.png){kind=logo}
NUR 283 / NUR283 Comprehensive Exam V2 (Latest 2025 / 2026) Transition to Registered Nursing | Questions & Answers | Grade A | 100% Correct - Galen
Question:
What would be important (specific interventions) for the nurse to include in the reaching plan to help the client neutralize acid in the stomach and decrease reflux?
Answer:
- Avoid wearing constrictive clothing
- remain upright for 1-2 hours after eating
- Sleep with HOB elevated 6-12 inches
- Teach these patients to avoid eating for 3 hours before bedtime. Eating
before going to bed will exacerbate GERD
- Avoid caffeine and spicy foods, which can exacerbate GERD
- / 4
Question:
The registered nurse has received change of shift report. Which of the following patients should the nurse assess first?
Answer:
Client with portal hypertension and a change in BP from 138/82 to 110/60 over last 2 hours
Question:
Primary prevention includes interventions that keep a cancerous process from ever developing. Primary prevention addresses the cause of cancer, so disease
does not occur. Examples include:
Answer:
*Stress reduction techniques
- Avoiding tobacco products
- Avoiding red meats
- Limiting alcohol intake to 1 ounce per day
- Adding fruits/vegetables/whole grains to diet
- / 4
Question:
Narcissistic personality disorder is one of the Cluster B disorders presenting with dramatic, emotional, or erratic traits. How do the other Cluster B disorders present?
Answer:
* Antisocial: characterized by disregard for others with exploitation, lack of
empathy, repeated unlawful actions, deceit, failure to accept personal responsibility; evidence of conduct disorder before 15, sense of entitlement, manipulative, impulsive, and seductive behaviors; nonadherence to
traditional morals and values: verbally charming and engaging
- Borderline: Characterized by instability of affect, identity, and relationships,
as well as splitting behaviors, manipulation, impulsiveness, and fear of
abandonment: often self-injurious and potentially suicidal; ideas of reference
are common; often accompanied by impulsivity. Limit-setting and consistency are essential with client who are manipulative, especially whose who have borderline or antisocial personality disorders
* Histrionic: Characterized by emotional attention-seeking behavior, in
which the person needs to be the center of attention" often seductive and flirtatious. For clients who have histrionic personality disorder, who can be flirtatious, it is important for the nurse to maintain professional boundaries and communication at all times. Clients who have dependent and histrionic personality disorder often benefit from assertiveness training and modeling as well as psychotherapy
- / 4
Question:
What are nursing best practices when providing trach care?
Answer:
*Replace trach ties if soiled or at least daily to keep clean. Secure new ties before removing old ones. If possible, use the two-person technique when changing the severing device to prevent tube dislodgement. In the two-person technique, one person holds the trach tube in place while the other changes the securing device. Thread the clean tie through the opening on one side of the trach tube. Bring the tie around the back of the neck, keeping one end longer than the other. Secure the tie on the opposite side of the trach.
- Make sure that only one finger can be inserted under the tie. Then remove
old ties. Ensure the trach tube is secure. Tube movement can lead to irritation, coughing, and decannulation
Question:
What are some causes of high-pressure alarm for patient on a ventilator?
Answer:
- due to secretions/mucus plug or the patient may be fighting the ventilator.
Always check to see if the patient needs suctioned if the high-pressure alarm sounds. If a patient develops respiratory distress while on vent remove the ventilator and ventilate patient manually while determining if the problem is related to the vent or patient
- / 4
.png)