NURS 221 FINAL EXAM 2024 NEWEST
ACTUAL EXAM COMPLETE
ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
A client in hospice care develops audible gurgling sounds
on inspiration. Which nursing action has the highest
priority?
a. Ensure cultural customs are observed
b. Increase oxygen flow to 4L/min
c. Auscultate bilateral lung fields
d. Inform the family that death is imminent -
....ANSWER...D
The nurse notes that a client consistently coughs while
eating and drinking. Which nursing diagnosis is most
important for the nurse to include in the client's plan of
care?
,a. Ineffective breathing pattern
b. Impaired gas exchange
c. Risk for aspiration
d. Ineffective airway clearance - ....ANSWER...C
The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take
corrective action if which client action is noted?
a. temperature increases
b. pulse rate decreases
c. RR increases
d. BP increases - ....ANSWER...B
A client is admitted with a stage four pressure ulcer that
has a black, hardened surface and a light-pink wound bed
with a malodorous green drainage. Which dressing is best
for the nurse to use first?
a. hydrogel
b. exudate absorber
c. wet to moist dressing
d. transparent adhesive film - ....ANSWER...C
,A client with chronic renal disease is admitted to the
hospital for evaluation prior to a surgical procedure. Which
laboratory test indicates the client's protein status for the
longest length of time?
a. transferrin
b. prealbumin
c. serum albumin
d. urine urea nitrogen - ....ANSWER...C
A low sodium, low protein diet is prescribed for a 45-year-
old client with renal insufficiency and hypertension, who
gained 3 pounds last month. The nurse determines that the
client has been noncompliant with the diet, based on which
report from the 24-hour diet recall? CHECK ALL THAT
APPLY.
a. snack potato chips, diet soda
b. tuna fish sandwich, carrot sticks, fresh fruit, coffee
c. eggs, bacon, toast, and coffee
d. vegetable lasagna, tossed salad, sherbert, iced tea
e. snack of crackers and milk - ....ANSWER...Answer:
a,b,c,e
, 46 yr old complains of weight loss, fatigue, dark patches
on skin in armpits, frequent yeast infections, and non-
healing sores on legs. Nurses priority diagnosis? -
....ANSWER...Check Blood sugar.
1) polyuria
2) polydipsia
3) polyphagia
Patient is brought to ER with lightheadedness upon
standing with few falls in last 2 days. VS= HR=126, BP=
90/60, RR=22, Temp=98, O2=96% RA. Labs: Hct=49,
BUN=57. What priority order can the nurse anticipate
from health care provider? - ....ANSWER...PO fluid intake
Loss of high pitched sounds in older age -
....ANSWER...Presbycusis hearing loss
According to Piaget, during which stage of development in
children develop memory and imagination? -
....ANSWER...Pre operational
(Talk to imaginary friend)
ACTUAL EXAM COMPLETE
ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) /ALREADY
GRADED A+
A client in hospice care develops audible gurgling sounds
on inspiration. Which nursing action has the highest
priority?
a. Ensure cultural customs are observed
b. Increase oxygen flow to 4L/min
c. Auscultate bilateral lung fields
d. Inform the family that death is imminent -
....ANSWER...D
The nurse notes that a client consistently coughs while
eating and drinking. Which nursing diagnosis is most
important for the nurse to include in the client's plan of
care?
,a. Ineffective breathing pattern
b. Impaired gas exchange
c. Risk for aspiration
d. Ineffective airway clearance - ....ANSWER...C
The nurse is digitally removing a fecal impaction for a
client. The nurse should stop the procedure and take
corrective action if which client action is noted?
a. temperature increases
b. pulse rate decreases
c. RR increases
d. BP increases - ....ANSWER...B
A client is admitted with a stage four pressure ulcer that
has a black, hardened surface and a light-pink wound bed
with a malodorous green drainage. Which dressing is best
for the nurse to use first?
a. hydrogel
b. exudate absorber
c. wet to moist dressing
d. transparent adhesive film - ....ANSWER...C
,A client with chronic renal disease is admitted to the
hospital for evaluation prior to a surgical procedure. Which
laboratory test indicates the client's protein status for the
longest length of time?
a. transferrin
b. prealbumin
c. serum albumin
d. urine urea nitrogen - ....ANSWER...C
A low sodium, low protein diet is prescribed for a 45-year-
old client with renal insufficiency and hypertension, who
gained 3 pounds last month. The nurse determines that the
client has been noncompliant with the diet, based on which
report from the 24-hour diet recall? CHECK ALL THAT
APPLY.
a. snack potato chips, diet soda
b. tuna fish sandwich, carrot sticks, fresh fruit, coffee
c. eggs, bacon, toast, and coffee
d. vegetable lasagna, tossed salad, sherbert, iced tea
e. snack of crackers and milk - ....ANSWER...Answer:
a,b,c,e
, 46 yr old complains of weight loss, fatigue, dark patches
on skin in armpits, frequent yeast infections, and non-
healing sores on legs. Nurses priority diagnosis? -
....ANSWER...Check Blood sugar.
1) polyuria
2) polydipsia
3) polyphagia
Patient is brought to ER with lightheadedness upon
standing with few falls in last 2 days. VS= HR=126, BP=
90/60, RR=22, Temp=98, O2=96% RA. Labs: Hct=49,
BUN=57. What priority order can the nurse anticipate
from health care provider? - ....ANSWER...PO fluid intake
Loss of high pitched sounds in older age -
....ANSWER...Presbycusis hearing loss
According to Piaget, during which stage of development in
children develop memory and imagination? -
....ANSWER...Pre operational
(Talk to imaginary friend)
