NSG 1400 Exam #2 Questions With Complete Solutions
A 90-year-old patient is admitted to the hospital. Shortly after
admission, the family notices that the patient is exhibiting
disorientation and agitation. When the family asks the nurse
about the behavior, the nurse states that the patient is at risk for
developing which common complication of hospitalization in
older adults? Correct Answers Delirium
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. Which action by the nurse
caring for the child requires the nurse manager to intervene?
Correct Answers Adjusts the bed to the Trendelenburg position
A community health nurse is preparing a course on protecting
cognitive function. Which population group should the nurse
target for teaching? Correct Answers Older male adults with
diabetes
A diabetic patient has proliferative retinopathy, nephropathy,
and peripheral neuropathy. What should the nurse teach this
patient about exercise? Correct Answers "Swimming or water
aerobics 30 minutes each day would be the safest exercise
routine for you."
A diabetic patient is receiving intravenous insulin. Which
laboratory results should the nurse anticipate as a potential
problem? Correct Answers Serum potassium level of 2.5
mmol/L
,A homeless person is brought to the emergency department after
prolonged exposure to cold weather. What clinical manifestation
would the nurse expect? Correct Answers Stupor
A nurse has provided discharge instructions to a patient and
family. What statement by the family would indicate an
understanding of methods to prevent complications from
immobility? Correct Answers "We'll make sure that Dad eats
plenty of lean protein foods."
A nurse is providing patient education on the prevention of
osteoporosis. Which important fact should the nurse include in
the teaching care plan? Correct Answers Calcium should be
taken with vitamin D to increase calcium absorption.
A nurse observes a patient walking in the hall. Which
assessment is the nurse able to complete? Correct Answers
Gait and balance
A patient recently admitted to the hospital has been diagnosed
with delirium. The family of the patient asks the nurse to explain
what delirium is. How should the nurse respond? Correct
Answers Delirium is reversible with treatment of the underlying
cause.
A patient reports shoulder pain during a gallbladder attack. How
does the nurse document this pain? Correct Answers Referred
pain
, A patient voices an understanding of instructions about
furosemide (Lasix) when he makes which statement? Correct
Answers "If I notice ringing in my ears, I will call the doctor."
A patient who has a serious back injury received intravenous
medication for pain approximately 1 hour earlier. The patient
practices relaxation techniques but still is reporting pain at a
level of 9 of 10. What intervention should the nurse implement
next? Correct Answers Report the lack of pain relief to the
primary care provider.
A patient with a fractured femur thinks about vacationing on the
beach to help relieve pain. What nonpharmacologic pain relief
technique should the nurse document the patient is using?
Correct Answers Imagery
A patient with breast cancer asks the nurse why 6 weeks of daily
radiation treatments is necessary. What is the nurse's best
response? Correct Answers "Research has shown more cancer
cells are killed if the radiation is given in smaller doses over a
longer period of time."
A patient with hypothermia is brought to the emergency
department. What treatment should the nurse anticipate?
Correct Answers Core rewarming with warm fluids
A retired schoolteacher is interested in nondrug, mind-body
therapies, self-management, and alternative strategies to deal
with joint discomfort from rheumatoid arthritis. Based on her
expressed wishes, which options should the nurse suggest for
her plan of care? Correct Answers Using music therapy,
A 90-year-old patient is admitted to the hospital. Shortly after
admission, the family notices that the patient is exhibiting
disorientation and agitation. When the family asks the nurse
about the behavior, the nurse states that the patient is at risk for
developing which common complication of hospitalization in
older adults? Correct Answers Delirium
A child is about to be admitted to the pediatric intensive care
unit (PICU) after surgery for removal of a tumor in the
hypothalamic region of the brain. Which action by the nurse
caring for the child requires the nurse manager to intervene?
Correct Answers Adjusts the bed to the Trendelenburg position
A community health nurse is preparing a course on protecting
cognitive function. Which population group should the nurse
target for teaching? Correct Answers Older male adults with
diabetes
A diabetic patient has proliferative retinopathy, nephropathy,
and peripheral neuropathy. What should the nurse teach this
patient about exercise? Correct Answers "Swimming or water
aerobics 30 minutes each day would be the safest exercise
routine for you."
A diabetic patient is receiving intravenous insulin. Which
laboratory results should the nurse anticipate as a potential
problem? Correct Answers Serum potassium level of 2.5
mmol/L
,A homeless person is brought to the emergency department after
prolonged exposure to cold weather. What clinical manifestation
would the nurse expect? Correct Answers Stupor
A nurse has provided discharge instructions to a patient and
family. What statement by the family would indicate an
understanding of methods to prevent complications from
immobility? Correct Answers "We'll make sure that Dad eats
plenty of lean protein foods."
A nurse is providing patient education on the prevention of
osteoporosis. Which important fact should the nurse include in
the teaching care plan? Correct Answers Calcium should be
taken with vitamin D to increase calcium absorption.
A nurse observes a patient walking in the hall. Which
assessment is the nurse able to complete? Correct Answers
Gait and balance
A patient recently admitted to the hospital has been diagnosed
with delirium. The family of the patient asks the nurse to explain
what delirium is. How should the nurse respond? Correct
Answers Delirium is reversible with treatment of the underlying
cause.
A patient reports shoulder pain during a gallbladder attack. How
does the nurse document this pain? Correct Answers Referred
pain
, A patient voices an understanding of instructions about
furosemide (Lasix) when he makes which statement? Correct
Answers "If I notice ringing in my ears, I will call the doctor."
A patient who has a serious back injury received intravenous
medication for pain approximately 1 hour earlier. The patient
practices relaxation techniques but still is reporting pain at a
level of 9 of 10. What intervention should the nurse implement
next? Correct Answers Report the lack of pain relief to the
primary care provider.
A patient with a fractured femur thinks about vacationing on the
beach to help relieve pain. What nonpharmacologic pain relief
technique should the nurse document the patient is using?
Correct Answers Imagery
A patient with breast cancer asks the nurse why 6 weeks of daily
radiation treatments is necessary. What is the nurse's best
response? Correct Answers "Research has shown more cancer
cells are killed if the radiation is given in smaller doses over a
longer period of time."
A patient with hypothermia is brought to the emergency
department. What treatment should the nurse anticipate?
Correct Answers Core rewarming with warm fluids
A retired schoolteacher is interested in nondrug, mind-body
therapies, self-management, and alternative strategies to deal
with joint discomfort from rheumatoid arthritis. Based on her
expressed wishes, which options should the nurse suggest for
her plan of care? Correct Answers Using music therapy,
