Final Review NR302 Exam Questions With Complete
Solutions
A 23-year-old blue-eyed client tells the nurse that her eyes have
always been extremely sensitive to sunlight. Which of the
following should the nurse say in response to this client's
statement?
A."Light-eyed people are more often sensitive to bright sunlight
and artificial light.
B."Light sensitivity may predispose you to the development of
cataracts."
C."Increasing your intake of vitamin A may help this
condition."
D."This is a normal finding and associated with decreased
vision." Correct Answers A."Light-eyed people are more often
sensitive to bright sunlight and artificial light.
People with light-colored eyes typically have lighter retinae and
better night vision but are more sensitive to bright sunlight and
artificial light. Excessive sun exposure without the use of
sunglasses may promote cataract formation. Vitamin A
deficiency is related to development of night blindness. Light
sensitivity does not alter the vision.
A 27-year-old female is scheduled to be seen in the clinic for a
routine health checkup. Which of the following can the nurse
anticipate will be provided during this health appointment?
A.Counseling on injury prevention
B.Counseling on diet and exercise
,C.Counseling on daily fluoride supplement
D.Receive second MMR vaccination Correct Answers
B.Counseling on diet and exercise
Interventions for periodic health examination for ages 25 to 64
years include counseling on diet and exercise. The other options
are for periodic health examination for ages 11 to 24 years.
Counseling on injury prevention, fluoride supplementation and
MMR vaccinations are appropriate for younger clients.
A 45-year-old client who has been diagnosed with presbyopia
asks the nurse to explain what this means. The nurse replies:
A.As we age, the lens of the eye loses elasticity and affects our
near vision.
B.The cornea of the eye is causing difficulty with your night
vision.
C.You may notice difficulty with your peripheral vision.
D.You may notice difficulty with your ability to see in the
distance. Correct Answers A.As we age, the lens of the eye
loses elasticity and affects our near vision.
By age 45, the lens of the eye loses elasticity, and the ciliary
muscles become weaker, resulting in a decreased ability of the
lens to change shape to accommodate for near vision
(presbyopia). Corneal degeneration doesn't cause problems with
near vision or night vision. Decreased peripheral vision can be
related to conditions such as glaucoma, not presbyopia.
Presbyopia causes difficulty with near, not distance vision.
,A 47-year-old client comes into the clinic requesting
information on smoking cessation. According to the Health
Belief Model, this client is demonstrating:
A.Disease treatment behavior
B.Risk reduction behavior
C.Cost reduction behavior
D.Economic status behavior Correct Answers B.Risk
reduction behavior
Within the Health Belief Model, health promotion and risk
reduction behaviors are those that will increase client well-
being. The focus of the health belief model is prevention of
illness, not disease treatment behavior. The individual must
weigh the physical and psychological cost versus the benefit.
Cost reduction behavior is not an influence in this model.
Economic status behavior is not an influence in the Health
Belief Model.
A 60-year-old client tells the nurse that he has noticed a
decrease in his hearing. The nurse knows that the age-related
changes of the ear that likely are contributing to the decrease in
his hearing are the result of:
A.Increased cerumen in the external canal
B.The loss of low-frequency sounds; high-frequency sounds
remain intact
D.A thin tympanic membrane Correct Answers C.Presbycusis
, Presbycusis is the term given to the gradual hearing loss that
occurs with aging. As individuals age, the individual develops a
loss of high-frequency sounds first, then over time may develop
a loss of low-frequency sounds as well. The tympanic membrane
becomes paler and thicker with age.
A 68-year-old client in the hospital with a chronic illness is 25
percent overweight. This client refuses to eat vegetables and
continues to ask for food to be delivered from the local pizza
restaurant. Which of the following might this client be
experiencing?
A.Undernutrition
B.Overnutrition
C.Protein-calorie malnutrition
D.Both overnutrition and undernutrition Correct Answers
D.Both overnutrition and undernutrition
An individual can have both overnutrition and undernutrition if
a particular food group is avoided. This client refuses to eat
vegetables and therefore could be at risk for undernutrition,
which is insufficient intake of nutrients. Overnutrition results
from excesses in nutrient intake and can cause obesity,
hypertension, hypercholesterolemia, or toxic levels of stored
vitamins or minerals. Protein-calorie malnutrition occurs when
the intake of calories and protein is insufficient.
A 68-year-old client tells the nurse, "I will not worry about
getting sick because it is all in God's will." The nurse realizes
this client is demonstrating:
Solutions
A 23-year-old blue-eyed client tells the nurse that her eyes have
always been extremely sensitive to sunlight. Which of the
following should the nurse say in response to this client's
statement?
A."Light-eyed people are more often sensitive to bright sunlight
and artificial light.
B."Light sensitivity may predispose you to the development of
cataracts."
C."Increasing your intake of vitamin A may help this
condition."
D."This is a normal finding and associated with decreased
vision." Correct Answers A."Light-eyed people are more often
sensitive to bright sunlight and artificial light.
People with light-colored eyes typically have lighter retinae and
better night vision but are more sensitive to bright sunlight and
artificial light. Excessive sun exposure without the use of
sunglasses may promote cataract formation. Vitamin A
deficiency is related to development of night blindness. Light
sensitivity does not alter the vision.
A 27-year-old female is scheduled to be seen in the clinic for a
routine health checkup. Which of the following can the nurse
anticipate will be provided during this health appointment?
A.Counseling on injury prevention
B.Counseling on diet and exercise
,C.Counseling on daily fluoride supplement
D.Receive second MMR vaccination Correct Answers
B.Counseling on diet and exercise
Interventions for periodic health examination for ages 25 to 64
years include counseling on diet and exercise. The other options
are for periodic health examination for ages 11 to 24 years.
Counseling on injury prevention, fluoride supplementation and
MMR vaccinations are appropriate for younger clients.
A 45-year-old client who has been diagnosed with presbyopia
asks the nurse to explain what this means. The nurse replies:
A.As we age, the lens of the eye loses elasticity and affects our
near vision.
B.The cornea of the eye is causing difficulty with your night
vision.
C.You may notice difficulty with your peripheral vision.
D.You may notice difficulty with your ability to see in the
distance. Correct Answers A.As we age, the lens of the eye
loses elasticity and affects our near vision.
By age 45, the lens of the eye loses elasticity, and the ciliary
muscles become weaker, resulting in a decreased ability of the
lens to change shape to accommodate for near vision
(presbyopia). Corneal degeneration doesn't cause problems with
near vision or night vision. Decreased peripheral vision can be
related to conditions such as glaucoma, not presbyopia.
Presbyopia causes difficulty with near, not distance vision.
,A 47-year-old client comes into the clinic requesting
information on smoking cessation. According to the Health
Belief Model, this client is demonstrating:
A.Disease treatment behavior
B.Risk reduction behavior
C.Cost reduction behavior
D.Economic status behavior Correct Answers B.Risk
reduction behavior
Within the Health Belief Model, health promotion and risk
reduction behaviors are those that will increase client well-
being. The focus of the health belief model is prevention of
illness, not disease treatment behavior. The individual must
weigh the physical and psychological cost versus the benefit.
Cost reduction behavior is not an influence in this model.
Economic status behavior is not an influence in the Health
Belief Model.
A 60-year-old client tells the nurse that he has noticed a
decrease in his hearing. The nurse knows that the age-related
changes of the ear that likely are contributing to the decrease in
his hearing are the result of:
A.Increased cerumen in the external canal
B.The loss of low-frequency sounds; high-frequency sounds
remain intact
D.A thin tympanic membrane Correct Answers C.Presbycusis
, Presbycusis is the term given to the gradual hearing loss that
occurs with aging. As individuals age, the individual develops a
loss of high-frequency sounds first, then over time may develop
a loss of low-frequency sounds as well. The tympanic membrane
becomes paler and thicker with age.
A 68-year-old client in the hospital with a chronic illness is 25
percent overweight. This client refuses to eat vegetables and
continues to ask for food to be delivered from the local pizza
restaurant. Which of the following might this client be
experiencing?
A.Undernutrition
B.Overnutrition
C.Protein-calorie malnutrition
D.Both overnutrition and undernutrition Correct Answers
D.Both overnutrition and undernutrition
An individual can have both overnutrition and undernutrition if
a particular food group is avoided. This client refuses to eat
vegetables and therefore could be at risk for undernutrition,
which is insufficient intake of nutrients. Overnutrition results
from excesses in nutrient intake and can cause obesity,
hypertension, hypercholesterolemia, or toxic levels of stored
vitamins or minerals. Protein-calorie malnutrition occurs when
the intake of calories and protein is insufficient.
A 68-year-old client tells the nurse, "I will not worry about
getting sick because it is all in God's will." The nurse realizes
this client is demonstrating:
