NURS 411 Foundations FINAL EXAM

Question 2

NURS 411 Foundations FINAL EXAM. What is sexuality?

• Sexual activity
• Gender identity
• Your opinion/word to understand our bodies and how we understand our relationships.
• Sexual orientation

Question 3

Which of the following IS NOT an expected age-related change in sensory abilities?

• A. enhanced taste buds.
• B. decreased visual acuity.
• C. increased sensitivity to glare.
• D. decreased hearing. NURS 411 Foundations FINAL EXAM

Question 4

Mr. M is a 50-year-old patient with renal failure who has come to the outpatient center where you are working for dialysis. He is complaining of being weak and having some muscle cramps. His ECG shows a flat T wave and a prominent U wave. What fluid and/or electrolyte imbalance does this information suggest?

• a. Hyperkalemia.
• b. Hyponatremia.
• c. Hypokalemia.
• d. Hypercalcemia.

Question 5

When planning nursing interventions for patients with sensory alterations, the nurse must first consider the patient’s…? NURS 411 Foundations FINAL EXAM

• A. Mobility.
• B. Communication.
• C. Independence.
• D. Safety.

Question 6

A nurse is teaching a client about risk factors for heart disease. Which of the following risk factors is modifiable? (Select all that apply)

• a. Diet
• b. Age
• c. Exercise
• d. Smoking
• e. Family history

Question 7

A nurse is caring for a patient with presbycusis. Which assessment finding indicates an adaptation to the sensory deficit?

• A. The patient avoids using a hearing aid.
• B. The patient isolates self from social situations with groups of people.
• C. The patient speaks in a very loud voice.
• D. The patient turns one ear toward the nurse during conversation.

Question 9

What is the primary goal of improving health literacy according to Healthy People 2020/2030?

• a. To reduce the cost of healthcare service
• b. To enable individuals to make informed health decisions and navigate the healthcare system.
• c. To increase the number of healthcare providers in underserved areas
• d. To eliminate health disparities based solely on ethnicity

Question 10

Which of the following clients would indicate a problem that should be reported?

• A. A client with non palpable cervical lymph nodes and a temperature of 98.7
• B. A client with a barrel chest and O2 sat of 97%
• C. A client with visible striae on the abdomen reporting 0/10 pain
• D. A client with distention of the jugular vein when the head of the bed is elevated to 45 degrees with a blood pressure of 160/92

Question 11

A nurse is explaining the services provided by hospice care to the family of the terminally ill patient. What should the nurse include in her explanation?

• Nurses cannot be the patient’s confidant.
• Nursing support will be provided to meet the patient’s daily needs, including administering medications.
• Nurses will have less time to spend with the patient.
• Patient can be admitted to a hospital under hospice for a maximum of 2 days.

Question 12

A nurse is reviewing a fall risk assessment for a client. Which of the following findings places the client at risk for a fall? Select all that apply.

• a. Electrical cord on floors
• b. Macular degeneration
• c. Grab bar in bathroom
• d. Throw rugs in kitchen

Question 13

A nurse assesses a client and notes complaints of a headache, nausea, and vomiting during a blood transfusion. Which one of the following actions should the nurse take immediately? NURS 411 Foundations FINAL EXAM

• a. Check the vital signs.
• b. Stop the blood transfusion.
• c. Slow down the rate of blood flow.
• d. Notify the health care provider and blood bank personnel.

Question 14

I loved teaching you this semester. Keep up the good work and stay in touch Dr S. 🙂 You get one point for choosing A.

• A. See you next year! Had fun teaching you and learning from you
• B. Enjoy your break
• C. Take a lot of naps
• D. Have fun

Question 15

Which blood gas result will the nurse expect to observe in a patient with respiratory alkalosis?

• a. pH 7.60, PaCO${2}$ 40 mm Hg, HCO${3}^{-}$ 30 mEq/L
• b. pH 7.53, PaCO${2}$ 30 mm Hg, HCO${3}^{-}$ 24 mEq/L
• c. pH 7.35, PaCO${2}$ 35 mm Hg, HCO${3}^{-}$ 26 mEq/L
• d. pH 7.25, PaCO${2}$ 48 mm Hg, HCO${3}^{-}$ 23 mEq/L

Question 16

Which area of nursing experiences the highest levels of stress in the work setting?

• A. Obstetric nurses
• B. New graduates
• C. Pediatric nurses
• D. Aging nurses

Question 17

How does bar-code scanning medication administration technology improve patient safety?

• a. By allowing nurses to review patient medical histories before administration
• b. By ensuring medications are administered to the correct patient at the correct time
• c. By reducing the number of medications prescribed by doctors
• d. By automatically adjusting medication dosages based on patient demographics

Question 18

A nurse is caring for a group of clients. Which of the following clients is eligible for hospice care? Select all that apply.

• a. A client who has end-stage kidney disease and has stopped dialysis.
• b. A client who has a new diagnosis of COPD and requires supplemental oxygen.
• c. A client who has terminal lung cancer and has discontinued all treatment.
• d. A client who has stage IV breast cancer and is expected to live 3 months.
• e. A client who has type 1 diabetes mellitus and is on an insulin pump.

Question 19

Choose the options that describe vulnerable populations. Select all that apply.

• a. Clients patients who identify as LGBTQIA+
• b. Clients, patients who are poor
• c. Clients who cant hear or speak
• d. Clients who are elderly and living with family

Question 20

A client tells the nurse, “I am an atheist. I do not believe in God.” What would be an appropriate response by the nurse?

• A. “Well, I believe in God and you should, too.”
• B. “What makes you think you are an atheist?”
• C. “I respect what you choose to believe in.”
• D. “How can you deny the existence of God?”

Question 21

The nurse is preparing to administer insulin glargine (Lantus) and regular insulin to a client. Which nursing action is correct?

• A. Draw up the regular insulin, then draw up the insulin glargine in a separate syringe.
• B. Draw up the insulin glargine, then the regular insulin in the same syringe.
• C. Draw up the regular insulin, then the insulin glargine in the same syringe.
• D. Mix both insulins in a single vial before drawing them up.

Question 22

Which of the following is considered a primary level of prevention? NURS 411 Foundations FINAL EXAM

• A. Physical therapy after a stroke.
• B. Screening for hypertension in a community clinic.
• C. Immunizations and health education.
• D. Cardiac rehabilitation after a myocardial infarction.

Question 23 (Bonus/Professor Note)

Patient documentation in the Electronic Health Record (EHR) must follow HIPAA and professional standards. Which is correct? NURS 411 Foundations FINAL EXAM

• a. It is acceptable to share your password with a colleague during an emergency.
• b. You may look up the medical record of a neighbor if you are curious about their health.
• c. Documentation can be altered after the fact if you forgot to mention an error.
• d. Patient documentation must be accurate, timely, and reflect only factual information relevant to the care provided.

Question 24

A nurse is teaching a patient about a low-sodium diet. Which of the following selections by the patient indicates a need for further teaching?

• a. Fresh steamed vegetables.
• b. Grilled chicken breast.
• c. Canned soup and deli meats.
• d. Brown rice and fruit.