HONDROS NUR 200 PRACTICE EXAM
QUESTIONS AND DETAILED SOLUTIONS
2026
⏺ The earliest and most sensitive assessment finding that would indicate
an alteration in intracranial regulation would be:
A) change in level of consciousness.
B) unequal pupil size.
C) loss of primitive reflexes.
D) inability to focus visually.? Answer:A
A change in level of consciousness is the earliest and most sensitive
indication of a change in intracranial processing. This is assessed with the
Glasgow Coma Scale (GCS), which assesses eye opening and verbal and
motor response. The inability to focus may indicate a change, but it is not
one of the earliest indicators or a component of the GCS. Primitive reflexes
refers to those reflexes found in a normal infant that disappear with
maturation. These reflexes may reappear with frontal lobe dysfunction and
may be tested for with a suspected brain injury, so it would be the
reappearance of primitive reflexes. A change in pupil size or unequal pupils
may indicate a change, but they are not one of the earliest indicators or a
component of the GCS.
⏺ Which client statement indicates a good understanding regarding
antibiotic therapy for recurrent urinary tract infections?
A) "Even if I feel completely well, I should take the medication until it is
gone."
B) "When my urine no longer burns, I will no longer need to take the
antibiotics."
C) "If my urine becomes lighter and clearer, I can stop taking my medicine."
D) "If I have a fever higher than 100° F (37.8° C), I should take twice as
much medicine."? Answer:A
,Antibiotic therapy is most effective, especially for recurrent urinary tract
infections, when the client takes the prescribed medication for the entire
course, not just when symptoms are present. The other statements
demonstrate that additional teaching is needed for the client.
⏺ A client presents with a pressure ulcer on the ankle. Which is the first
intervention that the nurse implements?
A) Place the client in bed and instruct him or her to elevate the foot.
B) Prepare for and assist with obtaining a wound culture.
C) Assess the affected leg for pulses, skin color, and temperature.
D) Draw blood for albumin, prealbumin, and total protein.? Answer:C
A client with an ulcer on the foot should be assessed for interruption in
arterial flow to the area. This begins with assessment of pulses and color
and temperature of the skin. The nurse can also assess for pulses
noninvasively with a Doppler if unable to palpate with his or her fingers.
Elevation of the foot would impair the ability of arterial blood to flow to the
area. Wound cultures are done after it has been determined drainage,
odor, and other risks for infection are present. Tests to determine nutritional
status and risk assessment would be completed after the initial assessment
is done.
⏺ During assessment of a client with a 15-year history of diabetes, the
nurse notes that the client has decreased tactile sensation in both feet.
Which action does the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
D) Test sensory perception in the client's hands.? Answer:C
Diabetic neuropathy is common when the disease is of long duration. The
client is at great risk for injury in any area with decreased sensation
because he or she is less able to feel injurious events. Feet are common
locations for neuropathy and injury, so the nurse should inspect them for
any signs of injury. After assessing, the nurse should document findings in
the client's chart. Testing sensory perception in the hands may or may not
, be needed. The health care provider can be notified after assessment and
documentation have been completed.
⏺ Which nursing intervention best assists a bedridden client to keep skin
intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area.? Answer:A
Friction forces are generated when the client is dragged or pulled across
bed linen; this often leads to altered skin integrity. Using a lift sheet will
prevent friction. Keeping the skin clean and dry is an important intervention,
but powders should not be used in the perineal area. To minimize
vasoconstriction and possible pressure ulcer development from
dependency, the client should be turned at a minimum of every 2 hours. A
foam mattress will not significantly decrease pressure to an area.
⏺ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium)? Answer:C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
⏺ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
QUESTIONS AND DETAILED SOLUTIONS
2026
⏺ The earliest and most sensitive assessment finding that would indicate
an alteration in intracranial regulation would be:
A) change in level of consciousness.
B) unequal pupil size.
C) loss of primitive reflexes.
D) inability to focus visually.? Answer:A
A change in level of consciousness is the earliest and most sensitive
indication of a change in intracranial processing. This is assessed with the
Glasgow Coma Scale (GCS), which assesses eye opening and verbal and
motor response. The inability to focus may indicate a change, but it is not
one of the earliest indicators or a component of the GCS. Primitive reflexes
refers to those reflexes found in a normal infant that disappear with
maturation. These reflexes may reappear with frontal lobe dysfunction and
may be tested for with a suspected brain injury, so it would be the
reappearance of primitive reflexes. A change in pupil size or unequal pupils
may indicate a change, but they are not one of the earliest indicators or a
component of the GCS.
⏺ Which client statement indicates a good understanding regarding
antibiotic therapy for recurrent urinary tract infections?
A) "Even if I feel completely well, I should take the medication until it is
gone."
B) "When my urine no longer burns, I will no longer need to take the
antibiotics."
C) "If my urine becomes lighter and clearer, I can stop taking my medicine."
D) "If I have a fever higher than 100° F (37.8° C), I should take twice as
much medicine."? Answer:A
,Antibiotic therapy is most effective, especially for recurrent urinary tract
infections, when the client takes the prescribed medication for the entire
course, not just when symptoms are present. The other statements
demonstrate that additional teaching is needed for the client.
⏺ A client presents with a pressure ulcer on the ankle. Which is the first
intervention that the nurse implements?
A) Place the client in bed and instruct him or her to elevate the foot.
B) Prepare for and assist with obtaining a wound culture.
C) Assess the affected leg for pulses, skin color, and temperature.
D) Draw blood for albumin, prealbumin, and total protein.? Answer:C
A client with an ulcer on the foot should be assessed for interruption in
arterial flow to the area. This begins with assessment of pulses and color
and temperature of the skin. The nurse can also assess for pulses
noninvasively with a Doppler if unable to palpate with his or her fingers.
Elevation of the foot would impair the ability of arterial blood to flow to the
area. Wound cultures are done after it has been determined drainage,
odor, and other risks for infection are present. Tests to determine nutritional
status and risk assessment would be completed after the initial assessment
is done.
⏺ During assessment of a client with a 15-year history of diabetes, the
nurse notes that the client has decreased tactile sensation in both feet.
Which action does the nurse take first?
A) Notify the health care provider.
B) Document the finding in the client's chart.
C) Examine the client's feet for signs of injury.
D) Test sensory perception in the client's hands.? Answer:C
Diabetic neuropathy is common when the disease is of long duration. The
client is at great risk for injury in any area with decreased sensation
because he or she is less able to feel injurious events. Feet are common
locations for neuropathy and injury, so the nurse should inspect them for
any signs of injury. After assessing, the nurse should document findings in
the client's chart. Testing sensory perception in the hands may or may not
, be needed. The health care provider can be notified after assessment and
documentation have been completed.
⏺ Which nursing intervention best assists a bedridden client to keep skin
intact?
A) Use a lift sheet to move the client in bed.
B) Turn the client every 2 to 4 hours.
C) Use a foam mattress pad.
D) Apply talcum powder to the perineal area.? Answer:A
Friction forces are generated when the client is dragged or pulled across
bed linen; this often leads to altered skin integrity. Using a lift sheet will
prevent friction. Keeping the skin clean and dry is an important intervention,
but powders should not be used in the perineal area. To minimize
vasoconstriction and possible pressure ulcer development from
dependency, the client should be turned at a minimum of every 2 hours. A
foam mattress will not significantly decrease pressure to an area.
⏺ A client presents with an acute exacerbation of multiple sclerosis. Which
prescribed medication does the nurse prepare to administer?
A) Interferon beta-1b (Betaseron)
B) Baclofen (Lioresal)
C) Methylprednisolone (Medrol)
D) Dantrolene sodium (Dantrium)? Answer:C
Methylprednisolone is the drug of choice for acute exacerbations of the
disease. The other medications are not appropriate.
⏺ The nurse is assessing a client's understanding of his hypertension
therapy. What client statement indicates a need for further teaching?
A) "When my blood pressure is normal, I will no longer need to take
medication."
B) "If my blood pressure stays under control, I will reduce my risk for a
heart attack."
C) "If I lose weight, I might be able to reduce my blood pressure
medication."
