NURS 230 Final Exam Practice Test
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1. Explain how diabetes impacts the body's ability to maintain normal blood
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glucose levels.
... ...
. . . ... ... ... ... ... ... ... ...
It causes the body to become resistant to insulin, preventing glucose
. . . ... ... ... ... ... ... ... ... ... ...
... uptake.
. . . It enhances the liver's ability to store glucose as glycogen.
... ... ... ... ... ... ... ... ...
. . . It decreases the absorption of glucose in the intestines.
... ... ... ... ... ... ... ...
2. A patient presents with symptoms of right ventricular failure. Considering the
... ... ... ... ... ... ... ... ... ...
common causes, which additional assessment would be most critical to determine
... ... ... ... ... ... ... ... ... ... ...
the underlying issue?
... ... ...
. . . Assessing for signs of diabetes management ... ... ... ... ...
Evaluating the patient's lung function and history of chronic lung
. . . ... ... ... ... ... ... ... ... ...
... disease
. . . Checking for signs of left-sided heart failure ... ... ... ... ... ...
. . . Performing a complete blood count ... ... ... ...
3. A patient presents with fever and pelvic pain three days after delivery. Based on
... ... ... ... ... ... ... ... ... ... ... ... ...
your knowledge of postpartum infections, what would be the most appropriate
... ... ... ... ... ... ... ... ... ... ...
initial nursing action?
... ... ..
Administer pain medication and monitor vital
. . . ... ... ... ... ...
... signs.
Encourage the patient to ambulate to prevent
. . . ... ... ... ... ... ...
... clots.
Perform a thorough assessment and notify the healthcare provideerx.
. . . ... ... ... ... ... ... ... ...
...
Provide education on normal postpartum
. . . ... ... ... ...
recovery. ...
4. Explain how Maslow’s hierarchy of needs can be applied in a nursing
... ... ... ... ... ... ... ... ... ... ...
scenario involving a patient with chronic illness.
... ... ... .. ... ... ...
. . . It allows nurses to focus solely on medication management.
... ... ... ... ... ... ... ...
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, . . . It helps nurses to understand the patient's emotional state only.
... ... ... ... ... ... ... ... ...
... It guides nurses to address the patient's basic needs before considering
... ... ... ... ... ... ... ... ... ...
their emotional and social support.
... ... ... ... ...
. . . It encourages nurses to prioritize social interactions over medical needs.
... ... ... ... ... ... ... ... ...
5. Which of the following is NOT a key consideration in providing end-of-life care?
... ... ... ... ... .. ... ... ... ... ... ...
... Pain management ...
. . . Emotional support ...
. . . Respecting the patient's wishes ... ... ...
. . . Aggressive treatment options ... ...
6. Explain why deep breathing exercises are important for patients with
... ... ... ... ... ... ... ... ...
cardiomyopathy in preventing pulmonary complications.
... ... ... ... .
. . . They increase heart rate and blood pressure.
... ... ... ... ... ...
. . . They help clear secretions and improve lung ventilation.
... ... ... ... ... ... ...
. . . They reduce the need for ambulation.
... ... ... ... ...
. . . They promote relaxation and decrease anxiety.
... ... ... ... ...
7. Explain how the epiglottis contributes to respiratory health during swallowing.
... ... ... ... ... ... ... ... ...
. . . It opens to allow air into the lungs.
... ... ... ... ... ... ...
. . . It closes off the trachea to prevent food from entering.
... ... ... ... ... ... ... ... ...
. . . It helps in the production of sound.
... ... ... ... ... ...
. . . It filters out pathogens from the air.
... ... ... ... ... ...
8. Which of the following symptoms is primarily associated with hyperparathyroidism?
... ... ... ... ... ... ... ... ...
... Tetany
2/42
, ... Chvostek’s sign ...
. . . High calcium levels ... ...
. . . Low calcium levels ... ...
9. Explain how the negative feedback system contributes to homeostasis in
... ... ... ... ... ... ... ... ...
the endocrine system.
... ... ...
. . . It allows for constant hormone production regardless of levels.
... ... ... ... ... ... ... ...
It adjusts hormone levels based on physiological needs to maintain
. . . ... ... ... ... ... ... ... ... ...
... balance.
. . . It prevents any hormone from being released into the bloodstream.
... ... ... ... ... ... ... ... ...
. . . It ensures that all hormones are produced at the same rate.
... ... ... ... ... ... ... ... ... ...
10. What are signs of DVT?
... ... ... ...
. . . Pain in calf, cold to touch, redness
... ... ... ... ... ...
. . . Pins and needles, swelling, hot to touch
... ... ... ... ... ...
. . . Pain in calf, tenderness, swelling, redness
... ... ... ... ...
. . . Woman reports feeling numbness in the area, swelling
... ... ... ... ... ... ...
11. Myocardial infarction differs from angina pectoris. Select the statement that
... ... ... ... ... ... ... ... ...
best defines the differences.
... ... .. ..
. . . Angina pectoris lasts longer than 10 minutes and may stop with the
... ... ... .. ... ... ... ... ... ... ...
... reduction in stress or physicalactivity. ... ... .. . .
Patients experiencing myocardial infarction may get incomplete relief
. . . ... ... ... ... ... ... ...
from nitroglycerin and report intense symptoms of chest discomfort and
... ... ... ... ... ... ... ... ... ...
pressure
. . . Patients experiencing angina pectoris may report little to no
... ... ... ... ... ... ... ...
... precipitating factors with the pain ... ... .. ...
. . . None of the above ... ... ...
12. Which of the following is a key nursing consideration for a patient diagnosed
... ... ... ... ... ... ... ... ... ... ... ...
with cardiomyopathy?
... ...
3/42
, . . . Encouraging high-intensity exercise ... ...
. . . Monitoring for signs of heart failure ... ... ... ... ...
. . . Administering insulin for diabetes management ... ... ... ...
. . . Performing regular blood transfusions ... ... ...
13. Explain how critical thinking influences the prioritization of patient care in nursing.
... ... ... ... ... ... ... ... ... ... ...
. . . It allows nurses to follow a checklist of tasks.
... ... ... ... ... ... ... ...
...It helps nurses to evaluate patient needs and make decisions based on
... ... ... ... ... ... ... ... ... ... ...
...urgency and importance. ... ...
. . . It encourages nurses to focus only on the most critical patients.
... ... ... ... ... ... ... ... ... ...
. . . It reduces the need for collaboration with other healthcare professionals.
... ... ... ... ... ... ... ... ...
14. A postpartum patient presents with bright red lochia that has persisted beyond
... ... ... ... ... ... ... ... ... ... ...
the first week. What should the nurse's priority action be based on the stages
... ... ... ... ... ... ... ... ... ... ... ... ... ...
of lochia?
... ...
. . . Reassure the patient that this is normal. ... ... ... ... ... ...
. . . Assess for signs of infection or retained placental fragments.
... ... ... ... ... ... ... ...
. . . Encourage the patient to increase fluid intake. ... ... ... ... ... ...
. . . Schedule a follow-up appointment in two weeks. ... ... ... ... ... ...
15. Which two postpartum infections are commonly identified, along with
... ... ... ... ... ... ... ...
their associated symptoms?
... ... ...
. . . Endometritis and urinary infections ... ... ...
. . . Mastitis and pneumonia ... ...
. . . Thrombophlebitis and sepsis ... ...
. . . Cardiomyopathy and diabetes ... ...
16. Eligibility for hospice services is based on a life expectancy of which of
... ... ... ... ... ... ... ... ... ... ... ...
the following, if an illness runs its normal course?
... ... ... .. ... ... ... ... .
4/42
... ... ... ... ...
1. Explain how diabetes impacts the body's ability to maintain normal blood
... ... ... ... ... ... ... ... ... ...
glucose levels.
... ...
. . . ... ... ... ... ... ... ... ...
It causes the body to become resistant to insulin, preventing glucose
. . . ... ... ... ... ... ... ... ... ... ...
... uptake.
. . . It enhances the liver's ability to store glucose as glycogen.
... ... ... ... ... ... ... ... ...
. . . It decreases the absorption of glucose in the intestines.
... ... ... ... ... ... ... ...
2. A patient presents with symptoms of right ventricular failure. Considering the
... ... ... ... ... ... ... ... ... ...
common causes, which additional assessment would be most critical to determine
... ... ... ... ... ... ... ... ... ... ...
the underlying issue?
... ... ...
. . . Assessing for signs of diabetes management ... ... ... ... ...
Evaluating the patient's lung function and history of chronic lung
. . . ... ... ... ... ... ... ... ... ...
... disease
. . . Checking for signs of left-sided heart failure ... ... ... ... ... ...
. . . Performing a complete blood count ... ... ... ...
3. A patient presents with fever and pelvic pain three days after delivery. Based on
... ... ... ... ... ... ... ... ... ... ... ... ...
your knowledge of postpartum infections, what would be the most appropriate
... ... ... ... ... ... ... ... ... ... ...
initial nursing action?
... ... ..
Administer pain medication and monitor vital
. . . ... ... ... ... ...
... signs.
Encourage the patient to ambulate to prevent
. . . ... ... ... ... ... ...
... clots.
Perform a thorough assessment and notify the healthcare provideerx.
. . . ... ... ... ... ... ... ... ...
...
Provide education on normal postpartum
. . . ... ... ... ...
recovery. ...
4. Explain how Maslow’s hierarchy of needs can be applied in a nursing
... ... ... ... ... ... ... ... ... ... ...
scenario involving a patient with chronic illness.
... ... ... .. ... ... ...
. . . It allows nurses to focus solely on medication management.
... ... ... ... ... ... ... ...
1/42
, . . . It helps nurses to understand the patient's emotional state only.
... ... ... ... ... ... ... ... ...
... It guides nurses to address the patient's basic needs before considering
... ... ... ... ... ... ... ... ... ...
their emotional and social support.
... ... ... ... ...
. . . It encourages nurses to prioritize social interactions over medical needs.
... ... ... ... ... ... ... ... ...
5. Which of the following is NOT a key consideration in providing end-of-life care?
... ... ... ... ... .. ... ... ... ... ... ...
... Pain management ...
. . . Emotional support ...
. . . Respecting the patient's wishes ... ... ...
. . . Aggressive treatment options ... ...
6. Explain why deep breathing exercises are important for patients with
... ... ... ... ... ... ... ... ...
cardiomyopathy in preventing pulmonary complications.
... ... ... ... .
. . . They increase heart rate and blood pressure.
... ... ... ... ... ...
. . . They help clear secretions and improve lung ventilation.
... ... ... ... ... ... ...
. . . They reduce the need for ambulation.
... ... ... ... ...
. . . They promote relaxation and decrease anxiety.
... ... ... ... ...
7. Explain how the epiglottis contributes to respiratory health during swallowing.
... ... ... ... ... ... ... ... ...
. . . It opens to allow air into the lungs.
... ... ... ... ... ... ...
. . . It closes off the trachea to prevent food from entering.
... ... ... ... ... ... ... ... ...
. . . It helps in the production of sound.
... ... ... ... ... ...
. . . It filters out pathogens from the air.
... ... ... ... ... ...
8. Which of the following symptoms is primarily associated with hyperparathyroidism?
... ... ... ... ... ... ... ... ...
... Tetany
2/42
, ... Chvostek’s sign ...
. . . High calcium levels ... ...
. . . Low calcium levels ... ...
9. Explain how the negative feedback system contributes to homeostasis in
... ... ... ... ... ... ... ... ...
the endocrine system.
... ... ...
. . . It allows for constant hormone production regardless of levels.
... ... ... ... ... ... ... ...
It adjusts hormone levels based on physiological needs to maintain
. . . ... ... ... ... ... ... ... ... ...
... balance.
. . . It prevents any hormone from being released into the bloodstream.
... ... ... ... ... ... ... ... ...
. . . It ensures that all hormones are produced at the same rate.
... ... ... ... ... ... ... ... ... ...
10. What are signs of DVT?
... ... ... ...
. . . Pain in calf, cold to touch, redness
... ... ... ... ... ...
. . . Pins and needles, swelling, hot to touch
... ... ... ... ... ...
. . . Pain in calf, tenderness, swelling, redness
... ... ... ... ...
. . . Woman reports feeling numbness in the area, swelling
... ... ... ... ... ... ...
11. Myocardial infarction differs from angina pectoris. Select the statement that
... ... ... ... ... ... ... ... ...
best defines the differences.
... ... .. ..
. . . Angina pectoris lasts longer than 10 minutes and may stop with the
... ... ... .. ... ... ... ... ... ... ...
... reduction in stress or physicalactivity. ... ... .. . .
Patients experiencing myocardial infarction may get incomplete relief
. . . ... ... ... ... ... ... ...
from nitroglycerin and report intense symptoms of chest discomfort and
... ... ... ... ... ... ... ... ... ...
pressure
. . . Patients experiencing angina pectoris may report little to no
... ... ... ... ... ... ... ...
... precipitating factors with the pain ... ... .. ...
. . . None of the above ... ... ...
12. Which of the following is a key nursing consideration for a patient diagnosed
... ... ... ... ... ... ... ... ... ... ... ...
with cardiomyopathy?
... ...
3/42
, . . . Encouraging high-intensity exercise ... ...
. . . Monitoring for signs of heart failure ... ... ... ... ...
. . . Administering insulin for diabetes management ... ... ... ...
. . . Performing regular blood transfusions ... ... ...
13. Explain how critical thinking influences the prioritization of patient care in nursing.
... ... ... ... ... ... ... ... ... ... ...
. . . It allows nurses to follow a checklist of tasks.
... ... ... ... ... ... ... ...
...It helps nurses to evaluate patient needs and make decisions based on
... ... ... ... ... ... ... ... ... ... ...
...urgency and importance. ... ...
. . . It encourages nurses to focus only on the most critical patients.
... ... ... ... ... ... ... ... ... ...
. . . It reduces the need for collaboration with other healthcare professionals.
... ... ... ... ... ... ... ... ...
14. A postpartum patient presents with bright red lochia that has persisted beyond
... ... ... ... ... ... ... ... ... ... ...
the first week. What should the nurse's priority action be based on the stages
... ... ... ... ... ... ... ... ... ... ... ... ... ...
of lochia?
... ...
. . . Reassure the patient that this is normal. ... ... ... ... ... ...
. . . Assess for signs of infection or retained placental fragments.
... ... ... ... ... ... ... ...
. . . Encourage the patient to increase fluid intake. ... ... ... ... ... ...
. . . Schedule a follow-up appointment in two weeks. ... ... ... ... ... ...
15. Which two postpartum infections are commonly identified, along with
... ... ... ... ... ... ... ...
their associated symptoms?
... ... ...
. . . Endometritis and urinary infections ... ... ...
. . . Mastitis and pneumonia ... ...
. . . Thrombophlebitis and sepsis ... ...
. . . Cardiomyopathy and diabetes ... ...
16. Eligibility for hospice services is based on a life expectancy of which of
... ... ... ... ... ... ... ... ... ... ... ...
the following, if an illness runs its normal course?
... ... ... .. ... ... ... ... .
4/42
