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NUR 308 Final Practice Questions and Complete Solutions
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A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context? A. The sens of self among individual family members B. The future goals of the family C. The roles of family members D. The family's religious practices D. The f...

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  • September 18, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nur 308 final practice questions and complete solu
  • a nurse is assessing a family as a system which o
  • a nurse is leading a therapeutic group for clients

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  • NUR 308
  • NUR 308

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NUR 308 Final Practice Questions and
Complete Solutions
A nurse is assessing a family as a system. Which of the following factors should the
nurse include when assessing sociocultural context?

A. The sens of self among individual family members
B. The future goals of the family
C. The roles of family members
D. The family's religious practices ✅D. The family's religious practices

A nurse is leading a therapeutic group for clients at an outpatient mental health clinic.
Which of the following client statements indicates a problem with role transition?

A. "If my husband had gone to the doctor like I told him to, he'd be alive today."
B. "I am so angry with my husband's attitude. He thinks he knows everything."
C. "I want to have an intimate relationship, but I end up breaking off relationships as
soon as they begin."
D. "I just can't seem to find any energy to take care of my children since my husband
divorced me." ✅D. "I just can't seem to find any energy to take care of my children
since my husband divorced me."

A nurse is caring for a client who is postpartum. The nurse should recognize which of
the following statements by the client is an indication of inhibition of parental
attachment?

A. "He's got my husband's nose, that's for sure."
B. "I don't need a baby bath demonstration. I know how to do it."
C. "I wish he had more hair. I will keep a hat on his head until he grows some."
D. "Do you think you could keep him in the nursery for the next feeding so I can get
some sleep?" ✅C. "I wish he had more hair. I will keep a hat on his head until he
grows some."

A nurse is leading a family therapy session for a mother, father, and two adolescent
siblings. Which of the following statements should the nurse recognize as an example of
effective communication among family members?

A. "If you keep saying that, I will tell everyone what you did last night"
B. "She is always bossing me around. Should she do that?"
C. "Can you tell me the reason you get upset each time I go to the mall?"
D. "Please do not raise your voice at the children. I am the one who left dishes in the
sink" ✅C. "Can you tell me the reason you get upset each time I go to the mall?"

,A nurse is making a home visit to a client who has Alzheimer's Disease and the client's
partner. Which of the following observations indicates to the nurse that the partner is
experiencing caregiver role strain?

A. The partner has placed locks at the top of the doors leading to the outside
B. The partner has hired a house cleaner
C. The partner has lost 20 lbs in the past 2 months
D. The partner redirects the client when the client is frustrated ✅C. The partner has
lost 20 lbs in the past 2 months

A nurse is caring for a client who is 2 days postpartum, is breastfeeding, and reports
nipple soreness. Which of the following measures should the nurse suggest to reduce
discomfort during breastfeeding? (SATA)

A. Apply breast milk to the nipples before each feeding
B. Place breast pads inside the nursing bra
C. Massage the breasts and nipples prior to feeding
D. Start breastfeeding with the nipple that is less sore
E. Change the infant's position on the nipples ✅A, D, E

A nurse is caring for a client who is postpartum and finds the fundus slightly boggy and
displaced to the right. Based on these findings, which of the following actions should the
nurse take?

A. Encourage the client to perform Kegel exercises
B. Encourage the client to move to the left lateral position
C. Ask the client to rate her pain
D. Assist the client to the bathroom to void ✅D. Assist the client to the bathroom to
void

A nurse is caring for a client who is 2 hours postpartum. The nurse notes that the client
soaked a perineal pad in 10 min, the client's skin color is ashen, and she states she
feels weak and light headed. After applying oxygen via nonrebreather mask at 10 L/min
which of the following actions should the nurse take next?

A. Insert an indwelling urinary catheter
B. Administer oxytocin by continuous IV infusion
C. Tilt the client onto her right side with her legs elevated to at least 30 degrees
D. Massage the client's fundus to promote contractions ✅D. Massage the client's
fundus to promote contractions

A nurse is caring for a client who is postpartum and received methylergonovine. Which
of the following findings indicates that the medication was effective?

A. Fundus firm to palpation
B. Increase in blood pressure

, C. Increase in lochia
D. Report of absent breast pain ✅A. Fundus firm to palpation

A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.
Which of the following findings should the nurse identify as the priority?

A. Saturated perineal pad in 30 min
B. Deep tendon reflexes 4+
C. Fundus at level of umbilicus
D. Approximated edges of episiotomy ✅B. Deep tendon reflexes 4+

A home health nurse is teaching a client who is breastfeeding about managing breast
engorgement. Which of the following client statements indicates understanding of the
teaching?

A. "I'll let my baby drain one breast at each feeding."
B. "I'll try drinking an herbal tea to reduce the engorgement"
C. "I'll apply cold compresses 20 minutes before each feeding."
D. "I'll feed my baby every 2 hours" ✅D. "I'll feed my baby every 2 hours"

A nurse is caring for a client who is 5 hours postpartum following a vaginal birth of a
newborn weighing 9 lb 6 oz. The nurse should recognize that this client is at risk for
which of the following postpartum complications?

A. Puerperal infection
B. Retained placental fragments
C. Thrombophlebitis
D. Uterine atony ✅D. Uterine atony

A nurse is caring for a client who is 1 hour postpartum and observes a large amount of
lochia rubra and several small clots on the client's perineal pad. The fundus is midline
and firm at the umbilicus. Which of the following actions should the nurse take?

A. Document the findings and continue to monitor the client
B. Notify the client's provider
C. Increase the frequency of fundal massage
D. Encourage the client to empty her bladder ✅A. Document the findings and continue
to monitor the client

A nurse is assessing a client who is 3 days postpartum and is breastfeeding. The nurse
notes that the fundus is three fingerbreadths below the umbilicus, lochia rubra is
moderate, and the breasts are hard and warm to palpation. Which of the following
interpretations of these findings should the nurse make?

A. The client is exhibiting early indications of mastitis
B. Additional interventions are not needed at this time

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