Nurs 4526 Final Practice Exam With
Complete Solution
The nurse recognizes that which intervention is unlikely to facilitate effective
communication between a dying client and family?
a. The nurse encourages the client and family to identify and discuss feelings
openly.
b. The nurse assists the client and family in carrying out spiritually
meaningful practices.
c. The nurse maintains a calm attitude and one of acceptance when the family
or client
expresses anger.
d. The nurse makes decisions for the client and family to relieve them of
unnecessary
demands. - ANSWER D
A client is diagnosed with metabolic alkalosis as a result of excessive antacid
use. Which assessment finding would the nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias - ANSWER B
,A client has had an elevated temperature of 38.2C for 3 days since
experiencing a myocardial infarction. What does the nurse understand that
this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen
demand - ANSWER A
What is the most appropriate nursing intervention to assess for the presence
of infection in a client with neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness and
swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis. - ANSWER A
The nurse recognizes that which one of the following clients is at the greatest
risk for developing post-operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe
amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under
general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under
, general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon cancer
under general anaesthesia - ANSWER D
A client is treated in the emergency department for shock following an
automobile accident. The nurse knows that shock is a clinical syndrome in
which cellular dysfunction and organ failure occur primarily as a result of
which of the following conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion - ANSWER D
The nurse is caring for a client in cariogenic shock who has been diagnosed
with right-sided heart failure. When assessing the client, the nurse recognizes
which as corresponding to right-sided heart failure? Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating - ANSWER B, C, E
A hospice nurse who has become very close to a terminally ill client and her
family is present in the home when the client dies. The family members are
crying softly, and the nurse also feels like crying. What does the nurse
Complete Solution
The nurse recognizes that which intervention is unlikely to facilitate effective
communication between a dying client and family?
a. The nurse encourages the client and family to identify and discuss feelings
openly.
b. The nurse assists the client and family in carrying out spiritually
meaningful practices.
c. The nurse maintains a calm attitude and one of acceptance when the family
or client
expresses anger.
d. The nurse makes decisions for the client and family to relieve them of
unnecessary
demands. - ANSWER D
A client is diagnosed with metabolic alkalosis as a result of excessive antacid
use. Which assessment finding would the nurse expect in this client?
a. Drowsiness, headache, and tachypnea
b. Decreased respiratory rate and depth
c. Disorientation and decrease blood pressure
d. Tachycardia, dizziness and paresthesias - ANSWER B
,A client has had an elevated temperature of 38.2C for 3 days since
experiencing a myocardial infarction. What does the nurse understand that
this fever indicates?
a. A normal response to the necrotic tissue of infarction
b. A need for concern only if a leukocytosis is also present
c. Developing pericarditis as a complication of myocardial necrosis
d. Beginning congestive heart failure from increased myocardial oxygen
demand - ANSWER A
What is the most appropriate nursing intervention to assess for the presence
of infection in a client with neutropenia?
a. Monitor temperature q4h.
b. Monitor the mouth and perianal area every shift for signs of redness and
swelling.
c. Monitor WBCs daily.
d. Monitor the skin for temperature and diaphoresis. - ANSWER A
The nurse recognizes that which one of the following clients is at the greatest
risk for developing post-operative hypothermia?
a. A 68-year-old female client with diabetes undergoing a great toe
amputation under local anaesthesia
b. A 58-year-old male client undergoing repair of a knee cartilage under
general anaesthesia
c. A 78-year-old female client undergoing a vaginal hysterectomy under
, general anaesthesia
d. A 72-year-old male client undergoing bowel resection for colon cancer
under general anaesthesia - ANSWER D
A client is treated in the emergency department for shock following an
automobile accident. The nurse knows that shock is a clinical syndrome in
which cellular dysfunction and organ failure occur primarily as a result of
which of the following conditions?
a. Hypotension
b. Loss of blood
c. Severe infection
d. Impaired tissue perfusion - ANSWER D
The nurse is caring for a client in cariogenic shock who has been diagnosed
with right-sided heart failure. When assessing the client, the nurse recognizes
which as corresponding to right-sided heart failure? Select all that apply.
a. Cough
b. Distended neck veins
c. Pitting dependent edema
d. Crackles on auscultation
e. Abdominal pain and bloating - ANSWER B, C, E
A hospice nurse who has become very close to a terminally ill client and her
family is present in the home when the client dies. The family members are
crying softly, and the nurse also feels like crying. What does the nurse
