NURS 112 FINAL EXAM ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (100% VERIFIED) WITH DETAILED RATIONALES
A 79-year-old patient is receiving a quinolone as treatment for a complicated
incision infection. The nurse will monitor for which adverse effect that is
associated with these drugs?
a. Neuralgia
b. Double vision
c. Hypotension
d. Tendonitis and tendon rupture
d. Tendonitis and tendon rupture
Rationale: A black box warning is required by the U.S. Food and Drug
Administration for all quinolones b/c of the increased risk for tendonitis and
tendon rupture with the use of the drugs. This effect is more common in elderly
patients, patients with renal failure, and those receiving concurrent glucocorticoid
therapy.
Which action should the nurse take first during the initial phase of
implementation?
a. Determine patient outcomes and goals
b. Prioritize patient’s nursing diagnoses
c. Evaluate interventions
d. Reassess the patient
d. Reassess the patient
Rationale: Assessment is a continuous process that occurs each time the nurse
interacts with a patient.
A nurse is following the goals of Healthy People 2030 to provide care. Which
action should the nurse take?
a. Allowing people to continue current behaviors to reduce the stress of change
,b. Focusing only on health changes that will lead to better local communities
c. Promoting a society in which all people live long, healthy lives
d. Focusing on illness treatment to provide fast recuperation
c. Promoting a society in which all people live long, healthy lives
Rationale: Healthy People set objectives to help the U.S. increase its focus on
health promotion and disease prevention (instead of illness care) and encourages
cooperation among individuals, communities, and other public, private, and
nonprofit organizations to improve health. The current publication, Healthy People
2030, promotes a society in which people live long, healthy lives.
A nurse is using the World Health Organization definition of health to provide care.
Which area will the nurse focus on while providing care?
a. Focusing on helping patients be disease free
b. Providing care that involves the whole person
c. Assuring that care is strictly personal in nature
d. Directing focus only on the pathological state
b. Providing care that involves the whole person
Rationale: The World Health Organization (WHO) defines health as a "state of
complete physical, mental, and social well-being, not merely the absence of
disease or infirmity." Therefore, nurses' attitudes towards health and illness should
consider the total person as well as the environment in which the person lives.
The nurse is preparing a smoking cessation class for family members of patients
with lung cancer. The nurse believes that the class will convert many smokers to
nonsmokers once they realize the benefits of not smoking. Which health care
model is the nurse following?
a. Health belief model
b. Holistic health model
c. Health promotion model
d. Maslow's hierarchy of needs
a. Health belief model
,Rationale: The health belief model addresses the relationship between a person's
beliefs and behaviors.
A nurse is using Maslow’s hierarchy to prioritize care for an anxious patient that is
not eating and will not see family members. Which area should the nurse
address first?
a. Anxiety
b. Not eating
c. Mental health
d. Not seeing family members
b. Not eating
Rationale: According to Maslow, in all cases an emergent physiological need takes
precedence over a higher-level need. Nutrition is a physiological need and should
be addressed first.
The nurse is preparing to life and reposition a patient. Which action will the nurse
take first?
a. Position a drawsheet under the patient
b. Assess weight to determine assistance needs
c. Delegate the task to nursing assistive personnel
d. Attempt to manually lift the patient alone before asking for assistance
b. Assess weight to determine assistance needs
The nurse is assessing an immobile patient for deep vein thrombosis (DVT).
Which action will the nurse take?
a. Remove elastic stockings every 4 hours
b. Measure the calf circumference of both legs
c. Lightly rub the lower leg for redness and tenderness
d. Dorsiflex the foot while assessing for patient discomfort
, b. Measure the calf circumference of both legs
Rationale: Measure and record it daily as an assessment for DVT. Unilateral
increases in calf circumference are an early indication of thrombosis.
Which areas should the nurse assess to determine the effects of external variables
on a patient's illness? Select all that apply.
a. Patient's perception of the illness
b. Patient's coping skills
c. Socioeconomic status
d. Cultural background
e. social support
c. Socioeconomic status
d. Cultural background
e. social support
Rationale: External variables include visibility of symptoms, social group, cultural
background, economic variables, accessibility of the health care system, and social
support.
The nurse is caring for a patient with impaired physical mobility. Which potential
complications will the nurse monitor for in this patient? Select all that apply.
a. Foot drop
b. Somnolence
c. Hypostatic pneumonia
d. Impaired skin integrity
e. Increase socialization
a. Foot drop
c. Hypostatic pneumonia
d. Impaired skin integrity
The healthcare provider orders a patient to be given 1 tablespoon (Tbsp) of milk of
magnesium (MOM). How many milliliters (mL) would the nurse give?
30mL
ANSWERS (100% VERIFIED) WITH DETAILED RATIONALES
A 79-year-old patient is receiving a quinolone as treatment for a complicated
incision infection. The nurse will monitor for which adverse effect that is
associated with these drugs?
a. Neuralgia
b. Double vision
c. Hypotension
d. Tendonitis and tendon rupture
d. Tendonitis and tendon rupture
Rationale: A black box warning is required by the U.S. Food and Drug
Administration for all quinolones b/c of the increased risk for tendonitis and
tendon rupture with the use of the drugs. This effect is more common in elderly
patients, patients with renal failure, and those receiving concurrent glucocorticoid
therapy.
Which action should the nurse take first during the initial phase of
implementation?
a. Determine patient outcomes and goals
b. Prioritize patient’s nursing diagnoses
c. Evaluate interventions
d. Reassess the patient
d. Reassess the patient
Rationale: Assessment is a continuous process that occurs each time the nurse
interacts with a patient.
A nurse is following the goals of Healthy People 2030 to provide care. Which
action should the nurse take?
a. Allowing people to continue current behaviors to reduce the stress of change
,b. Focusing only on health changes that will lead to better local communities
c. Promoting a society in which all people live long, healthy lives
d. Focusing on illness treatment to provide fast recuperation
c. Promoting a society in which all people live long, healthy lives
Rationale: Healthy People set objectives to help the U.S. increase its focus on
health promotion and disease prevention (instead of illness care) and encourages
cooperation among individuals, communities, and other public, private, and
nonprofit organizations to improve health. The current publication, Healthy People
2030, promotes a society in which people live long, healthy lives.
A nurse is using the World Health Organization definition of health to provide care.
Which area will the nurse focus on while providing care?
a. Focusing on helping patients be disease free
b. Providing care that involves the whole person
c. Assuring that care is strictly personal in nature
d. Directing focus only on the pathological state
b. Providing care that involves the whole person
Rationale: The World Health Organization (WHO) defines health as a "state of
complete physical, mental, and social well-being, not merely the absence of
disease or infirmity." Therefore, nurses' attitudes towards health and illness should
consider the total person as well as the environment in which the person lives.
The nurse is preparing a smoking cessation class for family members of patients
with lung cancer. The nurse believes that the class will convert many smokers to
nonsmokers once they realize the benefits of not smoking. Which health care
model is the nurse following?
a. Health belief model
b. Holistic health model
c. Health promotion model
d. Maslow's hierarchy of needs
a. Health belief model
,Rationale: The health belief model addresses the relationship between a person's
beliefs and behaviors.
A nurse is using Maslow’s hierarchy to prioritize care for an anxious patient that is
not eating and will not see family members. Which area should the nurse
address first?
a. Anxiety
b. Not eating
c. Mental health
d. Not seeing family members
b. Not eating
Rationale: According to Maslow, in all cases an emergent physiological need takes
precedence over a higher-level need. Nutrition is a physiological need and should
be addressed first.
The nurse is preparing to life and reposition a patient. Which action will the nurse
take first?
a. Position a drawsheet under the patient
b. Assess weight to determine assistance needs
c. Delegate the task to nursing assistive personnel
d. Attempt to manually lift the patient alone before asking for assistance
b. Assess weight to determine assistance needs
The nurse is assessing an immobile patient for deep vein thrombosis (DVT).
Which action will the nurse take?
a. Remove elastic stockings every 4 hours
b. Measure the calf circumference of both legs
c. Lightly rub the lower leg for redness and tenderness
d. Dorsiflex the foot while assessing for patient discomfort
, b. Measure the calf circumference of both legs
Rationale: Measure and record it daily as an assessment for DVT. Unilateral
increases in calf circumference are an early indication of thrombosis.
Which areas should the nurse assess to determine the effects of external variables
on a patient's illness? Select all that apply.
a. Patient's perception of the illness
b. Patient's coping skills
c. Socioeconomic status
d. Cultural background
e. social support
c. Socioeconomic status
d. Cultural background
e. social support
Rationale: External variables include visibility of symptoms, social group, cultural
background, economic variables, accessibility of the health care system, and social
support.
The nurse is caring for a patient with impaired physical mobility. Which potential
complications will the nurse monitor for in this patient? Select all that apply.
a. Foot drop
b. Somnolence
c. Hypostatic pneumonia
d. Impaired skin integrity
e. Increase socialization
a. Foot drop
c. Hypostatic pneumonia
d. Impaired skin integrity
The healthcare provider orders a patient to be given 1 tablespoon (Tbsp) of milk of
magnesium (MOM). How many milliliters (mL) would the nurse give?
30mL
