NURS 2003 PRACTICE EXAM (2025)
QUESTIONS AND (elaborated) WITH
COMPLETE SOLUTIONS
The nurse is providing preoperative teaching for a patient scheduled for a
hypophysectomy for treatment of a pituitary adenoma. Which of the following
instructions should the nurse include in patient teaching?
A. Cough and deep breathe every 2 hours postoperatively
B. Bed rest for the first 24 hours after the surgery
C. Be positioned flat with sandbags at the head postoperatively
D. Have a NG tube after the surgery - (answers)A. Cough and deep breathe every
2 hours postoperatively
The nurse is caring for a patient who has had a transsphenoidal resection of a
pituitary tumour.
Which of the following nursing actions should be included in the postoperative
plan of care?
a) Monitor urine output every hour.
b) Palpate extremities for dependent edema.
c) Check hematocrit hourly for first 12 hours.
d) Obtain continuous pulse oximetry for 24 hours. - (answers)a) Monitor urine
output every hour.
A patient is suspected of having a pituitary tumour causing panhypopituitarism.
During
,assessment of the patient, which of the following findings should the nurse
anticipate?
a. High blood pressure
b. Elevated blood glucose
c. Tachycardia and cardiac palpitations
d. Changes in secondary sex characteristics - (answers)d. Changes in secondary
sex characteristics
The nurse is teaching a patient with persistent syndrome of inappropriate
antidiuretic hormone (SIADH) about long-term management. Which of the
following patient statements indicate that additional instruction is needed?
a) "I should weigh myself daily and report any sudden weight loss or gain."
b) "I need to limit my fluid intake to no more than 1 L of liquids a day."
c) "I will eat foods high in potassium because the diuretics cause potassium loss."
d) "I need to shop for foods that are low in sodium and avoid adding salt to
foods." - (answers)d) "I need to shop for foods that are low in sodium and avoid
adding salt to foods."
A patient is being treated with a medication to block the effect of antidiuretic
hormone to
control the symptoms of syndrome of inappropriate antidiuretic hormone
(SIADH). Which of
the following findings indicates that the medication is effective?
a. Decreased peripheral edema
,b. Increased weight
c. Increased urine specific gravity
d. Increased urinary output - (answers)d. Increased urinary output
Which of the following information obtained by the nurse when caring for a
patient who has diabetes insipidus (DI) is most important to report to the health
care provider?
A. History of a recent head injury
B. Confusion and lethargy
C. Urine output of 400 mL/hour
D. Urine specific gravity is 1.003 - (answers)B. Confusion and lethargy
Which of the following information should the nurse include when teaching a
patient who has been newly diagnosed with Graves' disease?
A. Exercise is contraindicated to avoid increasing metabolic rate.
B. Restriction of iodine intake is needed to reduce thyroid activity.
C. Surgery will eventually be required to remove the thyroid gland.
D. Antithyroid medications may take several weeks to have an effect. -
(answers)D. Antithyroid medications may take several weeks to have an effect.
The nurse is caring for a patient with Graves' disease who has exophthalmos.
Which of the following actions should be included in the plan of care?
A. Apply eye patches to protect the cornea from irritation.
, B. Place cold packs on the eyes to relieve pain and swelling.
C. Elevate the head of the patient's bed to reduce periorbital fluid.
D. Teach the patient to blink every few seconds to lubricate the cornea. -
(answers)C. Elevate the head of the patient's bed to reduce periorbital fluid.
The nurse is caring for a patient with chronic bronchitis who has a new
prescription for a combined fluticasone and salmeterol inhaler and the patient
asks the nurse the purpose of using two drugs. Which of the following
information is the basis for the nurse's response?
A. One drug decreases inflammation, and the other is a bronchodilator.
B. It is a combination of long-acting and slow-acting bronchodilators.
C. The combination of two drugs works more quickly in an acute asthma attack.
D. The two drugs work together to block the effects of histamine on the
bronchioles. - (answers)A. One drug decreases inflammation, and the other is a
bronchodilator.
The nurse has completed patient teaching about the administration of salmeterol
using a metered-dose inhaler (MDI). Which of the following actions by the patient
indicates good understanding of the teaching?
A. The patient attaches a spacer (aerochamber) before using the MDI.
B. The patient coughs vigorously after using the inhaler.
C. The patient floats the MDI in water to see if it is empty.
D. The patient activates the inhaler at the onset of expiration. - (answers)A. The
patient attaches a spacer (aerochamber) before using the MDI.
QUESTIONS AND (elaborated) WITH
COMPLETE SOLUTIONS
The nurse is providing preoperative teaching for a patient scheduled for a
hypophysectomy for treatment of a pituitary adenoma. Which of the following
instructions should the nurse include in patient teaching?
A. Cough and deep breathe every 2 hours postoperatively
B. Bed rest for the first 24 hours after the surgery
C. Be positioned flat with sandbags at the head postoperatively
D. Have a NG tube after the surgery - (answers)A. Cough and deep breathe every
2 hours postoperatively
The nurse is caring for a patient who has had a transsphenoidal resection of a
pituitary tumour.
Which of the following nursing actions should be included in the postoperative
plan of care?
a) Monitor urine output every hour.
b) Palpate extremities for dependent edema.
c) Check hematocrit hourly for first 12 hours.
d) Obtain continuous pulse oximetry for 24 hours. - (answers)a) Monitor urine
output every hour.
A patient is suspected of having a pituitary tumour causing panhypopituitarism.
During
,assessment of the patient, which of the following findings should the nurse
anticipate?
a. High blood pressure
b. Elevated blood glucose
c. Tachycardia and cardiac palpitations
d. Changes in secondary sex characteristics - (answers)d. Changes in secondary
sex characteristics
The nurse is teaching a patient with persistent syndrome of inappropriate
antidiuretic hormone (SIADH) about long-term management. Which of the
following patient statements indicate that additional instruction is needed?
a) "I should weigh myself daily and report any sudden weight loss or gain."
b) "I need to limit my fluid intake to no more than 1 L of liquids a day."
c) "I will eat foods high in potassium because the diuretics cause potassium loss."
d) "I need to shop for foods that are low in sodium and avoid adding salt to
foods." - (answers)d) "I need to shop for foods that are low in sodium and avoid
adding salt to foods."
A patient is being treated with a medication to block the effect of antidiuretic
hormone to
control the symptoms of syndrome of inappropriate antidiuretic hormone
(SIADH). Which of
the following findings indicates that the medication is effective?
a. Decreased peripheral edema
,b. Increased weight
c. Increased urine specific gravity
d. Increased urinary output - (answers)d. Increased urinary output
Which of the following information obtained by the nurse when caring for a
patient who has diabetes insipidus (DI) is most important to report to the health
care provider?
A. History of a recent head injury
B. Confusion and lethargy
C. Urine output of 400 mL/hour
D. Urine specific gravity is 1.003 - (answers)B. Confusion and lethargy
Which of the following information should the nurse include when teaching a
patient who has been newly diagnosed with Graves' disease?
A. Exercise is contraindicated to avoid increasing metabolic rate.
B. Restriction of iodine intake is needed to reduce thyroid activity.
C. Surgery will eventually be required to remove the thyroid gland.
D. Antithyroid medications may take several weeks to have an effect. -
(answers)D. Antithyroid medications may take several weeks to have an effect.
The nurse is caring for a patient with Graves' disease who has exophthalmos.
Which of the following actions should be included in the plan of care?
A. Apply eye patches to protect the cornea from irritation.
, B. Place cold packs on the eyes to relieve pain and swelling.
C. Elevate the head of the patient's bed to reduce periorbital fluid.
D. Teach the patient to blink every few seconds to lubricate the cornea. -
(answers)C. Elevate the head of the patient's bed to reduce periorbital fluid.
The nurse is caring for a patient with chronic bronchitis who has a new
prescription for a combined fluticasone and salmeterol inhaler and the patient
asks the nurse the purpose of using two drugs. Which of the following
information is the basis for the nurse's response?
A. One drug decreases inflammation, and the other is a bronchodilator.
B. It is a combination of long-acting and slow-acting bronchodilators.
C. The combination of two drugs works more quickly in an acute asthma attack.
D. The two drugs work together to block the effects of histamine on the
bronchioles. - (answers)A. One drug decreases inflammation, and the other is a
bronchodilator.
The nurse has completed patient teaching about the administration of salmeterol
using a metered-dose inhaler (MDI). Which of the following actions by the patient
indicates good understanding of the teaching?
A. The patient attaches a spacer (aerochamber) before using the MDI.
B. The patient coughs vigorously after using the inhaler.
C. The patient floats the MDI in water to see if it is empty.
D. The patient activates the inhaler at the onset of expiration. - (answers)A. The
patient attaches a spacer (aerochamber) before using the MDI.
