P R O F E S S I O N A L P R A C T I C E M AT E R I A L S
NUR 355 Exam 5 Questions
& Answers for 2026/2027
Nursing Examination
Updated Edition
(Rationales)
Verified Answers Exam Ready With Rationales 94 QUESTIONS
DOCUMENT OVERVIEW
This document provides 94 nursing exam questions, each with the correct answer and
detailed rationales, suitable for comprehensive nursing knowledge review. It covers a broad
range of essential nursing concepts, including assessments, interventions, and patient
conditions. Students can effectively use this resource for in-depth study, exam preparation,
and to reinforce understanding of critical nursing principles.
TOPICS
Gastrointestinal Assessment & Procedures Q1–Q44
Inflammatory & Motility Bowel Disorders Q45–Q59
Musculoskeletal Trauma & Conditions Q60–Q91
Neuromuscular Disorders Q92–Q94
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 94
what can be used to assess for dehydration?
ANSWER
- labs: urine specific gravity- expected range is 1.005-1.030
- vitals: hypotension, tachycardia, tachypnea, fever
- physical assessment: poor skin turgor
RATIONALE
Urine specific gravity reflects the concentration of urine, with higher values indicating more
concentrated urine and thus dehydration. Hypotension, tachycardia, and tachypnea are
compensatory vital sign changes in response to decreased circulating volume. Poor skin turgor is a
classic physical sign of diminished fluid volume in the interstitial space.
Q2 QUESTION 2 OF 94
How do you assess for dysphagia?
ANSWER
-Assess ability to swallow before feeding (facial droop, drooling, weak voice, gag reflex, cough
reflex, watery eyes)
-Swallow study with different textures
-SPEECH THERAPY should be consulted before feeding...consult EARLY
- Lungs are clear upon auscultation after eating
RATIONALE
Assessing dysphagia involves evaluating pre-feeding indicators like facial droop and gag reflex,
and post-feeding signs such as clear lung sounds. A swallow study and early consultation with
speech therapy are crucial for determining safe oral intake textures and strategies. This approach
minimizes aspiration risk.
Q3 QUESTION 3 OF 94
Nursing considerations for an NG tube include?
Page 2
, ANSWER
- check placement with KUB x-ray
- aspirate stomach contents and check pH
- hold feedings if residual is greater than 250mL (may differ depending on facility)
- Assess for skin breakdown around nares
RATIONALE
Ensuring nasogastric (NG) tube functionality and patient safety involves verifying placement,
typically via radiography, and assessing gastric residual volume to prevent aspiration and ensure
proper absorption. Routine assessment for nares integrity is also critical to prevent local tissue
injury.
Q4 QUESTION 4 OF 94
What types of patients are candidates for NG tubes?
ANSWER
oral/facial trauma or surgery, esophageal abnormality, high aspiration risk, malnutrition
RATIONALE
Nasogastric tubes are indicated for patients unable to maintain adequate oral intake due to
conditions affecting the mouth or esophagus, or those with compromised swallowing mechanisms.
They are also used to manage severe malnutrition or protect against aspiration.
Q5 QUESTION 5 OF 94
What is a laparoscopy?
ANSWER
MIS (minimally invasive surgery) technique using gas to insufflate the peritoneum and
instrument manipulated through ports with video camera guidance
RATIONALE
This surgical approach employs a minimally invasive technique to access the abdominal cavity. It
involves distending the peritoneum with gas and utilizing specialized instruments inserted through
small ports, guided by a video camera for visualization.
Page 3
, Q6 QUESTION 6 OF 94
What is the expected ammonia range?
ANSWER
10-80 mcg/dL
RATIONALE
Ammonia is a byproduct of protein metabolism, primarily excreted by the liver. Elevated levels
indicate impaired hepatic function, leading to hepatic encephalopathy. The normal laboratory
reference range for ammonia is
Q7 QUESTION 7 OF 94
What are some nursing considerations surrounding laparoscopic surgery?
ANSWER
patient will experience gas pains which may be primarily around shoulders: ensure the patient
is ambulating if possible to help with discomfort
RATIONALE
Pneumoperitoneum during laparoscopy introduces carbon dioxide gas into the abdominal cavity,
which can irritate the diaphragm, causing referred shoulder pain. Postoperative ambulation is
encouraged as it facilitates gas dispersion and absorption, thereby alleviating this discomfort.
Q8 QUESTION 8 OF 94
Where is McBurney's point? significance?
ANSWER
1/3 the distance from anterior superior iliac spine to umbilicus; RLQ point that hurts in
appendicitis
Page 4
NUR 355 Exam 5 Questions
& Answers for 2026/2027
Nursing Examination
Updated Edition
(Rationales)
Verified Answers Exam Ready With Rationales 94 QUESTIONS
DOCUMENT OVERVIEW
This document provides 94 nursing exam questions, each with the correct answer and
detailed rationales, suitable for comprehensive nursing knowledge review. It covers a broad
range of essential nursing concepts, including assessments, interventions, and patient
conditions. Students can effectively use this resource for in-depth study, exam preparation,
and to reinforce understanding of critical nursing principles.
TOPICS
Gastrointestinal Assessment & Procedures Q1–Q44
Inflammatory & Motility Bowel Disorders Q45–Q59
Musculoskeletal Trauma & Conditions Q60–Q91
Neuromuscular Disorders Q92–Q94
Page 1
, E XA M Q U EST I O N S
Q1 QUESTION 1 OF 94
what can be used to assess for dehydration?
ANSWER
- labs: urine specific gravity- expected range is 1.005-1.030
- vitals: hypotension, tachycardia, tachypnea, fever
- physical assessment: poor skin turgor
RATIONALE
Urine specific gravity reflects the concentration of urine, with higher values indicating more
concentrated urine and thus dehydration. Hypotension, tachycardia, and tachypnea are
compensatory vital sign changes in response to decreased circulating volume. Poor skin turgor is a
classic physical sign of diminished fluid volume in the interstitial space.
Q2 QUESTION 2 OF 94
How do you assess for dysphagia?
ANSWER
-Assess ability to swallow before feeding (facial droop, drooling, weak voice, gag reflex, cough
reflex, watery eyes)
-Swallow study with different textures
-SPEECH THERAPY should be consulted before feeding...consult EARLY
- Lungs are clear upon auscultation after eating
RATIONALE
Assessing dysphagia involves evaluating pre-feeding indicators like facial droop and gag reflex,
and post-feeding signs such as clear lung sounds. A swallow study and early consultation with
speech therapy are crucial for determining safe oral intake textures and strategies. This approach
minimizes aspiration risk.
Q3 QUESTION 3 OF 94
Nursing considerations for an NG tube include?
Page 2
, ANSWER
- check placement with KUB x-ray
- aspirate stomach contents and check pH
- hold feedings if residual is greater than 250mL (may differ depending on facility)
- Assess for skin breakdown around nares
RATIONALE
Ensuring nasogastric (NG) tube functionality and patient safety involves verifying placement,
typically via radiography, and assessing gastric residual volume to prevent aspiration and ensure
proper absorption. Routine assessment for nares integrity is also critical to prevent local tissue
injury.
Q4 QUESTION 4 OF 94
What types of patients are candidates for NG tubes?
ANSWER
oral/facial trauma or surgery, esophageal abnormality, high aspiration risk, malnutrition
RATIONALE
Nasogastric tubes are indicated for patients unable to maintain adequate oral intake due to
conditions affecting the mouth or esophagus, or those with compromised swallowing mechanisms.
They are also used to manage severe malnutrition or protect against aspiration.
Q5 QUESTION 5 OF 94
What is a laparoscopy?
ANSWER
MIS (minimally invasive surgery) technique using gas to insufflate the peritoneum and
instrument manipulated through ports with video camera guidance
RATIONALE
This surgical approach employs a minimally invasive technique to access the abdominal cavity. It
involves distending the peritoneum with gas and utilizing specialized instruments inserted through
small ports, guided by a video camera for visualization.
Page 3
, Q6 QUESTION 6 OF 94
What is the expected ammonia range?
ANSWER
10-80 mcg/dL
RATIONALE
Ammonia is a byproduct of protein metabolism, primarily excreted by the liver. Elevated levels
indicate impaired hepatic function, leading to hepatic encephalopathy. The normal laboratory
reference range for ammonia is
Q7 QUESTION 7 OF 94
What are some nursing considerations surrounding laparoscopic surgery?
ANSWER
patient will experience gas pains which may be primarily around shoulders: ensure the patient
is ambulating if possible to help with discomfort
RATIONALE
Pneumoperitoneum during laparoscopy introduces carbon dioxide gas into the abdominal cavity,
which can irritate the diaphragm, causing referred shoulder pain. Postoperative ambulation is
encouraged as it facilitates gas dispersion and absorption, thereby alleviating this discomfort.
Q8 QUESTION 8 OF 94
Where is McBurney's point? significance?
ANSWER
1/3 the distance from anterior superior iliac spine to umbilicus; RLQ point that hurts in
appendicitis
Page 4
