NUR 337 FINAL EXAM 2026/2027 – NURSING STUDY GUIDE, PRACTICE
QUESTIONS, COMPREHENSIVE REVIEW & TEST PREP
During a mental status examination, a hospitalized client states that she cannot remember if she is
married or if she has children.
The nurse would document this as an example of what aspect of the mental status examination?
Decreased judgment
Decreased level of knowledge
Poor insight
Poor remote memory - correct answer ✔✔poor remote memory
Which of the following are examples of subjective assessment data? (Select all that apply)
Client states he has "no reason to live."
Client's speech is slow and soft.
Client has jaundiced skin color.
Client can recall three numbers.
Client "meditates for relaxation." - correct answer ✔✔Client states he has "no reason to live"
Client "meditates for relaxation"
While performing a mental status examination on a client, the nurse notices that the client has a
slouched posture.
This information should be documented as part of the client's ______________?
Appearance
Behavior
Thought Process
Judgment - correct answer ✔✔appearance
Why is it important to label the dressing covering the site of an intravenous access device with the date,
time, and nurse's initials?
Reminds the nurse when to change the infusion tubing.
Informs the nurse and other staff when the next dressing change is due.
Reminds the nurse to document the insertion of the device.
Proves that the access site was assessed. - correct answer ✔✔Informs the nurse and other staff when
the next dressing change is due
The nurse is performing an IV insertion procedure on a client.
Which of the following actions puts the client at risk?
Select All That Apply.
Verify client's name and birthdate.
Place tape for anchoring the IV on the hospital bed railing or tray table so that it is handy
Touch the open hub of the IV catheter after removing the needle
,Touch the area that has already been cleansed / prepared for the IV insertion
Perform hand hygiene - correct answer ✔✔Place tape for anchoring the IV on the hospital bed railing or
tray table so that it is handy
Touch the open hub of the IV catheter after removing the needle
Touch the area that has already been cleansed / prepared for the IV insertion
Which action would the nurse take first if an intravenous (IV) insertion site appeared red, warm, and
swollen?
Apply a heat pack.
Elevate the extremity the IV site is on.
Change the dressing.
Discontinue the infusion. - correct answer ✔✔Discontinue the infusion.
What is the primary - and potentially most serious - danger related to a broken IV catheter tip?
Pain
Phlebitis
Embolus
Infection - correct answer ✔✔Embolus
What would the nurse do to assess a patient's risk for embolus when removing a venous access device?
Ask the patient to rate any pain at the site.
Palpate the site for possible edema.
Visualize the tip of the IV catheter.
Inspect for redness. - correct answer ✔✔Visualize the tip of the catheter
When should the tourniquet be released a second time during the procedure for insertion of a
peripheral intravenous device?
After flushing the newly-placed IV with sterile saline to verify patency.
Immediately after observing a "flashback" of blood in the catheter.
After a "flashback" of blood is observed and the catheter has been advanced off the stylet.
Immediately after the catheter punctures the skin. - correct answer ✔✔After a "flashback" of blood is
observed and the catheter has been advanced off the stylet.
A client states, "The voices keep telling me that my hands are dirty." What is the best response by the
nurse?
"I don't hear anything; you must be imagining it."
"Maybe you should wash your hands."
"I believe you are hearing the voices but I think it is a part of your illness because I cannot hear them."
"Yes, I hear that, too. Don't worry, the voices say that to all of us." - correct answer ✔✔"I believe you are
hearing the voices but I think it is a part of your illness because I cannot hear them."
A client states that she hears voices constantly and that they interfere with her ability to sleep.
, Which intervention suggested by the nurse would be appropriate and potentially therapeutic for the
client?
Drink herbal tea before bedtime.
Take an over-the-counter sleep medication regularly.
Listen to soothing music with headphones while you are trying to fall asleep.
Contact a nearby psychiatric hospital immediately. - correct answer ✔✔Listen to soothing music with
headphones while you are trying to fall asleep.
What can nurses do to provide therapeutic, compassionate care to clients who hear voices?
Ask questions in a calm, patient manner.
Complete your assessments as quickly as possible.
Reassure the client that everyone hears the voices.
Discourage discussion of imaginary voices or visions - correct answer ✔✔Ask questions in a calm, patient
manner.
The APGAR score is typically performed on the newborn at minute ____ and ____ minutes after birth. -
correct answer ✔✔1 and 5
Which of the following ranges represents a normal heart rate for a newborn?
80 - 160 bpm
80 - 120 bpm
160 - 200 bpm
120 - 160 bpm - correct answer ✔✔120 - 160 bpm
New parents observe that their 1-hour old newborn has blue hands and feet. The rest of the newborn's
body is pink and the baby is breathing and crying. The parents express concern about the blue hands and
feet and ask the nurse if it is normal.
What is the best reply by the nurse?
"It is normal for a newborn to have blue and hands and feet for the first few hours as circulation is
established; this is called acrocyanosis."
"Thank you for pointing that out; I will contact the physician to report this finding."
"That is discoloration related to bruising from the birth process."
"It is normal for a newborn to have blue and hands and feet for the first few hours as circulation is
established; this is called extremity hypoxia." - correct answer ✔✔"It is normal for a newborn to have
blue and hands and feet for the first few hours as circulation is established; this is called acrocyanosis."
A patient who has chronic heart failure tells the nurse, "I don't pass much urine during the day but, once
I lay down to go to sleep, I feel like I have to pee every hour!"
The nurse will document this assessment finding as:
Dysrhythmia
Hyperactive bladder
Nocturnal dyspnea
Nocturia - correct answer ✔✔Nocturia
QUESTIONS, COMPREHENSIVE REVIEW & TEST PREP
During a mental status examination, a hospitalized client states that she cannot remember if she is
married or if she has children.
The nurse would document this as an example of what aspect of the mental status examination?
Decreased judgment
Decreased level of knowledge
Poor insight
Poor remote memory - correct answer ✔✔poor remote memory
Which of the following are examples of subjective assessment data? (Select all that apply)
Client states he has "no reason to live."
Client's speech is slow and soft.
Client has jaundiced skin color.
Client can recall three numbers.
Client "meditates for relaxation." - correct answer ✔✔Client states he has "no reason to live"
Client "meditates for relaxation"
While performing a mental status examination on a client, the nurse notices that the client has a
slouched posture.
This information should be documented as part of the client's ______________?
Appearance
Behavior
Thought Process
Judgment - correct answer ✔✔appearance
Why is it important to label the dressing covering the site of an intravenous access device with the date,
time, and nurse's initials?
Reminds the nurse when to change the infusion tubing.
Informs the nurse and other staff when the next dressing change is due.
Reminds the nurse to document the insertion of the device.
Proves that the access site was assessed. - correct answer ✔✔Informs the nurse and other staff when
the next dressing change is due
The nurse is performing an IV insertion procedure on a client.
Which of the following actions puts the client at risk?
Select All That Apply.
Verify client's name and birthdate.
Place tape for anchoring the IV on the hospital bed railing or tray table so that it is handy
Touch the open hub of the IV catheter after removing the needle
,Touch the area that has already been cleansed / prepared for the IV insertion
Perform hand hygiene - correct answer ✔✔Place tape for anchoring the IV on the hospital bed railing or
tray table so that it is handy
Touch the open hub of the IV catheter after removing the needle
Touch the area that has already been cleansed / prepared for the IV insertion
Which action would the nurse take first if an intravenous (IV) insertion site appeared red, warm, and
swollen?
Apply a heat pack.
Elevate the extremity the IV site is on.
Change the dressing.
Discontinue the infusion. - correct answer ✔✔Discontinue the infusion.
What is the primary - and potentially most serious - danger related to a broken IV catheter tip?
Pain
Phlebitis
Embolus
Infection - correct answer ✔✔Embolus
What would the nurse do to assess a patient's risk for embolus when removing a venous access device?
Ask the patient to rate any pain at the site.
Palpate the site for possible edema.
Visualize the tip of the IV catheter.
Inspect for redness. - correct answer ✔✔Visualize the tip of the catheter
When should the tourniquet be released a second time during the procedure for insertion of a
peripheral intravenous device?
After flushing the newly-placed IV with sterile saline to verify patency.
Immediately after observing a "flashback" of blood in the catheter.
After a "flashback" of blood is observed and the catheter has been advanced off the stylet.
Immediately after the catheter punctures the skin. - correct answer ✔✔After a "flashback" of blood is
observed and the catheter has been advanced off the stylet.
A client states, "The voices keep telling me that my hands are dirty." What is the best response by the
nurse?
"I don't hear anything; you must be imagining it."
"Maybe you should wash your hands."
"I believe you are hearing the voices but I think it is a part of your illness because I cannot hear them."
"Yes, I hear that, too. Don't worry, the voices say that to all of us." - correct answer ✔✔"I believe you are
hearing the voices but I think it is a part of your illness because I cannot hear them."
A client states that she hears voices constantly and that they interfere with her ability to sleep.
, Which intervention suggested by the nurse would be appropriate and potentially therapeutic for the
client?
Drink herbal tea before bedtime.
Take an over-the-counter sleep medication regularly.
Listen to soothing music with headphones while you are trying to fall asleep.
Contact a nearby psychiatric hospital immediately. - correct answer ✔✔Listen to soothing music with
headphones while you are trying to fall asleep.
What can nurses do to provide therapeutic, compassionate care to clients who hear voices?
Ask questions in a calm, patient manner.
Complete your assessments as quickly as possible.
Reassure the client that everyone hears the voices.
Discourage discussion of imaginary voices or visions - correct answer ✔✔Ask questions in a calm, patient
manner.
The APGAR score is typically performed on the newborn at minute ____ and ____ minutes after birth. -
correct answer ✔✔1 and 5
Which of the following ranges represents a normal heart rate for a newborn?
80 - 160 bpm
80 - 120 bpm
160 - 200 bpm
120 - 160 bpm - correct answer ✔✔120 - 160 bpm
New parents observe that their 1-hour old newborn has blue hands and feet. The rest of the newborn's
body is pink and the baby is breathing and crying. The parents express concern about the blue hands and
feet and ask the nurse if it is normal.
What is the best reply by the nurse?
"It is normal for a newborn to have blue and hands and feet for the first few hours as circulation is
established; this is called acrocyanosis."
"Thank you for pointing that out; I will contact the physician to report this finding."
"That is discoloration related to bruising from the birth process."
"It is normal for a newborn to have blue and hands and feet for the first few hours as circulation is
established; this is called extremity hypoxia." - correct answer ✔✔"It is normal for a newborn to have
blue and hands and feet for the first few hours as circulation is established; this is called acrocyanosis."
A patient who has chronic heart failure tells the nurse, "I don't pass much urine during the day but, once
I lay down to go to sleep, I feel like I have to pee every hour!"
The nurse will document this assessment finding as:
Dysrhythmia
Hyperactive bladder
Nocturnal dyspnea
Nocturia - correct answer ✔✔Nocturia
