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Exam (elaborations)

NUR 308 Final Practice Exam 104Questions and Answers (Latest Update 2024)

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NUR 308 Final Practice Exam 104Questions and Answers (Latest Update 2024)

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  • October 22, 2024
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NURSINGGRADER2012
NUR 308 Final Practice Exam 104Questions
and Answers (Latest Update 2024)
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 - CORRECT ANSWERS 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." - CORRECT ANSWERS 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?" - CORRECT ANSWERS C. "I wish he had more hair. I will keep a
hat on his head until he grows some."

,NUR 308 Final Practice Exam 104Questions
and Answers (Latest Update 2024)
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" - CORRECT ANSWERS 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 - CORRECT
ANSWERS 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 - CORRECT ANSWERS A, D, E

,NUR 308 Final Practice Exam 104Questions
and Answers (Latest Update 2024)
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 - CORRECT ANSWERS 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 - CORRECT ANSWERS
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 - CORRECT ANSWERS A. Fundus firm to
palpation

, NUR 308 Final Practice Exam 104Questions
and Answers (Latest Update 2024)
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 - CORRECT ANSWERS 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" - CORRECT ANSWERS 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 - CORRECT ANSWERS 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

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