1. The RN is assessing a client who has hypercal- A. Nausea and vomiting
cemia. Which of the following findings would B. Confusion
the nurse expect? Select all that apply.
A .Nausea and vomiting
B. Confusion
C. Hyperreflexia
D. Numbness/tingling
E. Pallor
2. The RN is reviewing lab values for a group A. The client who is taking
of clients and notices a sodium level of furosemide (a diuretic)
130 mEq/L. The nurse understands that which
client is at highest risk for the development of
this lab value?
A. The client who is taking furosemide (a diuret-
ic)
B. The client who is in renal failure
C. The client who takes a multi-vitamin
D. The client who was admitted to hospice
3. The body's fluid and electrolyte balance is D. "The pituitary gland
maintained partially by hormonal regulation. secretes antidiuretic hor-
Which of the following statements shows an mone."
understanding of this mechanism?
A. "The pituitary secretes aldosterone."
B. "The kidneys secrete antidiuretic hormone."
C. "The adrenal cortex secretes antidiuretic
hormone."
D. "The pituitary gland secretes antidiuretic
hormone."
4. While reviewing a client's progress notes, the D. The skin
RN reads "insensible fluid loss of approximate-
ly 700 mL daily". The RN understands that this
type of fluid loss can occur through:
, NR 226 Final Exam
A. The GI tract
B. Urine output
C. Wound drainage
D. The skin
E. Emesis
5. A senior student nurse delegates the task of in- A. "I will record the
take and output to a new unlicensed assistive amount of all voided
personnel (UAP). The student will verify that urine."
the UAP understands the task of I&O when the
UAP 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."
6. A nurse is inserting an IV line into a client's B. Blood returns shows in
vein. After the initial stick the nurse continues the flashback chamber
to advance the catheter if the nurse notes that:
A. The catheter advances easily
B. Blood returns shows in the flashback cham-
ber
C. The vein is distended under the needle
D. The client does not complain of discomfort
7. You are caring for a client who is depressed be- D. maturational loss
cause the only child has gone away to college.
The nurse will assess this type of depression
as:
A. actual loss
B. perceived loss
C. situational loss
D. maturational loss
8. Which of the following is an example of disen- C. A client verbalizes be-
franchised grief? ing upset by voluntarily
, NR 226 Final Exam
giving a newborn up for
A. A newly-widowed individual does not want adoption
to remove her husband's clothes from the clos-
et
B. A teenage client dies from a car accident
and the client's mother is crying loudly in the
hospital hallway
C. A client verbalizes being upset by voluntar-
ily giving a newborn up for adoption
D. A person is unwilling to discuss the loss of
a child for several months after the death
9. A client has been told by the healthcare B. Denial
provider that remaining life expectancy is ap-
proximately 3 months. The client tells the im-
mediate family that the doctor is incorrect and
that he "will get better by my birthday in a
month". Which stage of grieving is this client
experiencing?
A. Acceptance
B. Denial
C. Depression
D. Anger
10. Which of the following are appropriate in re- All answers are correct
gard to postmortem care? Select all that apply.
A. Provide privacy and time for the family to be
with the deceased client.
B. Maintain respect and dignity for the de-
ceased client.
C. Consider cultural preferences, state laws,
and facility policies when providing care.
D. Follow appropriate procedures related to or-
gan donation.
E. Allow for family to participate in care if re-
quested and allowed per policy.
, NR 226 Final Exam
11. As a first-year nursing student, you are as- D. develop a personal un-
signed to care for a dying client. To best pre- derstanding of your own
pare you for this assignment, you will want to: feelings about grief and
death
A. complete a course on death and dying
B. control your emotions about death and dy-
ing
C. compare this experience to the death of a
family member
D. develop a personal understanding of your
own feelings about grief and death
12. You are a nurse working in the college student B. an increased heart rate
health center. You receive a call that an athlete
has just fallen and has been injured. You know
that according to the general adaptation syn-
drome, the athlete will be exhibiting:
A. an increased appetite
B. an increased heart rate
C. a decrease in perspiration
D. a decrease in respiratory rate
13. A client comes into the emergency department B. situational
complaining of chest pain. When discussing
possible reasons why the chest pain has oc-
curred, the nurse learns that the client is de-
pressed because of the loss of a job. This type
of crisis can be classified as:
A. maturational
B. situational
C. sociocultural
D. posttraumatic
14. What is the best way to monitor fluid balance? Monitoring daily weight
15. What is isotonic and when would we see this A solution with the same
solution used? salt concentration as in
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