ANSWERS
Answer = C
Rationale:
-The air from the pleural space is not getting to the water seal
compartment. Checking the tubing is appropriate in finding out why this is,
and usually it's because the client is lying on the tubing, it is kinked, or
there is a dependent loop. (Note: the key here is '2 hours ago')
-increasing the amount of wall suction will not address WHY there is no
fluctuation in the water-seal compartment. Need to find out what is causing
this before taking action.
The nurse writes a problem of "impaired gas exchange" for a client
diagnosed with cancer of the lung. Which interventions should be included
in the plan of care? Select all that apply.
A) Apply O2 via nasal cannula.
B) Have the dietitian plan for 6 small meals per day.
C) Place the client in respiratory isolation.
D) Assess vital signs for fever.
E) Listen to lung sounds every shift. - CORRECT ANSWERS Answer = A, B,
D, E.
Rationale:
-O2 will help expand the lungs and get enough oxygenation to the tissues.
,NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
-lung cancer pts commonly become fatigued trying to eat, so 6 small meals
spaced out throughout the day can help.
-Cancer is non communicable so no need for isolation.
-Checking fevers are important. Clients with lung cancer are at increased
risk for developing infection from lowered resistance as a result of
treatments or from the tumor blocking secretions in the lung.
-Assessment of lungs should be routine.
The client diagnosed with ARF is admitted to the intensive care department
and placed on a therapeutic diet. Which diet is most appropriate for this
client?
A) A high-potassium and low-calcium diet.
B) A low-fat and low-cholesterol diet.
C) A high-carbohydrate and restricted-protein diet.
D) A regular diet with 6 small feedings a day. - CORRECT ANSWERS
Answer = C
Rationale:
-Carbohydrates are increased in ARF in order to provide the high caloric
needs. Protein is restricted to minimize protein breakdown in the kidneys
which will cause the kidneys to work harder.
-Potassium should be restricted/decreased for clients with ARF, and
calcium is not restricted.
-Low fat and low cholesterol is a diet recommended for cardiac
disease/atherosclerosis; not relevant to ARF.
-Small feedings are not required here.
, NUR 332: FINAL EXAM PRACTICE QUESTIONS AND CORRECT
VERIFIED ANSWERS UPDATE 2024/2025 BEST EXAM RATED A+ FOR
EXCELLENT PASS
The nurse is caring for the client diagnosed with chronic kidney disease
(CKD) who is experiencing metabolic acidosis. Which statement best
describes the scientific rationale for metabolic acidosis in this client?
A) There is an increased excretion of phosphates and organic acids, which
leads to an increase in arterial blood pH.
B) A shortened life span of red blood cells because of damage secondary to
dialysis treatments in turn leads to metabolic acidosis.
C) The kidney cannot excrete increased levels of acid because they cannot
excrete ammonia or cannot reabsorb sodium bicarbonate.
D) An increase in nausea and vomiting causes a loss of hydrochloric acid
and the respiratory system cannot compensate adequately. - CORRECT
ANSWERS Answer = C
Rationale:
-There is a decrease in the excretion of phosphates and organic acids; not an
increase.
-RBC destruction doesn't affect the arterial blood pH.
-Compensatory mechanisms occur in order to maintain the blood pH
between 7.35 and 7.45. However it does not occur as a direct result of CKD.
The male client diagnosed with CKD has received the initial dose of
erythropoietin, a biologic response modifier, 1 week ago. Which complain
by the client indicates the need to notify the health care provider?
A) The client complains of flu-like symptoms.
B) The client complains of being tired all the time.
C) The client reports an elevation in his blood pressure.
D) The client reports discomfort in his legs and back. - CORRECT
ANSWERS Answer = C
Rationale:
