NUR 280 EXAM 1,2,3 AND 4 BUNDLED EXAMS NEWEST 2024 ACTUAL EXAM COMPLETE COURSE QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+
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NUR 280 EXAM 1 NEWEST 2024 ACTUAL EXAM
COMPLETE 210 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A major cause of health-related problems is the increase in the incidence
of chronic conditions. This is the case not only in developed countries
like the United States but also in developing countries. What factor has
contributed to the increased incidence of chronic diseases in developing
countries?
A) Developing countries are experiencing an increase in average life
span.
B) Increasing amounts of health research are taking place in developing
countries.
C) Developing countries lack the health infrastructure to manage illness.
D) Developing countries are simultaneously coping with emerging
infectious diseases. – ANSWER- D
A patient with a spinal cord injury is being assessed by the nurse prior to
his discharge home from the rehabilitation facility. The nurse is planning
care through the lens of the interface model of disability. Within this
model, the nurse will plan care based on what belief?
A) The patient has the potential to function effectively despite his
disability.
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B) The patients disabling condition does not have to affect his lifestyle.
C) The patient will not require care from professional caregivers in the
home setting.
D) The patients disability is the most salient aspect of his personal
identity. – ANSWER- A
During the care conference for a patient who has multiple chronic
conditions, the case manager has alluded to the principles of the
interface model of disability. What statement is most characteristic of
this model?
A) This patient should be free to plan his care without our interference.
B) This patient can be empowered and doesnt have to be dependent.
C) This patient was a very different person before the emergence of
these health problems.
D) This patients physiological problems are the priority over his
psychosocial status. – ANSWER- B
The nurse is caring for a young adult male with a traumatic brain injury
and severe disabilities caused by a motor vehicle accident when he was
an adolescent. Where does the nurse often provide care for patients like
this young adult?
A) Adult day-care facilities
B) Step-down units
C) Medical-surgical units
D) Pediatric units – ANSWER- C
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You are caring for a young woman who has Down syndrome and who
has just been diagnosed with type 2 diabetes. What consideration should
you prioritize when planning this patients nursing care?
A) How her new diagnosis affects her health attitudes
B) How her diabetes affects the course of her Down syndrome
C) How her chromosomal disorder affects her glucose metabolism
D) How her developmental disability influences her health management
- ANSWER- D
You are the nurse caring for a young mother who has a longstanding
diagnosis of multiple sclerosis (MS). She was admitted to your unit with
a postpartum infection 3 days ago. You are planning to discharge her
home when she has finished 5 days of IV antibiotic therapy. With what
information would it be most important for you to provide this patient?
A) A succinct overview of postpartum infections
B) How the response to infection differs in patients with multiple
sclerosis
C) The same information you would provide to a patient without a
chronic condition
D) Information on effective management of multiple sclerosis in the
home setting – ANSWER- C
You have admitted a new patient to your unit with a diagnosis of stage
IV breast cancer. This woman has a comorbidity of myasthenia gravis.
While you are doing the initial assessment, the patient tells you that she
felt the lump in her breast about 9 months ago. You ask the patient why
she did not see her health care provider when she first found the lump in
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her breast. What would be a factor that is known to influence the patient
in seeking health care services?
A) Lack of insight due to the success of self-managing a chronic
condition
B) Lack of knowledge about treatment options
C) Overly sensitive patient reactions to health care services
D) Unfavorable interactions with health care providers – ANSWER- D
The community nurse is caring for a patient who has paraplegia
following a farm accident when he was an adolescent. This patient is
now 64 years old and has just been diagnosed with congestive heart
failure. The patient states, Im so afraid about what is going to happen to
me. What would be the best nursing intervention for this patient?
A) Assist the patient in making suitable plans for his care.
B) Take him to visit appropriate long-term care facilities.
C) Give him pamphlets about available community resources.
D) Have him visit with other patients who have congestive heart failure.
- ANSWER- A
An initiative has been launched in a large hospital to promote the use of
people-first language in formal and informal communication. What is
the significance to the patient when the nurse uses people-first language?
A) The nurse knows more clearly who the patient is.
B) The person is of more importance to the nurse than the disability.
C) The patients disability is the defining characteristic of the patients
life.
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NUR 280 EXAM 2 NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A patients health history is suggestive of inflammatory bowel disease.
Which of the following would suggest Crohns disease, rather that
ulcerative colitis, as the cause of the patients signs and symptoms?
A) A pattern of distinct exacerbations and remissions
B) Severe diarrhea
C) An absence of blood in stool
D) Involvement of the rectal mucosa – ANSWER- C
The nurse is providing care for a patient whose inflammatory bowel
disease has necessitated hospital treatment. Which of the following
would most likely be included in the patients medication regimen?
A) Anticholinergic medications 30 minutes before a meal
B) Antiemetics on a PRN basis
C) Vitamin B12 injections to prevent pernicious anemia
D) Beta adrenergic blockers to reduce bowel motility – ANSWER- A
The nurse is caring for a patient with multiple sclerosis (MS). The
patient tells the nurse the hardest thing to deal with is the fatigue. When
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teaching the patient how to reduce fatigue, what action should the nurse
suggest?
A) Taking a hot bath at least once daily
B) Resting in an air-conditioned room whenever possible
C) Increasing the dose of muscle relaxants
d. Avoiding naps during the day – ANSWER- b
The nurse is working with a patient who is newly diagnosed with MS.
What basic information should the nurse provide to the patient?
MS is a progressive demyelinating disease of the nervous system.
A)
B) MS usually occurs more frequently in men.
C) MS typically has an acute onset.
D) MS is sometimes caused by a bacterial infection. – ANSWER- A
The nurse is creating a plan of care for a patient who has a recent
diagnosis of MS. Which of the following should the nurse include in the
patients care plan?
A) Encourage patient to void every hour.
B) Order a low-residue diet.
C) Provide total assistance with all ADLs.
d. Instruct the patient on daily muscle stretching. – ANSWER- D
A middle-aged woman has sought care from her primary care provider
and undergone diagnostic testing that has resulted in a diagnosis of MS.
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What sign or symptom is most likely to have prompted the woman to
seek care?
A) Cognitive declines
B) Personality changes
C) Contractures
D) Difficulty in coordination – ANSWER- D
The nurse is caring for a patient who is hospitalized with an
exacerbation of MS. To ensure the patients safety, what nursing action
should be performed?
A) Ensure that suction apparatus is set up at the bedside.
B) Pad the patients bed rails.
C) Maintain bed rest whenever possible.
D) Provide several small meals each day. – ANSWER- A
A 33-year-old patient presents at the clinic with complaints of weakness,
incoordination, dizziness, and loss of balance. The patient is hospitalized
and diagnosed with MS. What sign or symptom, revealed during the
initial assessment, is typical of MS?
A) Diplopia, history of increased fatigue, and decreased or absent deep
tendon reflexes
B) Flexor spasm, clonus, and negative Babinskis reflex
C) Blurred vision, intention tremor, and urinary hesitancy
D) Hyperactive abdominal reflexes and history of unsteady gait and
episodic paresthesia in both legs – ANSWER- c
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The nurse is caring for a 77-year-old woman with MS. She states that
she is very concerned about the progress of her disease and what the
future holds. The nurse should know that elderly patients with MS are
known to be particularly concerned about what variables? Select all that
apply.
A) Possible nursing home placement
B) Pain associated with physical therapy
C) Increasing disability
D) Becoming a burden on the family
E) Loss of appetite – ANSWER- A, C, D
A patient diagnosed with MS has been admitted to the medical unit for
treatment of an MS exacerbation. Included in the admission orders is
baclofen (Lioresal). What should the nurse identify as an expected
outcome of this treatment?
A) Reduction in the appearance of new lesions on the MRI
B) Decreased muscle spasms in the lower extremities
C) Increased muscle strength in the upper extremities
D) Decreased severity and duration of exacerbations – ANSWER- B
A patient with MS has been admitted to the hospital following an acute
exacerbation. When planning the patients care, the nurse addresses the
need to enhance the patients bladder control. What aspect of nursing
care is most likely to meet this goal?
A) Establish a timed voiding schedule.
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NUR 280 EXAM 3 NEWEST 2024 ACTUAL EXAM
COMPLETE 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
The most recent assessment of a patient with a diagnosis of type 1
diabetes indicates a heightened risk of diabetic nephropathy. Which of
the following assessment findings is most suggestive of this increased
risk?
Diabetic retinopathy
Microalbuminuria
Hematuria
Orthostatic hypotension – ANSWER- Microalbuminuria
An elderly female patient has been hospitalized for the treatment of
acute pyelonephritis. Which of the following characteristics of the
patient is most likely implicated in the etiology of her current health
problem?
The patient recently had a urinary tract infection.
The patient has peripheral vascular disease.
The patient takes a diuretic and an ACE inhibitor each day for the
treatment of hypertension.
The patient was diagnosed with type 2 diabetes several years earlier. –
ANSWER- The patient recently had a urinary tract infection.
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An adult patient has been diagnosed with polycystic kidney disease.
Which of the patient’s following statements demonstrates an accurate
understanding of this diagnosis?
“I suppose I really should have paid more attention to my blood
pressure.”
“I’ve always been prone to getting UTIs, and now I know why.”
“I had a feeling that I was taking too many medications, and now I
know the damage they can do.”
“I suppose I should be tested to see if my children might inherit this.” –
ANSWER- “I suppose I should be tested to see if my children might
inherit this.”
A patient has recently undergone successful extracorporeal shock wave
lithotripsy (ESWL) for the treatment of renal calculi. Which of the
following measures should the patient integrate into his lifestyle to
reduce the risk of recurrence?
Regular random blood glucose testing
Weight loss and blood pressure control
Increased physical activity and use of over-the-counter diuretics
Increased fluid intake and dietary changes – ANSWER- Increased fluid
intake and dietary changes
Which of the following patient complaints most clearly suggests a need
for diagnostic testing to rule out renal cell carcinoma?
Oliguria
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Hematuria
Urinary urgency
Cloudy urine – ANSWER- Hematuria
The most common indicator of acute renal failure is:
anemia.
edema.
azotemia.
uremia. – ANSWER- azotemia.
A patient had excessive blood loss and prolonged hypotension during
surgery. His postoperative urine output is sharply decreased and his
blood urea nitrogen (BUN) is elevated. The most likely cause for the
change is acute:
intrarenal nephrotoxicity.
ischemic tubular necrosis.
prerenal inflammation.
bladder outlet obstruction. – ANSWER- ischemic tubular necrosis.
A patient is beginning to recover from acute tubular necrosis. The
recovery phase of ATN is characterized by:
edema.
hypokalemia.
proteinuria.
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diuresis. – ANSWER- diuresis.
Regardless of the cause, chronic kidney disease results in progressive
permanent loss of nephrons, glomerular filtration and renal:
endocrine functions.
vascular pressure.
tubule dysplasia.
hypophosphatemia. – ANSWER- endocrine functions.
When the glomerular transport maximum for a substance such as blood
glucose is exceeded and its renal threshold has been reached, the
substance will:
spill into the urine.
reabsorb quickly.
attach to protein carriers.
counter-transport sodium. – ANSWER- spill into the urine.
Only the kidneys can eliminate __ from the body as a means of
regulating body acid-base balance, when urine buffers are present.
potassium (K+)
hydrogen (H+)
phosphate (HPO4)
ammonia (NH3) – ANSWER- hydrogen (H+)
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NUR 280 EXAM 4 NEWEST 2024 ACTUAL EXAM
COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
What information would a home care nurse provide to a client who is
measuring peak expiratory flow rate at home?
A) “Although the test is uncomfortable, it is not painful.”
B) “You will be asked to forcefully exhale into a mouthpiece.”
C) “The test is used to determine how much air you inhale.”
D) “You will do this each morning while still lying in bed.” – ANSWERb
What does pulse oximetry measure?
A) Cardiac output
B) Peripheral blood flow
C) Arterial oxygen saturation
D) V enous oxygen saturation – ANSWER- c
- Of all factors, what is the most important risk factor in pulmonary
disease?
NURSINGKING.COM
A) Air pollution from vehicles
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B) Dangerous chemicals in the workplace
C) Active and passive cigarette smoke
D) Loss of the ozone layer of the atmosphere – ANSWER- c
A nurse is caring for a client who suddenly begins to have respiratory
difficulty. In what position would the nurse place 18. the client to
facilitate respirations?
A) Supine
B) Prone
C) High-Fowler’s
D) Dorsal recumbent – ANSWER- c
A nurse is educating a preoperative client on how to effectively deep
breathe. Which of the following would be 19. included?
A) “Make each breath deep enough to move the bottom ribs.”
B) “Breathe through the mouth when you inhale and exhale.”
C) “Breathe in through the mouth and out through the nose.”
D) “Practice deep breathing at least once each week.” – ANSWER- a
A nurse is educating a home care client on how to do pursed-lip
breathing. What is the therapeutic effect of this 20. procedure?
A) Using upper chest muscles more effectively
B) Replacing the use of incentive spirometry
C) Reducing the need for p.r.n. pain medications
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D) Prolonging expiration to reduce airway resistance – ANSWER- d
A nurse is explaining a chest tube to family members who do not
understand where it is placed. What would the nurse 21. tell them?
A) “It is inserted into the space between the lining of the lungs and the
ribs.”
B) “I don’t exactly know, but I will make sure the doctor comes to
explain.”
C) “It is inserted directly into the lung itself, connecting to a lung
airway.”
D) “It is inserted into the peritoneal space and drains into the lungs.” –
ANSWER- a
What prevents air from re-entering the pleural space when chest tubes
are inserted?
A) The location of the tube insertion
B) The sutures that hold in the tube
C) A closed water-seal drainage system
D) Respiratory inspiration and expiration – ANSWER- c
A nurse is educating a client who has congested lungs how to keep
secretions thin, and more easily coughed up and 23. expectorated. What
would be one self-care measure to teach?
A) Limit oral intake of fluids to less than 500 mL per day.
B) Increase oral intake of fluids to two to three quarts per day.
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C) Maintain bed rest for at least three days.
D) Take warm baths every night for a week. – ANSWER- b
What category of medications may be administered by nebulizer or
metered-dose inhaler to open narrowed airways?
A) Bronchoconstrictors
B) Antihistamines
C) Narcotics
D) Bronchodilators – ANSWER- d
A physician prescribes the use of water-seal chest tube drainage for a
client at a health care facility. What should the 25. nurse ensure when
using the water-seal chest tube drainage?
A) Filters need to be cleaned regularly to avoid unpleasant taste or smell.
B) The chest tube should not be separated from the drainage system
unless clamped.
C) A nasal cannula should be used to administer oxygen when cleaning
the opening.
D) A secondary source of oxygen should be available in case of power
failure. – ANSWER- b
A nurse uses a nasal cannula to deliver oxygen to a client who is
extremely hypoxic and has been diagnosed with 26. chronic lung
disease. What is the most important thing to remember when using a
nasal cannula?
A) It can cause the nasal mucosa to dry in case of high flow.
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