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NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+/NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+/NUR 206 FINAL EXAM LATEST 2024 -2025 ACTUAL EXAM QUESTIONS WITH CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) GRADED A+
Typology: Exams
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The nurse is instructing a patient who is on a biologic response modifier (BRM) colony- stimulating drug. The nurse teaches that about which desired action from this medication? - Correct Answer - Enhanced recovery of bone marrow A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesia, and convulsion. Lab studies reveal hyperkalemia and Hyperuricemia the nurse recognizes that the patient is most likely suffering from? - Correct Answer - Tumor Lysis Syndrome (TLS) A patient receiving chemotherapy has thrombocytopenia. What is the most appropriate that the nurse should teach the patient? - Correct Answer - Do not take aspirin for a headache The nurse is constructing a teaching plan about fatigue management for a patient who is taking radiation treatments. Which information should the nurse include? - Correct Answer - Prioritize activities and alternate rest with periods of activity. A 32 - year-old mother is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days. How should the nurse best prepare for the patient's 8-year-old twins to visit? - Correct Answer - Put chairs in the hall for "long- distance" visitation. Which description(s) is/are characteristic of a malignant neoplasm? (Select all that apply.) - Correct Answer - - Disorganization
The 52-year-old male who was diagnosed with a benign growth in her colon is concerned about the growth spreading. Which explanation best allays the patient's anxiety? - Correct Answer - "Benign growths are surrounded by fibrous tissue that prevents spread." The nurse assesses several patients in the outpatient clinic. Which patient has the greatest risk for developing cancer? - Correct Answer - 45 - year-old farmer from Texas who has worked on his family's cotton farm since the age of 12 The nurse assesses a man who is scheduled for a prostate-specific antigen (PSA) test. The nurse understands that which situation could delay the test? - Correct Answer - The patient reports having a recent urinary tract infection (UTI). The nurse is educating the 40 - year-old female patient about the American Cancer Society (ACS) recommendations for early detection of cancer. Which information should she include when teaching? - Correct Answer - Obtain a mammogram every year The 26 - year-old patient with a malignant neoplasm has experienced a 10 - pound weight loss in 3 weeks. To which factor is this patient's rapid weight loss most likely related? - Correct Answer - The malignancy's high nutritional demand The nurse cautions that the most common site of cancer in adult men is the: - Correct Answer - Prostate A patient has developed stomatitis from chemotherapy. What should the appropriate intervention for this condition include? - Correct Answer - Using a soft toothbrush A patient is undergoing external radiation and helping the patient with effects the nurse would? - Correct Answer - Instruct the patient to wear loose fitting, cotton clothing The nurse caring for a patient who has peritonitis and has developed a paralytic ileus assesses that the patient is passing gas (flatus). The assessment is an indication of: - Correct Answer - returned peristalsis.
The nurse is caring for a patient with a 4-day-old ileostomy. The patient complains of cramping, the nurse notes decreased output, and the bowel sounds have a high pitched sound. What action should the nurse take? - Correct Answer - Notify the charge nurse immediately. The nurse is reinforcing teaching with a client who is post-op following an ileostomy. Which of the following instructions should the nurse include in the teaching? - Correct Answer - Avoid medications encapsulated Which type of hernia can lead to necrosis? - Correct Answer - Strangulated hernia The nurse is aware that an unresolved intestinal obstruction can lead to which complications? - Correct Answer - Intestinal rupture and shock The nurse explains which advantage benefits patients with a Kock pouch ileostomy? - Correct Answer - The patient does not have to wear a collection device. The nurse is educating a patient with diverticulitis. Which statement indicates that the nurse's teaching about the importance of seeking treatment has been successful? - Correct Answer - "If left untreated, the inflamed bowel can perforate and cause peritonitis." Which viruses are responsible for specific cancers? (Select all that apply.) - Correct Answer - - Liver cancer from hepatitis B virus
Which of the following are thrombocytopenic precautions? - Correct Answer - Using an electric razor Which of the following people should avoid visiting a patient receiving internal-beam radiation? - Correct Answer - Pregnant woman in her third trimester Which statement is most appropriate for a nurse to tell the patient before insertion of radioactive implant? - Correct Answer - "Nurses will always be available but will only spend short periods of time at your bedside." In order to provide optimum nursing care it is important for the nurse to know that the standard of pain and pain control is best determined by who? - Correct Answer - The patient The home health nurse educates the 75-year-old patient about the warm compresses he is using on his swollen elbow. Which information is most important to include in the teaching plan? - Correct Answer - Allow the compress to remain in place for 15 to 20 minutes. The hospitalized post surgical is reluctant to take the opioid pain medication because of drowsiness. Which response is most informative for the nurse to make? - Correct Answer - "Sleep and pain relief promote helping." The nurse clarifies the basics of the gate theory of pain control. Which information should the nurse include? - Correct Answer - The "gate" can be closed to pain by the use of non-painful stimuli. The nurse explains that the pain threshold and pain tolerance are different. Which statement about the pain threshold is true? - Correct Answer - Pain threshold is the point at which pain is perceived. The nurse is caring for a 45 - year-old male Arab patient who is in pain. Which action can most likely be attributed to the patients' cultural belief about pain? - Correct Answer - The patient asks for pain relief to control pain.
The nurse is caring for a patient that is receiving intravenous morphine sulfate. The patient breaks out in hives and begins to itch. What should the nurse do first? - Correct Answer - Stop the infusion The nurse is caring for a patient who is having constant nociceptor pain. Which intervention best addresses the patient's pain during the perception phase of pain? - Correct Answer - Engage the patient in conversation regarding his family, hobbies, and plans following discharge from the facility. The nurse is caring for a patient who is having neuropathic pain. Which agents will most effectively control his pain? - Correct Answer - - anti-depressant
What are the functions of endorphins? - Correct Answer - - Inhibition of unpleasant stimuli
Which procedure is used to remove gallstones obstructing the common bile duct? - Correct Answer - endoscopic retrograde cholangiopancreatography (ERCP) The nurse watches a patient perform an insulin injection. Which observation(s) indicate(s) that the patient needs additional instruction? (select all that apply.) - Correct Answer - - The patient rubs the injection site after administration of the insulin injection.
Hypoglycemia may be caused by which of the following: - Correct Answer - - going for a last minute 8 mile hike
The nurse is counseling an overweight, noncompliant, 30-year-old female with type 2 diabetes. Which change is most important for the nurse to suggest? - Correct Answer - Begin an exercise program and lose weight A patient recently diagnosed with type 1 diabetes mellitus (DM) asks why she is experiencing increased thirst. Which explanation is most appropriate? - Correct Answer
A nurse is caring for a client who has cholelithiasis with bile obstruction and should expect which of the following findings upon assessment? (Select all that apply) - Correct Answer - - Amber urine
has a temperature of 101.2° F. The nurse anticipates that this patient will undergo workup for which problem? - Correct Answer - Cholecystitis Dietary teaching for a patient who is treated conservatively for cholecystitis is necessary to keep the patient comfortable. Which foods should be avoided? (Select all that apply.)
The nurse is caring for a patient with cirrhosis. Which assessment finding warrants the nurse's immediate attention? - Correct Answer - Confusion A patient has reported to the clinic with concerns about contracting hepatitis A from her boyfriend. What response by the nurse is most appropriate? - Correct Answer - "Hepatitis A is not transmitted as a result of close contact with an infected individual." The nurse is preparing to administer liquid laxative to a patient in preparation for a colonoscopy. Which action should the nurse take? - Correct Answer - Chill the laxative and pour it over ice The nurse is caring for a client who has hemorrhoids. What can the nurse do to help the client. - Correct Answer - Follow a high fiber diet to establish bowel regularity. The nurse lists foods and beverages that may trigger an attack of irritable bowel syndromes (IBS), which include: (Select all that apply.) - Correct Answer - - coffee
When chyme leaves the stomach it passes through which structures in which order? - Correct Answer - Duodenum, Jejunum, ileum, ileocecal valve, ascending colon, transverse colon, descending colon, sigmoid colon, rectum, and anus Common causes of dysphagia include include all of the following except? - Correct Answer - barium swallow test The nurse is discussing bariatric surgery complications with a patient. Which statement indicates that the patient accurately understands the nurse's teaching about common procedural side effects? - Correct Answer - "Gallstones are a common occurrence in patients who have bariatric surgery." All of the following are important for colostomy care except? - Correct Answer - vigorously scrub the skin while changing the appliance to ensure no fecal material remains on the skin Which of the following are appropriate nursing interventions for a patient with appendicitis waiting for surgery the next day? - Correct Answer - - apply cool compress for pain management
A patient is transferred from the operating room to the recovery room after undergoing an open reduction and internal fixation (ORIF) of his left ankle. Which is the first assessment to make? - Correct Answer - Check airway for patency. A postoperative patient who had a left inguinal hernia repair is ready for his discharge instructions. Which information should the nurse provide? (Select all that apply.) - Correct Answer - - Care of the wound site and any dressings
The nurse is caring for a patient who had spinal anesthesia. Which drink is the best choice for the nurse to offer the patient? - Correct Answer - Tea The nurse is caring for a surgical patient who complains of excessive gas. Which action should the nurse take? - Correct Answer - Ambulate the patient in the hall. The nurse is educating the patient about vitamins and wound healing. The nurse explains that which vitamin will enhance wound healing the most? - Correct Answer - Vitamin C The nurse is performing a neurological assessment on a patient who was just transferred from the PACU following abdominal surgery. Which action(s) correctly demonstrate(s) knowledge of a neurological assessment? (Select all that apply.) - Correct Answer - - Asking the patient to identify where he is.
The PACU nurse is caring for an unconscious patient. Assessment reveals diminished breath sounds bilaterally. Which action should the nurse take? - Correct Answer - Document "diminished breath sounds in both lower lobes." The patient is brought into PACU still unconscious. What should the nurse do when the nurse assesses an oral temperature of 94° F? - Correct Answer - Cover with a warm blanket The postoperative nursing intervention that would be contraindicated for a 45 - year-old patient who has had a repair of a cerebral aneurysm and is presenting signs of increased intracranial pressure (ICP) would be: - Correct Answer - coughing every 2 hours When the postoperative patient complains of sudden chest pain combined with dyspnea, cyanosis, and tachycardia, the nurse recognizes the signs of: - Correct Answer - pulmonary embolus Which action is most important for the nurse to take prior to ambulating the postsurgical patient for the first time? - Correct Answer - Raise the head of the bed Which of the following early postoperative observations should be reported immediately? - Correct Answer - "Coffee ground" emesis While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention? - Correct Answer - Apply a warm, moist normal saline sterile dressing. During the course of surgery, the patient exhibits tachycardia, diaphoresis, and rising body temperature. The priority intervention by the circulating nurse is to: - Correct Answer - Alert the anesthesiologist and surgeon immediately. In which situation might surgery be delayed? - Correct Answer - The patient is still taking anticoagulants
The nurse clarifies the difference between regional anesthesia and procedural sedation anesthesia. Which statement about procedural sedation anesthesia is true? - Correct Answer - Procedural sedation anesthesia uses both intravenous (IV) sedation and regional anesthesia The nurse is caring for a patient who has just been given medication to reverse neuromuscular blocking agents. The nurse is aware that the patient is in which general anesthetic stage? - Correct Answer - Emergence The nurse is caring for a patient who has received epoetin alfa (Epogen) 2 to 3 weeks prior to a scheduled surgery. The nurse understands that this patient will likely: - Correct Answer - not require a blood transfusion during surgery The nurse is caring for an 82-year-old pre-surgical patient. Which abnormal finding is most important for the nurse to report immediately? - Correct Answer - Temperature of 99.8° F The nurse is caring for an Asian patient who received atropine as a preoperative drug. For which problem should the nurse should carefully monitor the patient? - Correct Answer - Tachycardia The nurse is performing a preoperative assessment on a patient scheduled for surgery today. The patient reports drinking two glasses of wine daily, smoking one pack of cigarettes daily for 20 years, completing a round of corticosteroids for asthma control 2 days ago, and taking a dose of passion flower extract yesterday. Which action should the nurse take next? - Correct Answer - Notify the physician immediately regarding the patient's recent use of corticosteroids. The nurse is reviewing the pre-surgical patient's laboratory reports and notes an elevated aspartate aminotransferase (AST) and bilirubin. The nurse understands that this patient is most at risk for which potential complication? - Correct Answer - Excessive bleeding during or after surgery The patient questions the nurse about robotics surgery. Which information should the nurse include? (Select all that apply.) - Correct Answer - - "Robotics gives the surgeon greater magnification than the human eye."
The nurse is aware that the person with ulcerative colitis is a risk factor for developing which disorder? - Correct Answer - Colon cancer The mechanical bowel obstruction caused when the bowel twists on itself is known as
. - Correct Answer - Volvulus The nurse explains that the diagnosis of morbidly obese is reserved for people who exceed which percentage of their recommended weight? - Correct Answer - 100% A nurse is collecting data from a client who has squamous cell carcinoma of the lower lip. Which of the following is an expected finding? - Correct Answer - an ulcerated lesion that is bleeding and painful A nurse is collecting data from a client and observes multiple cradle like abscess ulcers in the clients oral cavity. The nurse should use which of the following terms when documenting the findings? - Correct Answer - Stomatitis To best assist a patient with dysphagia, the nurse should implement which action(s)? (select all that apply.) - Correct Answer - - Encourage "practice swallowing" before the meal.
A patient is admitted with GI bleeding. His vital signs are BP - 140/80, Pulse - 72, Respirations - 14, and temperature is 98.9F. Which of these findings should be reported to the Registered Nurse or Physician immediately? - Correct Answer - Blood pressure - 100/50 Which of these would you recognize as the most common cause of acute diarrhea? - Correct Answer - Bacterial or viral infection You note on rounds that your patient's NG tube has not been draining as much as usual. Your patient is complaining of nausea, and you note abdominal distention. Which of the following is your next course of action? - Correct Answer - Assess patency of the tube Medications that neutralize gastric acid secretion: - Correct Answer - - Proton-pump inhibitors
The nurse is educating a patient with a hiatal hernia. Which statement indicates that the patient understands the nurse's teaching? - Correct Answer - "I should avoid tea and chocolate." The nurse is caring for a patient with a peptic ulcer. The patient also has a history of chronic bronchitis, diabetes, and arthritis. Which component of the patient's history is the most likely contributing factor to the patient's ulcer? - Correct Answer - The patient takes ibuprofen daily for arthritis pain. How long should the nurse auscultate the bowel sounds before documenting "absent bowel sounds"? - Correct Answer - 5 minutes Which alternative therapy helps with nausea and vomiting? - Correct Answer - Ginger Which action(s) should the nurse recommend to promote a patient's bowel health? (select all that apply.) - Correct Answer - - Drink adequate water.
further teaching? - Correct Answer - "I must insert a catheter through your stoma to drain the urine." What are ways to prevent UTIs? - Correct Answer - drink at least 8 full glasses of water everyday What is the purpose of the creatinine test? - Correct Answer - to determine kidney function A nurse is caring for a client with hemodialysis. Which measurement should the nurse compare before and after the procedure to determine fluid losses? - Correct Answer - Measure body weight Which statement best indicates that the patient understands teaching about dietary restrictions in glomerulonephritis? - Correct Answer - "I should avoid canned soups and hot dogs." As chronic glomerulonephritis progresses, how is the kidney usually affected? - Correct Answer - The kidney atrophies. The home health nurse is caring for a patient with chronic renal failure. Which assessment finding(s) indicate(s) that the patient is experiencing uremic syndrome? (select all that apply.) - Correct Answer - - Restless legs
A patient age 69 is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The physician suspects renal cancer. In obtaining a nursing history from this patient, the nurse recognizes which of the following as a significant risk factor for renal cancer - Correct Answer - cigarette smoking An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is ordered. A temporary stent is inserted. In addition to observing the patient for hemorrhage, what should be the nurse's postsurgical interventions include for this patient? - Correct Answer - Providing aseptic care of the surgical site As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and - Correct Answer - creatinine It is 2 days after a 42 year old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care even though the staff has spent time explaining the care to him. What is the most likely explanation for his behavior - Correct Answer - he is reacting to the loss of self-esteem and altered body image The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable. What should the nurse do next? - Correct Answer - Request an order for a urinalysis. A 25 - year-old woman comes to the emergency department with nonspecific urethritis. Which information is most important for the nurse to obtain? - Correct Answer - "How often do you use bath salts or take bubble baths?" A 25 - year-old man comes to the college clinic with fever of 101° F, nausea, and flank pain that radiates into the thigh and genitals. The nurse anticipates that the patient will undergo workup for which infection? - Correct Answer - Pyelonephritis