NR 226 Final Exam
1. The RN is assessing a client who has hypercalcemia. Which of the following
findings would the nurse expect? Select all that apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor Correct Answer(s) A. Nausea and vomiting
B. Confusion
2. The RN is reviewing lab values for a group of clients and notices a sodium
level of 130 mEq/L. The nurse understands that which client is at highest risk
for the development of this lab value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D.The client who was admitted to hospice Correct Answer(s) A.The client who is
taking furosemide (a diuretic)
3. The body's fluid and electrolyte balance is maintained partially by hormonal
regulation. Which of the following statements shows an understanding of this
mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
,D. "The pituitary gland secretes antidiuretic hormone." Correct Answer(s) D.
"The pituitary gland secretes antidiuretic hormone."
4. While reviewing a client's progress notes, the RN reads "insensible fluid loss
of approximately 700 mL daily".The RN understands that this type of fluid loss
can occur through Correct Answer(s)
A. The GI tract
B. Urine output
C. Wound drainage
D. The skin
E. Emesis Correct Answer(s) D. The skin
5. A senior student nurse delegates the task of intake and output to a new
unlicensed assistive personnel (UAP). The student will verify that the UAP
understands the task of I&O when the UAP states
,A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large amount."
Correct Answer(s) A. "I will record the amount of all voided urine."
6. A nurse is inserting an IV line into a client's vein. After the initial stick the
nurse continues to advance the catheter if the nurse notes that Correct
Answer(s)
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort Correct Answer(s) B. Blood
returns shows in the flashback chamber
7. You are caring for a client who is depressed because the only child has gone
away to college. The nurse will assess this type of depression as Correct
Answer(s)
A. actual loss
B. perceived loss
C. situational loss
D. maturational loss Correct Answer(s) D. maturational loss
8. Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her husband's clothes fro
, the closet
B. A teenage client dies from a car accident and the client's mother is crying
loudly in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several months after the
death Correct Answer(s) C. A client verbalizes being upset by voluntarily giving a
newborn up for adoption
9. A client has been told by the healthcare provider that remaining life ex-
pectancy is approximately 3 months.The client tells the immediate family that
the doctor is incorrect and that he "will get better by my birthday in a month".
Which stage of grieving is this client experiencing?
A. Acceptance
B. Denial
1. The RN is assessing a client who has hypercalcemia. Which of the following
findings would the nurse expect? Select all that apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor Correct Answer(s) A. Nausea and vomiting
B. Confusion
2. The RN is reviewing lab values for a group of clients and notices a sodium
level of 130 mEq/L. The nurse understands that which client is at highest risk
for the development of this lab value?
A. The client who is taking furosemide (a diuretic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D.The client who was admitted to hospice Correct Answer(s) A.The client who is
taking furosemide (a diuretic)
3. The body's fluid and electrolyte balance is maintained partially by hormonal
regulation. Which of the following statements shows an understanding of this
mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic hormone."
,D. "The pituitary gland secretes antidiuretic hormone." Correct Answer(s) D.
"The pituitary gland secretes antidiuretic hormone."
4. While reviewing a client's progress notes, the RN reads "insensible fluid loss
of approximately 700 mL daily".The RN understands that this type of fluid loss
can occur through Correct Answer(s)
A. The GI tract
B. Urine output
C. Wound drainage
D. The skin
E. Emesis Correct Answer(s) D. The skin
5. A senior student nurse delegates the task of intake and output to a new
unlicensed assistive personnel (UAP). The student will verify that the UAP
understands the task of I&O when the UAP states
,A. "I will record the amount of all voided urine."
B. "I will not count liquid stools as output."
C. "I will not record a café mocha as intake."
D. "I will notate perspiration and record it as a small or large amount."
Correct Answer(s) A. "I will record the amount of all voided urine."
6. A nurse is inserting an IV line into a client's vein. After the initial stick the
nurse continues to advance the catheter if the nurse notes that Correct
Answer(s)
A. The catheter advances easily
B. Blood returns shows in the flashback chamber
C. The vein is distended under the needle
D. The client does not complain of discomfort Correct Answer(s) B. Blood
returns shows in the flashback chamber
7. You are caring for a client who is depressed because the only child has gone
away to college. The nurse will assess this type of depression as Correct
Answer(s)
A. actual loss
B. perceived loss
C. situational loss
D. maturational loss Correct Answer(s) D. maturational loss
8. Which of the following is an example of disenfranchised grief?
A. A newly-widowed individual does not want to remove her husband's clothes fro
, the closet
B. A teenage client dies from a car accident and the client's mother is crying
loudly in the hospital hallway
C. A client verbalizes being upset by voluntarily giving a newborn up for adoption
D. A person is unwilling to discuss the loss of a child for several months after the
death Correct Answer(s) C. A client verbalizes being upset by voluntarily giving a
newborn up for adoption
9. A client has been told by the healthcare provider that remaining life ex-
pectancy is approximately 3 months.The client tells the immediate family that
the doctor is incorrect and that he "will get better by my birthday in a month".
Which stage of grieving is this client experiencing?
A. Acceptance
B. Denial
