NRSG 3302 Final Exam Practice Questions With Complete
Solutions
1hr old infant is grunting on arrival in the neonatal nursery. The
baby is pink but has nasal flaring and intercostal retractions.
Which of the following should the nurse do first?
A. suction the nose and the mouth with sterile suction catheter
B. notify the neonatalogist
C. perform a respiratory assessment
D. obtain a chest x-ray
E. assess the blood glucose Correct Answers C
A 21-year-old male reports burning and difficulty with
urination. What priority question would obtain information
about the patient's chief complaint?
A. "How long have you had these symptoms?"
B. "Do you have low back pain?"
C. "Are you sexually active?"
D. "Have you had a fever in the past 24 hours?" Correct
Answers C
A 23 yo client has been hit on the head with a baseball bat. The
nurse notes clear fluid draining from his ears & nose. Which of
the following nursing interventions should be done first?
A. position the client flat in bed and place a 4x4 in the ear
B. check the fluid for dextrose with a dipstick and collect a
specimen on a 4x4
,C. suction the nose to maintain airwaypatency
D. insert nasal and ear packing with sterile gauze 4x4 Correct
Answers B
A 23-year-old client has been hit on the head with a baseball bat.
The nurse notes clear fluid draining from his ears and nose.
Which of the following nursing interventions should be done
first?
A. Position the client flat in bed and place a 4x4 in the ear.
B. Check the fluid for dextrose with a dipstick and collect a
specimen on a 4x4
C. Suction the nose to maintain airway patency
D. Insert nasal and ear packing with sterile gauze 4x4 Correct
Answers B
A 37 weeks, G3P2 woman comes in and has +GBS and + herpes
with active lesions. Her membranes ruptured at home 10 hours
ago. She has a temp of 102.3, FHT's are 180-190.
What is concerning here?
What is the top priority?
What is the analysis of the FHT's?
What are 3 risks for the fetus? Correct Answers all is
concerning
top priority: emergency c/sec, antibiotics
,FHT's are too high
3 risks: active herpes infection, GBS infection, hypoglycemia
A 78-year-old woman is at her annual checkup with her health
care provider. She seems very embarrassed about asking if it's
normal to "leak" urine when coughing or laughing, especially at
her age. She has given birth to five children. What is the nurse's
best response to this question?
A."Involuntary loss of urine or incontinence is not a normal
consequence of childbirth or aging."
B."As we get older, our bodies do not function as well as when
we were younger."
C."The unintentional loss of urine can be temporary or
permanent depending on the cause."
D."The most likely cause of your urine leakage is obstruction of
the urethra with a kidney stone." Correct Answers A
A client has a calcium level of 14 mg/dL. Which intervention is
the priority?
1. push fluids
2. place on a cardiac monitor
3. assess for Chvostek's sign q 2 hours
4. administer IV calcium chloride Correct Answers 2
A client has been diagnosed with overhydration and is confused.
Which intervention does the nurse include in the client's plan of
care to relieve the confusion?
A. turn the IV rate to 50 ml per hour
, B. administer lasix as ordered
C. place the patient in a supine position with the legs elevated
D. measure I&O Correct Answers B
A client has functional urinary incontinence. Which instruction
by the nurse to the client and family helps meet an expected
outcome for this condition?
A. you must clean around your catheter daily with soap and
water
B. operations to repair your bladder are available, and you can
consider these
C. buy slacks with elastic waistbands that are easy to pull down
Correct Answers C
A client has signs of increased ICP. Which of the following is an
early indicator of deterioration in the client's condition?
A. Widening pulse pressure
B. Decrease in the pulse rate
C. Dilated, fixed pupil
D. Decrease in LOC Correct Answers D
A client has signs of increased ICP. Which of the following is an
early indicator of deterioration in the client's condition?
Solutions
1hr old infant is grunting on arrival in the neonatal nursery. The
baby is pink but has nasal flaring and intercostal retractions.
Which of the following should the nurse do first?
A. suction the nose and the mouth with sterile suction catheter
B. notify the neonatalogist
C. perform a respiratory assessment
D. obtain a chest x-ray
E. assess the blood glucose Correct Answers C
A 21-year-old male reports burning and difficulty with
urination. What priority question would obtain information
about the patient's chief complaint?
A. "How long have you had these symptoms?"
B. "Do you have low back pain?"
C. "Are you sexually active?"
D. "Have you had a fever in the past 24 hours?" Correct
Answers C
A 23 yo client has been hit on the head with a baseball bat. The
nurse notes clear fluid draining from his ears & nose. Which of
the following nursing interventions should be done first?
A. position the client flat in bed and place a 4x4 in the ear
B. check the fluid for dextrose with a dipstick and collect a
specimen on a 4x4
,C. suction the nose to maintain airwaypatency
D. insert nasal and ear packing with sterile gauze 4x4 Correct
Answers B
A 23-year-old client has been hit on the head with a baseball bat.
The nurse notes clear fluid draining from his ears and nose.
Which of the following nursing interventions should be done
first?
A. Position the client flat in bed and place a 4x4 in the ear.
B. Check the fluid for dextrose with a dipstick and collect a
specimen on a 4x4
C. Suction the nose to maintain airway patency
D. Insert nasal and ear packing with sterile gauze 4x4 Correct
Answers B
A 37 weeks, G3P2 woman comes in and has +GBS and + herpes
with active lesions. Her membranes ruptured at home 10 hours
ago. She has a temp of 102.3, FHT's are 180-190.
What is concerning here?
What is the top priority?
What is the analysis of the FHT's?
What are 3 risks for the fetus? Correct Answers all is
concerning
top priority: emergency c/sec, antibiotics
,FHT's are too high
3 risks: active herpes infection, GBS infection, hypoglycemia
A 78-year-old woman is at her annual checkup with her health
care provider. She seems very embarrassed about asking if it's
normal to "leak" urine when coughing or laughing, especially at
her age. She has given birth to five children. What is the nurse's
best response to this question?
A."Involuntary loss of urine or incontinence is not a normal
consequence of childbirth or aging."
B."As we get older, our bodies do not function as well as when
we were younger."
C."The unintentional loss of urine can be temporary or
permanent depending on the cause."
D."The most likely cause of your urine leakage is obstruction of
the urethra with a kidney stone." Correct Answers A
A client has a calcium level of 14 mg/dL. Which intervention is
the priority?
1. push fluids
2. place on a cardiac monitor
3. assess for Chvostek's sign q 2 hours
4. administer IV calcium chloride Correct Answers 2
A client has been diagnosed with overhydration and is confused.
Which intervention does the nurse include in the client's plan of
care to relieve the confusion?
A. turn the IV rate to 50 ml per hour
, B. administer lasix as ordered
C. place the patient in a supine position with the legs elevated
D. measure I&O Correct Answers B
A client has functional urinary incontinence. Which instruction
by the nurse to the client and family helps meet an expected
outcome for this condition?
A. you must clean around your catheter daily with soap and
water
B. operations to repair your bladder are available, and you can
consider these
C. buy slacks with elastic waistbands that are easy to pull down
Correct Answers C
A client has signs of increased ICP. Which of the following is an
early indicator of deterioration in the client's condition?
A. Widening pulse pressure
B. Decrease in the pulse rate
C. Dilated, fixed pupil
D. Decrease in LOC Correct Answers D
A client has signs of increased ICP. Which of the following is an
early indicator of deterioration in the client's condition?
