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WorksheetsNUR1212C Final Exam Prep
Total questions: 50
Worksheet time: 50mins
The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?
Avoid overuse of the eyes.
Decrease the amount of salt in the diet.
Eye medications will need to be administered for life.
Decrease fluid intake to control the intraocular pressure.
The nurse is performing an assessment on a client with a suspected diagnosis of cataract. What is the chief clinical manifestation that the nurse expects to note in the early stages of cataract formation?
Diplopia
Eye pain
Floating spots
Blurred vision
Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse looks at the test results documented in the client's chart, knowing that which is the range for normal intraocular pressure?
2 to 7 mm Hg
10 to 21 mm Hg
22 to 30 mm Hg
31 to 35 mm Hg
A client's vision is tested with a Snellen chart. The results of the tests are documented as 20/60. How should the nurse interpret this finding?
The client is legally blind.
The client's vision is normal.
The client can read at a distance of 60 feet what a client with normal vision can read at 20 feet.
The client can read only at a distance of 20 feet what a client with normal vision can read at 60 feet.
A client is diagnosed with glaucoma. Which nursing assessment data identifies a risk factor associated with this eye disorder?
Cardiovascular disease
Frequent urinary tract infections
A history of migraine headaches
Frequent upper respiratory infections
A clinic nurse is reviewing the record of a client with a diagnosis of a macular degeneration. Which clinical manifestation is associated with this disorder?
Eye pain
Opacity of the lens
Loss of central vision
Inability to identify the color red on an eye examination
A client is experiencing visual difficulties and has been told that a previous vision test showed that the light rays entering the eye are falling in front of the retina. The nurse understands that this client is experiencing which visual disturbance?
Myopia
Hyperopia
Astigmatism
Exophthalmos
Timolol (Timoptic) ophthalmic drops have been prescribed for a client with primary open-angle glaucoma. The client asks the nurse how this medication works. The nurse explains that the medication lowers intraocular pressure by which mechanism?
Constricting the pupil
Reducing intracranial pressure
Increasing contractions of the ciliary muscle
Reducing the production of aqueous humor
The nurse is providing instructions to a client with a seizure disorder who will be taking phenytoin (Dilantin). Which statement, if made by the client, would indicate an understanding of the information about this medication?
"I need to perform good oral hygiene, including flossing and brushing my teeth."
"I should try to avoid alcohol, but if I'm not able to, I can drink alcohol in moderation."
"I should take my medication before coming to the laboratory to have a blood level drawn."
"I should monitor for side effects and adjust my medication dose depending on how severe the side effects are."
The nurse is preparing for the admission to the unit of a client with a diagnosis of seizures and is preparing to institute full seizure precautions. Which item is contraindicated for use if a seizure occurs?
Oxygen source
Suction machine
Padded tongue blade
Padding for the side rails
What is the most appropriate nursing action to help manage a manic client who is monopolizing a group therapy session?
Ask the client to leave the group for this session only.
Refer the client to another group that includes other manic clients.
Tell the client to stop monopolizing in a firm but compassionate manner.
Thank the client for the input but inform the client that now others need a chance to contribute.
A client is admitted to the mental health unit with a diagnosis of depression. The nurse should develop a plan of care for the client that includes which intervention?
Encouraging quiet reading and writing for the first few days
Identification of physical activities that will provide exercise
No socializing activities, until the client asks to participate in milieu
A structured program of activities in which the client can participate
A client is unwilling to go out of the house for fear of "making a fool of myself in public." Because of this fear, the client remains home bound. Based on these data, which mental health disorder is the client experiencing?
Agoraphobia
Social phobia
Claustrophobia
Hypochondriasis
A depressed client on an inpatient unit says to the nurse, "My family would be better off without me." What is the nurse's best response?
"Have you talked to your family about this?
"Everyone feels this way when they are depressed."
"You will feel better once your medication begins to work."
You sound very upset. Are you thinking of hurting yourself?"
The nurse assesses a client with the admitting diagnosis of bipolar affective disorder, mania. Which client symptoms require the nurse's immediate action?
Incessant talking and sexual innuendos
Grandiose delusions and poor concentration
Outlandish behaviors and inappropriate dress
Nonstop physical activity and poor nutritional intake
The nurse is performing an assessment on a client with dementia. Which data gathered during the assessment indicates a manifestation associated with dementia?
Uses confabulation
Improvement in sleeping
Absence of sundown syndrome
Presence of personal hygienic care
A client is being prepared for electroconvulsive therapy (ECT). The nurse's plan of care for the day before ECT includes ensuring that the client follows which guideline?
Does not smoke at all
Receives no visitors and participates in limited unit activities
Reports to the clinic for blood draws and an electrocardiogram (ECG)
Is placed on nothing by mouth (NPO) status for 16 to 24 hours before the ECT
A hospitalized client is receiving clozapine (Clozaril) for the treatment of a schizophrenic disorder. The nurse determines that the client may be having an adverse reaction to the medication if abnormalities are noted on which laboratory study?
Platelet count
Cholesterol level
Blood urea nitrogen
White blood cell (WBC) count
A nurse is preparing to admit a client with a diagnosis of obsessive-compulsive disorder (OCD) to the mental health unit. The nurse would expect to note which behaviors in the client?
Suspicious and hostile
Flexible and adaptable
Frightened and delusional
Rigidness in thought and inflexibility
A client is being evaluated for possible antisocial personality disorder. Which behavior is expected of a client with this disorder?
Asking for reassurance
Hypervigilance around others
Disregard for the rights of others
Always wanting to spend time with others
The nurse is preparing a care plan for a client exhibiting negative symptoms of schizophrenia. Which are indicative of negative symptoms? Select all that apply.
Short attention span
Delusional thoughts
Inappropriate body movements
Loose associations of thought
Limited ability to communicate verbally
A client tentatively diagnosed with a borderline personality is admitted to the psychiatric unit for control of symptoms. Based on an understanding of personality disorders, the nurse should determine that which problem is the priority?
Isolating self
Inability to cope
Low self-esteem
Risk for self-harm
A nurse is working with a client who shows signs of benzodiazepine withdrawal. The nurse should suspect that the client has suddenly discontinued taking which prescribed medication?
Sertraline (Zoloft)
Fluoxetine (Prozac)
Diazepam (Valium)
Haloperidol (Haldol)
The nurse is assessing a client who is experiencing an acute episode of cholecystitis. Where should the nurse anticipate the location of the pain?
Right lower quadrant, radiating to the back
Right lower quadrant, radiating to the umbilicus
Right upper quadrant, radiating to the left scapula and shoulder
Right upper quadrant, radiating to the right scapula and shoulder
A client has undergone esophagogastroduodenoscopy. The nurse should place highest priority on which item as part of the client's care plan?
Monitoring the temperature
Monitoring complaints of heartburn
Giving warm gargles for a sore throat
Assessing for the return of the gag reflex
The nurse is monitoring a client with a diagnosis of peptic ulcer. Which assessment finding would most likely indicate perforation of the ulcer?
Bradycardia
Numbness in the legs
Nausea and vomiting
A rigid, board like abdomen
The nurse is doing preoperative teaching with a client who is about to undergo creation of a Kock pouch. The nurse interprets that the client has the best understanding of the nature of the surgery if the client makes which statement?
"I will be able to pass stool by the rectum eventually.”
"The drainage from this type of ostomy will be formed."
"I will need to drain the pouch regularly with a catheter."
"I will need to wear a drainage bag for the rest of my life."
The nurse obtains an admission history for a client with suspected peptic ulcer disease. Which client factor documented by the nurse would increase the risk for peptic ulcer disease?
Recently retired from a job
Significant other has a gastric ulcer
Occasionally drinks one cup of coffee in the morning
Takes non-steroidal anti-inflammatory drugs (NSAIDs) for osteoarthritis
Sulfasalazine (Azulfidine) is prescribed for a client with a diagnosis of ulcerative colitis, and the care unit nurse instructs the client about the medication. Which statement made by the client indicates a need for further instruction?
"The medication will cause constipation."
"I need to take the medication with meals."
"I may have increased sensitivity to sunlight."
"This medication should be taken as prescribed."
A nurse is participating in a health screening clinic and is preparing teaching materials about colorectal cancer. Which risk factor for colorectal cancer should the nurse include?
High-fiber, low-fat diet
Age older than 30 years
Distant relative with colorectal cancer
Personal history of ulcerative colitis or gastrointestinal polyps
Hormone therapy is prescribed as the mode of treatment for a client with prostate cancer. The nurse should understand that which is the goal of this form of treatment?
To increase testosterone levels
To increase prostaglandin levels
To limit the amount of circulating androgens
To increase the amount of circulating androgens
A client is admitted to the hospital with a diagnosis of benign prostatic hyperplasia, and a transurethral resection of the prostate is performed. Four hours after surgery, the nurse takes the client's vital signs and empties the urinary drainage bag. Which assessment finding indicates the need to notify the health care provider (HCP)?
Hematuria
Pain related to bladder spasms
Urinary output of 200 mL higher than intake
Blood pressure, 90/50 mm Hg; pulse, 130 beats/minute
A client has developed acute kidney injury (AKI) as a complication of glomerulonephritis. The nurse should assess the client for which expected manifestation of AKI?
Bradycardia
Hypertension
Decreased cardiac output
Decreased central venous pressure
The nurse is reviewing the medical record of a client with a diagnosis of pyelonephritis. Which disorder, if noted on the client's record, would the nurse identify as a risk factor for this disorder?
Hypoglycemia
Diabetes mellitus
Coronary artery disease
Orthostatic hypotension
The nursing student is assigned to care for a client with a diagnosis of acute kidney injury (AKI), diuretic phase. The nursing instructor asks the student about the primary goal of the treatment plan for this client. Which goal, if stated by the nursing student, would indicate an adequate understanding of the treatment plan for this client?
Prevent fluid overload.
Prevent loss of electrolytes.
Promote the excretion of wastes.
Reduce the urine specific gravity.
The nurse tests the urine of a client with acute kidney injury (AKI) with a multitest reagent strip. The strip tests highly positive for proteinuria. The nurse plans care, knowing that this result is consistent with which type of AKI?
Prerenal
Postrenal
Intrarenal
Atypical
A client passes a urinary stone, and laboratory analysis of the stone indicates that it is composed of calcium oxalate. On the basis of this analysis, which option should the nurse specifically include in the dietary instructions?
Increase intake of dairy products.
Avoid citrus fruits and citrus juices.
Avoid green, leafy vegetables such as spinach.
Increase intake of meat, fish, plums, and cranberries.
A nurse is reviewing the assessment findings for a client with a diagnosis of nephrotic syndrome. Which would the nurse expect to note in this client?
Decreased serum lipids
Signs of fluid volume deficit
Decreased protein in the urine
Decreased serum albumin levels
A client with Crohn's disease is scheduled to receive an infusion of infliximab (Remicade). What intervention by the nurse will determine the effectiveness of treatment?
Monitoring the leukocyte count for 2 days after the infusion
Checking the frequency and consistency of bowel movements
Checking serum liver enzyme levels before and after the infusion
Carrying out a Hematest on gastric fluids after the infusion is completed
A client with a gastric ulcer has a prescription for sucralfate (Carafate), 1 g by mouth four times daily. The nurse should schedule the medication for which times?
With meals and at bedtime
Every 6 hours around the clock
One hour after meals and at bedtime
One hour before meals and at bedtime
A client with a peptic ulcer is diagnosed with a Helicobacter pylori infection. The nurse is teaching the client about the medications prescribed, including clarithromycin (Biaxin), esomeprazole (Nexium), and amoxicillin (Amoxil). Which statement by the client indicates the best understanding of the medication regimen?
"My ulcer will heal because these medications will kill the bacteria."
"These medications are only taken when I have pain from my ulcer."
. "The medications will kill the bacteria and stop the acid production."
"These medications will coat the ulcer and decrease the acid production in my stomach."
A preoperative client receives a dose of scopolamine. The nurse determines that which sign or symptom later displayed by the client is a result of medication side effects?
Dry mouth
Diaphoresis
Excessive urination
Pupillary constriction
Which is the therapeutic outcome of dutasteride (Avodart) therapy?
Improved erectile function
A reduction in blood pressure
Decreased obstruction to outflow of urine through the urethra
Decreased low-density lipoproteins and increased high-density lipoproteins
Which of the following complaints is common in a client with pyelonephritis?
right upper quadrant pain
left upper quadrant pain
pain at the costovertebral region
pain at the suprapubic region
Immediately post-op after a prostatectomy, which complication requires priority assessment of your patient?
Pneumonia
Hemorrhage
Urine retention
DVT
A nurse observes dental deterioration when assessing a client diagnosed with bulimia nervosa. What explains this assessment finding?
The emesis produced during purging is acidic and corrodes the tooth enamel.
Purging causes the depletion of dietary calcium.
Food is rapidly ingested without proper mastication.
Poor dental and oral hygiene leads to dental caries.
A client with suspected Alzheimer's disease is undergoing diagnostic workup. When the family asks the nurse the reasons for the "tests", the nurse responds that the diagnosis of Alzheimer's is usually based on which of the following?
Abnormal laboratory findings
A definitive CT scan
Physiological findings
Ruling out other causes for symptoms
The patient with chronic gastritis is being put on a combination of medications to eradicate H. pylori. Which drugs does the nurse know will probably be used for this patient?
Antibiotic(s), antacid, and corticosteroid
Antibiotic(s), aspirin, and antiulcer/protectant
Antibiotic(s), proton pump inhibitor, and bismuth
Antibiotic(s) and nonsteroidal antiinflammatory drugs (NSAIDs)
The nurse identifies that which patient is at highest risk for developing colon cancer?
A 28-year-old male who has a body mass index of 27 kg/m2
A 32-year-old female with a 12-year history of ulcerative colitis
A 52-year-old male who has followed a vegetarian diet for 24 years
A 58-year-old female taking prescribed estrogen replacement therapy
A 58-year-old woman is being discharged home today after ostomy surgery for colon cancer. The nurse should assign the patient to which staff member?
A nursing assistant on the unit who also has hospice experience
A licensed practical nurse who has worked on the unit for 10 years
A registered nurse with 6 months of experience on the surgical unit
A registered nurse who has floated to the surgical unit from pediatrics
