NUR 112 Final Exam Study Guide (most tested questions) | Download To Score An A
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Course
NSG 112
Institution
NSG 112
1. A student nurse is assessing the peripheral vascular system of an older adult. What action by the student would cause the faculty member to intervene? a. Assessing blood pressure in both upper ext remities b. Auscultating the carotid arteries for any bruits c. Classifying capillary refill of 4 s...
1 a student nurse is assessing the peripheral vascular system of an older adult what action by the student would cause the faculty member to intervene
4 a client has been diagnosed with hypertensi
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NUR 112 Final Exam Study Guide
1. A student nurse is assessing the peripheral vascular system of an older adult. What action by the
student would cause the faculty member to intervene?
a. Assessing blood pressure in both upper extremities
b. Auscultating the carotid arteries for any bruits
c. Classifying capillary refill of 4 seconds as normal
d. Palpating both carotid arteries at the same time
2. The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is
most concerning?
a. Cholesterol: 126 mg/dL
b. High-density lipoprotein cholesterol (HDL-C): 48 mg/dL
c. Low-density lipoprotein cholesterol (LDL-C): 122 mg/dL
d. Triglycerides: 198 mg/dL
3. The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What
meal selection indicates the client is managing this condition well with diet?
a. A 4-ounce steak, French fries, iceberg lettuce
b. Baked chicken breast, broccoli, tomatoes
c. Fried catfish, cornbread, peas
d. Spaghetti with meat sauce, garlic bread
4. A client has been diagnosed with hypertension but does not take the antihypertensive
medications because of a lack of symptoms. What response by the nurse is best?
a. “Do you have trouble affording your medications?”
b. “Most People with hypertension do not have symptoms.”
c. “You are lucky; most people get severe morning headaches.”
d. “You need to take your medicine or you will get kidney failure.”
5. A nurse is interest in providing community education and screening on hypertension. In order to
reach a priority population, to what target audience should the nurse provide this service?
a. African-American churches
b. Asian-American groceries
c. High school sports camps
d. Women’s health clinics
6. The nurse is caring for four hypertensive clients. Which drug-laboratory value combination
should the nurse report immediately to the health care provider?
a. Furosemide (Lasix)/potassium: 2.1 mEq/L
b. Hydrochlorothiazide (Hydrodiuril)/potassium: 4.2 mEq/L
c. Spironolactone (Aldactone)/potassium: 5.1 mEq/L
d. Torsemide (Demadex)/sodium: 142 mEq/L
7. A nurse is assessing a client with peripheral artery disease (PAD). The client states walking five
blocks is possible without pain. What question asked next by the nurse will give the best
information?
a. “Could you walk further than that a few months ago?”
b. “Do you walk mostly uphill, downhill, or on flat surfaces?”
c. “Have you ever considered swimming instead of walking?”
d. “How much pain medication do you take each day?”
8. A nurse is caring for four clients. Which one should the nurse see first?
a. Client who needs a beta blocker, and has a blood pressure of 92/58 mm Hg
b. Client who had a first dose of captopril (Capoten) and needs to use the bathroom
c. Hypertensive client with a blood pressure of 188/92 mm Hg
, NUR 112 Final Exam Study Guide
d. Client who needs pain medication prior to a dressing change of a surgical wound
9. A client had a percutaneous transluminal coronary angioplasty for peripheral arterial disease.
What assessment finding by the nurse indicates a priority outcome for this client has been met?
a. Pain rated as 2/10 after medication
b. Distal pulse on affected extremity 2+/4+
c. Remains on bedrest as directed
d. Verbalizes understanding of procedure
10. a client has a deep vein thrombosis (DVT). What comfort measure does the nurse delegate to
the unlicensed assistive personnel (UAP)?
a. Ambulate the client.
b. Apply a warm moist pack.
c. Massage the client’s leg.
d. Provide an ice pack.
11. A client has been diagnosed with a deep vein thrombosis and is to be discharged on warfarin
(Coumadin). The client is adamant about refusing the drug because “it’s dangerous.” What
action by the nurse is best?
a. Assess the reason behind the client’s fear.
b. Remind the client about laboratory monitoring.
c. Tell the client drugs are safer today than before.
d. Warn the client about consequences of noncompliance.
12. A client has peripheral arterial disease (PAD). What statement by the client indicates
misunderstanding about self-management activities?
a. “I can use a heating pad on my legs if it’s set on low.”
b. “I should not cross my legs when sitting or lying down.”
c. “I will go out and buy some warm, heavy socks to wear.”
d. “It’s going to be really hard but I will stop smoking.”
13. A client is being discharged on warfarin (Coumadin) therapy. What discharge instructions is the
nurse required to provide? (Select all that apply)
a. Dietary restrictions
b. Driving restrictions
c. Follow-up laboratory monitoring
d. Possible drug-drug interactions
e. Reason to take medications
14. A nurse assesses a client in an outpatient clinic. Which statement alerts the nurse to the
possibility of left-sided heart failure?
a. “I have been drinking more water than usual.”
b. “I am awakened by the need to urinate at night.”
c. “I must stop halfway up the stairs to catch my breath.”
d. “I have experienced blurred vision on several occasions.”
15. A nurse assesses a client admitted to the cardiac unit. Which statement by the client alerts the
nurse to the possibility of right-sided heart failure?
a. “I sleep with four pillows at night.”
b. “My shoes fit really tight lately.”
c. “I wake up coughing every night.”
d. “I have trouble catching my breath.”
16. A nurse cares for a client with right-sided heart failure. The client asks, “Why do I need to weigh
myself every day?” How should the nurse respond?
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