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NR 226 EXAM 1 2024 ACTUAL EXAM AND STUDY GUIDE 180 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT)

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NR 226 EXAM 1 2024 ACTUAL EXAM AND STUDY GUIDE 180 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) NR 226 EXAM 1 2024 ACTUAL EXAM AND STUDY GUIDE 180 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT)

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  • October 17, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • NR 226
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NR 226 EXAM 1 2024 ACTUAL EXAM AND STUDY GUIDE 180
QUESTIONS WITH DETAILED VERIFIED ANSWERS (100%
CORRECT)
You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the
Medical Surgical unit. The surgery was very stressful and prolonged and you note on the chart that her
blood sugars are elevated yet she in not been diagnosed with diabetes. To what do you attribute this
elevation in blood sugars?
It is a result of antidiuretic hormone
A. She must have had diabetes prior to surgery
B. She has become a diabetic from the abdominal surgery
C. The blood sugars are probably a result of the "fight-or-flight" reaction.

D. The blood sugars are probably a result of the "fight-or-flight" reaction.



Which of the following is a physiological response experienced during the exhaustion stage of general
adaptation syndrome?

A. Increased mental alertness
B.
C. Vasoconstriction
D. The initiation of neuroendocrine activity
E. Decreased blood pressure

D. Decreased blood pressure

The nurse is caring for a client who is a doctor in a general hospital. He complains about the stressful
condition of his job. Lately, he has become increasingly susceptible to colds, headaches, muscular
tension, excessive tiredness, and many other symptoms. At what stage of stress is the client?
Secondary stage
A. Exhaustion stage
B. Alarm stage
C. Resistance stage

B. Exhaustion stage

Which of the following nurses is most likely to experience the greatest amount of stress related to his or
her position as a nurse?
A graduate nurse working on a telemetry unit
A. A nurse with 1 year of experience working on an oncology unit
B. A nurse who is an editor of a nursing journal
C. A nurse with 10 years of experience working as a nurse educator

A. A graduate nurse working on a telemetry unit

,A mom is in distress as a result of her children leaving the home. What type of crisis is the mother
experiencing?
Developmental
A. Situational
B. Adventitious
C. Perceived

A. Developmental



A graduate nurse who is going to start her first nursing job is feeling overwhelmed and uncertain. What
type of role issue is she experiencing?
Role Ambiguity
A. Sick Role
B. Role Conflict
C. Role Strain

A. Role Ambiguity



When doing an assessment of a young woman who was in an automobile accident 6 months before, the
nurse learns that the woman has vivid images of the crash whenever she hears a loud, sudden noise.
The nurse recognizes this as:
Acute Stress Disorder
A. Anxiety Disorder
B. Post-Traumatic Stress Disorder D. Hallucination

C. Post-Traumatic Stress Disorder



Which family member's comment about an older adult member of the family demonstrates ageism?
(Select all that apply)
She has outlived her usefulness
A. She is elderly, but she is so cute
B. She reads the newspaper with difficulty
C. He reminisces about his past work experience E. He is happiest when working in his home workshop.

A. She has outlived her usefulness
B. She is elderly, but she is so cute

A nurse is collecting data from an older adult client as part of a comprehensive physical examination.
Which of the following findings should the nurse expect as associated with aging? (Select all that apply)

A. Skin thickening
B. Decreased height
C. Increased saliva production D. Nail thickening

,E. Decreased bladder capacity

B. Decreased height
D. Nail thickening
E. Decreased bladder capacity

The caregiver of an autistic patient decided to go to Hawaii for two weeks. The caregiver stated that
"she just needed a break." Which one of these services would be considered appropriate?

A. Respite Care
B. Restorative Care
C. Adult Day Care Center
D. Retirement Community

A. Respite Care

An older client with this condition is likely to return to baseline after the precipitating factor has been
resolved. What is the condition?

A. Delirium
B. Dementia
C. Depression
D. Major Depressive Disorder

A. Delirium

The nurse is setting up an education session with an 85-year-old patient who will be going home on
anticoagulant therapy. Which strategy would reflect consideration of aging changes that may exist with
this patient?

A. Show a colorful video about anticoagulation therapy
B. Present all the information in one session just before discharge
C. Give the patient pamphlets about the medications to read at home
D. Develop large-print handouts that reflect the verbal information presented.
D. Develop large-print handouts that reflect the verbal information presented.

A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?

A. Provide several topics of discussion at once to promote independence and making choices
B. Avoid uncomfortable silences after questions by helping patients complete their statements
C. Ask patients to recall past experiences that correspond with their interests D. Speak in a high pitch to
help patients hear better

C. Ask patients to recall past experiences that correspond with their interests

The daughter of a patient is caring for her mother who has mild to moderate dementia. However, during
the day she is required to leave her mother home to go to work. What service would be most
appropriate for this patient?

, A. Restorative Care
B. Assisted Living Home
C. Retirement Home
D. Adult Day Care

D. Adult Day Care

A 64 year old patient has recently undergone surgery for a knee replacement. However, she has
encountered the issue of her house having stairs and her bathroom being on the second floor. Which
service would be most appropriate for this patient?

A. Restorative Care
B. Assistive Living Home
C. Retirement Home
D. Adult Day Care

A. Restorative Care

Which is the appropriate client outcome for an adult client who has disturbed sleep because of
nocturia?

A. Report fewer early morning awakenings because of a wet bed
B. Demonstrate a reduction in nighttime bathroom visits C. Resume sleep
immediately after voiding
D. Use an incontinence device at night.

B. Demonstrate a reduction in nighttime bathroom visits.



We have an expert-written solution to this problem!


A nurse is caring for a client who is diagnosed with narcolepsy. Which is the most serious consequence
of this disorder?

A. Inability to provide self-care
B. Impaired thought processes
C. Potential for injury D. Excessive Fatigue

C. Potential for injury

A nurse is planning a teaching program for a client with a diagnosis of obstructive sleep apnea. Which
should the nurse plan to discuss with this client?

A. Using the prescribed device that supports airway patency
B. Placing two pillows under the head when sleeping
C. Requesting a sedative to promote sleep

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