Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

NUR 109 Final Exam Questions and Answers Latest Update 2022/2023 Rated A+, Exams of Nursing

NUR 109 Final Exam Questions and Answers Latest Update 2022/2023 Rated A+

Typology: Exams

2022/2023

Available from 02/08/2023

Nurseexpert
Nurseexpert 🇺🇸

4.7

(3)

2K documents

Partial preview of the text

Download NUR 109 Final Exam Questions and Answers Latest Update 2022/2023 Rated A+ and more Exams Nursing in PDF only on Docsity!

Update 2022/2023 Rated A+

 When assessing the musculoskeletal system, the nurse’s initial action will usually be to: a. have the patient move the extremities against resistance b. feel for the presence of crepitus during joint movement c. observe the patient’s body build and muscle configuration d. check active and passive range of motion for the extremities  When working with a patient whose job involves many hours of word processing, the nurse will teach the patient about the need to: a. do stretching and warm-up exercises before starting work b. wrap the wrist with a compression bandage every morning c. use acetaminophen (Tylenol) instead of NSAIDs for wrist pain d. obtain a keyboard pad to support the wrist  Following a motor-vehicle accident, a patient arrives in the emergency department with massive right lower-leg swelling. Which action will the nurse take first? a. elevate the leg on pillows b. apply a compression bandage c. place ice packs on the lower leg d. check leg pulses and sensation  A patient with comminuted fractures of the tibia and fibula is treated with open reduction and application of an external fixator.

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

The next day, the patient complains of severe pain in the leg, which is unrelieved by ordered analgesics. The patient’s toes are pink, but the patient complains of numbness and tingling. The most appropriate action by the nurse is to: a. notify the patient’s health care provider b. check the patient’s blood pressure c. assess the external fixator pins for redness or drainage d. elevate the extremity and apply ice over the wound site  An assessment finding that alerts the nurse to the presence of osteoporosis in middle-aged patient is: a. the presence of bowed legs b. measurable loss of height c. an aversion to dairy products d. statements about frequent falls  A 58-year-old woman who has been menopausal for 5 years is diagnosed with osteoporosis following densitometry testing. The woman has been concerned about her risk for osteoporosis because her mother has the condition. In teaching the woman about her osteoporosis, the nurse explains that: a. with a family history of osteoporosis, there is no way to prevent or slow gradual bone resorption b. estrogen replacement therapy must be started to prevent rapid progression of her osteoporosis c. even with a family history of osteoporosis the calcium loss from

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

bones can be slowed by increased calcium intake and exercise. d. continuous, low-dose corticosteroid treatment is effective in stopping the course of osteoporosis  A patient with an acute exacerbation of rheumatoid arthritis (RA) has localized pain and inflammation of the fingers, wrist, and feet with swelling, redness, and limited movement of the joints. When developing the plan of care, the nurse recognizes that the most appropriate patient outcome at this time is to: a. maintain a positive self-image b. perform activities of daily living independently c. achieve satisfactory control of pain d. make a successful adjustment to disease progression  A client is diagnosed with osteoporosis. Which statements should a nurse include when teaching the client about the disease? Select all that apply.

  1. It’s common in females after menopause.
  2. It’s a degenerative disease characterized by decreased bone density.
  3. It’s a congenital disease caused by poor dietary intake of milk products.
  4. It can cause pain and injury.
  5. Passive range-of-motion (ROM) exercises can promote bone growth.
  6. Weight-bearing exercise should be

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

avoided. a. 1,3, b. 1,2, c. 2,4, d. 1,2, e. All of the above  The nurse notes that the patient has developed a hematoma at the knee replacement surgical site with a decreased pedal pulse of the same leg. The most appropriate nursing diagnosis for this patient is: a. risk of infection. b. risk of peripheral neurovascular dysfunction. c. pain. d. self-esteem disturbance.  The nurse is teaching a patient being discharged with a long leg cast. Which of the following instructions is appropriate? a. Keep plaster casts covered until thoroughly dry. b. Apply lotion under cast edges to lubricate the skin. c. Elevate the cast above the level of the heart whenever possible. d. Put talcum powder down the cast to prevent perspiration.  Ms. R. is a 40 year old woman who underwent total hip replacement. Which of the following activities would be appropriate for Ms. R. after discharge? a. Sitting in only a low chair b. Resuming all ADLs as soon as possible

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

c. Sitting at least 8 hours a day d. Putting a pillow between her legs when sleeping  Ms. K’s right knee appears to be swollen. To further evaluate this, the nurse should first: a. put the knee through range of motion. b. test muscle strength. c. compare it to the left knee. d. palpate for crepitus.  Ms. E. is a 78 year old woman who was admitted with an impacted right hip. She was placed in traction. When caring for a patient in traction, the nurse is guided by which principle? a. Weights should rest on the bed b. Knots in the ropes should touch the pulley c. Weights are removed routinely d. Skeletal traction is never interrupted  When a client is immobilized, what is the most appropriate plan to prevent constipation? a. Encourage daily laxative use b. Limit fluid intake c. Encourage frequent periods of sitting on the bedpan d. Increase fluids and fiber in the client’s diet

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 The nurse is caring for a patient who has had a plaster leg cast applied. Immediately post-application, the nurse should inform the patient that: a. the cast will cool in 5 minutes. b. the cast should be covered with a towel. c. the cast should be supported on a board while drying. d. the cast will only have full strength when dry.  A female patient states that she has pain and numbness to her thumb, first, and second finger of her right hand. The nurse discovers that the patient’s occupation is an auto mechanic, and the pain is increased at work. This may indicate that the patient could possibly have: a. Carpel tunnel syndrome b. Tendonitis c. Impingement syndrome d. Dupuytren’s contracture  Which of the following nursing actions demonstrates proper technique when caring for a patient with skeletal traction for a fractured femur? a. Lift weights when sliding patient up in bed b. Rest both feet against a footboard c. Remove weight immediately if patient complains of muscle spasms d. Be certain weights and ropes hang freely

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 Which of the following exercises would be contraindicated for a patient who has recently been discharged following a total hip replacement? a. Abduction exercises b. Deep- knee bends c. Gluteal setting d. Quadriceps setting  The nurse is teaching a patient and family signs of compromised circulation to a casted arm. The patient should be instructed to report? a. Discoloration of the fingers b. Foul odor from the cast c. Severe itching under the cast d. Bounding radial pulse in the affected arm  A nurse is teaching Mrs. P. about appropriate and safe position changes after her total hip replacement. Which of the following statements indicates that Mrs. P. understands proper positioning? a. “I’ll avoid sitting straight up in bed.” b. “I’ll turn my leg slightly inward when I am in bed or in a chair.” c. “I’ll cross my legs when I sit in the chair.” d. “I’ll bend forward to put on my shoes and socks.”

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 The nurse is evaluating patient teaching while caring for a client who has undergone total hip replacement. Which of the following signs and symptoms must the patient report to the physician promptly? a. Need for pain medication every 4 hours b. Decrease in pain by elevation of leg on 2 pillows c. Cool, pale, tingly toes d. Keeping the affected hip in extension  When the health care provider tells a patient that the pain in the patient’s knee is caused by bursitis, the patient asks the nurse to explain just what exactly bursitis is. The nurse’s best response would be to tell the patient bursitis is an inflammation of: a. the fibrocartilage that acts as a shock absorber in the knee joint b. a small, fluid-filled sac found at many joints c. any connective tissue that is found supporting the joints of the body d. the synovial membrane that lines the area between two bones  Following a motor-vehicle accident, a patient arrives in the emergency department with massive right lower-leg swelling. Which action will the nurse take first? a. elevate the leg on pillows b. apply a compression bandage c. place ice packs on the lower leg d. check leg pulses and sensation

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 In developing a care plan for a patient with an open reduction and internal fixation (ORIF) of an open, displaced fracture of the tibia, the priority nursing diagnosis is: a. risk for constipation related to prolonged bed rest b. activity intolerance related to deconditioning c. risk for infection related to disruption of skin integrity d. risk for impaired muscle atrophy related to immobility  A patient who tested positive for HIV 3 years ago is admitted to the hospital with Pneumocystis jiroveci pneumonia (PCP). Based on diagnostic criteria established by the Centers for Disease Control and Prevention (CDC), the patient is diagnosed as having: a. early chronic infection. b. HIV infection c. AIDS d. intermediate chronic infection.  A patient who is diagnosed with AIDS and has developed Kaposi's sarcoma tells the nurse, "I have lots of thoughts about dying. Do you think I am just being morbid?" Which response by the nurse is the most appropriate? a. "Thinking about dying will not improve the course of AIDS." b. "Although you diagnosis is serious, there are more treatments available now."

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

c. "Try to focus on the good things in life because stress impairs the immune system." d. "Tell me what kind of thoughts you have about dying."  Intervention such as promotion of nutrition, exercise, and stress reduction should be promoted by the nurse for patients who have HIV infection, primarily because these intervention will: a. promote a feeling of well-being in the patient. b. prevent transmission of the virus to others. c. improve the patient's immune function. d. increase the patient's strength and self-care ability.  A nurse has sustained a needlestick from a patient. A blood sample has been drawn on the source and sent to the lab for analysis. The house supervisor knows that the nurse has a clear understanding when he makes the following statement: a. "I will have to wait for 2 hours to know the results of the rapid HIV test on the source blood." b. "I will have to take penicillin immediately after the needlestick." c. "I will wait and go to Employee/Occupational Health tomorrow morning." d. "I need not do anything and wait for 6 months for the results of the HIV test on the source blood."  The occupational health nurse will teach the nursing staff that the highest risk of acquiring HIV for an HIV-infected patient is:

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

a. a patient who spits in the nurse's face. b. contamination of open skin lesions with vaginal secretions. c. a needlestick with a needle and syringe used to draw blood. .. 3d

333333333333333333333333333203.. 32300000000000000220.. 000000000000000+ 0000000000000000 splashing the eyes when emptying a bedpan containing stool.  Drug therapy is being considered for and HIV-infected patient who has a CD4+ cell count of 400. The nursing assessment that is most important in determining whether therapy will be used is the patient's: a. social support system offered by significant others and family. b. socioeconomic status and availability of medical insurance. c. understanding of the multiple side effects that the drugs may cause. d. willingness and ability to comply with stringent medication schedules.  While teaching community groups about AIDS, the nurse informs people that the most common method of transmission of the HIV virus currently is:

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

a. perinatal transmission of the fetus. b. sharing equipment to inject illegal drugs. c. blood transfusions. d. sexual contact with an infected partner.

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 A 24-year old woman who uses IV illegal drugs asks the nurse about preventing AIDS. The nurse informs the patient that the best way to reduce the risk of HIV infection from drug use is: a. participate in a needle-exchange program. b. clean drug injection equipment before use. c. ask those who share equipment to be tested for HIV. d. avoid sexual intercourse when using IV drugs.  At the health promotion level of care HIV infection, which question is most appropriate for the nurse to ask? a. "Are you having any symptoms such as severe weight loss or confusion?" b. "Are you experiencing any side effects from the antiretroviral medication?" c. "Do you need any assistance to obtain drugs or treatments?" d. "Do you use any IV drugs or have multiple sexual partners?"  A patient with HIV infection has developed Mycobacterium avium complex infection with diarrhea. An appropriate outcome for the patient is that the patient will: a. be free from injury. b. maintain intact perineal skin. c. have adequate oxygenation. d. receive immunizations.

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 When designing a program to decrease the incidence of HIV infection in the community, the nurse will prioritize education about: a. how to prevent transmission between sexual partners. b. methods to prevent perinatal HIV transmission. c. ways to sterilize needles used by IV drug users. d. means to prevent transmission through blood transfusions.  When assessing a patient for breast cancer risk, the nurse considers that the patient has a significant family history of breast cancer if she has a: a. cousin who was diagnosed with breast cancer at age 38 b. mother who was diagnosed with breast cancer at age 42 c. sister who died from ovarian cancer at age 56 d. grandmother who died from breast cancer at age 72  Which statement by a 32-year-old patient newly diagnosed with stage I breast cancer indicates to the nurse that the goals of therapy are being met? a. “I am not sure how my husband will react when I tell him about this cancer.” b. “I am ready to die if that is God’s plan for me.” c. “I need to know all the options before making a decision about treatment.” d. “I will do whatever the doctor thinks is best.”

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 An abnormal finding noted during physical assessment of the female reproductive system is: a. watery cervical mucus b. dark pink color c. triangular hair distribution d. dimpling of breast  The nurse is caring for a patient diagnosed with breast cancer who just underwent an axillary lymph node dissection. Which of the following nursing interventions would the nurse plan to prevent lymphedema? a. Apply an elastic bandage on the affected arm. b. Keep affected arm flat at the patient’s side. c. Assess blood pressure on unaffected arm only d. Restrict exercise of the affected arm for 1 week  A patient who has undergone a vaginal hysterectomy has not voided for 8 hours following surgery and is complaining of bladder distention. The most appropriate action by the nurse is to: a. insert a straight catheter per the PRN order b. increase the patient’s oral fluid intake to 200 ml/hr. c. notify the health care provider of the patient’s inability to void d. ambulate the patient short distances every hour

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 The health care provider orders blood test for prostate-specific antigen (PSA) when an enlarged prostate is palpated during a routine examination of a 56-year- old man. When the patient asks the nurse the purpose of the test, the nurse’s response is based on the knowledge that: a. elevated levels of PSA are indicative of metastatic cancer of the prostate b. PSA testing is the “gold standard” for making a diagnosis of prostate cancer c. baseline PSA levels are necessary to determine whether treatment is effective d. PSA levels are usually elevated in patients with cancer of the prostate  A 22-year-old man tells the nurse at the health clinic that he has recently become unable to achieve an erection. When assessing for possible etiologic factors, which question should the nurse ask first? a. “Have you been experiencing an unusual amount of stress?” b. “Do you have any history of an erection that lasted for 6 hours or more?” c. “Are you using any recreational drugs or drinking a lot of alcohol?” d. “Do you have any chronic diseases, such as diabetes mellitus?”

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 The nurse working in a health clinic receives calls from all these patients. Which patient should be seen by the doctor first? a. A 23-year-old man who states he had difficulty maintaining an erection last night. b. A 44-year-old man who has perineal pain and a temperature of 100.4º F. c. A 62-year-old man who has light pink urine after having a TURP 3 days ago d. A 66-year-old man who has a painful erection that has lasted over 9 hours.  A patient with gonorrhea is treated with a single IM dose of ceftriaxone (Rocephin) and is given a prescription for doxycycline (Vibramycin) 100 mg bid for 7 days. The nurse explains to the patient that this combination of antibiotics is prescribed to a. prevent reinfection during treatment. b. treat any coexisting chlamydial infection. c. eradicate resistant strains of N. gonorrhoeae. d. prevent the development of resistant organisms.  A Gram stain smear of a patient’s urethral discharge reveals the presence of Neisseria gonorrhoeae. The patient tells the nurse about recent sexual contact with a woman but says she did not appear to have any disease. In responding to the patient, the nurse explains that a. many women are not aware they have gonorrhea because they

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

often do not have symptoms of infection. b. when gonorrhea infections occur in women, the disease affects only the ovaries and not the genital organs. c. women develop subclinical cases of gonorrhea that do not cause tissue damage or clinical manifestations. d. women do not develop gonorrhea infections but can serve as carriers to spread the disease to males.  A patient with positive Venereal Disease Research Laboratory (VDRL) and fluorescent treponemal antibody absorption (FAT- ABs) tests has a rash on the palms and the soles of the feet and moist papules in the anal and vulvar area. While caring for the patient, it is important for the nurse to a. wear gloves when touching the patient. b. apply antibiotic ointments to the perineum. c. place the patient in a private room. d. monitor the heart sounds for new murmurs.

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 A patient is treated for chlamydia that was detected during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says, a. “Go ahead and give me the antibiotic injection so I will be cured.” b. “I will use condoms during sex until I finish taking all the antibiotics.” c. “My immune system will eventually be able to fight off the infection.” d. “My sexual partner will need to take antibiotics at the same time I do.”  When the nurse is talking to a group of young adults about prevention of sexually transmitted diseases (STDs), one of the participants states “I will just plan to take antibiotics if I get an STD.” Which response by the nurse is appropriate? a. “STDs can be treated with antibiotics, but it is still important to avoid infection through the use of condoms.” b. “The microorganism that causes syphilis is frequently resistant to treatment with the commonly used antibiotics.” c. “Some STDs can not be treated with antibiotics and these may lead to recurrent infection and increased cancer risk.” d. “The treatment for bacterial STDs is complex and potentially painful, so avoidance of infection is important.”  The charge nurse observes a nurse accomplishing all of these

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

interventions for a patient who has just arrived in the post- anesthesia care unit after having right cataract removal and an intraocular lens implant. Which one requires that the charge nurse intervene? a.The nurse elevates the patient’s head to 45 degrees. b. The nurse encourages the patient to cough. c. The nurse applies cortico steroid drops to the right eye. d. The nurse leaves the eye shield in place.  Which of the following symptoms is a client with open angle glaucoma most likely to exhibit first: a. a sudden complete loss of vision b. impairment of peripheral vision c. sudden attacks of an acute pain d. pupil is vertically oval  While assessing a patient at the clinic the nurse notes patchy, milky white spots. The nurse knows that this finding is a symptom of what? a. Cyanosis b. Addison’s disease c. Polycythe mia d. Vitiligo

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 An African-American is admitted to your unit with liver disease. To correctly assess this patient for jaundice, on what body area would the nurse look for yellow discoloration? a. Elbows b. Hands c. Nail beds d. Sclerae  You are doing a shift assessment on your patients after first taking report. An elderly patient is having her second does of IV antibiotics for a diagnosis of pneumonia. The nurse notices a new reddened rash on the patient’s chest. The patient should be asked what priority question regarding the presence of a reddened rash? a. Is the rash worse at a particular time or season? b. Are you allergic to any food or medication? c. Is there any loss of sensation? d. What is you occupation?  A patient is diagnosed with a DVT (deep vein thrombosis). The physician orders Coumadin. What skin lesion should the nurse monitor this patient for? a. Ulcer b. Ecchymoses c. Scar

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

d. Erosion  A nurse is caring for a patient during the acute phase of the burn. The nurse knows he is responsible for what? a. Restricting visitors to prevent infection. b. Closely scrutinizing the burn wound to detect early signs of infection. c. Cleaning the patient’s room. d. Maintaining the patient in a sterile environment.  A patient diagnosed with basal cell carcinoma asks the nurse how he got cancer. The nurse tells the patient that the most common cause of basal cell carcinoma is what? a. Immunosuppression b. Radiation exposure c. Sun exposure d. Burns

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 A patient is brought to the Emergency Department from the site of a chemical fire. The paramedics report that the patient has a burn that involves the epidermis, dermis, and the muscle and bone of the right arm. When you assess the patient he verbalizes no pain in the right arm and the skin appears charred. Based upon these assessment findings, what is the depth of the burn on the patient’s right arm? a. Superficial partial-thickness b. Deep partial-thickness c. Full partial- thickness d. Full- thickness  A patient in the emergent/resuscitative phase of a burn injury has had her lab work drawn. Upon analysis of the patient’s laboratory studies, the nurse will expect the results to indicate what? a. Hyperkalemia, hyponatremia, elevated hematocrit, and metabolic acidosis b. Hypokalemia, hypernatremia, decreasd hematocrit, and metabolic acidosis c. Hyperkalemia, hypernatremia, decreased hematocrit, and metabolic alkalosis d. Hypokalemia, hyponatremia, elevated hematocrit, and metabolic alkalosis  The occupational health nurse is called to the floor of the factory where a patient has sustained a flash burn to the right arm. The nurse

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

arrives and the flames have been extinguished. The next step is to “cool the burn.” How will the nurse cool the burn? a. Apply ice to the site of the burn for 5 to 10 minutes. b. Wrap the patient’s affected extremity in ice until help arrives. c. Apply an oil-based substance or butter to the burned area until help arrives. d. Wrap cool towels around the affected extremity intermittently.  The emergency department nurse has just admitted a patient with a burn. The nurse recognizes that the patient is likely to experience a local and systemic response to the burn when the burn exceeds a total body surface area (TBSA) of what? a. 10% b. 15% c. 20% d. 25%  The nurse is preparing the patient for mechanical debridement and informs the patient that this will involve: a. a spontaneous separation of dead tissue fron the viable tissue. b. use of surgical scissors, scalpels or forceps to remove the eschar until the point of pain and bleeding occurs. c. shaving of burned skin layers until bleeding and viable tissue is revealed. d. early closure of the wound.

NUR 109 Final Exam Questions and Answers Latest

Update 2022/2023 Rated A+

 When admitting a patient who has sustained a burn injury over 40% of her body, which of the following nursing diagnoses would receive priority during the first 1- 2 days of treatment? a. Knowledge deficit b. Fluid volume deficit c. Impaired physical mobility d. Increased tissue perfusion  You are caring for a patient admitted with a diagnosis of renal failure. When you review your patient’s laboratory reports, you note that the patient’s magnesium levels are high. What would be important for you to assess? a. Diminished deep tendon reflexes b. Tachycardia c. Cool, clammy skin d. Increased serum magnesium  You are working on a burn unit. One of your patients is exhibiting signs and symptoms of third spacing, which occurs when fluid moves out of the intravascular space but not into the intracellular space. Based upon this fluid shift, what would you expect the patient to demonstrate? a. Hypertension b. Bradycardia c. Hypervole

NUR 109 Final Exam Questions and Answers Latest