NURS 332 FINAL | PRACTICE QUESTIONS & ANSWERS | COMPREHENSIVE NCLEX NURSING
STUDY GUIDE 2026/2027
A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media.
Which assessment findings should the nurse report to the health care provider before the
patient goes for the CT (select all that apply)?
A. Allergy to shellfish
B. Elevated serum creatinine level
C. Pt reports claustrophobia,
D. recent bronchodilator inhaler use,
E. inability to remove a wedding band - ANS ✔✔A. Allergy to shellfish
B. Elevated serum creatinine level
A nurse is preparing discharge teaching for a patient receiving home oxygen therapy. Which of
the following instructions should be included? (select all that apply)
a. Replace cannula every 4-6 weeks
b. Tell the patient they should sit as much as possible while performing activities
c. Blankets are permitted as long as they are made of wool or synthetic material
d. Brush teeth or use mouthwash several times a day
e. Oxygen should be worn while performing daily hygiene - ANS ✔✔b, d, e
A patient with severe chronic lung disease is hospitalized with respiratory distress. Which
finding would suggest to the nurse that the patient has developed rapid decompensation?
a. An SpO2 of 86%
b. A blood ph of 7.33
c. Agitation or confusion
d. PaCO2 increases from 48 to 55 mmHg - ANS ✔✔c
, The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy.
Which information should the nurse include about the patient's postoperative care?
a. Bed rest for the first 24 hours
b. Positioning only on the right side
c. Frequent use of an incentive spirometer (also deep breathing)
d. Chest tube placement to continuous suction - ANS ✔✔c
A priority nursing intervention for a patient who has just undergone a chemical pleurodesis for
recurrent pleural effusion is:
a. Administering ordered analgesia
b. Monitoring chest tube drainage
c. Sending pleural fluid for lab analysis
d. Monitoring the pt.'s level of consciousness - ANS ✔✔a
A patient arrives in the EENT clinic complaining of a piece of tissue being "stuck up my nose"
and with foul-smelling nasal drainage from the right nare. Which action should the nurse take
first?
a. Notify the HCP
b. Obtain aerobic culture
c. ask the patient about how the cotton got into the nose
d. Have the patient occlude the left nare and blow - ANS ✔✔d
You are providing care of a 68-year- old patient diagnosed with pulmonary hypertension.
Calcium channel blockers are ordered. What is the mechanism of action of calcium channel
blockers? Select all that applies:
a. Act on vascular smooth muscles, causing constriction
b. Lower pulmonary artery pressure
c. Act on vascular smooth muscle, causing dilation
STUDY GUIDE 2026/2027
A patient is scheduled for a computed tomography (CT) scan of the chest with contrast media.
Which assessment findings should the nurse report to the health care provider before the
patient goes for the CT (select all that apply)?
A. Allergy to shellfish
B. Elevated serum creatinine level
C. Pt reports claustrophobia,
D. recent bronchodilator inhaler use,
E. inability to remove a wedding band - ANS ✔✔A. Allergy to shellfish
B. Elevated serum creatinine level
A nurse is preparing discharge teaching for a patient receiving home oxygen therapy. Which of
the following instructions should be included? (select all that apply)
a. Replace cannula every 4-6 weeks
b. Tell the patient they should sit as much as possible while performing activities
c. Blankets are permitted as long as they are made of wool or synthetic material
d. Brush teeth or use mouthwash several times a day
e. Oxygen should be worn while performing daily hygiene - ANS ✔✔b, d, e
A patient with severe chronic lung disease is hospitalized with respiratory distress. Which
finding would suggest to the nurse that the patient has developed rapid decompensation?
a. An SpO2 of 86%
b. A blood ph of 7.33
c. Agitation or confusion
d. PaCO2 increases from 48 to 55 mmHg - ANS ✔✔c
, The nurse provides preoperative instruction for a patient scheduled for a left pneumonectomy.
Which information should the nurse include about the patient's postoperative care?
a. Bed rest for the first 24 hours
b. Positioning only on the right side
c. Frequent use of an incentive spirometer (also deep breathing)
d. Chest tube placement to continuous suction - ANS ✔✔c
A priority nursing intervention for a patient who has just undergone a chemical pleurodesis for
recurrent pleural effusion is:
a. Administering ordered analgesia
b. Monitoring chest tube drainage
c. Sending pleural fluid for lab analysis
d. Monitoring the pt.'s level of consciousness - ANS ✔✔a
A patient arrives in the EENT clinic complaining of a piece of tissue being "stuck up my nose"
and with foul-smelling nasal drainage from the right nare. Which action should the nurse take
first?
a. Notify the HCP
b. Obtain aerobic culture
c. ask the patient about how the cotton got into the nose
d. Have the patient occlude the left nare and blow - ANS ✔✔d
You are providing care of a 68-year- old patient diagnosed with pulmonary hypertension.
Calcium channel blockers are ordered. What is the mechanism of action of calcium channel
blockers? Select all that applies:
a. Act on vascular smooth muscles, causing constriction
b. Lower pulmonary artery pressure
c. Act on vascular smooth muscle, causing dilation
