NURS 316 final practice questions
1. A nurse in the emergency room is assessing a client who was brought in following a
seizure. The nurse suspects the client may have meningococcal meningitis when
assessment findings include nuchal rigidity and a petechial rash. After implementing
droplet precautions, which of the following actions should the nurse initiate
a. Complete muscular assessment
b. Administer an an
c. Decrease environmental stimuli
d. Assess the cranial nerves
2. A nurse is assessing a client who is in skeletal traction. Which of the following should the
nurse identify as an indication of infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever
3. A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60
min. Available is moxifloxacin 400mg in 250 ml dextrose 5% (D5W). The drip factor of
the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero)
63 gtt/min
4. A nurse is caring for a client who has hypernatremia and required IV fluid therapy due to
his NPO status. Which of the following solutions should the nurse prepare to infuse for
this client?
a. Lactated Ringers
b. 3% sodium chloride
c. 0.45% sodium chloride
d. Dextrose 10% in water
5. A nurse is monitoring the urinary output of an adult client who had a colon resection.
Which of the following 24 hr output total's most likely indicates oliguria?
a. 720
b. 550
c. 300
d. 500
,NURS 316 final practice questions
6. A nurse is reviewing a client's lab results. Which of the following lab values should the
nurse report to the provider?
a. Sodium 126
b. Potassium 3.5
c. Magnesium 1.9
d. Chloride 99
7. A nurse is reviewing the laboratory report of a client and identifies a serum potassium
level of 6.8. Which of the following medications should the nurse plan to administer?
a. Lactulose
b. Magnesium
c. Sodium polystyrene
d. Chloride
8. A nurse is planning care for a client who has deep vein thrombosis of the lower leg.
Which of the following interventions should the nurse include in the plan of care?
a. Keep the clients affected leg elevated....
b. Have.....
c. Apply...
d. Massage...
9. A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is
experiencing ventricular tachycardia. The nurse should indicate the need for taking
which of the following actions?
a. Defibrillate
b. Electrocardioversion
c. CPR
d. Radiofrequency .... ablation
10. A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring.
The nurse understands that the pacemaker is functioning properly when which of the
following appears on the monitor strip?
a. Pacemaker spikes after QRS complex
b. Pacemaker spikes before each P...
c. Pacemaker spikes before each QRS complex
d. Pacemaker spikes...... Each T wave.
, NURS 316 final practice questions
11. A nurse is teaching an older adult client who is postoperative following insertion of a
permanent pacemaker. The nurse should instruct the client to notify the provider about
which of the following manifestations?
a. Increased ...
b. Increased heart rate
c. Fatigue
d. Sneezing
12. A nurse is planning care for a client who has cirrhosis and ascites. Which of the following
interventions should the nurse include in the plan of care?
a. Decrease the client's fluid intake
b. Increase the clients saturated fat intake
c. Increase the clients sodium intake
d. Decrease the clients carbohydrate intake
13. A nurse is teaching a client about causes of biliary cirrhosis. Which of the following
information should the nurse include in the teaching?
a. Excessive alcohol consumption
b. Hepatitis C
d. Obstruction of the biliary duct.
14. A nurse is admitting a client who has acute pancreatitis and is NPO. Which of the
following provider prescriptions should the nurse anticipate?
D. Proton Pump Inhibitor- "ole" (pantoprazole, omeprazole, lansoprazole)
15. A nurse is reviewing the laboratory data of a client who has cirrhosis. The nurse should
expect to find which of the following values?
a. Expect increase ALT,ALP, AST (note)
16. A client who is having burn debridement states "You are the worst nurse I have ever
seen. All you do is hurt me." which of the following responses should the nurse make?
Pick the most therapeutic response
17. A nurse is an emergency department is reviewing the medical record of a client who has
extensive burn injury. The nurse should expect which of the following laboratory findings in this
client?
Increase K, increase H/H, decrease Na
1. A nurse in the emergency room is assessing a client who was brought in following a
seizure. The nurse suspects the client may have meningococcal meningitis when
assessment findings include nuchal rigidity and a petechial rash. After implementing
droplet precautions, which of the following actions should the nurse initiate
a. Complete muscular assessment
b. Administer an an
c. Decrease environmental stimuli
d. Assess the cranial nerves
2. A nurse is assessing a client who is in skeletal traction. Which of the following should the
nurse identify as an indication of infection at the pin sites?
a. Serosanguineous drainage
b. Mild erythema
c. Warmth
d. Fever
3. A nurse is preparing to administer moxifloxacin 400 mg by intermittent IV bolus over 60
min. Available is moxifloxacin 400mg in 250 ml dextrose 5% (D5W). The drip factor of
the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver
how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero
if it applies. Do not use a trailing zero)
63 gtt/min
4. A nurse is caring for a client who has hypernatremia and required IV fluid therapy due to
his NPO status. Which of the following solutions should the nurse prepare to infuse for
this client?
a. Lactated Ringers
b. 3% sodium chloride
c. 0.45% sodium chloride
d. Dextrose 10% in water
5. A nurse is monitoring the urinary output of an adult client who had a colon resection.
Which of the following 24 hr output total's most likely indicates oliguria?
a. 720
b. 550
c. 300
d. 500
,NURS 316 final practice questions
6. A nurse is reviewing a client's lab results. Which of the following lab values should the
nurse report to the provider?
a. Sodium 126
b. Potassium 3.5
c. Magnesium 1.9
d. Chloride 99
7. A nurse is reviewing the laboratory report of a client and identifies a serum potassium
level of 6.8. Which of the following medications should the nurse plan to administer?
a. Lactulose
b. Magnesium
c. Sodium polystyrene
d. Chloride
8. A nurse is planning care for a client who has deep vein thrombosis of the lower leg.
Which of the following interventions should the nurse include in the plan of care?
a. Keep the clients affected leg elevated....
b. Have.....
c. Apply...
d. Massage...
9. A nurse is caring for a client who reports heart palpitations. An ECG confirms the client is
experiencing ventricular tachycardia. The nurse should indicate the need for taking
which of the following actions?
a. Defibrillate
b. Electrocardioversion
c. CPR
d. Radiofrequency .... ablation
10. A nurse is caring for a client with a ventricular pacemaker who is on ECG monitoring.
The nurse understands that the pacemaker is functioning properly when which of the
following appears on the monitor strip?
a. Pacemaker spikes after QRS complex
b. Pacemaker spikes before each P...
c. Pacemaker spikes before each QRS complex
d. Pacemaker spikes...... Each T wave.
, NURS 316 final practice questions
11. A nurse is teaching an older adult client who is postoperative following insertion of a
permanent pacemaker. The nurse should instruct the client to notify the provider about
which of the following manifestations?
a. Increased ...
b. Increased heart rate
c. Fatigue
d. Sneezing
12. A nurse is planning care for a client who has cirrhosis and ascites. Which of the following
interventions should the nurse include in the plan of care?
a. Decrease the client's fluid intake
b. Increase the clients saturated fat intake
c. Increase the clients sodium intake
d. Decrease the clients carbohydrate intake
13. A nurse is teaching a client about causes of biliary cirrhosis. Which of the following
information should the nurse include in the teaching?
a. Excessive alcohol consumption
b. Hepatitis C
d. Obstruction of the biliary duct.
14. A nurse is admitting a client who has acute pancreatitis and is NPO. Which of the
following provider prescriptions should the nurse anticipate?
D. Proton Pump Inhibitor- "ole" (pantoprazole, omeprazole, lansoprazole)
15. A nurse is reviewing the laboratory data of a client who has cirrhosis. The nurse should
expect to find which of the following values?
a. Expect increase ALT,ALP, AST (note)
16. A client who is having burn debridement states "You are the worst nurse I have ever
seen. All you do is hurt me." which of the following responses should the nurse make?
Pick the most therapeutic response
17. A nurse is an emergency department is reviewing the medical record of a client who has
extensive burn injury. The nurse should expect which of the following laboratory findings in this
client?
Increase K, increase H/H, decrease Na
