NUR3737C Exam 2 NEWEST 2024 REAL COMPLETE
160 EXAM QUESTIONS AND VERIFIED DETAILED
ANSWERS/GRADED A+
In general, most children are not developmentally or physiologically
ready for toilet training until which age:
1-2
2-3
3-4
4-5 - ANS 2-3
The nurse would use which of the following scales to help clients identify
the characteristics of their bowel movements?
Morse Fall Scale
Norton Scale
Braden Scale
Bristol Stool Scale - ANS Bristol Stool Scale
A nurse is working with a client who experiences constipation. The nurse
recognizes that additional education is needed when the client states the
following:
a) "I should plan for routine physical activity to help improve my bowel
habits."
b) "I plan to drink at least 1,500ml of fluids per day to help promote a
regular bowel movement."
c) "Fiber is a really important aspect of my diet that I should plan to
incorporate more often."
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d) "I plan to take my stimulant laxative every day for at least the next 6
months to make sure it's working." - ANS d) "I plan to take my
stimulant laxative every day for at least the next 6 months to make sure
it's working."
Which of the following does not need to be irrigated?
Colostomy
Ileostomy - ANS Ileostomy
A patient with a long-standing history of diabetes mellitus is voicing
concerns about kidney disease. The patient asks the nurse where urine
is formed in the kidney. The nurse's response is the:
Bladder
Kidney
Nephron
Ureter - ANS Nephron
Which physiologic factor can place an 83-year-old client at risk for acute
kidney injury?
Decline in glomerular function
Decreased abdominal muscle control
Loss of urinary sphincter control
Consumption of caffeine - ANS Decline in glomerular function
The nurse identifies the diagnosis Impaired Urinary Elimination in an
older adult client admitted after a stroke. Impaired Urinary Elimination
places the patient at risk for which complication?
A nurse is caring for an elderly client who has nearly fallen twice while
getting out of bed to go to the bathroom. The nurse has instructed the
client not to get up without assistance. The client tells the nurse about
feeling a need to get to the bathroom when the urge to void occurs and
feeling a need to rush. Which strategy should the nurse utilize to
minimize the client's risk of falling?
a) Obtain an order for an indwelling catheter
b) Require that a family member stay with the client
c) Check on the client every 2 hours and offer toileting assistance
d) Obtain an order for restraints to prevent injury - ANS c) Check on
the client every 2 hours and offer toileting assistance
Which body fluid lies in the spaces between the cells?
Interstitial
Intracellular
Intravascular
Transcellular - ANS Interstitial
On assessment of a patient with acute renal failure, the nurse finds the
following: distended neck veins, cool and pale skin, and crackles in the
lungs. The nurse should suspect the patient is experiencing
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Hypocalcemia
Hypovolemia
Hypervolemia
Hypercalcemia - ANS Hypervolemia
A senior student nurse delegates the task of intake and output to a new
nursing assistant. The student will verify that the nursing assistant
understands the task of I&O when the nursing assistant states:
a) "I will record the amount of all voided urine."
b) "I will not count liquid stools as output."
c) "I will not record a café mocha as intake."
d) "I will notate perspiration and record it as a small or large amount." -
ANS a) "I will record the amount of all voided urine."
A nurse is planning care for a client with hypernatremia. Which action
should the nurse anticipate including in the plan of care?
Implement fluid restriction
Increase salt intake
Administer hypotonic IV solution
Obtain Arterial Blood Gas sample - ANS Administer hypotonic IV
solution
Which type of nursing intervention is defined as: "Interventions that a
nurse can complete on their own within their scope of practice as
outlined by the Board of Nursing"?
Independent
Dependent
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