NUR 3100 EXAM 4 QUESTIONS & ANSWERS
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is
to monitor the status of which body system? - Answer -Neurological
While assisting the client with meal selection, the nurse realizes that clients who
practice Islam or Judaism share an avoidance of: - Answer -pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - Answer -Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse
suspects signs and symptoms consistent with: - Answer -Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering
medications via an enteral tube requires correction by the charge nurse? - Answer -
Correct Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - Answer -Correct Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health
nurse determines that the family's diet is inadequate in protein content. The nurse
suggests which of the following lower-cost foods to increase protein content? - Answer
-Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should
offer the patient: - Answer -Correct Answer:
apple juice.
The majority of body fluid is located in which area? - Answer -Correct Answer:
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will
require fluid replacement with isotonic solution. One of the isotonic solutions that may
be ordered by the physician is: - Answer -Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - Answer -Correct Answer:
tachycardia.
, For the client with a vitamin D deficiency and inadequate calcium intake, the nurse
observes for: - Answer -Correct Answer:
Chvostek sign
Chvostek sign - Answer -an abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings.
The action by the nurse that requires correction by the unit manager is: - Answer -
Correct Answer:
instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - Answer -Correct
Answer:
moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a
fluid volume deficit is: - Answer -Correct Answer:
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: -
Answer -Correct Answer:
daily body weight
The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag
and becomes dyspneic. Which action should the nurse take? - Answer -Correct
Answer:
Withdraw the tube and start again.
It is recommended that adults consume approximately how much of their diet from
carbohydrates? - Answer -Correct Answer:
50%
A critical measure for clients with hypocalcemia and hypomagnesemia is: - Answer -
Correct Answer:
implementing seizure precautions.
For the client who needs fluid replacement, which of the following should be avoided? -
Answer -Coffee
Albumin levels indicate prolonged malnutrition. - Answer -True
Causes of hyponatremia include - Answer -Excessive diaphoresis
Diuretics
Wound drainage
When the client's serum sodium level is 120 mEq/L, the priority nursing assessment is
to monitor the status of which body system? - Answer -Neurological
While assisting the client with meal selection, the nurse realizes that clients who
practice Islam or Judaism share an avoidance of: - Answer -pork products.
The client wants to increase intake of an antioxidant in her diet. The nurse recommends
including vitamin C, which is best found in: - Answer -Correct Answer:
tomatoes.
For a child who has ingested the remaining contents of an aspirin bottle, the nurse
suspects signs and symptoms consistent with: - Answer -Correct Answer:
metabolic acidosis.
Which of the following techniques used by the new staff nurse for administering
medications via an enteral tube requires correction by the charge nurse? - Answer -
Correct Answer:
Adding the medications to the tube feeding
After a surgical procedure, the client is advanced to a full liquid diet. The nurse is able to
recommend which one of the following foods for this client? - Answer -Correct Answer:
Yogurt
While doing a nutritional assessment of a low-income family, the community health
nurse determines that the family's diet is inadequate in protein content. The nurse
suggests which of the following lower-cost foods to increase protein content? - Answer
-Correct Answer:
Beans
The client has had throat surgery and is placed on a clear liquid diet. The nurse should
offer the patient: - Answer -Correct Answer:
apple juice.
The majority of body fluid is located in which area? - Answer -Correct Answer:
Intracellular
The nurse recognizes that the client, on the basis of the imbalance that is present, will
require fluid replacement with isotonic solution. One of the isotonic solutions that may
be ordered by the physician is: - Answer -Correct Answer:
Lactated Ringer solution.
One of the first indications of fluid volume deficit is: - Answer -Correct Answer:
tachycardia.
, For the client with a vitamin D deficiency and inadequate calcium intake, the nurse
observes for: - Answer -Correct Answer:
Chvostek sign
Chvostek sign - Answer -an abnormal reaction to the stimulation of the facial nerve.
A nasogastric tube is inserted in order for the client to receive intermittent tube feedings.
The action by the nurse that requires correction by the unit manager is: - Answer -
Correct Answer:
instilling air into the NG tube to check for placement.
The mucous membranes of a normally hydrated individual are: - Answer -Correct
Answer:
moist.
Of the following clients, the nurse recognizes that the individual who is most at risk for a
fluid volume deficit is: - Answer -Correct Answer:
42-year-old with severe vomiting.
The single best indicator of fluid status is the nurse's assessment of the client's: -
Answer -Correct Answer:
daily body weight
The nurse is inserting a nasogastric tube. During the insertion, the client starts to gag
and becomes dyspneic. Which action should the nurse take? - Answer -Correct
Answer:
Withdraw the tube and start again.
It is recommended that adults consume approximately how much of their diet from
carbohydrates? - Answer -Correct Answer:
50%
A critical measure for clients with hypocalcemia and hypomagnesemia is: - Answer -
Correct Answer:
implementing seizure precautions.
For the client who needs fluid replacement, which of the following should be avoided? -
Answer -Coffee
Albumin levels indicate prolonged malnutrition. - Answer -True
Causes of hyponatremia include - Answer -Excessive diaphoresis
Diuretics
Wound drainage
