NURS 534 ADVANCED PHYSIOLOGY FINAL
EXAM PAPER 2026 COMPLETE QUESTIONS
AND SOLVED ANSWERS
⩥ A male client with an infected wound tells the nurse that he follows a
macrobiotic diet. Which type of foods should the nurse recommend that
the client select from the hospital menu?
Low fat and low sodium foods.
Combination of plant proteins to provide essential amino acids.
Limited complex carbohydrates and fiber.
Increased amount of vitamin C and beta carotene rich foods. Answer:
Combination of plant proteins to provide essential amino acids.
A macrobiotic diet is high in whole-grain cereals, vegetables, sea
vegetables, beans, and vegetarian soups, and the client needs essential
amino acids to provide complete proteins to heal the infected wound.
Although a macrobiotic diet contains no source of animal protein,
essential amino acids should be obtained by combining plant
(incomplete) proteins to provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and D) do not provide the
,client with food choices consistent with a macrobiotic diet and protein
needs.
⩥ The nurse is administering an intermittent infusion of an antibiotic to
a client whose intravenous (IV) access is an antecubital saline lock.
After the nurse opens the roller clamp on the IV tubing, the alarm on the
infusion pump indicates an obstruction. What action should the nurse
take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.. Answer: Reposition the client's arm.
If the client's elbow is bent, the IV may be unable to infuse, resulting in
an obstruction alarm, so the nurse should first attempt to reposition the
client's arm to alleviate any obstruction
⩥ What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile?
Maintain in a lateral position using protective wrist and vest devices.
,Position prone with a small pillow below the diaphragm.
Raise the head and knee gatch when lying in a supine position.
Transfer into a wheelchair close to the nurse's station for observation..
Answer: Position prone with a small pillow below the diaphragm.
⩥ What intervention should the nurse include in the plan of care for a
client who is being treated with an Unna's paste boot for leg ulcers due
to chronic venous insufficiency?
Check capillary refill of toes on lower extremity with Unna's paste boot.
Apply dressing to wound area before applying the Unna's paste boot.
Wrap the leg from the knee down towards the foot.
Remove the Unna's paste boot q8h to assess wound healing.. Answer:
Check capillary refill of toes on lower extremity with Unna's paste boot.
⩥ Which nursing intervention is most beneficial in reducing the risk of
urosepsis in a hospitalized client with an indwelling urinary catheter?
, Ensure that the client's perineal area is cleansed twice a day.
Maintain accurate documentation of the fluid intake and output.
Encourage frequent ambulation if allowed or regular turning if on
bedrest.
Obtain a prescription for removal of the catheter as soon as possible..
Answer: Obtain a prescription for removal of the catheter as soon as
possible.
The best intervention to reduce the risk for urosepsis (spread of an
infectious agent from the urinary tract to systemic circulation) is
removal of the urinary catheter as quickly as possible (D). (A, B, and C)
are helpful to reduce the risk of infection, but are of less priority than
(D) in reducing the risk of urosepsis.
⩥ A client provides the nurse with information about the reason for
seeking care. The nurse realizes that some information about past
hospitalizations is missing. How should the nurse obtain this
information?
Solicit information on hospitalization from the insurance company.
Look up previous medical records from archived hospital documents.
EXAM PAPER 2026 COMPLETE QUESTIONS
AND SOLVED ANSWERS
⩥ A male client with an infected wound tells the nurse that he follows a
macrobiotic diet. Which type of foods should the nurse recommend that
the client select from the hospital menu?
Low fat and low sodium foods.
Combination of plant proteins to provide essential amino acids.
Limited complex carbohydrates and fiber.
Increased amount of vitamin C and beta carotene rich foods. Answer:
Combination of plant proteins to provide essential amino acids.
A macrobiotic diet is high in whole-grain cereals, vegetables, sea
vegetables, beans, and vegetarian soups, and the client needs essential
amino acids to provide complete proteins to heal the infected wound.
Although a macrobiotic diet contains no source of animal protein,
essential amino acids should be obtained by combining plant
(incomplete) proteins to provide complete (all essential amino acids)
proteins (B) for anabolic processes. (A, C, and D) do not provide the
,client with food choices consistent with a macrobiotic diet and protein
needs.
⩥ The nurse is administering an intermittent infusion of an antibiotic to
a client whose intravenous (IV) access is an antecubital saline lock.
After the nurse opens the roller clamp on the IV tubing, the alarm on the
infusion pump indicates an obstruction. What action should the nurse
take first?
Check for a blood return.
Reposition the client's arm.
Remove the IV site dressing.
Flush the lock with saline.. Answer: Reposition the client's arm.
If the client's elbow is bent, the IV may be unable to infuse, resulting in
an obstruction alarm, so the nurse should first attempt to reposition the
client's arm to alleviate any obstruction
⩥ What action should the nurse implement to prevent the formation of a
sacral ulcer for a client who is immobile?
Maintain in a lateral position using protective wrist and vest devices.
,Position prone with a small pillow below the diaphragm.
Raise the head and knee gatch when lying in a supine position.
Transfer into a wheelchair close to the nurse's station for observation..
Answer: Position prone with a small pillow below the diaphragm.
⩥ What intervention should the nurse include in the plan of care for a
client who is being treated with an Unna's paste boot for leg ulcers due
to chronic venous insufficiency?
Check capillary refill of toes on lower extremity with Unna's paste boot.
Apply dressing to wound area before applying the Unna's paste boot.
Wrap the leg from the knee down towards the foot.
Remove the Unna's paste boot q8h to assess wound healing.. Answer:
Check capillary refill of toes on lower extremity with Unna's paste boot.
⩥ Which nursing intervention is most beneficial in reducing the risk of
urosepsis in a hospitalized client with an indwelling urinary catheter?
, Ensure that the client's perineal area is cleansed twice a day.
Maintain accurate documentation of the fluid intake and output.
Encourage frequent ambulation if allowed or regular turning if on
bedrest.
Obtain a prescription for removal of the catheter as soon as possible..
Answer: Obtain a prescription for removal of the catheter as soon as
possible.
The best intervention to reduce the risk for urosepsis (spread of an
infectious agent from the urinary tract to systemic circulation) is
removal of the urinary catheter as quickly as possible (D). (A, B, and C)
are helpful to reduce the risk of infection, but are of less priority than
(D) in reducing the risk of urosepsis.
⩥ A client provides the nurse with information about the reason for
seeking care. The nurse realizes that some information about past
hospitalizations is missing. How should the nurse obtain this
information?
Solicit information on hospitalization from the insurance company.
Look up previous medical records from archived hospital documents.
