NURS 316 Theory Final Exam Questions and Correct Answers
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Course
NUR 316
Institution
NUR 316
An example of a mu agonist opioid that is frequently used in the treatment of pain is:
a. benzodiazepine b. dilaudid c. butyrophenone d. haloperidol b. dilaudid
A client receiving morphine for bone pain may find a lower dose of morphine is possible when what is added to the regime? a. NSAID b. MS...
NURS 316 Theory Final Exam Questions
and Correct Answers
An example of a mu agonist opioid that is frequently used in the treatment of pain is:
a. benzodiazepine
b. dilaudid
c. butyrophenone
d. haloperidol ✅b. dilaudid
A client receiving morphine for bone pain may find a lower dose of morphine is possible
when what is added to the regime?
a. NSAID
b. MS contin
c. oxycodone
d. dilaudid ✅a. NSAID
Fatigue may result from which of the following?
a. disease process
b. overexertion
c. fear
d. all of the above ✅d. all of the above
What is the appropriate nursing action for a terminally ill client and family to facilitate
maintaining a functional equilibrium?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅f. assist
the family to identify and prioritize activities that must be continued
What is the appropriate nursing action for a terminally ill client and family to facilitate
negotiating relationships outside the family?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅b. give
permission to take time to maintain friendships
,What is the appropriate nursing action for a terminally ill client and family to provide
realistic information about the illness and treatment options?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅c.
promote acceptance versus denial
What is the appropriate nursing action for a terminally ill client and family that supports
the family while they accept the finality of their loss?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅d. assess
the need for additional support from the interdisciplinary team
Why would the nurse explain the roles of all the interdisciplinary team members to the
terminally ill client and family?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅e.
establish a relationship with the health care team
What is the purpose of the nursing action for a terminally ill client and family that
assesses the need for assistance, such as home health aid?
a. meet the physical needs of the dying person
b. give permission to take time to maintain friendships
c. promote acceptance versus denial
d. assess the need for additional support from the interdisciplinary team
e. establish a relationship with the health care team
f. assist the family to identify and prioritize activities that must be continued ✅a. meet
the physical needs of the dying person
What are the clinical manifestations of cachexia-anorexia? ✅a. muscle loss, impaired
immunity, and glucose intolerance
b. vitamin deficiency and loss of body fat
c. A & B
What are the reversible causes of delirium?
,a. dehydration
b. hypoxia
c. liver failure
d. sepsis ✅a. dehydration
b. hypoxia
d. sepsis
When opioids bind with receptors in the GI tract, intestinal mobility...
a. increases and gastric emptying decreases
b. increases and gastric emptying is delayed
c. decreases and gastric emptying increases
d. decreases and gastric emptying is delayed ✅d. decreases and gastric emptying is
delayed
What medication may be used for anxiety related to dyspnea in the palliative care
setting?
a. dilaudid
b. haloperidol
c. benzodiazepine
d. butyrophenone ✅c. benzodiazepine
A nurse caring for a client who has a history of angina and is scheduled for exercise
electrocardiography at 1100.
Which of the following statements by the client requires the nurse to contact the
provider for possible rescheduling?
a. "I have had chest pain a couple of times since I saw my doctor in the office last week"
b. "Im still hungry after the bowel of cereal I ate at 0700"
c. "I smoked a cigarette this morning to calm my nerves about having this procedure"
d. "I didnt take my heart pills this morning because the doctor told me not to ✅c. "I
smoked a cigarette this morning to calm my nerves about having this procedure"
Smoking prior to this test can change the outcome and places the client at additional
risk. The procedure should be rescheduled if the client has smoked before the test.
A nurse is providing discharge teaching to a client who has heart failure. The nurse
should instruct the client to report which of the following findings immediately to the
provider?
a. increase of 10mmHg in systolic blood pressure
b. dyspnea with exertion
c. dizziness when rising quickly
d. weight gain of 0.9kg (2lb) in 24h ✅d. weight gain of 0.9kg (2lb) in 24h
When using the urgent vs nonurgent approach to client care, the nurse should
determine that the priority finding is a weight gain of 0.5-0.9kg (1.1-2kg) in 1 day. This
weight gain is an indication of fluid retention resulting from worsening heart failure. The
client should report this finding immediately.
, A nurse is assessing a client who has a history of deep vein thrombosis and is receiving
warfarin. Which of the following findings should indicate to the nurse that the medication
is effective?
a. minimal bruising of extremities
b. decreased blood pressure
c. INR 2.0
d. Hg 14g/dL (140g/L) ✅c. INR 2.0
Desired reference range for warfarin is 2.0-3.0
A nurse is reviewing the ECG rhythm strip of a client who is receiving telemetry. Which
of the following areas of the trip should the nurse examine to observe for atrial
depolarization?
a. A wave
b. QRS segment
c. T wave ✅a. A wave
A nurse is caring for a client who is receiving heparin therapy and develops hematuria.
Which of the following actions should the nurse take if the client's aPTT is 96s?
a. request a prothrombin time (PT)
b. increase the heparin infusion flow rate by 2mL/h
c. stop the heparin infusion
d. continue to monitor the heparin infusion as prescribed ✅c. stop the heparin infusion
(normal range: 30-40s)
A nurse is caring for a client who has heart failure and is experiencing afib. Which of the
following findings should the nurse plan to monitor for and report to the provider
immediately?
a. dependent edema
b. irregular pulse
c. persistent fatigue
d. slurred speech ✅d. slurred speech
Slurred speech can indicate inadequate circulation to the brain due to embolus. Client is
at an increased risk for thrombus formation with afib.
A nurse is reviewing the lab results of several male clients who have peripheral arterial
disease. The nurse should plan to provide dietary teaching for the client who has which
of the following lab values?
a. cholesterol 195mg/dL, HDL 55mg/dL, LDL 125mg/dL
b. cholesterol 180mg/dL, HDL 70mg/dL, LDL 90mg/dL
c. cholesterol 185 mg/dL, HDL 50mg/dL, LDL 120mg/dL
d. cholesterol 190 mg/dL, HDL 25mg/dL, LDL 160mg/dL ✅d. cholesterol 190 mg/dL,
HDL 25mg/dL, LDL 160mg/dL
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