NUR 150 FINAL EXAM-HONDROS COLLEGE OF NURSING
EXAM–COMPLETE STUDY GUIDE | PRACTICE QUESTIONS
AND ANSWERS-RATIONALES | EXAM PREP | DOWNLOAD
INSTANT PDF | GUARANTEED PASS || LATEST EXAM
2026-2027
1. A rehabilitation nurse is assessing a newly admitted client with a complete C5 spinal
cord injury. Which functional expectation is most realistic for this client regarding self-
care independence?
A. Independent performance of all upper body hygiene and grooming without assistive devices
B. Total dependence for feeding, requiring a full-time caregiver for all nutritional intake
C. Ability to feed themselves using adaptive equipment such as a universal cuff, though
requiring assistance with setup and hygiene
D. Complete independence in manual wheelchair propulsion over long, uneven distances
Answer: C
A C5 spinal cord injury preserves biceps and shoulder function, enabling clients to feed
themselves using adaptive devices like a universal cuff, although they still require assistance
with meal setup, food preparation, and comprehensive personal hygiene.
2. A client post-stroke is demonstrating left-sided neglect. Which nursing intervention is
most effective when approaching the client and arranging their hospital room
environment?
A. Place the call bell, water pitcher, and food tray on the client's right side to encourage
compensation
B. Approach the client and place essential items exclusively on their affected left side to force
visual tracking
C. Keep all personal belongings directly behind the client's bed to limit sensory distraction
D. Position the room furniture so that all traffic flows strictly through the client's right visual
field
Answer: B
,Approaching from and placing items on the neglected side initially supports safety and
encourages the client to gradually turn their head and scan the affected environment, a vital
step in rehabilitation adaptation.
3. A nurse is caring for an older adult client with moderate Alzheimer's disease who
exhibits increasing agitation and wandering behavior during evening hours. Which nursing
diagnosis is most appropriate for this clinical scenario?
A. Risk for Ineffective Cerebral Tissue Perfusion related to acute cerebral hemorrhage
B. Risk for Injury related to cognitive impairment, disorientation, and sundowning syndrome
C. Impaired Physical Mobility related to chronic joint degeneration and severe pain
D. Deficient Fluid Volume related to decreased oral intake and diuretic therapy
Answer: B
Clients with moderate Alzheimer's disease experiencing sundowning are at high risk for
injury due to disorientation, cognitive decline, and evening restlessness, making injury
prevention the primary focus.
4. A client with Parkinson's disease is prescribed levodopa-carbidopa. The client's family
asks why both medications are combined in a single pill. What is the nurse's best response?
A. Carbidopa cures the underlying viral pathology of Parkinson's disease while levodopa treats
the symptoms
B. Carbidopa prevents the breakdown of levodopa in the bloodstream, allowing a greater
amount of levodopa to cross the blood-brain barrier and reach the brain
C. Levodopa neutralizes the toxic side effects of carbidopa on the liver and kidneys
D. The combination eliminates all potential adverse neurological side effects associated with
dopamine therapy
Answer: B
Carbidopa inhibits peripheral decarboxylase enzymes, preventing peripheral metabolism of
levodopa so that more active drug reaches the central nervous system with a lower required
total dose.
5. A rehabilitation nurse is educating a client with rheumatoid arthritis on joint protection
principles. Which client statement indicates a correct understanding of the teaching?
, A. "I should use my smaller finger joints instead of my forearms and wrists to lift heavy pots
and pans."
B. "I will maintain one static grip position for long periods to build hand muscle strength."
C. "I should use larger, stronger joints to bear weight and push objects across surfaces rather
than lifting them."
D. "I will avoid all forms of physical activity and rest in bed continuously to protect my joints."
Answer: C
Utilizing larger joints and sliding objects rather than lifting reduces mechanical stress on
vulnerable smaller joints, which is a core principle of arthritis joint protection.
6. A client with a T4 spinal cord injury reports a sudden, severe pounding headache, nasal
congestion, and profuse diaphoresis above the level of the injury. What is the immediate
priority nursing action?
A. Administer a prescribed oral analgesic and reassess the client in one hour
B. Lower the head of the bed flat to maximize cerebral perfusion pressure
C. Elevate the head of the bed immediately to reduce intracranial and blood pressure, then check
for bladder distension
D. Encourage the client to ambulate in the hallway to relieve muscle tension
Answer: C
Autonomic dysreflexia is a medical emergency characterized by severe hypertension triggered
by a noxious stimulus; elevating the head of the bed lowers blood pressure immediately while
the nurse searches for causes like a distended bladder.
7. A client post-total hip arthroplasty using a posterolateral surgical approach is learning
proper positioning. Which action must the client strictly avoid during early recovery?
A. Keeping the operated leg abducted with a pillow between the knees
B. Flexing the operative hip beyond 90 degrees, internal rotation, and adduction across the
midline
C. Using an elevated toilet seat and shower bench
D. Maintaining the trunk in an upright, neutral alignment when transitioning from sitting to
standing
, Answer: B
Posterolateral hip replacement precautions prohibit hip flexion past 90 degrees, internal
rotation, and adduction to prevent the femoral head from dislocating out of the acetabular
cup.
8. A nurse is evaluating a client with a closed traumatic brain injury who opens eyes to
pain, makes incomprehensible sounds, and withdraws from painful stimuli. What is this
client's Glasgow Coma Scale score?
A. 8
B. 10
C. 12
D. 14
Answer: A
Eye opening to pain scores 2, incomprehensible sounds score 2, and withdrawal from pain
scores 4, resulting in a total Glasgow Coma Scale score of 8, which indicates severe brain
injury.
9. A rehabilitation nurse is monitoring a client with multiple sclerosis who is receiving
warm hydrotherapy. The client reports sudden worsening of muscle weakness, blurred
vision, and extreme fatigue. How should the nurse interpret this finding?
A. The client is experiencing an acute allergic reaction to the pool chemicals
B. The client is exhibiting Uhthoff's phenomenon, where elevated core body temperatures
temporarily worsen neurological symptoms in multiple sclerosis
C. The client has developed a systemic bacterial infection requiring immediate quarantine
D. The hydrotherapy session has successfully cured the underlying demyelination process
Answer: B
Uhthoff's phenomenon occurs when heat slows nerve conduction across demyelinated axons
in multiple sclerosis clients, leading to transient worsening of neurological deficits.
10. A client with a lower extremity amputation is preparing for discharge. The nurse
teaches the client to inspect the residual limb daily for skin breakdown. Which tool should
the nurse recommend for checking hard-to-see areas like the posterior incision?
EXAM–COMPLETE STUDY GUIDE | PRACTICE QUESTIONS
AND ANSWERS-RATIONALES | EXAM PREP | DOWNLOAD
INSTANT PDF | GUARANTEED PASS || LATEST EXAM
2026-2027
1. A rehabilitation nurse is assessing a newly admitted client with a complete C5 spinal
cord injury. Which functional expectation is most realistic for this client regarding self-
care independence?
A. Independent performance of all upper body hygiene and grooming without assistive devices
B. Total dependence for feeding, requiring a full-time caregiver for all nutritional intake
C. Ability to feed themselves using adaptive equipment such as a universal cuff, though
requiring assistance with setup and hygiene
D. Complete independence in manual wheelchair propulsion over long, uneven distances
Answer: C
A C5 spinal cord injury preserves biceps and shoulder function, enabling clients to feed
themselves using adaptive devices like a universal cuff, although they still require assistance
with meal setup, food preparation, and comprehensive personal hygiene.
2. A client post-stroke is demonstrating left-sided neglect. Which nursing intervention is
most effective when approaching the client and arranging their hospital room
environment?
A. Place the call bell, water pitcher, and food tray on the client's right side to encourage
compensation
B. Approach the client and place essential items exclusively on their affected left side to force
visual tracking
C. Keep all personal belongings directly behind the client's bed to limit sensory distraction
D. Position the room furniture so that all traffic flows strictly through the client's right visual
field
Answer: B
,Approaching from and placing items on the neglected side initially supports safety and
encourages the client to gradually turn their head and scan the affected environment, a vital
step in rehabilitation adaptation.
3. A nurse is caring for an older adult client with moderate Alzheimer's disease who
exhibits increasing agitation and wandering behavior during evening hours. Which nursing
diagnosis is most appropriate for this clinical scenario?
A. Risk for Ineffective Cerebral Tissue Perfusion related to acute cerebral hemorrhage
B. Risk for Injury related to cognitive impairment, disorientation, and sundowning syndrome
C. Impaired Physical Mobility related to chronic joint degeneration and severe pain
D. Deficient Fluid Volume related to decreased oral intake and diuretic therapy
Answer: B
Clients with moderate Alzheimer's disease experiencing sundowning are at high risk for
injury due to disorientation, cognitive decline, and evening restlessness, making injury
prevention the primary focus.
4. A client with Parkinson's disease is prescribed levodopa-carbidopa. The client's family
asks why both medications are combined in a single pill. What is the nurse's best response?
A. Carbidopa cures the underlying viral pathology of Parkinson's disease while levodopa treats
the symptoms
B. Carbidopa prevents the breakdown of levodopa in the bloodstream, allowing a greater
amount of levodopa to cross the blood-brain barrier and reach the brain
C. Levodopa neutralizes the toxic side effects of carbidopa on the liver and kidneys
D. The combination eliminates all potential adverse neurological side effects associated with
dopamine therapy
Answer: B
Carbidopa inhibits peripheral decarboxylase enzymes, preventing peripheral metabolism of
levodopa so that more active drug reaches the central nervous system with a lower required
total dose.
5. A rehabilitation nurse is educating a client with rheumatoid arthritis on joint protection
principles. Which client statement indicates a correct understanding of the teaching?
, A. "I should use my smaller finger joints instead of my forearms and wrists to lift heavy pots
and pans."
B. "I will maintain one static grip position for long periods to build hand muscle strength."
C. "I should use larger, stronger joints to bear weight and push objects across surfaces rather
than lifting them."
D. "I will avoid all forms of physical activity and rest in bed continuously to protect my joints."
Answer: C
Utilizing larger joints and sliding objects rather than lifting reduces mechanical stress on
vulnerable smaller joints, which is a core principle of arthritis joint protection.
6. A client with a T4 spinal cord injury reports a sudden, severe pounding headache, nasal
congestion, and profuse diaphoresis above the level of the injury. What is the immediate
priority nursing action?
A. Administer a prescribed oral analgesic and reassess the client in one hour
B. Lower the head of the bed flat to maximize cerebral perfusion pressure
C. Elevate the head of the bed immediately to reduce intracranial and blood pressure, then check
for bladder distension
D. Encourage the client to ambulate in the hallway to relieve muscle tension
Answer: C
Autonomic dysreflexia is a medical emergency characterized by severe hypertension triggered
by a noxious stimulus; elevating the head of the bed lowers blood pressure immediately while
the nurse searches for causes like a distended bladder.
7. A client post-total hip arthroplasty using a posterolateral surgical approach is learning
proper positioning. Which action must the client strictly avoid during early recovery?
A. Keeping the operated leg abducted with a pillow between the knees
B. Flexing the operative hip beyond 90 degrees, internal rotation, and adduction across the
midline
C. Using an elevated toilet seat and shower bench
D. Maintaining the trunk in an upright, neutral alignment when transitioning from sitting to
standing
, Answer: B
Posterolateral hip replacement precautions prohibit hip flexion past 90 degrees, internal
rotation, and adduction to prevent the femoral head from dislocating out of the acetabular
cup.
8. A nurse is evaluating a client with a closed traumatic brain injury who opens eyes to
pain, makes incomprehensible sounds, and withdraws from painful stimuli. What is this
client's Glasgow Coma Scale score?
A. 8
B. 10
C. 12
D. 14
Answer: A
Eye opening to pain scores 2, incomprehensible sounds score 2, and withdrawal from pain
scores 4, resulting in a total Glasgow Coma Scale score of 8, which indicates severe brain
injury.
9. A rehabilitation nurse is monitoring a client with multiple sclerosis who is receiving
warm hydrotherapy. The client reports sudden worsening of muscle weakness, blurred
vision, and extreme fatigue. How should the nurse interpret this finding?
A. The client is experiencing an acute allergic reaction to the pool chemicals
B. The client is exhibiting Uhthoff's phenomenon, where elevated core body temperatures
temporarily worsen neurological symptoms in multiple sclerosis
C. The client has developed a systemic bacterial infection requiring immediate quarantine
D. The hydrotherapy session has successfully cured the underlying demyelination process
Answer: B
Uhthoff's phenomenon occurs when heat slows nerve conduction across demyelinated axons
in multiple sclerosis clients, leading to transient worsening of neurological deficits.
10. A client with a lower extremity amputation is preparing for discharge. The nurse
teaches the client to inspect the residual limb daily for skin breakdown. Which tool should
the nurse recommend for checking hard-to-see areas like the posterior incision?
