Exam 2: NR226/ NR 226 Fundamentals
Patient Care Exam| Grade A Questions and
Verified Answers (2023/ 2024 Update)-
Chamberlain
Q: An obese client shows excessive daytime sleepiness, heavy snoring, and restless sleep. What
does the nurse suspect?
A. Obstructive sleep apnea
B. Narcolepsy
C. Insomnia
D. Nocturia
Answer: A. Obstructive sleep apnea
Q: A 4-year-old pediatric client resists going to sleep. To assist this client, the best action to
take would be
Answer:
A. Adding a daytime nap
B. Allowing the child to sleep longer in the morning
C. Maintaining the child’s home sleep routine
D. Offering the child a bedtime snack
Answer: C. Maintaining the child’s home
Q: A client suffers from sleep pattern disturbance. To promote adequate sleep, the most
important nursing intervention is
Answer:
A. Administering a sleep aid
B .Synchronizing the medication, treatment, and vital signs schedule
C. Encouraging the client to exercise immediately before sleep
D. Discussing with the client the benefits of beginning a long-term nighttime medication regimen
Answer: B. Synchronizing the medication, treatment, and vital signs schedule
Q: Which of the following is the most important intervention for altered sleep?
A. Assisting with relaxation techniques
B. Administering medications
C. Encouraging a routine
D. Turning phones off at 10
Answer:00pm
Answer: C. Encouraging a routine
Q: A nurse is counseling an older adult who describes having difficulty dealing with several
issues. Which of the following problems verbalized by the client should the nurse identify as the
priority?
A. “I spent my whole life dreaming about retirement, and now I wish I had my job back.”
B. “It’s been so stressful for me to have to depend on my son to help around the house.”
C. “I just heard my friend Al died. That’s the third one in 3 months.”
D. “I keep forgetting which medications I have taken during the day.”
Answer: D. “I keep forgetting which medications I have taken during the day.”
Q: A nurse is providing teaching for an older adult client who has lost 4.5 kg (9.9 lbs) since his
last admission 6 months ago. Which of the following instructions should the nurse include in the
teaching? (select all that apply)
A. “Eat three large meals a day.”
B. “Eat your meals in front of the television.”
C. “Eat foods that are easy to eat, such as finger foods.” D. “Invite family members to eat meals
with you.”
E. “Exercise every day to increase appetite.”
Answer: C. “Eat foods that are easy to eat, such as finger foods.”
D. “Invite family members to eat meals with you.” E. “Exercise every day to increase appetite.”
Q: A nurse is planning a presentation for a group of older adults about
health promotion and disease prevention. Which of the following interventions should the nurse
plan to recommend? (select all that apply)
A. Human papilloma virus (HPV) immunization
B. Pneumococcal immunization
C. Yearly eye examination
D. Periodic mental health screening
E. Annual fecal occult blood test
Answer: B. Pneumococcal immunization
C. Yearly eye examination
D. Periodic mental health screening
E. Annual fecal occult blood test
Q: A nurse is talking with an older adult client about improving her nutritional status. Which of
the following interventions should the nurse recommend? (select all that apply)
A. Increase protein intake to increase muscle mass
B. Decrease fluid intake to prevent urinary incontinence
C. Increase calcium intake to prevent osteoporosis
D. Limit sodium intake to prevent edema
E. Increase fiber intake to prevent constipation
Answer: A. Increase protein intake to increase muscle mass
C. Increase calcium intake to prevent osteoporosis
D. Limit sodium intake to prevent edema