1|Page
NU 126 FINAL EXAM AND STUDY GUIDE NEWEST
2026 TEST BANK| NU126 COMMUNITY BASED
NURSING FINAL EXAM PREP WITH COMPLETE 950
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST REECENT!!)
Which intervention is appropriate for a nurse caring for a client in severe
pain receiving a continuous IV of morphine? - ANSWER - get a baseline
of vitals before giving IV
Which type of pain arises from internal organs such as the kidneys? -
ANSWER - Visceral
A client has a long hx of DM and developed Diabetic Neuropathy over
25 years ago. The client is w/o breakthrough pain at this point in time.
how would this client's pain be classified? - ANSWER - Neuropathic
and Chronic
The nurse is assessing an older adult patient just admitted to the hospital.
Why is it important that the nurse carefully assess pain in the older adult
patient? - ANSWER - Older people experience reduced sensory
perception
A client is on a second round of radiation therapy for an inoperable
tumor, and asks the nurse for medication to help with pain. The nurse
suspects that the client's pain is the result of nerve damage from the
radiation. Which type of pain is the client likely experiencing? -
ANSWER - Neuropathic Pain
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The nurse is assisting the anesthesiologist with the insertion of an
epidural catheter and the administration of an epidural opioid for pain
control. What adverse effect of epidural opioids should the nurse
monitor for? - ANSWER - Bradypnea
The nurse is caring for a client with kidney stones who is complaining of
severe pain. What type of pain does the nurse understand this client is
experiencing? - ANSWER - Visceral Pain
Why must corticosteroids by tapered down slowly? - ANSWER - to
prevent an adrenal crisis
What should the nurse monitor when a patient is administering
corticosteroids? - ANSWER - Weight
Vital Signs
Serum Glucose Concentration
When administering anticonvulsants what should the nurse monitor? -
ANSWER - blood counts and liver function tests
For clients that are prescribed psychostimulants What should the nurse
instruct to the client? - ANSWER - avoid caffeine or other stimulants,
such as decongestants
An older adult is being treated with opioids for pain relief. Which of the
following should the nurse strongly recommend to this client? -
ANSWER - Follow a bowel regimen
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The nurse should not administer the prescribed opiate therapy if
respirations are <______ breaths per minute. - ANSWER - less than 12
breaths per minute
What is a disadvantage to using the IV route of administration for
analgesics? - ANSWER - It has a short duration
A client who has undergone extensive fracture repair continues to
request opioid pain medication with increasing frequency. The initial
surgeries occurred more than 2 months ago, and the nurse is concerned
about the repeated requests. What does the nurse suspect to be the cause
of the client's frequent appeals for pain medication? - ANSWER -
Tolerance
What are physiologic responses to pain? - ANSWER - pallor
tachycardia
diaphoresis
hypertension
The nurse informs the patient that a preventative approach for pain relief
will be used, involving NSAIDs. What will this mean for the patient? -
ANSWER - The pain med will be administered before the pain is
experienced
A patient who has bone cancer has a new order for a Fentanyl patch. She
has previously been receiving morphine for pain. When administering a
Fentanyl patch, the last dose of sustained-release morphine should be
administered: - ANSWER - Because it takes 12 to 24 hours for the
Fentanyl levels to gradually increase from the first patch, the last dose of
, 4|Page
sustained-release morphine should be administered at the same time the
first patch is applied.
A client is admitted with generalized abdominal pain, nausea, vomiting,
and hypotension. The client has not passed stool in over 1 week and has
been in pain for the past 4 days. Which type of pain would you expect
the client to be experiencing? - ANSWER - visceral
Signs of Hyperkalemia - ANSWER - Muscle weakness, bradycardia,
nausea, diarrhea, and paresthesia of the hands, feet, tongue, and face
Which electrolyte is a major anion in body fluid? - ANSWER - Chloride
The Emergency Department (ED) nurse is caring for a client who is
known to make excessive use of laxatives who is showing signs of
bradycardia. The client is admitted for hemodialysis. The ED nurse
knows that a major goal of managing this client is what? - ANSWER -
Flush out the excess magnesium
The nurse is caring for a client with severe diarrhea. The nurse
recognizes that the client is at risk for developing which acid-base
imbalance? - ANSWER - Metabolic Acidosis
Which could be a potential cause of respiratory acidosis? hyper or
hypoventilation - ANSWER - Hypoventilation
Factors increasing urine osmolality include: - ANSWER - Syndrome of
inappropriate antidiuretic hormone release (SIADH)
NU 126 FINAL EXAM AND STUDY GUIDE NEWEST
2026 TEST BANK| NU126 COMMUNITY BASED
NURSING FINAL EXAM PREP WITH COMPLETE 950
REAL EXAM QUESTIONS AND CORRECT VERIFIED
ANSWERS/ ALREADY GRADED A+ (MOST REECENT!!)
Which intervention is appropriate for a nurse caring for a client in severe
pain receiving a continuous IV of morphine? - ANSWER - get a baseline
of vitals before giving IV
Which type of pain arises from internal organs such as the kidneys? -
ANSWER - Visceral
A client has a long hx of DM and developed Diabetic Neuropathy over
25 years ago. The client is w/o breakthrough pain at this point in time.
how would this client's pain be classified? - ANSWER - Neuropathic
and Chronic
The nurse is assessing an older adult patient just admitted to the hospital.
Why is it important that the nurse carefully assess pain in the older adult
patient? - ANSWER - Older people experience reduced sensory
perception
A client is on a second round of radiation therapy for an inoperable
tumor, and asks the nurse for medication to help with pain. The nurse
suspects that the client's pain is the result of nerve damage from the
radiation. Which type of pain is the client likely experiencing? -
ANSWER - Neuropathic Pain
,2|Page
The nurse is assisting the anesthesiologist with the insertion of an
epidural catheter and the administration of an epidural opioid for pain
control. What adverse effect of epidural opioids should the nurse
monitor for? - ANSWER - Bradypnea
The nurse is caring for a client with kidney stones who is complaining of
severe pain. What type of pain does the nurse understand this client is
experiencing? - ANSWER - Visceral Pain
Why must corticosteroids by tapered down slowly? - ANSWER - to
prevent an adrenal crisis
What should the nurse monitor when a patient is administering
corticosteroids? - ANSWER - Weight
Vital Signs
Serum Glucose Concentration
When administering anticonvulsants what should the nurse monitor? -
ANSWER - blood counts and liver function tests
For clients that are prescribed psychostimulants What should the nurse
instruct to the client? - ANSWER - avoid caffeine or other stimulants,
such as decongestants
An older adult is being treated with opioids for pain relief. Which of the
following should the nurse strongly recommend to this client? -
ANSWER - Follow a bowel regimen
,3|Page
The nurse should not administer the prescribed opiate therapy if
respirations are <______ breaths per minute. - ANSWER - less than 12
breaths per minute
What is a disadvantage to using the IV route of administration for
analgesics? - ANSWER - It has a short duration
A client who has undergone extensive fracture repair continues to
request opioid pain medication with increasing frequency. The initial
surgeries occurred more than 2 months ago, and the nurse is concerned
about the repeated requests. What does the nurse suspect to be the cause
of the client's frequent appeals for pain medication? - ANSWER -
Tolerance
What are physiologic responses to pain? - ANSWER - pallor
tachycardia
diaphoresis
hypertension
The nurse informs the patient that a preventative approach for pain relief
will be used, involving NSAIDs. What will this mean for the patient? -
ANSWER - The pain med will be administered before the pain is
experienced
A patient who has bone cancer has a new order for a Fentanyl patch. She
has previously been receiving morphine for pain. When administering a
Fentanyl patch, the last dose of sustained-release morphine should be
administered: - ANSWER - Because it takes 12 to 24 hours for the
Fentanyl levels to gradually increase from the first patch, the last dose of
, 4|Page
sustained-release morphine should be administered at the same time the
first patch is applied.
A client is admitted with generalized abdominal pain, nausea, vomiting,
and hypotension. The client has not passed stool in over 1 week and has
been in pain for the past 4 days. Which type of pain would you expect
the client to be experiencing? - ANSWER - visceral
Signs of Hyperkalemia - ANSWER - Muscle weakness, bradycardia,
nausea, diarrhea, and paresthesia of the hands, feet, tongue, and face
Which electrolyte is a major anion in body fluid? - ANSWER - Chloride
The Emergency Department (ED) nurse is caring for a client who is
known to make excessive use of laxatives who is showing signs of
bradycardia. The client is admitted for hemodialysis. The ED nurse
knows that a major goal of managing this client is what? - ANSWER -
Flush out the excess magnesium
The nurse is caring for a client with severe diarrhea. The nurse
recognizes that the client is at risk for developing which acid-base
imbalance? - ANSWER - Metabolic Acidosis
Which could be a potential cause of respiratory acidosis? hyper or
hypoventilation - ANSWER - Hypoventilation
Factors increasing urine osmolality include: - ANSWER - Syndrome of
inappropriate antidiuretic hormone release (SIADH)
