Final Exam 1212C Comprehensive
Notes and Practice Questions
1. 1. A client with Crohn's disease develops a fever and symptoms of a urinary
tract infection (UTI) with tan, fecal-smelling urine. What information will the
nurse add to a general teaching plan about UTI's in order to individualize the
teaching for this patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse.: b. Fistulas can form between
the bowel and bladder.
2. 2. A patient is in the recovery phase of acute kidney injury as a result of acute
post- streptococcal glomerulonephritis. Which of the following orders should
be questioned?
A. Preparation for a Renal CT scan with contrast
B. Monitor strict intake and output
C. Weigh patient daily
D. Penicillin 250mg every 6 hours for 10 days: A. Preparation for a Renal CT scan with contrast
,3. 3. The client is ordered Heparin 4,000 units subcutaneous twice a day. It is
available in 5,000 units/ml. How much will the nurse administer for the morning
dose? mL (round to the nearest tenth): ANS: 0.8
4. 4. The adult children of an actively dying woman calls the on-call nurse very
upset because their mother's respirations are irregular, wet and she sounds
like she is drowning. She is unresponsive but seems to be comfortable. Which
of the following instructions would be appropriate at this time?
A. transfer her out of bed to a reclining chair
B. administer an acetaminophen (Tylenol) suppository
C. teach the family to deep suction her as needed
D. apply a scopolamine patch: C. teach the family to deep suction her as needed
5. 5. A client is newly admitted to hospice and will continue to use morphine for
pain management. Which of the following need to be included in the patient's
education? A. "Take your stool softener everyday as ordered."
B. "Avoid activities that can cause breaks in the skin."
,C. "Always use sunscreen when going outside."
D. "Make sure you have good oral hygiene.": B. "Avoid activities that can cause breaks in the skin."
6. 6. A client with glaucoma is being seen for routine evaluation of intraocular
pressure (IOP). The IOP has increased from 15 to 23 since the last visit. What
action by the nurse is best?
A. Assess adherence to the eye drop regimen.
B. Schedule the client for eye drainage surgery.
C. Schedule for re-evaluation in 1 year
D. Chart the intraocular pressure as within normal limits: A. Assess adherence to the eye
drop regimen.
7. 7.A patient's care plan includes monitoring for paranoid delusions. Which as-
sessment findings suggest the patient may be experiencing active delusions?
A. Elevated mood, hyperactivity, distractibility
B. Darting eyes, tilted head, mumbling to self
C. Aloofness, haughtiness, suspicion
D. Performing rituals, avoiding open places: B. Darting eyes, tilted head, mumbling to self
8. 8. The physician orders furosemide (Lasix) 30 mg bid IV . The furosemide
(Lasix) is available in 40 mg/2ml vials. How much Lasix should the nurse ad-
minister per dose? mL: ANS: 1.5
9. 9. Zosyn 4.5 g IV every 6 hours is ordered for a patient. The Zosyn is dissolved
in 50 mL of NS and should infuse over 1 hour. Using tubing with a drop factor
of 60 gtt/mL, how many drops per minute should the Zosyn be infused?: ANS: 50
10. 10. The physician orders digoxin (Lanoxin) 125mcg daily. The nurse has
digoxin (Lanoxin) 0.25 mg tablets on hand. How many tablet(s) should the
, nurse administer? tablet(s): ANS: 0.5
11. 11. A 62-year-old patient presents to her provider for a yearly physical. The
provider notes a family history of prostate cancer in the patient's father. The
provider schedules the patient for a PSA testing. The nurse recognizes this as
what level of prevention?
A. Holistic
B. Tertiary
Notes and Practice Questions
1. 1. A client with Crohn's disease develops a fever and symptoms of a urinary
tract infection (UTI) with tan, fecal-smelling urine. What information will the
nurse add to a general teaching plan about UTI's in order to individualize the
teaching for this patient?
a. Bacteria in the perianal area can enter the urethra.
b. Fistulas can form between the bowel and bladder.
c. Drink adequate fluids to maintain normal hydration.
d. Empty the bladder before and after sexual intercourse.: b. Fistulas can form between
the bowel and bladder.
2. 2. A patient is in the recovery phase of acute kidney injury as a result of acute
post- streptococcal glomerulonephritis. Which of the following orders should
be questioned?
A. Preparation for a Renal CT scan with contrast
B. Monitor strict intake and output
C. Weigh patient daily
D. Penicillin 250mg every 6 hours for 10 days: A. Preparation for a Renal CT scan with contrast
,3. 3. The client is ordered Heparin 4,000 units subcutaneous twice a day. It is
available in 5,000 units/ml. How much will the nurse administer for the morning
dose? mL (round to the nearest tenth): ANS: 0.8
4. 4. The adult children of an actively dying woman calls the on-call nurse very
upset because their mother's respirations are irregular, wet and she sounds
like she is drowning. She is unresponsive but seems to be comfortable. Which
of the following instructions would be appropriate at this time?
A. transfer her out of bed to a reclining chair
B. administer an acetaminophen (Tylenol) suppository
C. teach the family to deep suction her as needed
D. apply a scopolamine patch: C. teach the family to deep suction her as needed
5. 5. A client is newly admitted to hospice and will continue to use morphine for
pain management. Which of the following need to be included in the patient's
education? A. "Take your stool softener everyday as ordered."
B. "Avoid activities that can cause breaks in the skin."
,C. "Always use sunscreen when going outside."
D. "Make sure you have good oral hygiene.": B. "Avoid activities that can cause breaks in the skin."
6. 6. A client with glaucoma is being seen for routine evaluation of intraocular
pressure (IOP). The IOP has increased from 15 to 23 since the last visit. What
action by the nurse is best?
A. Assess adherence to the eye drop regimen.
B. Schedule the client for eye drainage surgery.
C. Schedule for re-evaluation in 1 year
D. Chart the intraocular pressure as within normal limits: A. Assess adherence to the eye
drop regimen.
7. 7.A patient's care plan includes monitoring for paranoid delusions. Which as-
sessment findings suggest the patient may be experiencing active delusions?
A. Elevated mood, hyperactivity, distractibility
B. Darting eyes, tilted head, mumbling to self
C. Aloofness, haughtiness, suspicion
D. Performing rituals, avoiding open places: B. Darting eyes, tilted head, mumbling to self
8. 8. The physician orders furosemide (Lasix) 30 mg bid IV . The furosemide
(Lasix) is available in 40 mg/2ml vials. How much Lasix should the nurse ad-
minister per dose? mL: ANS: 1.5
9. 9. Zosyn 4.5 g IV every 6 hours is ordered for a patient. The Zosyn is dissolved
in 50 mL of NS and should infuse over 1 hour. Using tubing with a drop factor
of 60 gtt/mL, how many drops per minute should the Zosyn be infused?: ANS: 50
10. 10. The physician orders digoxin (Lanoxin) 125mcg daily. The nurse has
digoxin (Lanoxin) 0.25 mg tablets on hand. How many tablet(s) should the
, nurse administer? tablet(s): ANS: 0.5
11. 11. A 62-year-old patient presents to her provider for a yearly physical. The
provider notes a family history of prostate cancer in the patient's father. The
provider schedules the patient for a PSA testing. The nurse recognizes this as
what level of prevention?
A. Holistic
B. Tertiary
