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PNUR 124Mock Final Exam
1. How do nursing assessments differ from medical assessments?
Nursing assessments focus on the client’s response to health problems; medical
assessments focus on disease.
2. The purpose of assessment is to:
Establish a database about the client’s response to health and illness.
3. A medical diagnosis refers to a disease process that a physician may treat. How is it
different from a nursing diagnosis?
A nursing diagnosis deals with the client’s response to the disease process and
may change over time.
4. What are the responsibilities of the nurse who delegates tasks to unregulated
assistive personnel?
Appropriate delegation and adequate supervision
5. Which of the following learning objectives/outcomes is correctly written?
Before discharge, the client will be able to demonstrate correct technique for
measuring blood glucose using the Accu-check monitor.
6. The patient with the highest percentage of body weight as water is:
Client, 7 days old
7. The PN's assessment indicating dehydration would include signs and symptoms of:
Dry mucous membrane; decreased urine output
8. Hyponatremia is defined as decreased sodium level. Which of the following is a
manifestation of hyponatremia?
Vomiting
9. The client has a wound with extensive tissue loss and uneven (not approximated)
wound edges. The PN knows that the BEST method for wound healing would be:
Secondary intention
10. The client complained of urgency and painful urination while in hospital. The doctor
ordered a urine analysis for culture and sensitivity (C&S). Which of the following
instruction given by the client is appropriate when collecting urine sample?
Collect a midstream urine sample.
11. A client with Parkinson's disease has residual dysphagia. When a diet was initiated,
the nurse avoids doing which of the following?
Giving the client thin liquids
, PNUR 124
12. When inserting a Foley catheter for a female patient, the PN knows that the catheter
must be lubricated:
2.5-5cm
13. The PN is caring for a client who is being discharged to his daughter's home following
a stroke. The client is incontinent of bowel and urine and requires assistance with
mobilization. The daughter is very busy with her new job. What is an appropriate
nursing diagnosis that may negatively affect the daughter's ability to care for the
client?
Risk for caregiver role strain
14. All of the following places the elderly at risk for Fluid and Electrolyte
imbalance, EXCEPT?
Increase thirst sensation.
15. The PN knows that all of the following strategies are effective in minimizing stress and
anxiety in the client, EXCEPT?
Give the client as much space as possible, to promote privacy.
16. The client is receiving oral anticoagulant therapy, the nurse should observe the client
for any evidence:
Hematuria
17. A client with diabetes receives Humulin R at 0700 hours. At what time will the patient
likely have a hypoglycemic reaction?
9:45AM
18. Which of the following foods is contraindicated when taking Coumadin (Warfarin)?
Broccoli
19. The 65 years-old client has multiple sclerosis (MS) and is confined to a wheelchair.
Which of the following nursing diagnosis would the nurse recognize as the highest
priority?
Risk for impaired skin integrity
20. The client's lab results include increased potassium, increased sodium, and increased
creatinine levels. The nurse is aware that the following food is recommended:
Bread
21. When an intestinal obstruction is suspected, a client has a nasogastric tube inserted
and attached to intermittent suctioning. For what response should the nurse critically
assess the client?
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