NUR 321 Clinical Practice(Developing)
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 45-year-old patient presents with severe abdominal pain, fever,
and leukocytosis. Imaging reveals inflammation of the appendix.
What is the priority nursing intervention?
A. Administering laxatives to relieve discomfort
B. Initiating antibiotics and preparing for surgery
C. Encouraging high-fiber foods to prevent complications
D. Performing a digital rectal examination
ANS: B. Initiating antibiotics and preparing for surgery
©2025
, Rationale: Acute appendicitis is a surgical emergency, and
immediate antibiotics can reduce the risk of complications like
perforation before surgery.
---
2. Fill-in-the-Blank
_ is the term used for difficulty or inability to swallow, often seen
in patients with neurological disorders.
ANS: Dysphagia
Rationale: Dysphagia can result from conditions like stroke or
Parkinson’s disease, requiring careful management to prevent
aspiration and malnutrition.
---
3. True/False
Patients with peripheral artery disease (PAD) should be
encouraged to elevate their legs above heart level to improve
circulation.
ANS: False
©2025
, Rationale: Elevating the legs can worsen ischemic pain in PAD
because it reduces arterial blood flow to the lower extremities.
---
4. Multiple Response
Which clinical findings are consistent with hypovolemic shock?
(Select all that apply.)
A. Hypotension
B. Bradycardia
C. Cool, clammy skin
D. Increased urine output
ANS: A, C
Rationale: Hypovolemic shock presents with hypotension, cool
and clammy skin, and low urine output due to reduced circulating
blood volume.
---
5. Multiple Choice
Which diagnostic test is most indicative of acute kidney injury?
©2025
, A. Serum creatinine
B. Serum albumin
C. Hemoglobin
D. Chest X-ray
ANS: A. Serum creatinine
Rationale: Elevated serum creatinine reflects impaired kidney
function, which is a hallmark of acute kidney injury.
---
6. Fill-in-the-Blank
A positive _ sign in deep vein thrombosis is calf pain upon
dorsiflexion of the foot.
ANS: Homan's
Rationale: Homan’s sign may indicate the presence of a clot in
the deep veins of the lower extremities, though it is not definitive.
---
©2025
Full Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
A 45-year-old patient presents with severe abdominal pain, fever,
and leukocytosis. Imaging reveals inflammation of the appendix.
What is the priority nursing intervention?
A. Administering laxatives to relieve discomfort
B. Initiating antibiotics and preparing for surgery
C. Encouraging high-fiber foods to prevent complications
D. Performing a digital rectal examination
ANS: B. Initiating antibiotics and preparing for surgery
©2025
, Rationale: Acute appendicitis is a surgical emergency, and
immediate antibiotics can reduce the risk of complications like
perforation before surgery.
---
2. Fill-in-the-Blank
_ is the term used for difficulty or inability to swallow, often seen
in patients with neurological disorders.
ANS: Dysphagia
Rationale: Dysphagia can result from conditions like stroke or
Parkinson’s disease, requiring careful management to prevent
aspiration and malnutrition.
---
3. True/False
Patients with peripheral artery disease (PAD) should be
encouraged to elevate their legs above heart level to improve
circulation.
ANS: False
©2025
, Rationale: Elevating the legs can worsen ischemic pain in PAD
because it reduces arterial blood flow to the lower extremities.
---
4. Multiple Response
Which clinical findings are consistent with hypovolemic shock?
(Select all that apply.)
A. Hypotension
B. Bradycardia
C. Cool, clammy skin
D. Increased urine output
ANS: A, C
Rationale: Hypovolemic shock presents with hypotension, cool
and clammy skin, and low urine output due to reduced circulating
blood volume.
---
5. Multiple Choice
Which diagnostic test is most indicative of acute kidney injury?
©2025
, A. Serum creatinine
B. Serum albumin
C. Hemoglobin
D. Chest X-ray
ANS: A. Serum creatinine
Rationale: Elevated serum creatinine reflects impaired kidney
function, which is a hallmark of acute kidney injury.
---
6. Fill-in-the-Blank
A positive _ sign in deep vein thrombosis is calf pain upon
dorsiflexion of the foot.
ANS: Homan's
Rationale: Homan’s sign may indicate the presence of a clot in
the deep veins of the lower extremities, though it is not definitive.
---
©2025
