NUR 257 EXAM 1,2 AND 3 BUNDLE NEWEST ACTUAL EXAM COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
1 | P a g e
NUR 257 EXAM 3 FINAL EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE 170 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The neurologic ICU nurse is admitting a patient following a craniotomy
using the supratentorial approach. How should the nurse best position
the patient?
A) Position the patient supine.
B) Maintain head of bed (HOB) elevated at 30 to 45 degrees.
C) Position patient in prone position.
D) Maintain bed in Trendelenberg position. – ANSWER- B
A clinic nurse is caring for a patient diagnosed with migraine headaches.
During the patient teaching session, the patient questions the nurse
regarding alcohol consumption. What would the nurse be correct in
telling the patient about the effects of alcohol?
A) Alcohol causes hormone fluctuations.
B) Alcohol causes vasodilation of the blood vessels.
C) Alcohol has an excitatory effect on the CNS.
D) Alcohol diminishes endorphins in the brain. – ANSWER- B
2 | P a g e
A patient has developed diabetes insipidus after having increased ICP
following head trauma. What nursing assessment best addresses this
complication?
A) Vigilant monitoring of fluid balance
B) Continuous BP monitoring
C) Serial arterial blood gases (ABGs)
D) Monitoring of the patient’s airway for patency – ANSWER- A
What should the nurse suspect when hourly assessment of urine output
on a patient postcraniotomy exhibits a urine output from a catheter of
1,500 mL for two consecutive hours?
A) Cushing syndrome
B) Syndrome of inappropriate antidiuretic hormone (SIADH)
C) Adrenal crisis
D) Diabetes insipidus – ANSWER- D
During the examination of an unconscious patient, the nurse observes
that the patient’s pupils are fixed and dilated. What is the most plausible
clinical significance of the nurse’s finding?
A) It suggests onset of metabolic problems.
B) It indicates paralysis on the right side of the body.
3 | P a g e
C) It indicates paralysis of cranial nerve X.
D) It indicates an injury at the midbrain level. – ANSWER- D
Following a traumatic brain injury, a patient has been in a coma for
several days. Which of the following statements is true of this patient’s
current LOC?
A) The patient occasionally makes incomprehensible sounds.
B) The patient’s current LOC will likely become a permanent state.
C) The patient may occasionally make nonpurposeful movements.
D) The patient is incapable of spontaneous respirations – ANSWER- C
The nurse is caring for a patient with permanent neurologic impairments
resulting from a traumatic head injury. When working with this patient
and family, what mutual goal should be prioritized?
A) Achieve as high a level of function as possible.
B) Enhance the quantity of the patient’s life.
C) Teach the family proper care of the patient.
D) Provide community assistance. – ANSWER- A
The nurse is providing care for a patient who is withdrawing from heavy
alcohol use. The nurse and other members of the care team are present at
the bedside when the patient has a seizure. In preparation for
4 | P a g e
documenting this clinical event, the nurse should note which of the
following?
A) The ability of the patient to follow instructions during the seizure.
B) The success or failure of the care team to physically restrain the
patient.
C) The patient’s ability to explain his seizure during the postictal period.
D) The patient’s activities immediately prior to the seizure. – ANSWERD
The nurse is caring for a patient whose recent health history includes an
altered LOC. What should be the nurse’s first action when assessing this
patient?
A) Assessing the patient’s verbal response
B) Assessing the patient’s ability to follow complex commands
C) Assessing the patient’s judgment
D) Assessing the patient’s response to pain – ANSWER- A
The nurse caring for a patient in a persistent vegetative state is regularly
assessing for potential complications. Complications of neurologic
dysfunction for which the nurse should assess include which of the
following? Select all that apply.
A) Contractures
get pdf at https://learnexams.com/search/study?query=
1 | P a g e
NUR 257 EXAM 2 NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 170 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A total artificial heart (TAH) is an electrically powered pump that
circulates blood into the pulmonary artery and the aorta, thus replacing
the functions of both the right and left ventricles. What makes it
different from an LVAD?
It is specifically designed for long-term use.
It is designed for extremely active patients.
An LVAD only supports a failing left ventricle.
It never needs batteries. – ANSWER- An LVAD only supports a failing
left ventricle.
A client comes into the emergency department reporting about chest
pain that gets worse when taking deep breaths and lying down. After
ruling out a myocardial infarction, a nurse would assess for which
diagnosis?
Cardiomyopathy
Mitral valve stenosis
Pericarditis
Rheumatic fever – ANSWER- Pericarditis
2 | P a g e
The school nurse is providing care to a child with a sore throat. With any
sign of throat infection, the nurse stresses which of the following?
Administering antiseptic lozenges
Warm, salt water gargling
Fluid increase to 2500cc
Obtaining a throat culture – ANSWER- Obtaining a throat culture
A nurse is admitting a client with hypertrophic cardiomyopathy (HCM).
What medication order will the nurse question?
spironolactone
metoprolol
isosorbide dinitrate
enalapril – ANSWER- isosorbide dinitrate
The instructor is talking with a nursing student who is caring for a client
with pericarditis. The instructor asks the student to name the main
characteristic of pericarditis. What should be the student’s answer?
Respiratory symptoms
Dyspnea
Fever
Precordial pain – ANSWER- Precordial pain
The nurse is caring for a patient diagnosed with pericarditis. What
serious complication should this patient be monitored for?
3 | P a g e
Hypertension
Left ventricular hypertrophy
Cardiac tamponade
Decreased venous pressure – ANSWER- Cardiac tamponade
The nurse is preparing to administer warfarin to a client with a
mechanical valve replacement. The client’s international normalized
ratio is 2.7. What action will the nurse take?
Prepare to administer vitamin K.
Administer the medication as ordered.
Hold the medication and notify the HCP.
Asses the client for abnormal bleeding. – ANSWER- Administer the
medication as ordered.
A nurse is caring for a client with acute mitral regurgitation related to an
acute myocardial infarction. The nurse knows to monitor the client
carefully for symptoms of which initial complication or result?
Cerebral vascular accident (CVA)
Infarcted bowel
Kidney failure
Severe heart failure – ANSWER- Severe heart failure
A client who suffered blunt chest trauma in a motor vehicle accident
reports chest pain during deep inspiration. On auscultation, the nurse
detects a pericardial friction rub — a classic sign of acute pericarditis.
4 | P a g e
To relieve this chest pain, which position should the nurse encourage the
client to assume?
Prone
Supine
Semi-Fowler’s
Leaning forward while sitting – ANSWER- Leaning forward while
sitting
Which nursing intervention should a nurse perform to reduce cardiac
workload in a client diagnosed with myocarditis?
Administer supplemental oxygen.
Administer a prescribed antipyretic.
Elevate the client’s head.
Maintain the client on bed rest. – ANSWER- Maintain the client on bed
rest.
Which type of graft is used when a heart valve replacement is made of
tissue from an animal heart valve?
Autograft
Allograft
Heterograft
Homograft – ANSWER- Heterograft
A nurse is assessing a client with aortic stenosis. What type of murmur
will the nurse expect to hear?
get pdf at https://learnexams.com/search/study?query=
1 | P a g e
NUR 257 EXAM 1 NEWEST 2024-2025 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A client with paroxysmal hemoglobinuria, a deficiency of complement
proteins, reports headache and weakness of the right arm and leg. Based
on these symptoms, for which health complication should the nurse
assess?
Edema in subcutaneous tissues of the extremities
Bacterial meningitis
Rheumatoid arthritis
Cerebral venous thrombosis – ANSWER- Cerebral venous thrombosis
A nurse is teaching a client with immunodeficiency about the signs and
symptoms of infection to report. The nurse determines that the teaching
was successful when the client makes which statement?
“Any change, however subtle, might mean that I have an infection.”
“A dry cough is just irritation, but one with mucous means an infection.”
“I might notice a swollen lymph node or two, but this is normal.”
“A fever over 101 degrees is the most common sign of infection.” –
ANSWER- “Any change, however subtle, might mean that I have an
infection.”
2 | P a g e
A nurse is developing a teaching plan for a client with an
immunodeficiency. What would the nurse need to emphasize? Select all
that apply.
Prophylactic medication regimens
Signs and symptoms of bleeding
Maintenance of a well-balanced diet
Need to interrupt therapy for short periods
Ways to manage stress – ANSWER- Prophylactic medication regimens
Ways to manage stress
Maintenance of a well-balanced diet
A client on antiretroviral drug therapy informs the nurse about
sometimes forgetting to take the medication for a few days. What should
the nurse inform the client can occur when the medications are not taken
as prescribed?
The client will have to take higher doses of the antiviral medications.
The client will have to take the drugs intravenously to ensure
compliance.
The funding for the medications will cease if the client is not taking the
meds correctly.
The client is risking the development of drug resistance and drug failure.
- ANSWER- The client is risking the development of drug resistance
and drug failure.
A female client comes to the clinic and tells the nurse, “I think I have
another vaginal infection and I also have some wart-like lesions on my
3 | P a g e
vagina. This is happening quite often.” Which nursing action is the
priority for this client?
Provide a prescribed topical antifungal agent to treat the client’s vaginal
infection.
Offer information on human immunodeficiency virus (HIV) testing.
Refer the client to a support group with others experiencing the same
symptoms.
Recommend abstinence or safer-sex practices. – ANSWER- Offer
information on human immunodeficiency virus (HIV) testing.
A patient is on highly active antiretroviral therapy (HAART) for the
treatment of HIV. What does the nurse know would be an adequate CD4
count to determine the effectiveness of treatment for a patient per year?
10 mm3 to 20 mm3
20 mm3 to 45 mm3
50 mm3 to 150 mm3
1 mm3 to 10 mm3 – ANSWER- 50 mm3 to 150 mm3
A client with ataxia-telangiectasia approaches the nurse with many
questions and concerns. The client asks what the primary cause of death
is for this disease. The nurse’s best response would be:
Overwhelming infection
Neurologic dysfunction
Acute renal failure
Chronic lung disease – ANSWER- Overwhelming infection
4 | P a g e
Which tests tell the physician what the viral load is in a client with
HIV/AIDS? Select all that apply.
p24 antigen test
ELISA test
T4/T8 ratio
Western blot
polymerase chain reaction – ANSWER- polymerase chain reaction
p24 antigen test
A newborn has been diagnosed with DiGeorge syndrome. Which of the
following would the nurse least likely expect to assess?
Cleft palate
Hypercalcemia
Hypoparathyroidism
Congenital heart defect – ANSWER- Hypercalcemia
A client with end-stage acquired immunodeficiency syndrome (AIDS)
has profound manifestations of Cryptosporidium infection caused by the
protozoa. What client need should in the nurse focus on when planning
this client’s care?
antiretroviral therapy
fluid replacement
high-calorie nutrition
pain management – ANSWER- fluid replacement
get pdf at https://learnexams.com/search/study?query=