Download NSG 211 Final Questions With Complete Solutions and more Exams Nursing in PDF only on Docsity!
NSG 211 Final Questions With
Complete Solutions
Donepezil has been ordered for client w/ alzheimer. Client has been taking 0.1 mg per day for past 4w and is now taking 0.2mg/dose. Tablets are 5mg. Client's current weight is 111lb. How many tablets should client be give each night? Calculate to half or whole. correct answer: 2 tablets 120lb suicidal client has taken overdoes of acetaminophen. After a loading does, Dr orders maintenance of acetylcysteine 50/mg/kg in 500 mL of 5% dextrose given IV over 4h. Set pump at what rate? I think it says 4, very blurry. correct answer: 125 nL/hr ** got wrong Which of the following would be most appropriate expected outcome to use care plan for suicidal client admitted to psychiatric unit? a) client will adhere to care plan b) client will remain free from self-inflicted injury while hospitalized c) client remain oriented while hospitalized d) client will resume normal activity patterns correct answer: b) client will remain free from self-inflicted injury while hospitalized
Home health Rn has completed assessment on client w/ dementia as well as w/ caregivers. Which nursing diagnosis would take priority in care plan? a) impaired swallowing b) impaired physical mobility c) caregiver role strain d) self-care deficit correct answer: a) impaired swallowing In electronic medical record, it is noted that postpartum client states she cannot bond w/ her baby bc if she does, her other children will die. Based on this data, what does the Rn recognize client as experiencing? a) postpartum blues b) postpartum adjustment disorder c) postpartum depression d) postpartum psychosis correct answer: d) postpartum psychosis Rn caring for client w/ autism spectrum disorder ASD. He indicates the struggle w/ finding and maintaining employment. Which action by the Rn best addresses client's needs? a) encourage client to seek opportunities that do not require communication w/ others ... (blurry) b) give client information about state subsidies that will help c) ask client what his strengths are and identify jobs based on those strengths
Client in manic phase of bipolar disorder is prescribed lithium and has a current lithium blood level of 0.4 mEq/L. Which of the following findings predict seeing when assessing client? SAA a) client exhibits grandiose delusions b) client sleeps seven hours each night c) client demonstrates lability of mood and affect d) client demonstrates flight of ideas and pressured speech e) client exhibits psychomotor retardation correct answer: a) client exhibits grandiose delusions c) client demonstrates lability of mood and affect d) client demonstrates flight of ideas and pressured speech In rounds, Rn participates in discussion about prescribing a depressed client an antidepressant that inhibits the reuptake of both norepinephrine and serotonin. Rn identifies which Rx to be ordered? a) citalopram b) buspirone c) lorazepam d) venlafaxine correct answer: d) venlafaxine Which clinical manifestation of ADHD is more commonly observed in school-aged boys than in school-aged girls? a) language problems b) impulsiveness c) social withdrawal d) anxiety correct answer: b) impulsiveness
Client is experiencing symptoms of depression. Which lab or diagnostic tests would most likely be ordered to determine if depression is being caused by another issue? a) arterial blood gas b) lipid panel c) ECG d) drugs of abuse screen correct answer: d) drugs of abuse screen ** got wrong p video stayed on this one a long time, no audio but you must've been arguing or discussing Rn is assessing a 14yo client diagnosed w/ persistent depressive disorder (dysthymic disorder). Which does Rn understand is characteristic of ppd for this age group? a) diagnosis cannot be made in childhood b) boys are 3x as likely to be affected than girls c) there can be symptom free periods up to 6 months d) chronic depressive symptoms last greater than 1 year correct answer: d) chronic depressive symptoms last greater than 1 year Client w/ dementia (alzheimer's) says to the Rn "I have a date tonight for the Valentine's dance. What is Rn's best response? a) "I think it is time for your medication. I will be right back." b) "Today is Jan 14, but I would like to hear about some of the dances you have been to."
b) take child on tour of ped unit c) orient child to a four bed unit d) take child to playroom for arts and crafts correct answer: a) quietly orient child to a single-bed hospital room When asked by instructor to identify collaboration interventions to help prevent postpartum depression in women, which statement by student indicates a need for more instruction? a) "It would be helpful to work w/ a dietician to develop a healthy b) "It would be helpful to have a pharmacist instruct to avoid all SSR meds." c) "It would be helpful to have chaplain visit w/ client to see their spiritual needs are being met." d) "It would be helpful to work w/ a social worker to help our low income clients find resources that can support them." correct answer: b) "It would be helpful to have a pharmacist instruct to avoid all SSR meds." Which statement is most accurate re: implications of autism spectrum disorder ASD for various aspects of individual's life? a) family life shows profound impacts as many ASD individuals require frequent hospitalizations b) social relationships and social behaviors are significantly affected by ASD c) careers are most severely affected as ASD affects communication d) recreation is an especially problematic area bc individuals w/ ASD lack leisure interests correct answer: b) social
relationships and social behaviors are significantly affected by ASD Client is prescribed amitriptyline for depression. This Rx is most useful for letting client issues w/ which concepts? a) mood and thermoregulation b) mood and perfusion c) mood and comfort d) mood and immunity correct answer: c) mood and comfort Client tells Rn about rarely going outdoors in winter bc of lack of energy or desire. These symptoms best illustrate characteristics of which of the following disorders? a) persistent depressive disorder b) seasonal affective disorder c) major depression d) adjustment disorder w/ depressed mood correct answer: b) seasonal affective disorder Rn calls Dr as his client is exhibiting confusion, diaphoresis, high BP, hyperpyrexia, muscle twitching and rigidity. Rn is concerned client is showing signs of serotonin syndrome and correlates which Rx as potentially causing these symptoms? a) lithium b) aripiprazole c) lorazepam d) citalopram correct answer: d) citalopram ** got wrong
d) "Earlier I told you the names of 3 things. Can you tell me what those were?" correct answer: c) "Please count backward from 100 by sevens." Nursing student is studying delirium. Which statement by student indicates that learning has occurred? a) "The symptoms of delirium develop over ___ period of time." b) "Delirium is a disturbance of consciousness." c) "____(blurry) ... but not hyperactivity." d) "Delirium can include impaired thought but not impaired memory." correct answer: b) "Delirium is a disturbance of consciousness." Which of the following, if assessed in a client, will healthcare provider identify as a risk factor for the development of delirium? a) IV fluid administration b) sleep deprivation c) decreased social interactions d) blood glucose of 125 mg/dL correct answer: b) sleep deprivation Home health Rn is going to visit the following clients today. Which client should be seen first? a) 6yo male who is having difficulty in school w/ echobla, repetitive movements and disruptive behavior in school
b) 17yo male w/ autism spectrum disorder, who likes to spend the night in his treehouse, mother is concerned outside temp was 45F last night c) family of 3yo, who does not speak, attempts to bang his head on table during meals and has an aversion to touch d) 28yo male w/ autism spectrum disorder, who reports hearing voices that are telling him to hurt himself correct answer: d) 28yo male w/ autism spectrum disorder, who reports hearing voices that are telling him to hurt himself While assessing cognitive status of a school age child, Rn notes that child was unable to perform basic math problems and unable to name several former US presidents. Prior to considering the possibility that this client has cognitive issues, which factor should be reviewed? a) child's living arrangements w/ separated parents b) child's age and developmental status c) child's interest in these topics d) how child spends leisure time , hobbies correct answer: b) child's age and developmental status 6 months ago, Rn started working in hospital on covid unit. She does not have a nearby support system and works long, stressful shifts. For last 5 months, she has been frequently tearful and her alcohol consumption has increased. The intake Rn suspects client has which? a) persistent depressive disorder b) seasonal affective disorder c) adjustment disorder w/ depressed mood
which of the following is the priority nursing diagnosis for client? a) knowledge deficit re: discharge planning b) risk for post-trauma syndrome c) impaired verbal communication d) risk for self-directed violence correct answer: d) risk for self- directed violence Transgender adolescent has a history of 3 previous suicide attempts after being bullied in their community. The last attempt was 1 month ago, and client is now presenting in crisis clinic w/ depressed mood. Which nursing problem would take priority? a) social isolation R/T bullying from peers ... school b) risk for suicide R/T history of previous attempts c) hopelessness R/T unsupportive school environment d) ineffective coping R/T major depressive disorder correct answer: b) risk for suicide R/T history of previous attempts Child w/ autism spectrum disorder does not make eye contact, does not communicate and repeatedly bangs his head on wall when at school. Which nursing diagnosis would be a priority for school Rn to include in care plan? a) impaired verbal communication b) impaired social interaction c) risk for injury d) delayed child development correct answer: c) risk for injury
Older adult client comes into clinic for pneumonia vaccine. During client interview, client reports rarely having difficulty remembering words, and denies any other concerns. Client is alert and oriented to time, person, place, and can recall basic personal information. Rn notes hygiene and dress are appropriate. How should Rn best describe client's cognitive changes? a) early symptoms of dementia b) indicators of delirium in elderly c) normal signs of aging c) memory impairment that may lead to alzheimer disease correct answer: c) normal signs of aging Rn caring for young school-age child who was recently diagnosed w/ ADHD. Which statement/s by child's mother indicate teaching was successful? SAA a) "I will give my child ADHD Rx w/ lunch and dinner." b) "I will stick to same routine each day after school." c) "I will allow physical activity before my child sits down to do homework." d) "I will take my child to Dr every 3 months for a weight and height check." e) "I will let my child do homework while the tv is on." correct answer: b) "I will stick to same routine each day after school." c) "I will allow physical activity before my child sits down to do homework." d) "I will take my child to Dr every 3 months for a weight and height check."
a) client has experienced a manic episode b) client has had bouts of depression c) client has had an increase in goal directed activity d) client has had decreased sleep correct answer: a) client has experienced a manic episode Rn is interviewing mother of a child who is being evaluated for ADHD disorder. When assessing child's health history, which should Rn identify as a risk factor for ADHD? a) immune response of child b) exposure to high levels of lead c) young parental age at conception d) measles, mumps, and rubella MMR vaccine correct answer: b) exposure to high levels of lead When discussing electroconvulsive therapy ECT w/ client, which statement by client demonstrates teaching about treatment procedure has been effective? a) "I may have a headache and nausea after the treatment." b) "I can expect long-term but no short-term memory loss." c) "I can leave my dentures in during the treatment." d) "I will have a catheter inserted prior to the treatment." correct answer: a) "I may have a headache and nausea after the treatment." Treatment team has decided to switch client from lithium to another mood stabilizer after she became toxic and required dialysis. Team has decided to replace lithium w/ an anticonvulsant. Which does Rn predict will be ordered?
a) amitriptyline b) vermapamil c) olanzapine d) valproic acid correct answer: d) valproic acid Client is admitted to medical-surgical unit w/ probable diagnosis of delirium. Which statement by daughter best supports this diagnosis? a) "Dad just didn't seem to know what he was doing. He would forget what he had for breakfast.: b) "I guess I have to get used to this, he is getting older and I know this is part of the aging process." c) "The changes in his behavior came on so quickly, and they seem to get better and worse throughout the day." d) "He has lived alone for many years, but he is getting more forgetful each time I see him." correct answer: c) "The changes in his behavior came on so quickly, and they seem to get better and worse throughout the day." When teaching the spouse of a client w/ alzheimer's about maintaining client dignity while performing ADLs, the Rn should include which? a) allow client time to do tasks that they can do independently b) perform activities of daily living each day for client c) avoid direct contact while giving ADL instructions d) offer client lorazepam (ativan) prior to performing tasks correct answer: a) allow client time to do tasks that they can do independently
Which of the following interventions utilized w/ alzheimer's client reflects validation therapy? a) consistently remind client about family/friend who have died b) keep client on topic and avoid redirection c) support client and respect what is real to them at the time d) tell client what is "real" and don't accept anything else correct answer: c) support client and respect what is real to them at the time Which of the following clients is showing signs of lithium toxicity? a) client w/ serum creatine of 1.8 mg/dL b) client w/ a hematocrit of 38.3-48.6 percent c) client w/ an HbA1C of less than 5.7% d) client w/ serum sodium of 145 mEq/L correct answer: a) client w/ serum creatine of 1.8 mg/dL **got wrong stayed on this one a long time 165lb client is being switched from oral haloperidol to haloperidol decanoate. First dose is 50mg haloperidol decanoate IM now. Vial provided has haloperidol decanoate 100mg per ml. How much of solution will Rn draw up to deliver proper dose? correct answer: 0.5 mL mL/dose = 1mL/100mg x 50mg/dose =50/100 = 0.5 mL/dose **got wrong label only
pediatric client w/ GBS is being treated w/ IV immunoglobulin IVIG. Daily dose of this Rx is 0.4g/kg per body weight is ordered 5 consecutive days. Client weighs 95lb. How much IVIG should client receive in each dose? Round to nearest whole number. correct answer: 17 g/dose **got wrong nearest whole number Which classification of Rx will Rn include when educating client about collaborative treatments for somatic neuropathies? a) antispasmodic Rx b) antiseizure Rx c) antihypertensive Rx d) antipsychotic Rx correct answer: b) antiseizure Rx ** got wrong Schizophrenic client taking risperidone presents w/ high fever, confusion and muscular rigidity. Rn recognizes these symptoms most likely indicate which? a) neuroleptic malignant syndrome b) tardive dyskinesia c) serotonin syndrome d) akathisia correct answer: a) neuroleptic malignant syndrome When admitting a client, Rn performs Weber and Rinne tests and assesses for vertigo, the Rn is checking integrity of which cranial nerve? a) VIII. vestibulocochlear
