NUR 230 FINAL EXAM QUIZ QUESTIONS WITH
COMPLETE SOLUTIONS
A client 90 years of age has been in an automobile crash and
sustained four fractured ribs on the left side of the thorax. Based
on age and the injury, the client is at risk for what complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza Correct Answer Pneumonia
A client calls a sleep clinic "helpline" and describes her 46-year-
old husband's sleep patterns: snoring loudly, then becoming
startled and waking up 5 or 6 times a night. The wife is asking
how to improve his sleep patterns. The nurse concludes:
the husband may be exhibiting signs of sleep apnea.
the wife needs interventions to promote Stage II sleep for
herself.
the husband should only eat a small carbohydrate snack before
bed.
the wife should consider wearing ear plugs to bed. Correct
Answer the husband may be exhibiting signs of sleep apnea.
A client has been asked to undergo a series of diagnostic tests
following a routine blood test that indicates leukemia. The client
refuses to believe the diagnosis and feels that there has been an
error in the reports. Which stage of grief is the client going
through?
denial
anger
bargaining
,depression Correct Answer denial
A client has been diagnosed with a terminal illness and has
made an appointment with an attorney to complete a will. How
will the nurse document this stage of grief according the Kübler-
Ross Model?
depression
acceptance
bargaining
denial Correct Answer acceptance
A client has received a temporary ostomy during her treatment
for colon cancer. Which technique is most likely to facilitate the
client's ability to independently empty and change the ostomy
after discharge?
Demonstration
Lecture
Discussion
A brochure Correct Answer Demonstration
A client is meeting with the nurse to discuss options for smoking
cessation. Which statement by the nurse is most appropriate for
this client?
"Reduce your stress and it will be easy."
"What do you see as your biggest hurdle to stopping?"
"I think you should just go cold turkey."
"Did you know that smoking can cause lung cancer?" Correct
Answer "What do you see as your biggest hurdle to stopping?"
A client is using prayer to assist in relieving stress. The use of
prayer allows the client to:
,Cope
Understand
Plan
Recover Correct Answer Cope
A client says, "I thought my period was late because I was
drinking heavily and did cocaine a couple of times lately. But
my pregnancy test is positive and I am scared about what I may
have done to the baby." What information should the nurse
provide about the possible effects of substance use on the baby?
Select all that apply.1. As long as you were eating well, the baby
is probably fine2. There is a risk for birth defects in the baby3.
There is a risk the baby will be born with a low birth weight4.
Your baby may be born prematurely
2,3,4
1,2,3
1,3,4
2,3 Correct Answer 2,3,4
A client who has had a recent below-knee amputation tells the
nurse that he feels as though his toes are cramping. What would
the nurse say in return?
"Oh, that is all in your mind. Just forget it."
"That is called phantom pain, and it is not unusual."
"Well, that is really strange. I will notify the doctor."
"I think it might be good to refer you to a psychiatrist." Correct
Answer "That is called phantom pain, and it is not unusual."
A client who previously was a smoker has recently stopped
smoking but reports having much trouble sleeping at night. How
would the nurse respond?
, "You have to decide what is more important: smoking or sleep."
"If you are sleep deprived, it might be better to smoke."
"Sleep problems from stopping smoking are temporary."
"Since you were a smoker, this will always be a problem."
Correct Answer "Sleep problems from stopping smoking are
temporary."
A client who utilizes a portable oxygen device reports planning
to attend an upcoming bonfire on the beach. What is the
appropriate nursing response?
"Have an enjoyable time."
"You should not leave the house with portable oxygen."
"Be sure to avoid the actual area of fire, and anyone who is
smoking."
"Saltwater can increase the potential for oxygen toxicity."
Correct Answer "Be sure to avoid the actual area of fire, and
anyone who is smoking."
A client who was assaulted in the street is brought to the
emergency room for observation. A nurse documents the client
has difficulty communicating verbally, is agitated, and reports
chest pain and a sense of impending doom. The client is
perspiring, has a heart rate of 120 beats/min, and a respiratory
rate of 30 breaths/min. What type of anxiety does the nurse
identify the client is experiencing?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic Correct Answer Panic
COMPLETE SOLUTIONS
A client 90 years of age has been in an automobile crash and
sustained four fractured ribs on the left side of the thorax. Based
on age and the injury, the client is at risk for what complication?
Pneumonia
Altered thought processes
Urinary incontinence
Viral influenza Correct Answer Pneumonia
A client calls a sleep clinic "helpline" and describes her 46-year-
old husband's sleep patterns: snoring loudly, then becoming
startled and waking up 5 or 6 times a night. The wife is asking
how to improve his sleep patterns. The nurse concludes:
the husband may be exhibiting signs of sleep apnea.
the wife needs interventions to promote Stage II sleep for
herself.
the husband should only eat a small carbohydrate snack before
bed.
the wife should consider wearing ear plugs to bed. Correct
Answer the husband may be exhibiting signs of sleep apnea.
A client has been asked to undergo a series of diagnostic tests
following a routine blood test that indicates leukemia. The client
refuses to believe the diagnosis and feels that there has been an
error in the reports. Which stage of grief is the client going
through?
denial
anger
bargaining
,depression Correct Answer denial
A client has been diagnosed with a terminal illness and has
made an appointment with an attorney to complete a will. How
will the nurse document this stage of grief according the Kübler-
Ross Model?
depression
acceptance
bargaining
denial Correct Answer acceptance
A client has received a temporary ostomy during her treatment
for colon cancer. Which technique is most likely to facilitate the
client's ability to independently empty and change the ostomy
after discharge?
Demonstration
Lecture
Discussion
A brochure Correct Answer Demonstration
A client is meeting with the nurse to discuss options for smoking
cessation. Which statement by the nurse is most appropriate for
this client?
"Reduce your stress and it will be easy."
"What do you see as your biggest hurdle to stopping?"
"I think you should just go cold turkey."
"Did you know that smoking can cause lung cancer?" Correct
Answer "What do you see as your biggest hurdle to stopping?"
A client is using prayer to assist in relieving stress. The use of
prayer allows the client to:
,Cope
Understand
Plan
Recover Correct Answer Cope
A client says, "I thought my period was late because I was
drinking heavily and did cocaine a couple of times lately. But
my pregnancy test is positive and I am scared about what I may
have done to the baby." What information should the nurse
provide about the possible effects of substance use on the baby?
Select all that apply.1. As long as you were eating well, the baby
is probably fine2. There is a risk for birth defects in the baby3.
There is a risk the baby will be born with a low birth weight4.
Your baby may be born prematurely
2,3,4
1,2,3
1,3,4
2,3 Correct Answer 2,3,4
A client who has had a recent below-knee amputation tells the
nurse that he feels as though his toes are cramping. What would
the nurse say in return?
"Oh, that is all in your mind. Just forget it."
"That is called phantom pain, and it is not unusual."
"Well, that is really strange. I will notify the doctor."
"I think it might be good to refer you to a psychiatrist." Correct
Answer "That is called phantom pain, and it is not unusual."
A client who previously was a smoker has recently stopped
smoking but reports having much trouble sleeping at night. How
would the nurse respond?
, "You have to decide what is more important: smoking or sleep."
"If you are sleep deprived, it might be better to smoke."
"Sleep problems from stopping smoking are temporary."
"Since you were a smoker, this will always be a problem."
Correct Answer "Sleep problems from stopping smoking are
temporary."
A client who utilizes a portable oxygen device reports planning
to attend an upcoming bonfire on the beach. What is the
appropriate nursing response?
"Have an enjoyable time."
"You should not leave the house with portable oxygen."
"Be sure to avoid the actual area of fire, and anyone who is
smoking."
"Saltwater can increase the potential for oxygen toxicity."
Correct Answer "Be sure to avoid the actual area of fire, and
anyone who is smoking."
A client who was assaulted in the street is brought to the
emergency room for observation. A nurse documents the client
has difficulty communicating verbally, is agitated, and reports
chest pain and a sense of impending doom. The client is
perspiring, has a heart rate of 120 beats/min, and a respiratory
rate of 30 breaths/min. What type of anxiety does the nurse
identify the client is experiencing?
Mild anxiety
Moderate anxiety
Severe anxiety
Panic Correct Answer Panic
