Download NURS 440 TEST 2025-2026| QUESTIONS AND CORRECT ANSWERS WITH RATIONALES|100% PASS and more Exams Nursing in PDF only on Docsity!
NURS 440 TEST 2025-2026| QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES|100% PASS
The nurse is caring for a male client with a history of chronic angina. The client states that after breakfast he usually takes a shower and shaves. It is at this time, the client says, that he tends to experience chest pain. What should the nurse counsel the client to do to decrease the likelihood of angina in the morning? A. Shower in the evening and shave before breakfast. B. Skip breakfast and eat an early lunch. C. Take a nitroglycerin tab prior to breakfast. D. Shower once a week and shave prior to breakfast. A. Shower in the evening and shave before breakfast. A nurse is assisting a client who had a recent stroke with getting dressed for physical therapy. The client looks at each piece of clothing before putting it on the body. The client states, "This is how I know what item I am holding." What impairment is this client likely experiencing? A. Homonymous hemianopsia B. Receptive aphasia
C. Agnosia D. Hemiplegia C. Agnosia Rationale: Agnosia is the loss of the ability to recognize objects through a particular sensory system; it may be visual, auditory, or tactile. A nurse is caring for a client who is unable to dress or bathe independently and uses a wheelchair for mobility. According to U.S. definitions, how should the nurse document this client’s disability status? A. Mild disability B. Activity limitation C. Severe disability D. Functional independence C. Severe disability
C. An interaction between health conditions and environmental/personal factors. A client with a left hemispheric stroke is having difficulty with their normal speech patterns. The nurse is not sure whether the client has expressive aphasia or apraxia. Which statement would most likely be reflective of apraxia? A. The nurse gives direction to get out of bed but the client does not understand. B. The client points and gestures to an object needed on the overhead table.C. The client starts by saying "good morning" but finishes with saying "good day" to the nurse. D. The client sits up and turns to one side to see the object and states what is needed. C. The client starts by saying "good morning" but finishes with saying "good day" to the nurse. Rationale: Apraxia is an inability to perform a previously learned action as may be seen when a client makes verbal substitutions for desired syllables or words. The client
changed "good morning" to "good day," which is suggestive of this condition. Which of the following best defines "impairment" according to the WHO International Classification of Functioning, Disability and Health (ICF)? A. A social restriction imposed by inaccessible environments B. An inability to work due to a medical condition C. A loss or abnormality of body structure or physiological function D. An inability to participate in community activities C. A loss or abnormality of body structure or physiological function Rationale: The term "impairment" refers specifically to body-level limitations, including physiological or mental functions.
C. Accessible facilities and equipment The nurse is teaching a client with MS about fatigue management. Which instruction is most appropriate? A. Perform all tasks in the evening B. Use hot baths to relax muscles C. Take frequent rest periods throughout the day D. Avoid any physical activity C. Take frequent rest periods throughout the day A client diagnosed with transient ischemic attacks (TIAs) is scheduled for a carotid endarterectomy. The nurse explains that this procedure will be done for which purpose? A. To decrease cerebral edema B. To prevent seizure activity that is common following a TIA C. To remove atherosclerotic plaques blocking cerebral flow D. To determine the cause of the TIA C. To remove atherosclerotic plaques blocking cerebral flow Rationale: The main surgical procedure for select clients with TIAs is carotid endarterectomy, the removal of an atherosclerotic
plaque or thrombus from the carotid artery to prevent stroke in clients with occlusive disease of the extracranial arteries. The nurse is caring for a 25-year-old client who has Down syndrome and who has just been diagnosed with type 2 diabetes. What consideration should the nurse prioritize when planning this client's nursing care? A. How the new diagnosis affects health attitudes B. How diabetes affects the course of Down syndrome C. How the chromosomal disorder affects the client's glucose metabolism D. How the developmental disability influences the client's health management D. How the developmental disability influences the client's health management Rationale: It is important to consider the interaction between existing disabilities and new diagnoses. Cognitive and motor deficits would greatly affect diabetes management. Diabetes would not likely affect the client's attitude or the course of the Down syndrome. Chromosomal disorders such as Down syndrome do not affect glucose metabolism.
C. The same information you would provide to a client without a chronic condition D. Information on effective management of MS in the home setting C. The same information you would provide to a client without a chronic condition Rationale: In general, clients with disabilities are in need of the same information as other clients. Infection may exacerbate MS; so a specific discussion about these signs and symptoms is appropriate. A new client has been admitted with a diagnosis of stage IV breast cancer. The client has a comorbidity of myasthenia gravis. During the initial assessment, the client states that they felt the lump in the breast about 9 months ago. The nurse asks the client why they did not see the health care provider when first finding the lump in breast. What would be a factor that is known to influence the client in seeking health care services? A. Lack of insight due to the success of self-managing a chronic conditionB. Lack of knowledge about treatment options C. Overly sensitive client reactions to health care services D. Unfavorable interactions with health care providers D. Unfavorable interactions with health care providers
Rationale: Because of unfavorable interactions with health care providers, including negative attitudes, insensitivity, and lack of knowledge, people with disabilities may avoid seeking medical intervention A patient with MS reports worsening symptoms after sun exposure. The nurse explains this may be due to: A. High humidity B. UV radiation C. Heat sensitivity D. Vitamin D toxicity C. Heat sensitivity A client reports being denied a job due to a visible physical deformity, although they are fully capable of performing the job duties. Under the Americans with Disabilities Act (ADA), how should this client be classified?A. As someone with no disability B. As someone regarded as having a disability C. As someone with a minor impairment
B. Periods of symptom exacerbation followed by recovery C. Symptoms remain stable for years D. Rapid recovery without any treatment B. Periods of symptom exacerbation followed by recovery A client tells the nurse that the doctor just told the client that a new diagnosis of rheumatoid arthritis is considered to be a "chronic condition." The client asks the nurse what "chronic condition" means. What would be the nurse's best response? A. "It is a health problem that require managements of several months or longer." B. "Chronic conditions are disabilities that require medical treatments that limit activity." C. "Medical conditions are chronic when they culminate in disabilities that require hospitalization."D. "Chronic conditions are conditions that require short-term management in extended-care facilities." A. "It is a health problem that require managements of several months or longer." We have an expert-written solution to this problem!
A client with an ischemic stroke has been brought to the emergency room. The health care provider institutes measures to restore cerebral blood flow. What area of the brain would most likely benefit from this immediate intervention? A. Cerebral cortex B. Temporal lobe C. Central sulcus D. Penumbra region D. Penumbra region Rationale: In an ischemic stroke, there is disruption of the cerebral blood flow due to obstruction of a blood vessel. This disruption in blood flow initiates a complex series of cellular metabolic events referred to as the ischemic cascade. Early in the cascade, an area of low cerebral blood flow, referred to as the penumbra region, exists around the area of infarction. The penumbra region is ischemic brain tissue that may be salvaged with timely intervention. A client with MS presents with diplopia. Which nursing intervention is most helpful? A. Encourage reading for long periods B. Suggest use of an eye patch
Rationale: The central goal of rehabilitation nursing is to help patients become as independent as possible by supporting self-sufficiency and encouraging them to do more for themselves. A client recovering from a stroke has severe shoulder pain from subluxation of the shoulder. To prevent further injury and pain, the nurse caring for this client is aware of what principle of care? A. The client should be fitted with a cast because use of a sling should be avoided due to adduction of the affected shoulder. B. Elevation of the arm and hand can lead to further complications associated with edema. C. Passively exercising the affected extremity is avoided in order to minimize pain. D. The client should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder. D. The client should be taught to interlace fingers, place palms together, and slowly bring scapulae forward to avoid excessive force to shoulder. The nurse understands that demyelination in MS results in:
A. Overstimulation of nerve impulses B. Improved reflexes C. Slowed or blocked nerve transmission D. Muscle hypertrophy C. Slowed or blocked nerve transmission The client has been diagnosed with aphasia after suffering a stroke. What can the nurse do to best make the client's atmosphere more conducive to communication? A. Provide a board of commonly used needs and phrases. B. Have the client speak to loved ones on the phone daily. C. Help the client complete his or her sentences as needed. D. Speak in a loud and deliberate voice to the client. A. Provide a board of commonly used needs and phrases. We have an expert-written solution to this problem! A 37-year-old client with multiple sclerosis is married and has three children. The nurse has worked extensively with the client and family to plan appropriate care. What is the nurse's most important role with this client? A. Ensure the client adheres to all treatments.
C. Arrange for the client to be reassessed by a social worker. D. Encourage the client to focus on the positive aspects of life. A. Reassess the client's psychosocial status and make the necessary referrals. The nurse is assessing a client with a suspected stroke. What assessment finding is most suggestive of a stroke? A. Facial droop B. Dysrhythmias C. Periorbital edema D. Projectile vomiting A. Facial droop A patient with primary progressive MS is most likely to experience: A. Frequent relapses and remissions B. Gradual worsening of symptoms without remission C. Sudden symptom resolution D. Improvement with corticosteroid therapy B. Gradual worsening of symptoms without remission
A nurse advocates for a client who is unable to access a building due to the lack of a ramp. This advocacy reflects which concept of disability from the WHO classification? A. Impairment B. Participation restriction C. Activity limitation D. Handicap B. Participation restriction Rationale: The inability to access buildings due to environmental barriers represents a restriction in societal participation, per WHO’s terminology.
