NUR 245 FINAL EXAM QUESTIONS AND COMPLETE SOLUTIONS
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Course
NUR 245
Institution
NUR 245
A woman has come to the clinic to seek help with a substance abuse problem. She admits to using cocaine just before arriving. Which of these assessment findings would the nurse expect to find? dilated pupils, pacing, and psychomotor agitation
The nurse is assessing a patient who has been admitted ...
NUR 245 FINAL EXAM QUESTIONS AND
COMPLETE SOLUTIONS
A woman has come to the clinic to seek help with a substance abuse problem. She
admits to using cocaine just before arriving. Which of these assessment findings would
the nurse expect to find? ✅dilated pupils, pacing, and psychomotor agitation
The nurse is assessing a patient who has been admitted for cirrhosis of the liver,
secondary to chronic alcohol use. During the physical assessment, the nurse looks for
cardiac problems that are associated with chronic use of alcohol, such as:
✅hypertension
The nurse is conducting a class on alcohol and the effects of alcohol on the body. How
many standard drinks per day in men are associated with increased deaths from
cirrhosis, cancers of the mouth, esophagus, and injuries? ✅4
During a session on substance abuse, the nurse is reviewing statistics with the class.
For persons aged 12 years and older, which illicit substance was most commonly used?
✅mj
A woman who has just discovered that she is pregnant in the clinic for her first obstetric
visit. She asks the nurse, how many drinks a day is safe for my baby? The nurse's best
response is.... ✅no amount of alcohol has been determined to be safe during
pregnancy
When reviewing the use of alcohol by older adults, the nurse notes that older adults
have several characteristics that can increase the risk of alcohol use. Which would
increase the bioavailability of alcohol in the blood for longer periods in the older adult?
✅decreased liver and kidney function
During an assessment, the nurse asks a female patient, "how many alcoholic beverages
do you have a week?" which answer is at risk? ✅i'll have seven or eight drinks a week
but ill never get drunk
The nurse is asking an adolescent about illicit substance abuse. The adolescent
answers yes, i have used marijuana at parties with friends. What is the next question
you should ask? ✅when was the last time you used?
The nurse has completed an assessment on a pt who came to the clinic for a leg injury.
As a result of the assessment, the nurse has determined that the patient has "at risk"
alcohol use. Which action by the nurse is most appropriate at this time? ✅state that
your drinking is more than medically safe. I strongly recommend that you quit drinking,
and i am willing to help you.
,A patient is brought to the er. He is restless, has dilated pupils, is sweating, has a runny
nose and tearing eyes, and complains of muscle and joint pains. His girlfriend thinks he
has the flu, but she became concerned when his temperature went up to 39.4. She
admits that he has been a heavy drug user, but he has been trying to stop on his own.
The nurse suspects that the patient is experiencing withdrawal symptoms from which
substance? ✅heroin
The nurse is reviewing aspects of substance abuse in preparation for a seminar. Which
of these statements illustrates the concept of tolerance to an illicit substance?
✅requires more to feel the effect
A pt with a known history of heavy alcohol use has been admitted to the icu after he
was found unconscious outside of a bar. The nurse closely monitors hi, for symptoms of
withdrawal. Which of these symptoms may occur during this time? ✅-coarse tremor of
the hands
-transient hallucinations
-sweating
A patient visits the clinic to ask about smoking cessation. He has smoked heavily for 30
years and wants to stop cold turkey. He asks the nurse, what symptoms can i expect if i
do this? Which of these symptoms should the nurse share with the pt as possible
symptoms of nicotine withrawal? ✅-headaches
-hunger
-restlessness
-nervousness
Where does hematopoiesis take place? ✅bone marrow
Which statement concerning the areas of the brain is true?
-the cerebellum is the center for speech and emotions
-the hypothalamus controls body temperature and regulates sleep
-the basal ganglia are responsible for controlling voluntary movements
-motor pathways of the spinal chord and brainstem synapse in the thalamus ✅the
hypothalamus controls the body temp and sleep regulation
The cerebellum controls.... ✅motor and coordination, equilibrium, balance
The basal ganglia controls.... ✅automatic movements of the body
While gathering equipment after an injection, a nurse accidentally received a prick from
an improperly capped needle. To interpret this sensation, which of these areas must be
intact? ✅-lateral spinothalamic tract
-thalamus
-sensory cortex
, A patient with a lack of oxygen to his heart will have pain in his chest and possibly in the
shoulder, arms, or jaw. The nurse knows that the best explanation as to why this occurs
is which one of these statements? ✅the sensory cortex does not have the ability to
localize pain in the heart, consequently, the pain is felt elsewhere
The ability that humans have to perform very skilled movements such as writing is
controlled by the: ✅corticospinal tract
A 30 year old woman tells the nurse that she has been very unsteady and has had
difficulty in maintaining her balance. Which area of the brain that is related to these
findings would concern the nurse? ✅cerebellum
Which of these statements about the peripheral nervous system is correct? ✅the
peripheral nerves carry input to the central nervous system by afferent fibers and away
from the central nervous system by efferent fibers
A patient has a severed spinal nerve as a result of trauma. Which statement is true in
this situation? ✅the adjacent spinal nerves will continue to carry sensations for the
dermatome served by the severed nerve
A 21 year old patient has a head injury resulting from trauma and is unconscious. There
are no other injuries. During the assessment what would the nurse expect to find when
testing the pts deep tendon reflexes? ✅reflexes will be normal
A mother of a 1 month old infant asks the nurse why it takes so ling for infants to learn
to roll over. The nurse knows that the reason for this is: ✅myelin is needed to conduct
the impulses, and the neurons of a newborn are not yet myelinated.
During an assessment of an 80 year old patient, the nurse notices the following: an
inability to identify vibrations in her ankle and to identify the positioning of her big toe, a
slower and more deliberate gait, and a slightly impaired tactile sensation. All other
neurologic findings are normal. The nurse should interpret that these findings indicate:
✅normal changes attributed to aging
A 70 yo woman tells the nurse that every time she gets up in the morning or after she
has been sitting, she gets really dizzy and feels like she is going to fall over. The nurse's
best response is.... ✅you need to get up slowly when you've been lying down or sitting
During the taking of the health history, a patient tells the nrse that it feels like the room
is spinning around me. The nurse would document this finding as: ✅vertigo
When taking the health history on a pt with a seizure disorder, the nurse assesses
whether the pt has an aura. Which of these would be the best question for obtaining this
information? ✅do you have any warning sign before your seizure starts
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