NUR 233 - Exam 3 Review Questions and Correct Answers
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Course
NUR 233
Institution
NUR 233
The male client tells the nurse he has been experiencing "heartburn" at night that awakens him. Which assessment question should the nurse ask? A) "How much weight have you gained recently?" B) "What have you done to alleviate the heartburn?" C) "Do you consume many milk and dairy products?" D) "Ha...
NUR 233 - Exam 3 Review Questions and
Correct Answers
The male client tells the nurse he has been experiencing "heartburn" at night that
awakens him. Which assessment question should the nurse ask?
A) "How much weight have you gained recently?"
B) "What have you done to alleviate the heartburn?"
C) "Do you consume many milk and dairy products?"
D) "Have you been around anyone with a stomach virus?" ✅B) "What have you done
to alleviate the heartburn?"
The client diagnosed with a hiatal hernia is scheduled for a laparoscopic Nissen
fundoplication. Which statement indicates the nurse's teaching is effective?
A) "I will have four (4) to five (5) small inclusions?"
B) "I will be in the hospital for at least one (1) week"
C) "I will not have any pain because this is a laparoscopic surgery"
D) "I will be returning to work the day after my surgery" ✅A) "I will have four (4) to five
(5) small inclusions?"
The nurse is caring for a client diagnosed with GERD. Which nursing interventions
should be implemented?
A) place the client prone in bed and administer nonsteroidal anti-inflammatory
medications
B) Have the client remain upright at all times and walk for 30 minutes three (3) times a
week.
C) Instruct the client to maintain a right lateral side-lying position and take antacids
before meals
D) Elevate the head of the bed (HOB) 30 degrees and discuss lifestyle modifications
with the client ✅D) Elevate the head of the bed (HOB) 30 degrees and discuss lifestyle
modifications with the client
The nurse is preparing a client diagnosed with GERD for surgery. Which information
warrants notifying the HCP?
A) The clients Bernstein esophageal test was positive
B) The client's abdominal x-ray shows a hiatal hernia
C) The client's WBC count is 14,000/mm3
D) The clients hemoglobin is 13.8g/dL ✅C) The client's WBC count is 14,000/mm3
A client diagnosed with delirium becomes disoriented and confused at night. Which
intervention should the nurse implement initially?
A) Move the client next to the nurses' station
B) use an indirect light source and turn off the television
C) Keep the television and a soft light on during the night
, D) Play soft music during the night, and maintain a well-lit room. ✅B) use an indirect
light source and turn off the television
The nurse is caring for an older client following surgical repair of a hip fracture. On
assessment of the client, the nurse notes that the client is disoriented and is attempting
to get out of bed. Which is the most appropriate initial nursing intervention?
A) Apply restraints to the client
B) Place a bed alarm pad under the patient
C) collaborative with the health care provider for a prescription or a sedative
D) Have the unlicensed assistive personnel check the client every half hour ✅B) Place
a bed alarm pad under the patient
The nurse notes that an older client with dementia is unable to care for herself. Which is
an appropriate goal for this client?
A) The client will function at the highest level of independence possible throughout their
stay
B) the client will be admitted to a longterm care facility to have activities of daily living
(ADL) needs met
C) The nursing staff will attend to all of the clients ADL needs during the hospital stay
D) The client will complete all ADL independently within a 1-hour time frame ✅A) The
client will function at the highest level of independence possible
The nurse and the unlicensed assistive personnel (UAP) are caring for clients on a
medical-surgical unit. Which task should not be assigned to the UAP?
A) Turn and position the 89-year old client diagnosed with a pressure ulcer secondary to
parkinson's disease
B) Feed the 69-year-old client diagnosed with parkinson's disease who is having
difficulty swallowing
C) Assist the 54-year-old client diagnosed with Parkinson's disease with toilet-training
activities
D) obtain vital signs on a 72-year-old client diagnosed with pneumonia secondary to
parkinson's disease ✅B) Feed the 69-year-old client diagnosed with parkinson's
disease who is having difficulty swallowing
The nurse is caring for a client with Parkinson's disease. Which finding about gait
should the nurse expect to note in the client?
A) Walking on the toes
B) Unsteady and staggering
C) shuffling and propulsive
D) broad-based and waddling ✅C) shuffling and propulsive
An older client is brought to the hospital emergency department by a neighbor who
heard the client talking and found him wandering in the street at 3 a.m. The nurse
should first determine which data about the client?
A) His insurance status
B) blood toxicology levels
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