Nursing 140 Final Exam Questions and Correct Answers
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Course
NUR 140
Institution
NUR 140
A client is hospitialized with numerous acute health problems. According to Maslow's Basic needs model, which nursing diagnosis would take the highest priority: a) Risk for injury related to unsteady gait b) Altered nutrition, less than body requirements related to inability to absorb nutrients c) ...
Nursing 140 Final Exam Questions and
Correct Answers
A client is hospitialized with numerous acute health problems. According to Maslow's
Basic needs model, which nursing diagnosis would take the highest priority:
a) Risk for injury related to unsteady gait
b) Altered nutrition, less than body requirements related to inability to absorb nutrients
c) Self-care deficit related to weakness and debilitation
d) Powerlessness related to chronic disease state ✅B) Altered nutrition, less than body
requirements related to inability to absorb nutrients
The nurse is preparing written handouts to be used as part of the standardized teaching
plan for patient's who have been recently diagnosed with diabetes. Which of the
following statements would be appropriate to include in the handouts:
a) Polyphagia, polydipsia, and polyuria are common symptoms of Diabetes mellitus
b) The use of the right foods can help in keeping blood glucose at a near-normal level
c) Some diabetes control blood glucose with oral medications or nutritional interventions
d) Diabetes mellitus is characterized by chronic hyperglycemia and the associated
symptoms ✅B) The use of the right foods can help in keeping blood glucose at a near-
normal level
When admitting a patient who has just Arrived on the medical unit with severe
abdominal pain, what should the nurse do first:
A) Complete only basic demographics data before addressing the patient's abdominal
pain
b) Medicate the patient for the abdominal pain before attending to the health history and
examination
c) Inform the patient that the abdominal pain will be treated as soon as the health
history is completed
d) Take the initial vital signs and then deal with the abdominal pain before completing
the health history ✅D) Take the initial vital signs and then deal with the abdominal pain
before completing the health history
After the nurse implements diet instructions for a patient with heart disease the patient
can explain the information but fails to make recommended dietary changes. The
nurse's evaluations that:
a) Learning did not occur because the patient's behavior did not change
b) Choosing not to follow the diet is the behaviors that resulted from learning
c) The nursing responsibility for helping the patient make dietary changes has been
fulfilled
d) The teaching methods were ineffective in helping the patient learn the dietary
information ✅B) Choosing not to follow the diet is the behaviors that resulted from
learning
, A patient who has been admitted to the hospital for surgery tells the nurse, 'I do not feel
right about leaving my children with my neighbor", which action should the nurse take
next:
a) Reassure the patient that these feelings are common for parents
b) Have the patient call the children to ensure that they are doing well
c) Call the neighbor to determine whether adequate childcare is being provided
d) Gather more data about the patient's feeling about the child-care arrangements ✅D)
Gather more data about the patient's feeling about the child-care arrangements
A patient is taking a potassium-wasting diurectic for treatment of hypertension. The
nurse will teach the patient to report symptoms of adverse effects such as:
a) personality change
b) Frequent loose stools
c) Facial muscle spasms
d) Generalized weakness ✅D) Generalized weakness
A patient who has required prolonged mechanical ventilation has the following arterial
blood gas results: pH 7.48, PaCO@ 32 mmttg, and HCO 25 mEq/L. The nurse
interprets these results as:
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis ✅D) Respiratory Alkalosis
A patient has the following arterial blood gas (ABG) results: ph 7.32, PAO2 88 mmHg,
PaCO@ and HCO3 16 mEqL. The nurse interprets these results as:
a) Metabolic acidosis
b) Metabolic alkalosis
c) Respiratory acidosis
d) Respiratory alkalosis ✅A) Metabolic Acidosis
A patient who has just been started on continuous tube feedings of a full strength
commercial formula at 100 mL/hr using a closed system method has six diarrhea stools
the first day. What action should the nurse plan to take:
a) Slow the infusion rate of the tube feeding
b) Check the gastric residual volumes more frequently
c) Change the internal feeding system and formula every 8 hrs
d) Discontinue administration of water through the feeding tube ✅A) Slow the infusion
rate of the tube feeding
A patient who has a wound infection after major surgery has only been taking in about
50% to 75% of the ordered meals and states, "Nothing on the menu really appeals to
me." Which action by the nurse will be most effective in improving the patient's oral
intake:
a) Make a referral to the dietician
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