A. Allow the AP to delver the food tray to the client B. Call the dietary department and ask for a kosher tray C. Replace the nonfat milk with apple juice D. Explain to the patient that he needs the protein in the milk and beef B. Call the dietary department and ask for a kosher tray
NU 300 FINAL EXAM QUESTIONS AND
CORRECT ANSWERS
A nurse notices an AP preparing to deliver a food tray to a client who practices the
Orthodox Jewish faith. On the tray is a roast beef dinner with nonfat milk. Which of the
following actions should the nurse take?
A. Allow the AP to delver the food tray to the client
B. Call the dietary department and ask for a kosher tray
C. Replace the nonfat milk with apple juice
D. Explain to the patient that he needs the protein in the milk and beef ✅B. Call the
dietary department and ask for a kosher tray
This action shows cultural sensitivity and respect for the client's cultural and spiritual
beliefs. Clients who practice the Orthodox Jewish faith do not eat meat and dairy
together.
A nurse is developing a plan of care for a client who practices islam. Which of the
following actions should the nurse include in the plan?
A. Sever foods that have a hot/cold balance
B. Serve milk products separately from meals
C. Request a meal tray without pork
D. Remove tea and coffee from meal trays ✅C. Request a meal tray without pork
Clients who practice Islam do not eat pork. Clients who practice the Hindu, Seventh-Day
Adventist, Mormon, and Jewish faiths abstain from pork as well.
A nurse is caring for a patient who is receiving radiation therapy to treat lung cancer.
Which of the following actions should the nurse take?
a. Review laboratory tests for low hemoglobin
b. Observe for signs of infection
c. Monitor the mouth for signs of xerostomia
d. Examine the skin for generalized urticaria ✅B. Observe for signs of infection
Radiation therapy to sites containing bone marrow (such as the sternum) can lower the
WBC count (leukopenia), thus increasing the client's risk for infection. Screening the
client for signs of infection is essential at this time.
A nurse intercepts a message at the nurses station who has a flower delivery for a client
on the unit. As a nurse accepts the flowers, the messenger says, "I know Miss Welch
from the neighborhood. What happened to her?" Which of the following responses
should the nurse provide?
A. You know it's not appropriate for you to ask me that
B. It is my responsibility to remind you that we have to respect our client's privacy
C. It's a minor injury. I'm sure you'll see her back in the neighborhood soon
,D. Oh what lovely flowers she will enjoy these ✅B. It is my responsibility to remind you
that we have to respect our client's privacy
This therapeutic response provides clarification to the messenger that the hospital staff
cannot disclose information about clients.
A nurse on the medical surgical unit is preparing to contact a provider about a clients
condition. The client is six hours postop from a total hysterectomy. The nurse notes for
clients postoperative oxygen saturation is 94% and her apical heart rate is 110. The
nurse should include information about the clients oxygen saturation level and heart rate
in which component of the SBAR report?
A. Situation
B. Background
C. Assessment
R. Recommendation ✅C. Assessment
The nurse should include his assessments in this level of the report. For example, the
client's oxygen saturation level and the client's apical heart rate. The nurse can also
include the amount of vaginal bleeding and the appearance of the wound dressing.
A nurse manager is preparing to confront a staff nurse who is abusing alcohol. Which of
the following defense mechanisms should the nurse manager expect the staff nurse to
use.?
A. Projection
B. Rationalization
C. Denial
D. Repression ✅C. Denial
The nurse manger should expect denial of the alcohol use because denial is a common
defense mechanism used by people who are dealing with the problems and
responsibilities associated with the substance abuse behavior.
A hospice nurse is caring for a client who has terminal cancer and takes PO morphine
for pain relief. The client reports that he had an increase the dose of morphine this week
to obtain pain relief. Which of the following scenarios should the nurse document as the
explanation of the situation?
A. The client has not been taking the medication properly
B. The client is experiencing episodes of confusion
C. The client has become addicted to the medication
D. The client has developed a tolerance to the medication ✅D. The client has
developed a tolerance to the medication
The nurse should document that the client has developed a tolerance to the medication.
Morphine is a narcotic analgesic used for the treatment of severe pain. Tolerance is an
adverse effect of narcotic analgesics in which a larger dose is needed to produce the
same response.
, A nurse is preparing to administer morphine for milligrams IV bolus to a client who
reports pain. Available is morphine 10 mg/mL. Which of the following actions should the
nurse take.?
A. Discard the extra medication in the sharps container
B. Save the extra medication for later dosing
C. Send the waste amount to the pharmacy
D. Have another nurse witness the disposal of the extra medication ✅D. Have another
nurse witness the disposal of the extra medication
Any excess narcotic must be disposed. The disposal must be witnessed and
documented by a second nurse.
A nurse is caring for a client who has cancer and is scheduled for immediate
chemotherapy. The client tells the nurse that she wants to try nontraditional treatments
first. Which of the following responses should the nurse take?
A. Using non-traditional treatments is not a good idea. I'd rather you avoid that route.
B. A lot of people think nontraditional treatments work, and they found out too late that
they made the wrong choice
C. Your provider is very knowledgeable. If he prescribes chemotherapy, it's the best
treatment for you
D. Tell me more about your concerns about chemotherapy ✅D. Tell me more about
your concerns about chemotherapy
Asking the client to talk more about her fears and her concerns encourages
communication. It is an example of the therapeutic communication technique of
exploring.
I nurse is caring for a client who has chemotherapy induced Paris Friel neuropathy. The
nurse should expect the client to report having experience which of the following
symptoms?
A. Extremities that turn blue when exposed to cold
B. Tingling feeling in extremities
C. Jerking movements in the extremities
D. Spasms of the extremities ✅B. Tingling feeling in extremities
Peripheral neuropathy is a neurological disorder resulting from damage to the peripheral
nerves. It may be caused by diseases of the nerves, systemic illnesses, or it may be a
side-effect from chemotherapy. If a sensory nerve is damaged, the client is likely to
experience pain, numbness, tingling, burning, or a loss of feeling in the extremities.
A nurse on the medical surgical unit is planning to delegate tasks to an adult volunteer.
Which of the following tasks should the charge nurse avoid assigning to the volunteer?
A. Delivering mail trays to a client in their room
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