1135 Final Exam Questions with All
Correct Answers 2025-2026 Updated.
The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands the problem when the student makes which statement?
a. central perfusion is monitored only by the doc
b. central perfusion involves the entire body
c. central perfusion is decreased with HTN
d. central perfusion is toxic to the cardiac system - Answer b.
A pt dx with HTN asks the nurse how this disease could have happened to him. What is the
nurse's best response?
a. HTN happens to everyone sooner or later. Don't be concerned
b. HTN can happen from eating a poor diet, so change what you are eating
c. HTN can happen from arterial changes that block blood flow
d. HTN happens when people don't exercise, so you should walk every day - Answer c.
The pt asks the nurse to explain the function of the SA node in the heart. What is the nurse's
best response?
a. stimulates the heart to beat in a normal rhythm
b. protects the heart from atherosclerosis changes
c. provides the heart with ox blood
d. protects the heart from infection - Answer a.
The pt is brought to the ED after car accident. The pt is dx with internal bleeding. What is the
priority of care for this pt?
a. mental alertness
b. perfusion
c. pain
d. reaction to medications - Answer b.
,A pt's serum electrolytes are being monitored. The nurse notices that the potassium level is low.
What should the nurse monitor for in this patient?
a. tissue ischemia
b. brain malformation
c. intestinal blockage
d. cardiac dysrhythmia - Answer d.
A nurse is explaining the concept of perfusion to a student nurse. The nurse knows the student
understands the concept when the student makes which statement?
a. "Perfusion is a normal function of the body and I don't have to be concerned about it"
b. "Perfusion is monitored by the body"
c. "Perfusion is monitored by vital signs and cap refill"
d. "Perfusion varies as a person ages, so I would expect changes in the body" - Answer c.
The nurse is conducting a pt assessment. the pt tells the nurse that he has smoked 2 packs a day
for 27 years. The nurse may find which data upon assessment?
a. elevated bp
b. bounding pedal pulses
c. night blindness
d. reflux disease - Answer a.
The nurse is working on a plan of care with her pt which includes turning and positioning and
adequate nutrition to help the pt maintain intact skin integrity. The nurse helps the pt realize
that this breaks the chain of infection by eliminating which element?
a. host
b. mode of transmission
c. portal of entry
d. reservoir - Answer c.
While reviewing the CBC, the nurse notes elevated basophil and eosinophil readings. The nurse
realizes this is most indicative of which type of infection?
a. bacterial
, b. fungal
c. parasitic
d. viral - Answer c.
Which set of assessment data is consistent for a patient with severe infection that could lead to
system failure?
a. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine
output 1200 mL in past 24 hours
b. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
c. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
d. BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours -
Answer b.
low BP and compensating elevations in pulse to move lower volumes of blood and respiration to
increase access to O2
A nurse is teaching a group of business people about disease transmission. The nurse knows
that additional teaching is needed when one of the participants states which of the following? -
Answer If I don't feel sick, I don't need to worry about transmitted diseases.
In order to provide an intervention for a patient, the nurse is often responsible for obtaining a
sample of exudate for culture. What information will this provide?
a. Whether a patient has an infection.
b. Where an infection is located.
c. The type of cells that are being utilized by the body to attack an infection.
d. The specific type of pathogen that is causing an infection. - Answer d.
The nurse is caring for a pt with dx c diff. The nurse expects to implement which of the following
interventions? SATA
a. admin of protease inhibitors
b. use of PPE
c. pt teaching about methods to inhibit transmission
d. preventing visitors from entering the room
e. admin of IV fluids
f. strict monitoring of I & O - Answer B, C, E, F
Correct Answers 2025-2026 Updated.
The nurse is explaining to a student nurse about impaired central perfusion. The nurse knows
the student understands the problem when the student makes which statement?
a. central perfusion is monitored only by the doc
b. central perfusion involves the entire body
c. central perfusion is decreased with HTN
d. central perfusion is toxic to the cardiac system - Answer b.
A pt dx with HTN asks the nurse how this disease could have happened to him. What is the
nurse's best response?
a. HTN happens to everyone sooner or later. Don't be concerned
b. HTN can happen from eating a poor diet, so change what you are eating
c. HTN can happen from arterial changes that block blood flow
d. HTN happens when people don't exercise, so you should walk every day - Answer c.
The pt asks the nurse to explain the function of the SA node in the heart. What is the nurse's
best response?
a. stimulates the heart to beat in a normal rhythm
b. protects the heart from atherosclerosis changes
c. provides the heart with ox blood
d. protects the heart from infection - Answer a.
The pt is brought to the ED after car accident. The pt is dx with internal bleeding. What is the
priority of care for this pt?
a. mental alertness
b. perfusion
c. pain
d. reaction to medications - Answer b.
,A pt's serum electrolytes are being monitored. The nurse notices that the potassium level is low.
What should the nurse monitor for in this patient?
a. tissue ischemia
b. brain malformation
c. intestinal blockage
d. cardiac dysrhythmia - Answer d.
A nurse is explaining the concept of perfusion to a student nurse. The nurse knows the student
understands the concept when the student makes which statement?
a. "Perfusion is a normal function of the body and I don't have to be concerned about it"
b. "Perfusion is monitored by the body"
c. "Perfusion is monitored by vital signs and cap refill"
d. "Perfusion varies as a person ages, so I would expect changes in the body" - Answer c.
The nurse is conducting a pt assessment. the pt tells the nurse that he has smoked 2 packs a day
for 27 years. The nurse may find which data upon assessment?
a. elevated bp
b. bounding pedal pulses
c. night blindness
d. reflux disease - Answer a.
The nurse is working on a plan of care with her pt which includes turning and positioning and
adequate nutrition to help the pt maintain intact skin integrity. The nurse helps the pt realize
that this breaks the chain of infection by eliminating which element?
a. host
b. mode of transmission
c. portal of entry
d. reservoir - Answer c.
While reviewing the CBC, the nurse notes elevated basophil and eosinophil readings. The nurse
realizes this is most indicative of which type of infection?
a. bacterial
, b. fungal
c. parasitic
d. viral - Answer c.
Which set of assessment data is consistent for a patient with severe infection that could lead to
system failure?
a. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine
output 1200 mL in past 24 hours
b. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours
c. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours
d. BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours -
Answer b.
low BP and compensating elevations in pulse to move lower volumes of blood and respiration to
increase access to O2
A nurse is teaching a group of business people about disease transmission. The nurse knows
that additional teaching is needed when one of the participants states which of the following? -
Answer If I don't feel sick, I don't need to worry about transmitted diseases.
In order to provide an intervention for a patient, the nurse is often responsible for obtaining a
sample of exudate for culture. What information will this provide?
a. Whether a patient has an infection.
b. Where an infection is located.
c. The type of cells that are being utilized by the body to attack an infection.
d. The specific type of pathogen that is causing an infection. - Answer d.
The nurse is caring for a pt with dx c diff. The nurse expects to implement which of the following
interventions? SATA
a. admin of protease inhibitors
b. use of PPE
c. pt teaching about methods to inhibit transmission
d. preventing visitors from entering the room
e. admin of IV fluids
f. strict monitoring of I & O - Answer B, C, E, F
