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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Document preview page 1

2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 1

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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions)

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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 1 preview imageNUR 109 FINAL EXAM QUESTIONS ANDANSWERS LATEST UPDATE 2023/2024100%VERIFIED ANSWERS GUARANTEED PASS•Thenurseisteachingapatientbeingdischargedwithalonglegcast.Whichofthe followinginstructions is appropriate?a.Keepplastercastscovereduntilthoroughlydry.b.Applylotionundercastedges tolubricatetheskin.c.Elevatethe castabove thelevel oftheheartwheneverpossible.d.Puttalcumpowderdownthecasttoprevent perspiration.•Ms.R.isa40yearold woman whounderwenttotalhipreplacement.Which ofthefollowingactivitieswould beappropriateforMs.R.afterdischarge?a.Sittinginonlyalowchairb.ResumingallADLsassoonaspossiblec.Sitting atleast8hoursadayd.Puttingapillowbetween herlegswhensleeping•Ms.K’srightkneeappearstobeswollen.Tofurtherevaluatethis,thenurseshouldfirst:a.puttheknee throughrange ofmotion.b.testmusclestrength.c.compareittotheleftknee.d.palpateforcrepitus.•Ms. E. is a 78 year old woman who was admitted with animpacted right hip.She was placed intraction. When caring for apatient in traction, the nurse isguided by which principle?a.Weightsshouldrestonthebedb.Knotsinthe ropesshould touchthe pulleyc.Weightsareremovedroutinelyd.Skeletaltractionisneverinterrupted•ThenurseisassessingthepatientforthepresenceofaChvostek’s
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 2 preview image
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 3 preview imagesign.Whatelectrolyteimbalance doesapositive Chvostek’ssignindicate?a.Hypermagnesemiab.Hypercalcemiac.Hypocalcemiad.HyperkalemiaThenext9questionwillshowyourabilitytoanalyzeABG(arterial bloodgas)results.Some questionswill givepreviewinformation.•Apatienthasarrivedat theERcomplainingtotinglinginher face,hands,and eet.She stated she feels “light-headed” and has beenstudying for NUR 109 FinalExam for 3straight days. Assessmentsreveals BP 165/110, HR 124, RR 36, skinclammy andpale.ABG’s:pH=7.49,PaCO2 =31,HCO3 =19a.Respiratoryacidosisb.Respiratoryalkalosisc.Metabolicacidosisd.Metabolicalkalosis•YouareanERnursecaringforatraumapatient.Yourpatienthasthefollowingarterial blood gas results: pH = 7.26, PaCO2 = 28,HCO3 = 11 mEq/L. Howwouldyou interprettheseresults?a.Respiratoryacidosiswithnocompensationb.Metabolicalkalosiswithacompensatoryalkalosisc.Metabolicacidosiswithnocompensationd.Metabolicacidosiswithacompensatoryalkalosis•A patient in the ICU starts complaining of being “short of breath.” Anarterialbloodgas(ABG)isdrawn.TheABGhasthefollowingvalues: pH=7.21,PaCO2=64,HCO3=24.What doestheABGreflect?a.Respiratoryacidosisb.Metabolicalkalosis
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 4 preview imagec.Respiratoryalkalosisd.Metabolicacidosis•An 16-year-old femaleis admittedthrough theERsemi-conscious,RR=56,fruity breath, diaphoretic pale skin, blood glucose is 740,andketones in her urine.ABG results show pH = 7.21, PaCO2 = 35,and HCO3 = 14. What does the ABGreflect?a.Respiratoryacidosisb.Respiratoryalkalosisc.Metabolicacidosisd.Metabolicalkalosis
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 5 preview image•InterpretthesesABG’s: pH=7.36,PaCO2=56,pO2=90,HCO3=20.a.Respiratoryacidosis,partiallycompensatedb.Respiratoryalkalosis,partiallycompensatedc.Metabolic acidosis, fullycompensatedd.Metabolicalkalosis,fullycompensated•An83-year-oldfemalewasfoundbyherdaughterindistress.Shecalls911.Whenthe EMTs arrivethey assess her breathing and airway,do and EKG, obtain ABGs,and questions the daughter. The patienthas been takingOxycodone for back painand a sleeping pill at night.Assessment reveals lethargic, unresponsive patient.RR = 5, BP =80/40, MAP = 53, HR = 45. ABG results: pH = 7.12, PaCO2 = 64,pO2= 68,HCO3 = 24.InterpretationoftheseABG resultsis:a.respiratoryacidosis,uncompensated.b.respiratoryacidosis,fullycompensated.c.respiratoryalkalosis,uncompensated.d.respiratoryalkalosis,partiallycompensated.•Whatdoyoususpectwillbeimmediate treatmentplansforthepatientintheabove scenario?a.EstablishmentofIVandbolusof1000mlsofNSb.Intubationand oxygenationc.Bloodtransfusiond.Administrationofsublingualnitroglycerin•AnalyzetheseABGs:pH=7.37,PaCO2=43,HCO3=23.a.Metabolicacidosisb.Respiratoryalkalosisc.Normald.Respiratoryacidosis•A student has been experiencingsevere gastric burning andconsistently takesTUMS antacids for this discomfort. He states “aslong as I keep popping theTUMS,thenburningisbetter.”DuringaphysicalexamtheseABGresultsweredrawn:pH=7.49,PaCO2=39,HCO3=37.InterpretationofthesesABGsis:
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 6 preview imagea.uncompensated metabolicacidosis.b.uncompensatedmetabolicalkalosis.c.fullycompensatedrespiratoryalkalosis.d.uncompensatedrespiratoryacidosis.
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 7 preview image•The schoolhealth nurse if presenting a health-promotion class toa group ofmiddle-school students. Which is the best interventionto address health-promotion strategies related to the leadingcause of cancer deaths in NorthAmerica?a.Monthlyself-breastexamsb.Smokingcessationc.Annualcolonoscopiesd.Monthlytesticularexams•You are the clinical nurse in an oncology clinic. Your patient arrivesfor a 2-month follow-up appointment following chemotherapy. Younote that thepatient'sskinappearsyellow.Whichbloodtestshouldbedonetofurtherexplorethisclinicalsign?a.Liverfunctiontestb.CBCc.Plateletcountd.Electrolytes•Yourareteachinganutritionclassinthelocalhighschool.Onestudenttellsyouthat he has heard that certain foods canincrease theincidence of cancer. Yourespond, "Research has shown that certainfoods appear to increase the risk ofcancer." Which of the followingmenu selections would be the best choice forreducingtherisks ofcancer?a.Smokedsalmonandgreenbeansb.Porkchopsandfired greentomatoesc.Bakedapricotchickenandsteamedbroccolid.Liver,onions,andsteamedpeas•Traditionally,nurseshavebeeninvolvedwithtertiarypreventionwiththeircancerpatients. However, emphasis is also placed on bothprimary andsecondaryprevention.Whatwould beanexampleofprimaryprevention?a.YearlyPapanicolaoutestsb.Testicularself-examination
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 8 preview imagec.Teachingpatientstowearsunscreend.Screeningmammogram•While a patient is receiving intravenous doxorubicin, the nurseobservesthat thereisswellingand pain attheIVsite.Thenurseshould:a.stoptheadministrationofthedrugimmediately.b.notifythepatient'sphysician.c.continuetoadministerbutdecreasetherateofinfusion.d.applyawarmcompresstothesite.
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 9 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESS•Apatientnewlydiagnosedwithcanceris scheduledtobeginchemotherapytreatment. The patient asks the nurse what themost common side effect ofchemotherapyis.What would bethebest answerthenursecould give?a.Alopeciab.Nauseaandvomitingc.Alteredglucosemetabolismd.Increasedappetite•Your patient is receiving carmustine,a chemotherapy agent. Asignificant sideeffectofthis medicationisthrombocytopenia.Whichsymptomwouldthenurseassessfor inpatientsatrisk forthrombocytopenia?a.Interruptedsleeppatternb.Hotflashesc.Nosebleedd.Increasedweight•Whenaclient isimmobilized,whatisthe mostappropriateplantopreventconstipation?a.Encouragedailylaxativeuseb.Limitfluidintakec.Encourage frequent periods of sitting on thebedpand.Increasefluidsand fiberintheclient’sdiet•Thenurseiscaring forapatientwhohashadaplasterlegcastapplied.Immediatelypost-application,thenurseshouldinformthepatientthat:a.thecast willcool in5minutes.
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 10 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESSb.thecastshouldbecoveredwith atowel.c.thecast should besupportedonaboard whiledrying.d.the castwillonlyhave full strengthwhendry.•A female patient states that shehas pain and numbness to her thumb,first, andsecondfingerofherrighthand.Thenursediscoversthatthepatient’soccupationisanautomechanic,andthepainisincreasedatwork.Thismayindicatethatthe patientcouldpossiblyhave:a.Carpeltunnelsyndromeb.Tendonitisc.Impingementsyndromed.Dupuytren’scontracture•Which of the followingnursing actions demonstrates propertechnique whencaringfor apatientwithskeletaltractionfor afracturedfemur?a.Liftweightswhenslidingpatientupinbedb.Restbothfeet againstafootboardc.Removeweightimmediatelyifpatientcomplainsofmusclespasmsd.Becertain weights and ropeshangfreely•Whichofthefollowingexerciseswouldbecontraindicatedforapatientwhohasrecently beendischargedfollowingatotal hipreplacement?a.Abductionexercisesb.Deep-kneebendsc.Glutealsettingd.Quadricepssetting
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 11 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESS•The nurse is teaching a patient and family signs of compromisedcirculation to acastedarm.Thepatient shouldbeinstructed toreport?a.Discolorationofthefingersb.Foulodorfromthecastc.Severeitchingunderthecastd.Boundingradialpulseintheaffectedarm•Anurse isteachingMrs.P.aboutappropriate andsafe positionchanges afterhertotal hip replacement. Which of the followingstatements indicates that Mrs. P.understandsproperpositioning?a.“I’llavoidsittingstraight upinbed.”b.“I’llturnmylegslightlyinwardwhenIaminbedorinachair.”c.“I’llcrossmylegs whenIsitinthechair.”d.“I’llbendforwardtoputonmy shoesandsocks.”•The nurse is evaluating patient teaching while caring for a clientwho hasundergonetotalhipreplacement.Whichofthefollowingsignsandsymptomsmust thepatientreporttothephysicianpromptly?a.Needforpainmedicationevery4hoursb.Decreaseinpainbyelevationoflegon2pillowsc.Cool,pale,tinglytoesd.Keepingtheaffectedhipinextension•When the health care provider tells a patient that the pain in thepatient’s knee iscausedbybursitis,thepatientasksthenursetoexplainjustwhatexactlybursitisis. The nurse’s best response wouldbe to tell the patient bursitisis aninflammation of:a.thefibrocartilagethatactsasashockabsorberintheknee jointb.a small, fluid-filled sac found atmanyjointsc.anyconnectivetissue that isfoundsupporting thejointsofthebody
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 12 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESSd.the synovialmembrane thatlinesthearea betweentwobones•Followingamotor-vehicleaccident,apatientarrivesintheemergencydepartmentwithmassiverightlower-legswelling.Whichaction willthenursetakefirst?a.elevatethe legonpillowsb.applyacompressionbandagec.place ice packson thelower legd.checkleg pulsesandsensation•Indevelopinga careplanforapatientwithanopen reductionandinternalfixation(ORIF)ofanopen,displacedfractureofthetibia,theprioritynursingdiagnosisis:a.riskforconstipationrelatedtoprolongedbed restb.activityintolerancerelatedtodeconditioningc.riskforinfectionrelatedtodisruptionofskinintegrityd.riskforimpairedmuscleatrophyrelatedtoimmobility•Apatientwhotestedpositive forHIV3yearsagoisadmittedtothehospital withPneumocystisjirovecipneumonia(PCP).BasedondiagnosticcriteriaestablishedbytheCentersforDiseaseControlandPrevention(CDC),thepatientisdiagnosed as having:a.earlychronicinfection.b.HIVinfectionc.AIDSd.intermediatechronicinfection.•A patient who is diagnosed with AIDS and has developed Kaposi'ssarcoma tellsthe nurse, "I have lots of thoughts about dying. Do youthink I am just beingmorbid?"Whichresponse by thenurseis themostappropriate?
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 13 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESSa."Thinking aboutdyingwillnotimprovethe courseofAIDS."b."Althoughyoudiagnosisisserious,therearemoretreatmentsavailablenow."c."Trytofocusonthegoodthingsinlifebecausestressimpairstheimmunesystem."d."Tellmewhatkindofthoughtsyouhaveaboutdying."•Intervention such as promotion of nutrition, exercise, and stressreduction shouldbe promoted by the nurse for patients who have HIVinfection, primarily becausethese interventionwill:a.promoteafeelingofwell-beinginthe patient.b.preventtransmission of the virus toothers.c.improvethepatient'simmunefunction.d.increasethepatient'sstrengthandself-careability.•Anursehassustainedaneedlestickfromapatient.Abloodsamplehasbeendrawnonthesourceandsenttothelabforanalysis.Thehouse supervisorknowsthat the nurse has a clear understandingwhen he makes the following statement:a."Iwill haveto waitfor 2hourstoknowtheresultsof therapid HIVtest on thesourceblood."b."Iwillhavetotakepenicillinimmediatelyaftertheneedlestick."c."IwillwaitandgotoEmployee/OccupationalHealthtomorrowmorning."d."Ineednotdoanythingandwaitfor6monthsfortheresultsoftheHIVtestonthesourceblood."•TheoccupationalhealthnursewillteachthenursingstaffthatthehighestriskofacquiringHIVfor anHIV-infectedpatientis:a.apatientwhospitsinthenurse'sface.b.contamination of open skin lesions with vaginalsecretions.c.aneedlestickwith aneedleandsyringe
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 14 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESSusedtodrawblood...3d3003.333333333333333333333333333203..032300000000000000220..312000202300000000000020022100000000000000000000000+000000000000000000000000000000000022212320000000000000000splashingtheeyeswhenemptyingabedpancontainingstool.•Drug therapy is being considered for and HIV-infected patient whohas a CD4+cell count of 400. The nursing assessment that is mostimportantindeterminingwhethertherapywillbeusedisthepatient's:a.socialsupportsystemofferedbysignificantothersandfamily.b.socioeconomicstatusandavailabilityofmedicalinsurance.c.understandingofthemultiplesideeffectsthatthedrugsmaycause.d.willingnessandabilitytocomplywithstringentmedicationschedules.•WhileteachingcommunitygroupsaboutAIDS,thenurseinformspeoplethatthemost common method oftransmissionof the HIVviruscurrently is:a.perinataltransmissionofthefetus.b.sharingequipmenttoinjectillegaldrugs.c.bloodtransfusions.d.sexualcontactwithaninfectedpartner.
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 15 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESS•A 24-year old woman who uses IV illegal drugs asks the nurse aboutpreventingAIDS. The nurse informs the patient that the best way toreduce the riskof HIVinfection fromdrug useis:a.participateinaneedle-exchangeprogram.b.cleandruginjectionequipmentbeforeuse.c.askthosewhoshareequipmenttobetestedforHIV.d.avoidsexualintercoursewhenusingIVdrugs.•AtthehealthpromotionlevelofcareHIVinfection,whichquestionismostappropriate for thenursetoask?a."Areyouhavinganysymptoms suchassevereweightlossorconfusion?"b."Areyouexperiencinganysideeffectsfromtheantiretroviralmedication?"c."Do you need any assistance toobtain drugs ortreatments?"d."DoyouuseanyIVdrugsorhavemultiple sexualpartners?"•A patientwith HIV infectionhas developedMycobacterium aviumcomplexinfection with diarrhea. An appropriate outcome for thepatient is that the patientwill:a.befreefrominjury.b.maintainintactperinealskin.c.haveadequateoxygenation.d.receiveimmunizations.•WhendesigningaprogramtodecreasetheincidenceofHIVinfectioninthecommunity,the nursewillprioritizeeducationabout:a.howtopreventtransmissionbetweensexualpartners.b.methodstopreventperinatalHIVtransmission.c.waystosterilizeneedlesusedbyIVdrugusers.d.meanstopreventtransmissionthroughbloodtransfusions.
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 16 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESS•Whenassessingapatientforbreastcancerrisk,thenurseconsidersthatthepatient hasasignificantfamilyhistoryofbreast cancerifshehasa:a.cousin who was diagnosed with breast cancerat age 38b.motherwhowasdiagnosedwithbreastcancer atage 42c.sister whodiedfromovariancancerat age56d.grandmotherwhodied frombreastcancer atage 72•Select all that apply.A healthy 2 month old whose immunizations are up todate isattending the well child clinic for a check-up. The nurse anticipatesthat this infant mayreceive severalvaccinations including:a.HiB(Haemophilusinfluenzetypebconjugatevaccine)b.DTaP(Diptheriaandtetanustoxoidsandacellularpertussisvaccine)c.MMR(Measles,mumps,andrubellavaccine)d.Influenzavaccinee.IPV(Inactivatedpoliovaccine)•Strictisolationisrequiredforachildwhoishospitalizedwith:a.mumps.b.chickenpox.c.exanthemasubitum(roseola).d.erythemainfectiosum(fifthdisease).•Whichofthefollowingclinicalmanifestationsshouldthenurseexpectwhenachildwith sicklecellanemiaexperiencesanacute vaso-occlusivecrisis?a.Circulatorycollapseb.Cardiomegaly,systolicmurmursc.Hepatomegaly,intrahepaticcholestasisd.Painfulswellingofhandsandfeet;painfuljoints
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2023-2024 NUR109 Final Exam with Answers (150 Solved Questions) - Page 17 preview imageNUR 109 FINAL EXAMQUESTIONS AND ANSWERSLATEST UPDATE 2023/2024 BEST EXAM SOLUTIONTOP RATED A+ FOR SUCCESS•A school-age child is admitted in vaso-occlusivesickle cell crisis. Thechild’s careshouldincludewhichof thefollowing?a.Correctionofacidosisb.Adequatehydrationandpainmanagementc.Painmanagementandadministrationofheparind.AdequateoxygenationandreplacementoffactorVIII•Whichofthefollowingstatementsbestdescribesβ-thalassemiamajor(Cooleyanemia)?a.Allformedelementsofthebloodaredepressed.b.Inadequatenumbersofredbloodcellsare present.c.Increasedincidenceoccursinfamilies ofMediterraneanextraction.d.IncreasedincidenceoccursinpersonsofWestAfricandescent.•Inwhichofthefollowingconditionsare alltheformedelementsofthe bloodsimultaneously depressed?a.Aplasticanemiab.Sicklecellanemiac.Thalassemiamajord.Irondeficiencyanemia•Myelosuppression,associatedwithchemotherapeuticagentsorsomemalignanciessuchasleukemia,cancausebleeding tendencies becauseofwhat?
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