NR 226 FINAL EXAM NEWEST ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAD NEW!!

1 | P a g e NR 226 FINAL EXAM NEWEST 2024-2025 ACTUAL EXAM COMPLETE 180 QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAD NEW!! A nurse is caring for a client who has a terminal illness. Death is expected within 24hr. The client's family is at the bedside and asks the nurse about anticipated findings at this time. Which of the following findings should the nurse include in the discussion? A. Regular breathing patterns B. Warm extremities C. Increased urine output D. Decreased muscle tone - ANSWER- D. Decreased muscle tone A nurse is assisting a newly licensed nurse with postmortem care of a client. The family wishes to view the body. Which of the following findings should the nurse include in this discussion? (Select all that apply): A. "I will remove the dentures from the body." B. "I will make sure the body is lying completely flat." C. "I will apply fresh linens and place a clean gown on the body." 2 | P a g e D. "I will remove all equipment from the bedside." E. "I will dim the lights in the room - ANSWER- C. "I will apply fresh linens and place a clean gown on the body." D. "I will remove all equipment from the bedside." E. "I will dim the lights in the room A nurse is performing an admission assessment on a client who has hypovolemia due to vomiting and diarrhea. The nurse should expect which of the following findings? (Select all that apply): A. Distended neck veins B. Hyperthermia C. Tachycardia D. Syncope E. Decreased skin turgor - ANSWER- C. Tachycardia D. Syncope E. Decreased skin turgor A nurse on a medical-surgical unit is caring for a group of clients. The nurse should identify that which of the following clients is at risk for hypovolemia? A. A client who has nasogastric suctioning B. A client who has chronic constipation C. A client who has syndrome of inappropriate antidiuretic hormone 3 | P a g e D. A client who took an overdose of sodium bicarbonate antacids - ANSWER- A. A client who has nasogastric suctioning A nurse is reviewing the laboratory test results for a client who has an elevated temperature. The nurse should recognize which of the following findings is a manifestation of dehydration? (Select all that apply): A. Hematocrit 55% B. Serum osmolarity 260 mOsm/kg C. Serum sodium 150 mEq/L D. Urine specific gravity 1.035 E. Serum creatinine 0.6 mg/dL - ANSWER- A. Hematocrit 55% C. Serum sodium 150 mEq/L D. Urine specific gravity 1.035 A nurse on a medical-surgical unit is caring for a group of clients. For which of the following clients should the nurse anticipate a prescription for fluid restriction? A. A client who has a new diagnosis of adrenal insufficiency B. A client who has heart failure C. A client who is receiving treatment for diabetic ketoacidosis D. A client who has abdominal ascites - ANSWER- B. A client who has heart failure 4 | P a g e A nurse is planning care for a client who has dehydration. Which of the following actions should the nurse include? A. Administer antihypertensive on schedule B. Check the client's weight each morning C. Notify the provider of a urine output greater than 30 mL/hr D. Encourage independent ambulation four times a day - ANSWER- B. Check the client's weight each morning A nurse is planning care for a client who has hypernatremia. Which of the following actions should the nurse anticipate including in the plan of care? A. Infuse hypotonic IV fluids B. Implement a fluid restriction C. Increase sodium intake D. Administer sodium polystyrene - ANSWER- A. Infuse hypotonic IV fluids A nurse is reviewing the medical record of a client who has hypocalcemia. The nurse should identify which of the following findings as risk factors for the development of this electrolyte imbalance? A. Crohn's disease