NR 511 Final Exam 2026 P a g e | 1
NR 511 Final Exam Prep Test Bank 1 / NR511
Final Exam Differential Diagnosis and Primary
Care – 450+ Practice Questions with Verified
Answers Latest
A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is
complaining of a headache. Her pulse rate is 43 beats per minute.
Which question is a priority for the nurse to ask the client or her
family on admission? "Does the client:
A. have her own teeth or dentures?
B. take aspirin and if so, how much?
C. take nitroglycerin?
D. take digitalis? –
Correct Answer :D. take digitalis?
Elderly persons are particularly susceptible to digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea, headache, and fatigue. Although it is important to
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obtain a complete medication history, the symptoms described are classic for digitalis toxicity, and
assessment of this problem should be made promptly. A is irrelevant.
A 67-year-old woman who lives alone tripped on a ruge in her home and fractured her hip. Which
predisposing facotr p - Correct Answer :
A client who undergoes a TURP is at risk for bleeding during the first 24 hours after surgery. Passage of
small blood clots and tissue debris, urinary frequency and leakage, and the urge to void continuously
while the client still has the catheter inserted are all considered to be expected complications of the
procedure. They will resolve as the client continues to recover and the catheter is removed. However,
the presence of bright red blood with clots indicates arterial bleeding and should be reported to the
provider.
Which finding puts a client at greatest risk for wound infection?
A) Presence of a deep wound
B) Coexisting medical conditions
C) Immune compromised status
D) Severely reddened skin –
Correct Answer :C
A compromised immune system puts a client at greatest risk for infection. Although all the other
options might increase the client's susceptibility, the one with the greatest potential impact is being
immune compromised.
The nurse is assessing a client with an early onset of multiple sclerosis (MS). Which clinical
manifestations does the nurse expect to see?
A) Nystagmus & Diplopia
B) Hyperresponsive reflexes
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, NR 511 Final Exam 2026 P a g e | 3
C) Excessive somnolence
D) Heat intolerance –
Correct Answer :A
Early signs and symptoms of MS include changes in motor skills, vision, and sensation. The other
manifestations are later signs of MS.
The nurse determines that a client has a Braden Scale score of 9. Which is the nurse's best intervention
related to this assessment?
A) Increase the client's fluid intake.
B) Consult with the health care provider.
C) Reassess the client in 3 days.
D) Document the finding per protocol. –
Correct Answer :B
A score of 11 or less on the Braden Scale indicates severe risk for pressure ulcer development in terms
of decreased sensory perception, exposure to moisture, decreased independent activity, decreased
mobility, poor nutrition, and chronic exposure to friction and shear. The nurse needs to consult with
the health care provider to relay this information and to obtain more aggressive skin protection
measures than are currently provided.
While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is
the most appropriate nursing intervention?
A) Completing all nursing care in the evening when the patient is more rested
B) Completing all nursing care in the morning so the patient can rest the remainder of the day
C) Limiting visitors, thus promoting the maximal amount of hours for sleep
D) Prioritization and administration of nursing care throughout the day –
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, NR 511 Final Exam 2026 P a g e | 4
Correct Answer :D
Pacing activities throughout the day conserves energy, and nursing care should be paced as well.
Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important, an
increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does not
promote healthy coping and can result in feelings of isolation.
A diabetic client has numbness and reduced sensation. Which intervention does the nurse teach this
client to prevent injury?
A) "Use a bath thermometer to test the water temperature."
B) "Examine your feet daily using a mirror."
C) "Wear white socks instead of colored socks."
D) "Rotate your insulin injection sites." –
Correct Answer :A
Clients with diminished sensory perception can easily experience a burn injury when bath water is too
hot. Instead of checking the temperature of the water by feeling it, they should use a thermometer.
Examining the feet daily does not prevent injury, although daily foot examinations are important to
find problems so they can be addressed. Rotating insulin and wearing white socks also will not prevent
injury.
Which client does the nurse assess to be at greatest risk for pressure ulcer development?
A) Client who requires assistance with ambulation
B) Incontinent client with limited mobility
C) Client with hypertension on multiple medications
D) Client who has pneumonia - Correct Answer :B
P a g e 4 | 89
NR 511 Final Exam Prep Test Bank 1 / NR511
Final Exam Differential Diagnosis and Primary
Care – 450+ Practice Questions with Verified
Answers Latest
A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is
complaining of a headache. Her pulse rate is 43 beats per minute.
Which question is a priority for the nurse to ask the client or her
family on admission? "Does the client:
A. have her own teeth or dentures?
B. take aspirin and if so, how much?
C. take nitroglycerin?
D. take digitalis? –
Correct Answer :D. take digitalis?
Elderly persons are particularly susceptible to digitalis intoxication which manifests itself in such
symptoms as anorexia, nausea, vomiting, diarrhea, headache, and fatigue. Although it is important to
P a g e 1 | 89
, NR 511 Final Exam 2026 P a g e | 2
obtain a complete medication history, the symptoms described are classic for digitalis toxicity, and
assessment of this problem should be made promptly. A is irrelevant.
A 67-year-old woman who lives alone tripped on a ruge in her home and fractured her hip. Which
predisposing facotr p - Correct Answer :
A client who undergoes a TURP is at risk for bleeding during the first 24 hours after surgery. Passage of
small blood clots and tissue debris, urinary frequency and leakage, and the urge to void continuously
while the client still has the catheter inserted are all considered to be expected complications of the
procedure. They will resolve as the client continues to recover and the catheter is removed. However,
the presence of bright red blood with clots indicates arterial bleeding and should be reported to the
provider.
Which finding puts a client at greatest risk for wound infection?
A) Presence of a deep wound
B) Coexisting medical conditions
C) Immune compromised status
D) Severely reddened skin –
Correct Answer :C
A compromised immune system puts a client at greatest risk for infection. Although all the other
options might increase the client's susceptibility, the one with the greatest potential impact is being
immune compromised.
The nurse is assessing a client with an early onset of multiple sclerosis (MS). Which clinical
manifestations does the nurse expect to see?
A) Nystagmus & Diplopia
B) Hyperresponsive reflexes
P a g e 2 | 89
, NR 511 Final Exam 2026 P a g e | 3
C) Excessive somnolence
D) Heat intolerance –
Correct Answer :A
Early signs and symptoms of MS include changes in motor skills, vision, and sensation. The other
manifestations are later signs of MS.
The nurse determines that a client has a Braden Scale score of 9. Which is the nurse's best intervention
related to this assessment?
A) Increase the client's fluid intake.
B) Consult with the health care provider.
C) Reassess the client in 3 days.
D) Document the finding per protocol. –
Correct Answer :B
A score of 11 or less on the Braden Scale indicates severe risk for pressure ulcer development in terms
of decreased sensory perception, exposure to moisture, decreased independent activity, decreased
mobility, poor nutrition, and chronic exposure to friction and shear. The nurse needs to consult with
the health care provider to relay this information and to obtain more aggressive skin protection
measures than are currently provided.
While planning care for a patient experiencing fatigue due to chemotherapy, which of the following is
the most appropriate nursing intervention?
A) Completing all nursing care in the evening when the patient is more rested
B) Completing all nursing care in the morning so the patient can rest the remainder of the day
C) Limiting visitors, thus promoting the maximal amount of hours for sleep
D) Prioritization and administration of nursing care throughout the day –
P a g e 3 | 89
, NR 511 Final Exam 2026 P a g e | 4
Correct Answer :D
Pacing activities throughout the day conserves energy, and nursing care should be paced as well.
Fatigue is a common side effect of cancer and treatment; and while adequate sleep is important, an
increase in the number of hours slept will not resolve the fatigue. Restriction of visitors does not
promote healthy coping and can result in feelings of isolation.
A diabetic client has numbness and reduced sensation. Which intervention does the nurse teach this
client to prevent injury?
A) "Use a bath thermometer to test the water temperature."
B) "Examine your feet daily using a mirror."
C) "Wear white socks instead of colored socks."
D) "Rotate your insulin injection sites." –
Correct Answer :A
Clients with diminished sensory perception can easily experience a burn injury when bath water is too
hot. Instead of checking the temperature of the water by feeling it, they should use a thermometer.
Examining the feet daily does not prevent injury, although daily foot examinations are important to
find problems so they can be addressed. Rotating insulin and wearing white socks also will not prevent
injury.
Which client does the nurse assess to be at greatest risk for pressure ulcer development?
A) Client who requires assistance with ambulation
B) Incontinent client with limited mobility
C) Client with hypertension on multiple medications
D) Client who has pneumonia - Correct Answer :B
P a g e 4 | 89
