NURS 320 Final Exam Questions with
Latest Update
The nurse is teaching a client about a thoracentesis. How would the nurse best
describe this procedure?
a. You will be asleep when they make the incision
b. Fluid will be drawn off the area around your lung
c. It involves lying very still in a large noisy machine
d. Your doctor will be able to see inside the lung - ANSWER-b. Fluid will be drawn off
the area around your lung
For a patient with a thoracentesis, which assessment would be of concern?
a. Decrease in accessory muscles
b. Decreased breath sounds
c. Pain at the puncture site
d. Increased appetite - ANSWER-b. Decreased breath sounds
A patient with a cardiac disease presents with an elevated homocysteine level.
Which diet instruction should the nurse recommend to the patient?
a. A diet with total fat that is less than 30% of total calories.
b. A diet that includes green vegetables
c. Increasing fiber in the diet
d. Avoiding canned food and processed meats - ANSWER-b. A diet that includes
green vegetables
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complications?
a. Ventricular depolarization
b. Guillain-Barre syndrome
c. Myelodysplastic syndrome
d. Valvular disease - ANSWER-d. Valvular disease
A nurse is caring for a client following insertion of a permanent pacemaker. Which of
the following client statements indicates a potential complication of the insertion
procedure?
a. "I can't get rid of these hiccups"
b. "I feel dizzy when I stand"
c. "My incision site stings"
d. "I have a headache" - ANSWER-a. "I can't get rid of these hiccups"
Rationale: Hiccups can indicate that the pacemaker is stimulating the chest wall or
diaphragm, which can occur as a result of a lead wire perforation.
,A nurse is assessing a client who has a history of DVT and is receiving warfarin.
Which of the following findings should indicate to the nurse that the medication is
effective?
a. Hemoglobin 14 g/dL
b. Minimal bruising of extremities
c. Decreased BP
d. INR 2.0 - ANSWER-d. INR 2.0
A nurse is caring for a client who is being treated for heart failure and has a
prescription for furosemide. The nurse should plan to monitor for which of the
following adverse effects of the medication?
a. SOB
b. Lightheadedness
c. Dry cough
d. Metallic taste - ANSWER-b. Lightheadedness
A nurse is caring for a client who is scheduled for a coronary artery bypass graft
(CABG) in 2 hrs. Which of the following client statements indicates a need for further
clarification by the nurse?
a. "My arthritis is really bothering me because I haven't taken my aspirin in a week"
b. "My blood pressure shouldn't be high because I took my blood pressure
medication this morning"
c. "I took my warfarin last night according to my usual schedule"
d. "I will check my blood sugar because I took a reduced dose of insulin this
morning" - ANSWER-c. "I took my warfarin last night according to my usual
schedule"
A nurse is reviewing the lab results of several male clients who have peripheral
arterial
disease. the nurse should plan to provide dietary teaching for the client who has
which
of the following lab values?
a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
b. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
c. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
d. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-c. Cholesterol
190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
A nurse is assessing a client who has pulmonary edema related to heart failure.
Which of the following findings indicates effective treatment of the client's condition?
a. Absence of adventitious breath sounds
b. Presence of a nonproductive cough
c. Decrease in respiratory rate at rest
d. SaO2 86% on room air - ANSWER-a. Absence of adventitious breath sounds
,A nurse is monitoring a client's ECG monitor and notes the client's rhythm has
changed
from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare
to
assist with which of the following interventions?
a. Initiate chest compressions
b. Vagal stimulation
c. Administration of atropine IV
d. Defibrillation - ANSWER-b. Vagal stimulation
A nurse is providing health teaching for a group of clients. Which of the following
clients is at risk for developing peripheral arterial disease?
a. A client who has hypothyroidism
b. A client who has diabetes mellitus
c. A client whose daily caloric intake consists of 25% fat
d. A client who consumes two 12-oz beers a day - ANSWER-b. A client who has
diabetes mellitus
A nurse is assessing a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect to find?
a. Increased abdominal girth
b. Weak peripheral pulses
c. Jugular venous neck distention
d. Dependent edema - ANSWER-b. Weak peripheral pulses
A nurse in an emergency department is caring for a client who had an anterior
myocardial infarction. The client's history reveals she is 1 week post-op following an
open cholecystectomy. The nurse should recognize that which of the following
interventions is
contraindicated?
a. Administering IV morphine sulfate
b. Administering oxygen at 2 L/min via nasal cannula
c. Helping the client to the bedside commode
d. Assisting with thrombolytic therapy - ANSWER-d. Assisting with thrombolytic
therapy
A nurse is preparing a client for coronary angiography. The nurse should report
which of the following findings to the provider prior to the procedure?
a. Hemoglobin 14.4 g/dL
b. History of PAD
c. Urine output 200 mL/4 hrs
d. Previous allergic reaction to shellfish - ANSWER-d. Previous allergic reaction to
shellfish
, A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
a. Slurred speech
b. Irregular pulse
c. Dependent edema
d. Persistent fatigue - ANSWER-a. Slurred speech
A nurse in an emergency department s caring for a client who has a blood pressure
of 254/139 mm hg. The nurse recognizes that the client is in a hypertensive crisis.
Which of the following actions should the nurse take first.
a. Tell the client to report vision changes
b. Elevate the head of the clients bed
c. Start a peripheral IV
d. Initiate Seizure precautions - ANSWER-b. Elevate the head of the clients bed
A nurse is caring for client who is receiving heparin therapy and develops hematuria.
which of the following actions should the nurse take if the clients aPTT is 96
seconds?
a. Request a Prothrombin time (PT)
b. Stop the heparin infusion
c. Continue to monitor the heparin infusion as prescribed
d. Increase the heparin infusion flow rate by 2ml/hr - ANSWER-b. Stop the heparin
infusion
A nurse is teaching a client who is starting to take an ace inhibitor to treat
hypertension. The nurse should instruct the client to notify his provider if he
experiences which of the following adverse effects of this medication?
a. Persistent Cough
b. Frequent Urination
c. Constipation
d. Tendon Pain - ANSWER-a. Persistent Cough
A nurse is planning a presentation for a group of clients who have hypertension.
Which of the following lifestyle modifications should the nurse include? Select all that
apply.
a. Tobacco cessation
b. Decreased magnesium intake
c. Reduced potassium intake
d. Regular exercise program
e. Limited alcohol intake - ANSWER-a, d, and e
A nurse is caring for a client who is 8 hr postoperative following a coronary artery
bypass graft (CABG). Which of the following client findings should the nurse report?
Latest Update
The nurse is teaching a client about a thoracentesis. How would the nurse best
describe this procedure?
a. You will be asleep when they make the incision
b. Fluid will be drawn off the area around your lung
c. It involves lying very still in a large noisy machine
d. Your doctor will be able to see inside the lung - ANSWER-b. Fluid will be drawn off
the area around your lung
For a patient with a thoracentesis, which assessment would be of concern?
a. Decrease in accessory muscles
b. Decreased breath sounds
c. Pain at the puncture site
d. Increased appetite - ANSWER-b. Decreased breath sounds
A patient with a cardiac disease presents with an elevated homocysteine level.
Which diet instruction should the nurse recommend to the patient?
a. A diet with total fat that is less than 30% of total calories.
b. A diet that includes green vegetables
c. Increasing fiber in the diet
d. Avoiding canned food and processed meats - ANSWER-b. A diet that includes
green vegetables
A nurse is caring for a client who has endocarditis. Which of the following findings
should the nurse recognize as a potential complications?
a. Ventricular depolarization
b. Guillain-Barre syndrome
c. Myelodysplastic syndrome
d. Valvular disease - ANSWER-d. Valvular disease
A nurse is caring for a client following insertion of a permanent pacemaker. Which of
the following client statements indicates a potential complication of the insertion
procedure?
a. "I can't get rid of these hiccups"
b. "I feel dizzy when I stand"
c. "My incision site stings"
d. "I have a headache" - ANSWER-a. "I can't get rid of these hiccups"
Rationale: Hiccups can indicate that the pacemaker is stimulating the chest wall or
diaphragm, which can occur as a result of a lead wire perforation.
,A nurse is assessing a client who has a history of DVT and is receiving warfarin.
Which of the following findings should indicate to the nurse that the medication is
effective?
a. Hemoglobin 14 g/dL
b. Minimal bruising of extremities
c. Decreased BP
d. INR 2.0 - ANSWER-d. INR 2.0
A nurse is caring for a client who is being treated for heart failure and has a
prescription for furosemide. The nurse should plan to monitor for which of the
following adverse effects of the medication?
a. SOB
b. Lightheadedness
c. Dry cough
d. Metallic taste - ANSWER-b. Lightheadedness
A nurse is caring for a client who is scheduled for a coronary artery bypass graft
(CABG) in 2 hrs. Which of the following client statements indicates a need for further
clarification by the nurse?
a. "My arthritis is really bothering me because I haven't taken my aspirin in a week"
b. "My blood pressure shouldn't be high because I took my blood pressure
medication this morning"
c. "I took my warfarin last night according to my usual schedule"
d. "I will check my blood sugar because I took a reduced dose of insulin this
morning" - ANSWER-c. "I took my warfarin last night according to my usual
schedule"
A nurse is reviewing the lab results of several male clients who have peripheral
arterial
disease. the nurse should plan to provide dietary teaching for the client who has
which
of the following lab values?
a. Cholesterol 180 mg/dL, HDL 70 mg/dL, LDL 90 mg/dL
b. Cholesterol 185 mg/dL, HDL 50 mg/dL, LDL 120 mg/dL
c. Cholesterol 190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
d. Cholesterol 195 mg/dL, HDL 55 mg/dL, LDL 125 mg/dL - ANSWER-c. Cholesterol
190 mg/dL, HDL 25 mg/dL, LDL 160 mg/dL
A nurse is assessing a client who has pulmonary edema related to heart failure.
Which of the following findings indicates effective treatment of the client's condition?
a. Absence of adventitious breath sounds
b. Presence of a nonproductive cough
c. Decrease in respiratory rate at rest
d. SaO2 86% on room air - ANSWER-a. Absence of adventitious breath sounds
,A nurse is monitoring a client's ECG monitor and notes the client's rhythm has
changed
from normal sinus rhythm to supraventricular tachycardia. The nurse should prepare
to
assist with which of the following interventions?
a. Initiate chest compressions
b. Vagal stimulation
c. Administration of atropine IV
d. Defibrillation - ANSWER-b. Vagal stimulation
A nurse is providing health teaching for a group of clients. Which of the following
clients is at risk for developing peripheral arterial disease?
a. A client who has hypothyroidism
b. A client who has diabetes mellitus
c. A client whose daily caloric intake consists of 25% fat
d. A client who consumes two 12-oz beers a day - ANSWER-b. A client who has
diabetes mellitus
A nurse is assessing a client who has left-sided heart failure. Which of the following
manifestations should the nurse expect to find?
a. Increased abdominal girth
b. Weak peripheral pulses
c. Jugular venous neck distention
d. Dependent edema - ANSWER-b. Weak peripheral pulses
A nurse in an emergency department is caring for a client who had an anterior
myocardial infarction. The client's history reveals she is 1 week post-op following an
open cholecystectomy. The nurse should recognize that which of the following
interventions is
contraindicated?
a. Administering IV morphine sulfate
b. Administering oxygen at 2 L/min via nasal cannula
c. Helping the client to the bedside commode
d. Assisting with thrombolytic therapy - ANSWER-d. Assisting with thrombolytic
therapy
A nurse is preparing a client for coronary angiography. The nurse should report
which of the following findings to the provider prior to the procedure?
a. Hemoglobin 14.4 g/dL
b. History of PAD
c. Urine output 200 mL/4 hrs
d. Previous allergic reaction to shellfish - ANSWER-d. Previous allergic reaction to
shellfish
, A nurse is caring for a client who has heart failure and is experiencing atrial
fibrillation. The nurse should plan to monitor for and report which of the following
findings to the provider immediately?
a. Slurred speech
b. Irregular pulse
c. Dependent edema
d. Persistent fatigue - ANSWER-a. Slurred speech
A nurse in an emergency department s caring for a client who has a blood pressure
of 254/139 mm hg. The nurse recognizes that the client is in a hypertensive crisis.
Which of the following actions should the nurse take first.
a. Tell the client to report vision changes
b. Elevate the head of the clients bed
c. Start a peripheral IV
d. Initiate Seizure precautions - ANSWER-b. Elevate the head of the clients bed
A nurse is caring for client who is receiving heparin therapy and develops hematuria.
which of the following actions should the nurse take if the clients aPTT is 96
seconds?
a. Request a Prothrombin time (PT)
b. Stop the heparin infusion
c. Continue to monitor the heparin infusion as prescribed
d. Increase the heparin infusion flow rate by 2ml/hr - ANSWER-b. Stop the heparin
infusion
A nurse is teaching a client who is starting to take an ace inhibitor to treat
hypertension. The nurse should instruct the client to notify his provider if he
experiences which of the following adverse effects of this medication?
a. Persistent Cough
b. Frequent Urination
c. Constipation
d. Tendon Pain - ANSWER-a. Persistent Cough
A nurse is planning a presentation for a group of clients who have hypertension.
Which of the following lifestyle modifications should the nurse include? Select all that
apply.
a. Tobacco cessation
b. Decreased magnesium intake
c. Reduced potassium intake
d. Regular exercise program
e. Limited alcohol intake - ANSWER-a, d, and e
A nurse is caring for a client who is 8 hr postoperative following a coronary artery
bypass graft (CABG). Which of the following client findings should the nurse report?
