NUR 2790 IPN3 FINAL EXAM QUESTIONS AND ANSWERS BEST RATED A+ GUARANTEED SUCCESS LATEST UPD, Exams of Nursing

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A client with osteoporosis suffers a fracture, then falls. This type of fracture is called: Selected Answer: Pathologi cal fracture Answers: Pathologi cal fracture Greenstic k fracture Comminuted fracture

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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Impacted fracture  Pt with #pelvis, dyspnea, and restlessness- what are S/S fat emboli: Sz, upper body petechiae, temp  A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client? A. "I would ask the doctor if he's sure about the diagnosis." B. "All women have the disorder but not the symptoms." C. "Females often do not experience the effects of the disease until menopause." D. "It doesn't affect people until they are in their 50s."  A client is diagnosed with liver disease. Which of the following is one

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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impact of this disorder on a client's fluid and electrolyte status? A. Hyponatremia B. Hypernatremia C. Hypercalcemia D. Hyperkalemia  The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following complications associated with this surgery? A. Pulmonary edema B. Pulmonary emboli C. Myocardial infarction D. Decreased peripheral pulses

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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 A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client? A. Increase exercise. B. Avoid all alcohol. C. Expect to develop jaundice. D. Treatment includes antibiotic therapy.  A client is demonstrating yellow pigmentation of the skin and sclera. Which of the following can be used to describe this client's symptoms? (Select all that apply.) A. Icterus B. Cirrhosis C. Dyspepsia D. Sclerosis E. Jaundice F. Kernicterus  A client is diagnosed with a disorder of the liver. The nurse realizes

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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this client might experience which of the following? (Select all that apply.) A. Elevated levels of vitamin E B. Poor digestion of fats C. Increased bleeding D. Insulin resistance E. Nerve damage F. Low vitamin A levels  A client is diagnosed with portal hypertension. The nurse should assess the client for which of the following disorders associated with this diagnosis? (Select all that apply.) A. Esophag eal varices B. Splenomegaly C. Caput medusae D. Hemorrhoid

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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s E. Gastritis F. Gallstone formation Musculoskeletal  A client tells the nurse that he has pain, swelling, fatigue, and numbness of his hands. The nurse should assess the client for which of the following occupations? A. Retail store clerk B. Bus driver

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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C. Lifeguard D. Computer keyboard operator  A client who plays baseball on the weekends is experiencing an arm injury. The nurse realizes this client needs to be evaluated for: A. lateral epicondylitis. B. a rotator cuff tear. C. dislocation of the shoulder. D. patellar tendinopathy.  A client, diagnosed with an ankle sprain, is prescribed ibuprofen to control pain and inflammation. What instruction should the client receive concerning this medication? A. "Take on an empty stomach to maximize its effect." B. "Take with food to minimize gastrointestinal irritation." C. "Wear sunscreen if outside to prevent a burn." D. “Bleeding is not a problem with this medication."

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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 A client, experiencing a fractured arm, asks the nurse why the splint is being applied. Which of the following should the nurse respond to this client? A. "It immobilizes the muscles and joints." B. "It prevents the need for surgery." C. "It reduces the need for a cast." D. "It reduces bleeding, swelling and pain."  A client has had a cast applied to immobilize a right ulnar fracture. Which of the following nursing interventions is most important? A. Giving pain medication B. Starting discharge teaching C. Checking capillary refill time D. Calling physical therapy for a sling  A client with a right arm cast is experiencing signs of a serious complication. Which of the following would cause the nurse the most

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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concern? A. Severe pain to the right arm continues after receiving pain medication B. Itching under the cast C. Finger movement D. Capillary refill time less than 3 seconds

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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 A client has been wearing a splint for carpal tunnel syndrome for 7 weeks. The nurse realizes that which of the following would be the next course of treatment for this client? A. Corticosteroid injection B. Casting C. Exercises D. Surgery  The nurse is planning care for a client recovering from a meniscal injury. Which of the following should be included as strategies to avoid future injuries? A. Avoid skiing. B. Wear similar shoes for all activities. C. Avoid hamstring muscle exercises.

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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D. Stretch before and after exercise.  A client with an ankle sprain is instructed to follow RICE. Which of the following should the nurse instruct the client regarding this process? A. "Apply an elastic bandage to the site." B. "Apply ice to the ankle once a day." C. "Maintain your normal level of activity." D. "Elevate the extremity every day for 20 to 30 minutes."  The nurse is instructing a client on ways to prevent the onset of stress fractures. Which of the following should be included in these instructions? A. Increase intensity of training 10% each day B. Avoid overtraining

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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C. Limit warm up exercises D. Avoid shock absorbing footwear  The nurse suspects a client, recovering from hip replacement surgery, is experiencing an infection when which of the following is assessed? A. Pain with movement B. Foot intact to sensation and motion C. Blood pressure 110/68 mmHg D. Client using crutches to ambulate  The nurse is concerned that a client is demonstrating signs of compartment syndrome. Which of the following is considered a classical symptom of this disorder? (Select all that apply.) A. Paraplegia

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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B. Pain C. Pulselessness D. Pressure E. Paresthesia F. Pink  Disease processes that predispose pts to pathological fractures-  For the client who is at risk for stroke, the most important guideline the nurse should teach is to: A. Monitor weight and activity. B. Increase drinks with caffeine. C. Increase amounts of sodium in the diet. D. Monitor blood pressure.  A client is being evaluated for a stroke. The nurse knows that

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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one of the easiest and most common diagnostic tests used to differentiate between strokes is: A. magnetic resonance imaging (MRI). B. positron emission tomography (PET). C. electrocardiography (EEG). D. computed tomography (CT).  While instructing a client on stroke prevention, the nurse mentions medications that are useful in stroke prevention. The following medications are effective in preventing a stroke, EXCEPT: A. anticholinergics. B. antiplatelets. C. anticoagulants. D. neuroprotective agents.  A client is being seen in the emergency department experiencing symptoms of a stroke. The nurse realizes that the administration of a medication to break clots, such as tPA, should be administered within how many minutes of the client presenting to the emergency department?

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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A. 120 minutes B. 90 minutes C. 30 minutes D. 60 minutes  What is the major cause of traumatic brain injuries? MVC  A client is diagnosed with a mild brain injury. Which of the following is an example of a mild injury? A. A. Vegetative state B. Coma C. Locked-in syndrome D. Concussion  The nurse is planning care for a client diagnosed with increased intracranial pressure after a head injury. Which of the following interventions can be used to reduce increased intracranial pressure? A. Perform range-of-motion exercises every hour. B. Keep the head of the bed in the flat position.

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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C. Administer antibiotics as prescribed. D. Administer corticosteroids and osmotic diuretics as prescribed.  The nurse, caring for a client recovering from a traumatic brain injury, knows the client and the family are eligible for specific federal programs because of the: A.Associated Brain Act. B.Traumatic Brain Injury Act of 2008. C. Brain Protection Act. D.Health Brain Act.  Which of the following should be avoided when caring for a client diagnosed with increased intracranial pressure? A. Placing the client on bed rest B. Placing the bed in Trendelenburg C. Starting an intravenous access line D. Administering oxygen  A client is being instructed on treatments available for a newly diagnosed brain tumor. The nurse realizes that this client's treatment could include all of the following EXCEPT :

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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A. photo DNA therapy. B. radiation. C. surgery. D. chemotherapy.  A client diagnosed with an embolic stroke is not a candidate for tPA. The nurse realizes that the client might be eligible for which of the following forms of treatment? A. Intravenous fluid therapy B. Carotid endarterectomy C. Carotid stenting D. Antiarrhythmic medication  The nurse is caring for a patient with increased intracranial pressure. Which action is considered unsafe? A. Clustering many nursing activities B. Aligning the neck with the body C. Elevating the head of the bed 30 degrees

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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D. Providing stool softeners or laxatives as ordered  The earliest and most sensitive assessment finding that would indicate an alteration in intracranial regulation would be? A, inability to focus visually B. loss of primitive reflexes. C. unequal pupil size.

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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D. change in level of consciousness.  Components of the GCS the nurse would use to assess a patient after a head injury include: A. head circumference. B. verbal responsiveness. C. cranial nerve function. Liver D. Blood pressure  A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis? A. Hepatitis A B. Hepatitis D

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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C. Hepatitis C D. Hepatitis B  An older male is diagnosed with cirrhosis of the liver. The nurse knows that the most likely cause of this problem is: A. drinking excessive alcohol. B. eating bad food. C. traveling to a foreign country. D. being in the military.  A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: A. Bleeding. B. Nausea and vomiting. C. infection. D. Pain.

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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 The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the: A. gallbladder B. spleen.

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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C. liver. D. stomach.  A school age child is placed on a waiting list for a liver transplant. The nurse knows that the most common reason for children to need this type of transplant is because of: A. cirrhosis due to hepatitis C B. diabetes. C. Crohn's disease. D. biliary atresia.  Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers: A. drink bottled water only. B. become vaccinated. C. wash their hands often. D. avoid foreign travel.  A client who usually smokes a pack of cigarettes a day tells the nurse that he cannot stand the smell of smoke. The nurse realizes that this

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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client is in which phase of hepatitis? A. Recovery B. Icteric C. Preicteric D. Posticteric A client, recovering from a fractured pelvis, begins to have dyspnea and restlessness. The nurse is concerned that the client is experiencing a fat emboli when which of the following are assessed? SATA Upper body petechia Seizures Temp 102 MISCELLANEOUS  The nurse is admitting an older adult with decompensated congestive heart failure. The nursing assessment reveals adventitious lung sounds, dyspnea, and orthopnea. The nurse should question

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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which doctor's order? A. Oxygen via face mask at 8 L/min B. Intravenous (IV) 500 mL of 0.9% NaCl at 125 mL/hr C. Furosemide (Lasix) 20 mg PO now D. KCl 20 mEq PO two times per day  At change-of-shift report, the nurse learns the medical diagnoses for four patients. Which patient should the nurse assess most carefully for development of hyponatremia? A. Tumor that secretes excessive antidiuretic hormone (ADH) B. Tumor that destroyed the posterior pituitary gland C. Tumor that secretes excessive aldosterone D. Vomiting all day and not replacing any fluid

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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 The patient is receiving tube feedings due to a jaw surgery. What change in assessment findings should prompt the nurse to request an order for serum sodium concentration? A. Increased skin tenting and dry mouth B. Decreased level of consciousness C. Postural hypotension and tachycardia D. Development of ankle or sacral edema

NUR 2790 IPN3 FINAL EXAM QUESTIONS AND

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