NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM 200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN COLLEGE

NUR 2356 FINAL EXAM 2 LATEST VERSIONS

2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC

1 FINAL EXAM 200+QUESTIONS AND CORRECT

ANSWERS

VERSION A

1. The nurse is caring for a 65-year-old client and notes a temperature of 101F◦.

how does the nurse interpret this finding?

A. Hyperthermia

B. A cold environment

C. Normal

D. Hypothermia

2. What is true about antiretroviral drugs used to treat human immunodeficiency

virus (HIV)?

A. A few missed doses per month are ok

B. Only certain licensed drugs are effective

C. These drugs inhibit viral replication

D. These drugs kill the virus

3. What is not an expected assessment finding in a client with inflammation?

(Select all that apply)

A. Pain

B. Heat

C. Polyuria

D. Erythema

4. A client does not understand why vision loss due to glaucoma is irreversible.

What is the nurse’s best explanation?

A. Once retinal detachment occurs, it does not return to its normal state

B. Once the tissue has necrosed from high-pressure. It does not regenerate

C. Glaucoma always leads to permanent blindness

D. Once bacterial infection has caused damage, the tissue does not regenerate

5. The nurse is teaching a client with debilitating rheumatoid arthritis about home

safety. Which statement should the nurse include?

A. “My grandfather always had problems with his arthritis, and he would tell me that it

is better to be more stoic and not let pain interrupt your life”

B. “There are many adaptive devices such as grab bars, reacting tools, grasping devices

and adaptive silverware available that may help you.”

C. “Place throw rugs throughout your home. You will enjoy how pretty they are, and you

can use them to cover up power cords, so you do not trip on them.”

D. “Lack of home safety may be an issue of compliance. Are you being compliant with

your medication?”

6. A client is in the emergency room in critical condition and hypotensive. Her

spouse is distraught. What is the priority nursing action?

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A. Maintain the client’s blood pressure

B. Call a chaplain

C. Provide the spouse a chair

D. Ask the client’s spouse to explain what happened

7. What level of Maslow’s Hierarchy of needs does shelter belong to?

A. Love and belonging

B. Physiological

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C. Safety and security

D. Esteem

8. A nurse is teaching a client how to follow a low-purine diet as prescribed by the

provider for the management of gout. What statement by the client indicates a

correct understanding of the teaching?

A. “I should choose red meat instead of poultry.”

B. “I should avoid eating liver and other organ meats.”

C. “I can drink only white wine.”

D. “I will need to limit the number of fruit servings each day.”

9. The nurse is providing medication for a client with osteomyelitis. What teaching

should the nurse indicate in the education?

A. The most common adverse e effect for nonsteroidal anti-inflammatory drugs

(NSAIDS)are liver failure and tinnitus

B. The main side effect of acetaminophen is gastrointestinal GI bleeding

C. You should not take more than 4000 mg of acetaminophen a day

D. Nonsteroidal anti-inflammatory drugs (NSAIDS) are very safe and are known to have

no side effects

10. The nurse is caring for a client with rheumatoid arthritis one day after the

shoulder surgery. What would prompt the nurse to call the provider

immediately?

A. The client refused her pain medication this morning and is doing physical therapy

B. The client reports a minor headache and states she takes an over-the-counter pain pill

at home

C. The client reports intermittent flatus and minor abdominal discomfort.

D. The client has paresthesia in her fingers and intense increasing pain in her shoulder

11. A client with systemic lupus erythematous complains of flank pain. Which

laboratory test does the nurse anticipate will be ordered?

A. Platelets

B. Skin biopsy

C. Creatinine

D. Hemoglobin

12. The nurse is performing a psychosocial assessment on a client with a severe

rheumatoid arthritis. What would be the most appropriate statement by the

nurse?

A. “Tell me about what medication you are taking”

B. “What physical limitations are you experiencing?”

C. “How does this impact your role in your family?”

D. “What therapies are you using to reduce swelling?”

13. A post-operative client with a sutured abdominal incision felt a sharp

abdominal pain after having a bowel movement. Upon inspection, the nurse

notices bowel protruding from the incision site. What does the nurse tell the

physician about the event?

A. The client’s incision site has eviscerated

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B. The client’s incision site has lacerated

C. The client’s incisional site is approximated

D. The client’s incisional site has dehisced after.

14. Most adults with human immunodeficiency virus will exhibit which of the

following laboratory values?

A. Higher than normal number of CD4+ T-cells and CD8+ T-cells are normal

B. Lower than normal number of CD4+ T-cells and higher than normal CD8+ T-cells

C. Higher than normal number of CD4+ T-cells and CD8+ T-cells are low

D. Lower than normal number of CD4+ T-cells and CD8+ T-cells are normal

15. A nurse is teaching a client who has fibromyalgia about strategies that might

help reduce her symptoms. What should the nurse include in the client

education?

A. Avoid exercise during flare-ups

B. Do high impact exercises like running

C. Establish a regular sleep pattern

D. Increase calcium and caffeine intake

16. What is a sign of inadequate perfusion?

A. Intact sensation

B. Pallor in toes

C. Bounding pulses

D. Pink fingers

17. A nurse is caring for a client who has acute osteomyelitis. Which of the

following interventions is the nurse’s priority?

A. Administer antibiotics to the client

B. Increase the client’s protein intake

C. Teach relaxation breathing to reduce the client’s pain

D. Provide the client with anti-pyretic therapy

18. The client states, “Why am I getting protein supplements while I am healing

from a bed sore?” What is the best response by the nurse?

A. ‘Because it is easy to digest.’

B. ‘Protein has amin acid that promotes wound healing.’

C. ‘If you do not like it, you do not have to take it.’

D. ‘These supplements have nothing to do with your wound,’

19. A client has a new diagnosis of human immunodeficiency virus HIV. The client

is distraught and does not know what to do. What intervention by the nurse is

the best?

A. Offer to tell the family for the client

B. Call the hospital clergy to speak with the client

C. Assess the client’s support system

D. Explain the legal requirements to tell sex partners

20. The nurse is providing education to a client regarding the administration of eye

drops. Which of the following actions indicates the need for further client

education?