NURS 376 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTION
Which patient is at highest risk for skin cancer?
A) A 56-year-old Native American with colon polyps.
B) A 72-year-old retired high school chemistry teacher.
C) A 32 year old who uses a tanning booth twice a week.
D) A 44 year old who regularly bathes with perfumed soap.
C) A 32 year old who uses a tanning booth twice a week.
The nurse is caring for a patient with anxiety related to a skin
condition. Which intervention would be most appropriate at this time
for the nurse to add to this patient's plan of care?
A) Encourage the patient to express feelings of anxiety.
B) Use touch to demonstrate acceptance of appearance.
C) Refer the patient for counseling and further evaluation.
D) Teach the patient use of cosmetics and cover-up techniques
A. The patient must be allowed time to verbalize feelings of anxiety before
other interventions are initiated.
The nurse is caring for a 74-year-old woman. What would be a normal
age-related finding?
A) Kyphosis
B) Back pain
C) Loss of height
D) Spinal crepitation
C) loss of height
The nurse notices that a patient has an altered gait. To further assess
this problem, which action should the nurse take?
A) Measure the length of both legs.
B) Perform deep palpation of the hip joints.
C) Perform muscle-strength testing of the legs
D) Test range of motion of the lower extremities.
A) Measure the length of both legs.
The nurse is providing discharge teaching to a patient who had a
myelogram. What would the nurse include in the teaching plan?
A) Take acetaminophen (Tylenol) to prevent a fever.
B) Remain flat in bed for 24 to 48 hours to prevent pain.
C) Decrease fluid intake for 4 to 8 hours to prevent nausea.
D) Report a headache that is worse when sitting or standing.
, D) Report a headache that is worse when sitting or standing.
A PATIENT IS ADMITTED TO THE EMERGENCY DEPARTMENT WITH
POSSIBLE LEFT LOWER LEG FRACTURES. THE INITIAL ACTION BY
THE NURSE SHOULD BE TO
a. elevate the left leg.
b. splint the lower leg.
c. obtain information about the tetanus immunization status.
d. check the popliteal, dorsalis pedis, and posterior tibial pulses.
d. check the popliteal, dorsalis pedis, and posterior tibial pulses.
A PATIENT WHO HAS HAD AN OPEN REDUCTION AND INTERNAL
FIXATION (ORIF) OF LEFT LOWER LEG FRACTURES COMPLAINS OF
CONSTANT SEVERE PAIN IN THE LEG, WHICH IS UNRELIEVED BY
THE PRESCRIBED MORPHINE. PULSES ARE FAINTLY PALPABLE
AND THE FOOT IS COOL. WHICH ACTION SHOULD THE NURSE
TAKE NEXT?
a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patient's blood pressure.
a. Notify the health care provider.
THE SECOND DAY AFTER ADMISSION WITH A FRACTURED PELVIS,
A PATIENT DEVELOPS ACUTE ONSET CONFUSION. WHICH ACTION
SHOULD THE NURSE TAKE FIRST?
a. Take the blood pressure.
b. Assess the oxygen saturation.
c. Check pupil reaction to light.
d. Assess patient orientation.
b. Assess the oxygen saturation.
Following a head injury, an unconscious 32-year-old patient is
admitted to the emergency department (ED). The patient's spouse and
children stay at the patient's side and constantly ask about the
treatment being given. What action is best for the nurse to take?
a. Ask the family to stay in the waiting room until the initial
assessment is completed.
b. Allow the family to stay with the patient and briefly explain all
procedures to them.
c. Call the family's pastor or spiritual advisor to support them while
initial care is given.
d. Refer the family members to the hospital counseling service to deal
with their anxiety.
SOLUTION
Which patient is at highest risk for skin cancer?
A) A 56-year-old Native American with colon polyps.
B) A 72-year-old retired high school chemistry teacher.
C) A 32 year old who uses a tanning booth twice a week.
D) A 44 year old who regularly bathes with perfumed soap.
C) A 32 year old who uses a tanning booth twice a week.
The nurse is caring for a patient with anxiety related to a skin
condition. Which intervention would be most appropriate at this time
for the nurse to add to this patient's plan of care?
A) Encourage the patient to express feelings of anxiety.
B) Use touch to demonstrate acceptance of appearance.
C) Refer the patient for counseling and further evaluation.
D) Teach the patient use of cosmetics and cover-up techniques
A. The patient must be allowed time to verbalize feelings of anxiety before
other interventions are initiated.
The nurse is caring for a 74-year-old woman. What would be a normal
age-related finding?
A) Kyphosis
B) Back pain
C) Loss of height
D) Spinal crepitation
C) loss of height
The nurse notices that a patient has an altered gait. To further assess
this problem, which action should the nurse take?
A) Measure the length of both legs.
B) Perform deep palpation of the hip joints.
C) Perform muscle-strength testing of the legs
D) Test range of motion of the lower extremities.
A) Measure the length of both legs.
The nurse is providing discharge teaching to a patient who had a
myelogram. What would the nurse include in the teaching plan?
A) Take acetaminophen (Tylenol) to prevent a fever.
B) Remain flat in bed for 24 to 48 hours to prevent pain.
C) Decrease fluid intake for 4 to 8 hours to prevent nausea.
D) Report a headache that is worse when sitting or standing.
, D) Report a headache that is worse when sitting or standing.
A PATIENT IS ADMITTED TO THE EMERGENCY DEPARTMENT WITH
POSSIBLE LEFT LOWER LEG FRACTURES. THE INITIAL ACTION BY
THE NURSE SHOULD BE TO
a. elevate the left leg.
b. splint the lower leg.
c. obtain information about the tetanus immunization status.
d. check the popliteal, dorsalis pedis, and posterior tibial pulses.
d. check the popliteal, dorsalis pedis, and posterior tibial pulses.
A PATIENT WHO HAS HAD AN OPEN REDUCTION AND INTERNAL
FIXATION (ORIF) OF LEFT LOWER LEG FRACTURES COMPLAINS OF
CONSTANT SEVERE PAIN IN THE LEG, WHICH IS UNRELIEVED BY
THE PRESCRIBED MORPHINE. PULSES ARE FAINTLY PALPABLE
AND THE FOOT IS COOL. WHICH ACTION SHOULD THE NURSE
TAKE NEXT?
a. Notify the health care provider.
b. Assess the incision for redness.
c. Reposition the left leg on pillows.
d. Check the patient's blood pressure.
a. Notify the health care provider.
THE SECOND DAY AFTER ADMISSION WITH A FRACTURED PELVIS,
A PATIENT DEVELOPS ACUTE ONSET CONFUSION. WHICH ACTION
SHOULD THE NURSE TAKE FIRST?
a. Take the blood pressure.
b. Assess the oxygen saturation.
c. Check pupil reaction to light.
d. Assess patient orientation.
b. Assess the oxygen saturation.
Following a head injury, an unconscious 32-year-old patient is
admitted to the emergency department (ED). The patient's spouse and
children stay at the patient's side and constantly ask about the
treatment being given. What action is best for the nurse to take?
a. Ask the family to stay in the waiting room until the initial
assessment is completed.
b. Allow the family to stay with the patient and briefly explain all
procedures to them.
c. Call the family's pastor or spiritual advisor to support them while
initial care is given.
d. Refer the family members to the hospital counseling service to deal
with their anxiety.
