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RN218 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS
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CHAPTER 9 - Answer-CHAPTER 9 An inpatient nurse brings an informed consent form to a client for an operation scheduled for tomorrow. The client asks about possible complications from the operation. What response by the nurse is best? A. Answer the questions and document that teaching was done. ...

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  • October 20, 2024
  • 59
  • 2024/2025
  • Exam (elaborations)
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  • rn218 final exam questions with correct answers
  • an inpatient nurse brings an informed consent form

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RN218 FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS
CHAPTER 9 - Answer-CHAPTER 9

An inpatient nurse brings an informed consent form to a client for an operation
scheduled for tomorrow. The client asks about possible complications from the
operation. What response by the nurse is best?
A. Answer the questions and document that teaching was done.
B. Do not have the client sign the consent and call the primary health care provider.
C. Have the client sign the consent, and then call the primary health care provider.
D. Remind the client of what teaching the primary health care provider has done. -
Answer-B. Do not have the client sign the consent and call the primary health care
provider.

A client had a surgical procedure with spinal anesthesia. The client's blood pressure
was 122/78 mm Hg 30 minutes ago and is now 138/60 and the client reports nausea.
What action by the nurse is best?
A. Call the Rapid Response Team.
B. Increase the IV fluid rate.
C. Notify the primary health care provider.
D. Nothing; this is expected. - Answer-C. Notify the primary health care provider

The postoperative nurse is caring for a client who reports feeling "something popped"
after vomiting. What action by the nurse is best?
A. Administer an antiemetic medication.
B. Call the primary health care provider.
C. Instruct client to avoid coughing.
D. Gather sterile nonadherent dressings. - Answer-D. Gather sterile nonadherent
dressings.

A client has a great deal of pain when coughing and deep breathing after abdominal
surgery despite having pain medication. What action by the nurse is best?
A. Call the primary health care provider to request more analgesia.
B. Demonstrate how to splint the incision.
C. Have the client take shallower breaths.
D. Tell the client that a little pain is expected. - Answer-B. Demonstrate how to splint the
incision.

A postoperative client vomited. After cleaning and comforting the client, which action by
the nurse is most important?
A. Allow the client to rest.
B. Auscultate lung sounds.
C. Document the episode.

,D. Encourage the client to eat dry toast. - Answer-B. Auscultate lung sounds.

CHAPTER 31 - Answer-CHAPTER 31

A nurse is assessing clients on a medical-surgical unit. Which client would the nurse
identify as being at greatest risk for atrial fibrillation?
A. A 45-year-old who takes an aspirin daily.
B. A 50-year-old who is post coronary artery bypass graft surgery.
C. A 78-year-old who had a carotid endarterectomy.
D. An 80-year-old with chronic obstructive pulmonary disease. - Answer-B. A 50-year-
old who is post coronary artery bypass graft surgery.

A nurse assesses a client with atrial fibrillation. Which manifestation would alert the
nurse to the possibility of a serious complication from this condition?
A. Sinus tachycardia
B. Speech alterations
C. Fatigue
D. Dyspnea with activity - Answer-B. Speech alterations

5. A nurse evaluates prescriptions for a client with chronic atrial fibrillation. Which
medication would the nurse expect to find on this client's medication administration
record to prevent a common complication of this condition?
A. Sotalol
B. Warfarin
C. Atropine
D. Lidocaine - Answer-B. Warfarin

A nurse assists with the cardioversion of a client experiencing acute atrial fibrillation.
What action would the nurse take prior to the cardioversion?
A. Administer intravenous adenosine.
B. Turn off oxygen therapy.
C. Ensure that a tongue blade is available.
D. Position the client on the left side. - Answer-B. Turn off oxygen therapy.

A nurse cares for a client with atrial fibrillation who reports fatigue when completing
activities of daily living. What intervention would the nurse implement to address this
client's concerns?
A. Administer oxygen therapy at 2 L per nasal cannula.
B. Provide the client with a sleeping pill to stimulate rest.
C. Schedule periods of exercise and rest during the day.
D. Ask assistive personnel (AP) to help bathe the client. - Answer-C. Schedule periods
of exercise and rest during the day.

A nurse cares for a client with an intravenous temporary pacemaker for bradycardia.
The nurse observes the presence of a pacing spike but no QRS complex on the client's
electrocardiogram. What action would the nurse take next?

,A. Administer intravenous diltiazem.
B. Assess vital signs and level of consciousness.
C. Administer sublingual nitroglycerin.
D. Assess capillary refill and temperature. - Answer-B. Assess vital signs and level of
consciousness.

CHAPTER 32 - Answer-CHAPTER 32

A nurse assesses clients in a cardiac unit. Which client would the nurse identify as
being at greatest risk for the development of left-sided heart failure?
A. A 36-year-old woman with aortic stenosis
B. A 42-year-old man with pulmonary hypertension
C. A 59-year-old woman who smokes cigarettes daily
D. A 70-year-old man who had a cerebral vascular accident - Answer-A. A 36-year-old
woman with aortic stenosis

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." - Answer-C. "I must stop
halfway up the stairs to catch my breath."

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." - Answer-B. "My shoes fit really tight lately."

A nurse cares for a client with right-sided heart failure. The client asks, "Why do I need
to weigh myself every day?" How would the nurse respond?
A. "Weight is the best indication that you are gaining or losing fluid."
B. "Daily weights will help us make sure that you're eating properly."
C. "The hospital requires that all clients be weighed daily."
D. "You need to lose weight to decrease the incidence of heart failure." - Answer-A.
"Weight is the best indication that you are gaining or losing fluid."

After administering the first dose of captopril to a client with heart failure, the nurse
implements interventions to decrease complications. Which intervention is most
important for the nurse to implement?
A. Provide food to decrease nausea and aid in absorption.
B. Instruct the client to ask for assistance when rising from bed.
C. Collaborate with assistive personnel to bathe the client.

, D. Monitor potassium levels and check for symptoms of hypokalemia. - Answer-B.
Instruct the client to ask for assistance when rising from bed.

A nurse teaches a client who has a history of heart failure. Which statement would the
nurse include in this client's discharge teaching?
A. "Avoid drinking more than 3 quarts (3 L) of liquids each day."
B. "Eat six small meals daily instead of three larger meals."
C. "When you feel short of breath, take an additional diuretic."
D. "Weigh yourself daily while wearing the same amount of clothing." - Answer-D.
"Weigh yourself daily while wearing the same amount of clothing."

After teaching a client who is being discharged home after mitral valve replacement
surgery, the nurse assesses the client's understanding. Which client statement indicates
a need for additional teaching?
A. "I'll be able to carry heavy loads after 6 months of rest."
B. "I will have my teeth cleaned by my dentist in 2 weeks."
C. "I must avoid eating foods high in vitamin K, like spinach."
D. "I must use an electric razor instead of a straight razor to shave." - Answer-B. "I will
have my teeth cleaned by my dentist in 2 weeks."

A nurse cares for a client with infective endocarditis. Which infection control precautions
would the nurse use?
A. Standard Precautions
B. Bleeding Precautions
C. Reverse isolation
D. Contact isolation - Answer-A. Standard Precautions

A nurse assesses a client who has a history of heart failure. Which question would the
nurse ask to assess the extent of the client's heart failure?
A. "Do you have trouble breathing or chest pain?"
B. "Are you still able to walk upstairs without fatigue?"
C. "Do you awake with breathlessness during the night?"
D. "Do you have new-onset heaviness in your legs?" - Answer-B. "Are you still able to
walk upstairs without fatigue?"

A nurse cares for an older adult client with heart failure. The client states, "I don't know
what to do. I don't want to be a burden to my daughter, but I can't do it alone. Maybe I
should die." What is the best response by the nurse?
A. "I can stay if you would you like to talk more about this."
B. "You are lucky to have such a devoted daughter."
C. "It is normal to feel as though you are a burden."
D. "Would you like to meet with the chaplain?" - Answer-A. "I can stay if you would you
like to talk more about this."

A nurse teaches a client with heart failure about energy conservation. Which statement
would the nurse include in this client's teaching?

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