NUR 310 Final Exam
NUR 310 Final Exam 2025
You're assessing a patient who is post-opt from a chest tube insertion. On assessment,
you note there is 50 cc of serosanguinous fluid in the drainage chamber, fluctuation of
water in the water seal chamber when the patient breathes in and out, and bubbling in
the suction control chamber. Which of the following is the most appropriate nursing
intervention?
Document your findings as normal
Assess for an air leak due to bubbling noted in the suction chamber.
Notify the physician about the drainage.
Milk the tubing to ensure patency of the tubes. - Correct Answer-Document your
findings as normal
1. The nurse monitors the 3-day postoperative client who underwent abdominal surgery.
Vital signs are: 100.2 F, 104 bpm, 22 breaths per min, 128/74 mm Hg. O2 sat is 93% on
room air. The client feels tired and has a productive cough. Fine crackles are audible in
the bases of the lungs posteriorly. The nurse considers the client has developed which
postoperative problem?
Hypoxia
Atelectasis
Pneumonia
Fluid overload - Correct Answer-Atelectasis
1. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dL, and a
blood pressure lying in bed of 110/70 mm Hg. The nurse suspects abnormal orthostatic
changes when the client gets out of bed and reports vertigo. What vital sign value most
supports the client's orthostatic changes?
Blood pressure of 120/90 mm Hg
Blood pressure of 90/50 mm Hg
Blood pressure of 150/100 mm Hg
Blood pressure of 110/80 mm Hg - Correct Answer-Blood pressure of 90/50 mm Hg
1. The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic
shock. Which nursing intervention will manage and minimize hemorrhage and shock?
Elevating the head of the bed
Reinforcing dressings or applying pressure if bleeding is frank
Rubbing the back
Encouraging the client to breathe deeply - Correct Answer-Reinforcing dressings or
applying pressure if bleeding is frank
NUR 310 Final Exam
,NUR 310 Final Exam
When assessing a patients surgical dressing on the first postoperative day, the nurse
notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what
should the nurse do first?
Recheck in 1 hour for increased drainage
Notify the surgeon of a potential hemorrhage
Assess the patient's blood pressure and heart rate
Remove the dressing and assess the surgical incision - Correct Answer-Assess the
patient's blood pressure and heart rate
The clinic nurse is caring for a 42 year old male oncology patient. He complains of
extreme fatigue and weakness after his first week of radiation therapy . Which response
by the nurse would best reassure the patient?
"These symptoms usually result from radiation therapy ; however, we will continue to
monitor your laboratory and x-ray studies"
"These symptoms are part of your disease and are an unfortunately inevitable part of
living with cancer. "
"Try not to be concerned about these symptoms, every patient feels this way after
having radiation"
"Even though it is uncomfortable, this is a good sign. It means that only the cancer cells
are dying." - Correct Answer-"These symptoms usually result from radiation therapy ;
however, we will continue to monitor your laboratory and x-ray studies"
The clinic nurse is caring for a client who has just been diagnosed with a tumor. The
client says to the nurse , "The doctor says my tumor is benign. What does that mean?"
What is the nurses best response?
"Benign tumors don't usually cause death"
"This means the tumor has metastasized"
"This is an aggressive, fast spreading tumor"
"This tumor is very small" - Correct Answer-"Benign tumors don't usually cause death"
The root cause of cancer is damage to cellular DNA which can be caused by many
factors, or carcinogens. What factors can be carcinogenic? (Select all that apply)
viruses
age
gender
environmental factors
dietary substances - Correct Answer-viruses
environmental factors
dietary substances
NUR 310 Final Exam
, NUR 310 Final Exam
A client with COPD is recovering from a myocardial infarction. Because the client is
extremely weak and can not produce an effective cough, the nurse should monitor
closely for:
Atelectasis
Pneumonia
Respiratory acidosis
Pulmonary embolism - Correct Answer-Atelectasis
Upon assessment, the nurse suspects that a client with COPD may have
bronchospasm. What manifestations validate the nurse's concern? Select all that apply.
Compromised gas exchange
Decreased airflow
Wheezes
JVD
Ascites - Correct Answer-Compromised gas exchange
Decreased airflow
Wheezes
An elderly client with pneumonia may present with which of the following symptoms
first?
Fever and chills
Altered mental status and dehydration
Nausea and vomiting
Pleuritic chest pain and cough - Correct Answer-Altered mental status and dehydration
A patient with chronic obstructive pulmonary disease (COPD) complains of dry mouth,
blurry vision, cough, and difficulty urinating but cannot recall the name of the inhaler that
was recently prescribed. Which drug does the nurse determine the patient is likely
receiving based on the symptoms?
Albuterol
Fluticasone
Ipratropium
Theophylline - Correct Answer-Ipratropium
A client with obesity is diagnosed with pulmonary embolism (PE). Which assessment
data would the nurse expect to find? Select all that apply.
Bradycardia
Chest pain
Chills and fever
Hypoxemia
Tachypnea
NUR 310 Final Exam
NUR 310 Final Exam 2025
You're assessing a patient who is post-opt from a chest tube insertion. On assessment,
you note there is 50 cc of serosanguinous fluid in the drainage chamber, fluctuation of
water in the water seal chamber when the patient breathes in and out, and bubbling in
the suction control chamber. Which of the following is the most appropriate nursing
intervention?
Document your findings as normal
Assess for an air leak due to bubbling noted in the suction chamber.
Notify the physician about the drainage.
Milk the tubing to ensure patency of the tubes. - Correct Answer-Document your
findings as normal
1. The nurse monitors the 3-day postoperative client who underwent abdominal surgery.
Vital signs are: 100.2 F, 104 bpm, 22 breaths per min, 128/74 mm Hg. O2 sat is 93% on
room air. The client feels tired and has a productive cough. Fine crackles are audible in
the bases of the lungs posteriorly. The nurse considers the client has developed which
postoperative problem?
Hypoxia
Atelectasis
Pneumonia
Fluid overload - Correct Answer-Atelectasis
1. Following a splenectomy, a client has a hemoglobin (Hb) level of 7.5 g/dL, and a
blood pressure lying in bed of 110/70 mm Hg. The nurse suspects abnormal orthostatic
changes when the client gets out of bed and reports vertigo. What vital sign value most
supports the client's orthostatic changes?
Blood pressure of 120/90 mm Hg
Blood pressure of 90/50 mm Hg
Blood pressure of 150/100 mm Hg
Blood pressure of 110/80 mm Hg - Correct Answer-Blood pressure of 90/50 mm Hg
1. The nurse observes that a postsurgical client has hemorrhaged and is in hypovolemic
shock. Which nursing intervention will manage and minimize hemorrhage and shock?
Elevating the head of the bed
Reinforcing dressings or applying pressure if bleeding is frank
Rubbing the back
Encouraging the client to breathe deeply - Correct Answer-Reinforcing dressings or
applying pressure if bleeding is frank
NUR 310 Final Exam
,NUR 310 Final Exam
When assessing a patients surgical dressing on the first postoperative day, the nurse
notes new, bright-red drainage about 5 cm in diameter. In response to this finding, what
should the nurse do first?
Recheck in 1 hour for increased drainage
Notify the surgeon of a potential hemorrhage
Assess the patient's blood pressure and heart rate
Remove the dressing and assess the surgical incision - Correct Answer-Assess the
patient's blood pressure and heart rate
The clinic nurse is caring for a 42 year old male oncology patient. He complains of
extreme fatigue and weakness after his first week of radiation therapy . Which response
by the nurse would best reassure the patient?
"These symptoms usually result from radiation therapy ; however, we will continue to
monitor your laboratory and x-ray studies"
"These symptoms are part of your disease and are an unfortunately inevitable part of
living with cancer. "
"Try not to be concerned about these symptoms, every patient feels this way after
having radiation"
"Even though it is uncomfortable, this is a good sign. It means that only the cancer cells
are dying." - Correct Answer-"These symptoms usually result from radiation therapy ;
however, we will continue to monitor your laboratory and x-ray studies"
The clinic nurse is caring for a client who has just been diagnosed with a tumor. The
client says to the nurse , "The doctor says my tumor is benign. What does that mean?"
What is the nurses best response?
"Benign tumors don't usually cause death"
"This means the tumor has metastasized"
"This is an aggressive, fast spreading tumor"
"This tumor is very small" - Correct Answer-"Benign tumors don't usually cause death"
The root cause of cancer is damage to cellular DNA which can be caused by many
factors, or carcinogens. What factors can be carcinogenic? (Select all that apply)
viruses
age
gender
environmental factors
dietary substances - Correct Answer-viruses
environmental factors
dietary substances
NUR 310 Final Exam
, NUR 310 Final Exam
A client with COPD is recovering from a myocardial infarction. Because the client is
extremely weak and can not produce an effective cough, the nurse should monitor
closely for:
Atelectasis
Pneumonia
Respiratory acidosis
Pulmonary embolism - Correct Answer-Atelectasis
Upon assessment, the nurse suspects that a client with COPD may have
bronchospasm. What manifestations validate the nurse's concern? Select all that apply.
Compromised gas exchange
Decreased airflow
Wheezes
JVD
Ascites - Correct Answer-Compromised gas exchange
Decreased airflow
Wheezes
An elderly client with pneumonia may present with which of the following symptoms
first?
Fever and chills
Altered mental status and dehydration
Nausea and vomiting
Pleuritic chest pain and cough - Correct Answer-Altered mental status and dehydration
A patient with chronic obstructive pulmonary disease (COPD) complains of dry mouth,
blurry vision, cough, and difficulty urinating but cannot recall the name of the inhaler that
was recently prescribed. Which drug does the nurse determine the patient is likely
receiving based on the symptoms?
Albuterol
Fluticasone
Ipratropium
Theophylline - Correct Answer-Ipratropium
A client with obesity is diagnosed with pulmonary embolism (PE). Which assessment
data would the nurse expect to find? Select all that apply.
Bradycardia
Chest pain
Chills and fever
Hypoxemia
Tachypnea
NUR 310 Final Exam
