Final NURS 225 Final Exam Questions With Complete
Solutions
A 2-year-old child arrives at the emergency department of a
local hospital with difficulty breathing from an asthmatic attack.
What is the priority nursing intervention?
A. assessing respirations and administering oxygen
B. giving the child a favorite stuffed animal to hold
C. asking the child's parent about favorite foods
D. raising the side rails and restraining the child's arms Correct
Answer A. assessing respirations and administering oxygen
A charge nurse is teaching a newly licensed nurse about fall
prevention strategies when caring for clients. Which of the
following information should the nurse include in the teaching?
Select all that apply.
A. Utilizing restraints as much as possible for high-risk patients.
B. Using bed alarms for high-risk patients.
C. Perform a fall risk assessment on admission.
D. Using all four side rails when patients are in bed. Correct
Answer B. Using bed alarms for high-risk patients.
C. Perform a fall risk assessment on admission.
A client 80 years of age experienced dysphagia (impaired
swallowing) in the weeks following a recent stroke, but the care
team wishes to now begin introducing minced and pureed food.
How should the nurse best position the client?
,A. Fowler
B. semi-Fowler
C. protective supine
D. low Fowler Correct Answer A. Fowler
A client asks the nurse whether the generic acetaminophen is as
effective as the brand name product. Which is the nurse's best
response?
A. Generic medication performs a little differently than the
corresponding brand-name product.
B. Generic medication often has different active ingredients,
dosages and route of administration from the brand-name
version.
C. Generic medication performs the same as the corresponding
brand-name product.
D. Dyes, fillers and coatings may be similar, so the generic
medication often looks like branded version. Correct Answer
C. Generic medication performs the same as the corresponding
brand-name product.
A client has a prescription for an opioid analgesic every 3 to 4
hours and received the last dose 3 hours earlier. Which action is
most appropriate for the nurse to take in response to the client's
request for pain medication on this first postoperative day?
A. Contact the physician for a change in medication.
B. Tell the client that the pain cannot be severe.
C. Provide the client with pain medication.
D. Document and ask the client to wait 1 hour. Correct Answer
C. Provide the client with pain medication.
,A client in their 30s has asked the nurse how much sleep they
should be getting in order to maximize health and well-being.
How should the nurse respond?
A. "Most adults need between 7 and 9 hours, but everyone is
different."
B. "More sleep equals better health, so the more sleep you can
fit into your schedule, the better."
C. "Sleep needs depend a lot on age, and at your age, 6 to 7
hours usually suffice."
D. "It's important to get a minimum of 8 hours sleep each night."
Correct Answer A. "Most adults need between 7 and 9 hours,
but everyone is different."
A client is questioning the need for surgery. The client asks the
nurse, "What should I do?" Which answer by the nurse is based
on advocacy?
A. "Let me talk to your doctor, and I will let you know what I
find out."
B. "You should ask some of the more experienced nurses this
question."
C. "If I were you, I would not have this surgical procedure."
D. "Tell me why you do not want the surgery." Correct Answer
D. "Tell me why you do not want the surgery."
A client scheduled for complex heart surgery has been reading
their religious text for hours each day, cries often, and is not
sleeping well. What might these observations cue the nurse
about the client?
, A. The client is naturally emotional and reactive.
B. These behaviors are signs of spiritual distress.
C. Family members live far away and the client is lonely.
D. These behaviors are expected before major surgery. Correct
Answer B. These behaviors are signs of spiritual distress.
A client states, "I have successfully raised my family and had a
good life." This statement illustrates meeting which basic human
need?
A. Love and belonging
B. Self-actualization
C. Self-esteem
D. Safety and security Correct Answer B. Self-actualization
A client who had a recent amputation below the knee tells the
nurse about feeling as though the toes are cramping in the
missing leg. Which statement will the nurse use to educate the
client?
A. "Well, that is really strange. I will notify the health care
provider."
B. "That is called phantom pain and it is not unusual."
C. "I think it might be good to refer you to a psychiatrist."
D. "Oh, that is all in your mind. Just forget it." Correct Answer
B. "That is called phantom pain and it is not unusual."
A client with a diagnosis of colorectal cancer has been presented
with the treatment options, but wishes to defer any decisions to
an uncle, who acts in the role of a family patriarch within the
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