NURS 1140: Exam Study Questions Solved 100% Correct
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Course
NURS 1140
Institution
NURS 1140
Absorption - Answer The process whereby a drug is transferred from its site of entry
into the body to the circulating fluids of the body (i.e., blood and lymph).
Distribution - Answer The ways in which a drug is transported throughout the body by
the circulating body fluids to the sites of actio...
NUR 1140 Exam with Questions and Correct
Answers| Latest Update
The nurse in the emergency department (ED) is caring for four clients. Which client does
the nurse assess for gas exchange
abnormalities first?
a. Involved in motor vehicle crash, has broken femur.
b. Brought in unconscious by roommate after opioid overdose.
c. Asthmatic client being discharged after bronchodilator therapy.
d. History of COPD, presents to ED after being bitten by a dog. - Answer ANS: B
Opioid medications can cause respiratory depression, so this client is most at risk for gas
exchange problems. Diminished respirations will allow a buildup of carbon dioxide in the
blood. The clients with asthma and COPD have the potential for gas exchange problems
but this is not indicated in answer option as he or she is being discharged. The client
with a broken femur does
not have information suggesting gas exchange problems.
The nurse caring for a client with malnutrition assesses which laboratory value as the
priority?
a. Albumin
b. Prealbumin
c. Prothrombin time
d. Serum sodium - Answer ANS: B
,Both albumin and prealbumin are indicators for nutrition. However, prealbumin changes
more rapidly with decreased nutrition, so it is the better test. Prothrombin time and
serum sodium are not directly related to nutritional status.
A nurse is planning primary prevention measures for community-dwelling adults to
prevent visual impairment. What action by the
nurse will best meet this objective?
a. Provide glaucoma screening.
b. Assess visual acuity.
c. Teach clients about instilling eyedrops.
d. Offer a healthy lifestyle class. - Answer ANS: D
Primary prevention activities are those designed to actually prevent the onset of a
disease or health problem. Secondary prevention focuses on screening and early
diagnosis/detection. Tertiary measures are those that offer treatment and
rehabilitation. Encouraging a healthy lifestyle through classes may help prevent
diabetes, a common cause of visual impairment, and is a primary prevention
measure. Assessing for glaucoma and visual acuity is a secondary prevention measure.
Teaching clients how to instill eyedrops is tertiary.
The nurse tells the staff development nurse he/she is very uncomfortable discussing
sexuality with clients, especially those who are older. What suggestion by the staff
development nurse is most appropriate?
a. "Find a trusted friend and role play."
b. "Don't worry it will get easier."
c. "A sexual assessment is usually not needed."
d. "It's hard for me to do, too." - Answer ANS: A
,Discussing sexuality and sex is difficult for most people. Since it is important to be able
to assess this aspect of people's lives, the nurse needs to become comfortable. Role-
playing with a trusted friend will build confidence and comfort. Saying that it will get
easier and that it is hard for the staff development nurse too does not give the nurse
any ideas for improvement. Sexuality is important to assess.
A nurse is planning a community education event-related to impaired cellular
regulation. What teaching topics would the nurse
include in this event? (Select all that apply.)
a. Ways to minimize exposure to sunlight
b. Resources available for smoking cessation
c. Strategies to remain hydrated during hot weather
d. Use of indoor tanning beds instead of sunbathing
e. Creative cooking techniques to increase dietary fiber
f. How to determine sodium content in food? - Answer ANS: A, B, E
Disrupted cellular regulation can lead to both benign and malignant tumors (cancer).
Ways to minimize the risk of developing cancer include decreasing exposure to sunlight,
smoking cessation, and increasing dietary fiber. Tanning beds do not reduce the risk of
cancer as opposed to sunbathing. While staying hydrated is a good health measure, it is
not related to cellular regulation. Maintaining a normal intake of sodium is also not
related to cellular regulation.
A nurse is caring for clients on an inclient surgical unit. Which clients does the nurse
identify as having a risk for impaired
immunity? (Select all that apply.)
, a. 86 years old
b. Has type 2 diabetes
c. Taking prednisone
d. Has many allergies
e. Drinks a beer a day
f. Low socioeconomic status - Answer ANS: A, B, C, F
Risk factors for impaired immunity include but are not limited to: older adults
(diminished immunity due to normal aging changes), low socioeconomic groups
(inability to obtain proper immunizations), nonimmunized adults, adults with chronic
illnesses that
weaken the immune system, adults taking chronic drug therapy such as corticosteroids
and chemotherapeutic agents, adults experiencing substance use disorder, adults who
do not practice a healthy lifestyle, and adults who have a genetic risk for decreased
or excessive immunity. Allergies and one beer a day are not risk factors.
The nurse is caring for a client with severely impaired mobility. What actions does the
nurse place on the care plan to address
potential complications? (Select all that apply.)
a. Perform a depression screen once a day.
b. Consult physical therapy for range of motion.
c. Increase fiber in the client's diet.
d. Decrease fluid intake.
e. Allow client to stay in a position of comfort. - Answer ANS: A, B, C
There are many complications of immobility including depression, pressure injuries,
constipation, urinary calculi, and muscle atrophy. The nurse would address these by
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