NUR400 NCLEX Questions for Final Exam Questions With
Complete Solutions
47. A nurse is teaching a parent about car seat safety for their 6-
month-old infant. Which of the following statements by the
parent indicates a need for further teaching?
A. "I should place my infant in a rear-facing car seat in the back
seat of the car."
B. "I can place the car seat in the front passenger seat if the
airbag is turned off."
C. "My infant should remain in a rear-facing car seat until they
are at least 2 years old."
D. "I need to ensure the car seat is properly installed according
to the manufacturer's instructions." Correct Answers B. "I can
place the car seat in the front passenger seat if the airbag is
turned off."
48. A 62-year-old patient has recently been diagnosed with
osteoporosis after undergoing a bone density scan. Which of the
following interventions would have been a primary prevention
for this patient?
A. Prescribing calcium and vitamin D supplements
B. Recommending weight-bearing exercises
C. Administering bisphosphonate medication
D. Providing education on fall prevention strategies Correct
Answers B. Recommending weight-bearing exercises
49. A nurse is providing health education to a community group
about preventive health services. One participant asks about a
,screening test that has received a Grade C recommendation from
the USPSTF. Which of the following statements by the nurse
would most accurately explain this recommendation?
A. "This screening is strongly recommended for everyone in the
eligible population."
B. "The evidence shows this screening should not be performed
due to potential harms."
C. "For this screening, you and your provider should decide
together based on your personal values and situation."
D. "We cannot recommend for or against this screening because
there isn't enough research available." Correct Answers C.
"For this screening, you and your provider should decide
together based on your personal values and situation."
50. A nurse is caring for an 85-year-old patient admitted with a
urinary tract infection. The family reports that the patient has
become increasingly confused and is now experiencing visual
hallucinations. What is the nurse's best response?
A. "This is a normal part of aging and nothing to worry about."
B. "This is likely a sign of early-stage dementia and should be
monitored over time."
C. "This may be a temporary condition called delirium, and we
will look for reversible causes."
D. "This is an expected response to hospitalization in older
adults with dementia." Correct Answers C. "This may be a
temporary condition called delirium, and we will look for
reversible causes."
,51. An 82-year-old nursing home resident has been increasingly
confused and disoriented over the past few days. The nurse
suspects a medication may be the cause. Which medication is
most likely contributing to the resident's acute confusional state?
A. Furosemide (Lasix)
B. Lisinopril
C. Acetaminophen
D. Diphenhydramine (Benadryl) Correct Answers D.
Diphenhydramine (Benadryl)
52. A nurse is caring for an elderly patient with moderate
confusion due to dementia. Which of the following interventions
is most appropriate to help reduce the patient's confusion?
A. Rotate caregivers frequently to provide diverse interactions
B. Introduce new activities daily to stimulate brain function
C. Maintain a consistent daily schedule with familiar caregivers
D. Allow the patient to nap at varying times throughout the day
Correct Answers C. Maintain a consistent daily schedule with
familiar caregivers
53. A nurse is providing discharge teaching to a client who
sustained minor injuries in a motor vehicle crash. Which of the
following client statements indicates an understanding of the
teaching related to injury prevention?
A. "If I'm only driving a short distance, I don't need to wear a
seatbelt."
B. "Wearing a helmet is only necessary when I ride my
motorcycle."
, C. "I should always wear a seatbelt, even if I'm in the back seat."
D. "Helmets aren't helpful unless you're going fast enough to
cause serious injury." Correct Answers C. "I should always
wear a seatbelt, even if I'm in the back seat."
54. A young teenager presents to the clinic with moderate-level
anxiety. Which of the following findings should the nurse
expect? (Select all that apply)
A. Difficulty concentrating
B. Impending sense of doom
C. Heightened ability to function
D. Decreased cognition
E. Becoming easily frustrated Correct Answers A. Difficulty
concentrating
55. A nurse is caring for a client experiencing a panic attack.
Which is the priority nursing intervention?
A. Explore what triggered the panic attack
B. Move the client to a quiet, non stimulating area
C. Teach relaxation techniques like deep breathing
D. Administer an anti-anxiety medication Correct Answers B.
Move the client to a quiet, non stimulating area
56. A nurse is caring for a veteran diagnosed with Post-
Traumatic Stress Disorder (PTSD) who begins to panic and yell
after hearing loud construction noises outside the hospital. What
is the nurse's best initial response?
A. "You're safe here. Try to calm down."
Complete Solutions
47. A nurse is teaching a parent about car seat safety for their 6-
month-old infant. Which of the following statements by the
parent indicates a need for further teaching?
A. "I should place my infant in a rear-facing car seat in the back
seat of the car."
B. "I can place the car seat in the front passenger seat if the
airbag is turned off."
C. "My infant should remain in a rear-facing car seat until they
are at least 2 years old."
D. "I need to ensure the car seat is properly installed according
to the manufacturer's instructions." Correct Answers B. "I can
place the car seat in the front passenger seat if the airbag is
turned off."
48. A 62-year-old patient has recently been diagnosed with
osteoporosis after undergoing a bone density scan. Which of the
following interventions would have been a primary prevention
for this patient?
A. Prescribing calcium and vitamin D supplements
B. Recommending weight-bearing exercises
C. Administering bisphosphonate medication
D. Providing education on fall prevention strategies Correct
Answers B. Recommending weight-bearing exercises
49. A nurse is providing health education to a community group
about preventive health services. One participant asks about a
,screening test that has received a Grade C recommendation from
the USPSTF. Which of the following statements by the nurse
would most accurately explain this recommendation?
A. "This screening is strongly recommended for everyone in the
eligible population."
B. "The evidence shows this screening should not be performed
due to potential harms."
C. "For this screening, you and your provider should decide
together based on your personal values and situation."
D. "We cannot recommend for or against this screening because
there isn't enough research available." Correct Answers C.
"For this screening, you and your provider should decide
together based on your personal values and situation."
50. A nurse is caring for an 85-year-old patient admitted with a
urinary tract infection. The family reports that the patient has
become increasingly confused and is now experiencing visual
hallucinations. What is the nurse's best response?
A. "This is a normal part of aging and nothing to worry about."
B. "This is likely a sign of early-stage dementia and should be
monitored over time."
C. "This may be a temporary condition called delirium, and we
will look for reversible causes."
D. "This is an expected response to hospitalization in older
adults with dementia." Correct Answers C. "This may be a
temporary condition called delirium, and we will look for
reversible causes."
,51. An 82-year-old nursing home resident has been increasingly
confused and disoriented over the past few days. The nurse
suspects a medication may be the cause. Which medication is
most likely contributing to the resident's acute confusional state?
A. Furosemide (Lasix)
B. Lisinopril
C. Acetaminophen
D. Diphenhydramine (Benadryl) Correct Answers D.
Diphenhydramine (Benadryl)
52. A nurse is caring for an elderly patient with moderate
confusion due to dementia. Which of the following interventions
is most appropriate to help reduce the patient's confusion?
A. Rotate caregivers frequently to provide diverse interactions
B. Introduce new activities daily to stimulate brain function
C. Maintain a consistent daily schedule with familiar caregivers
D. Allow the patient to nap at varying times throughout the day
Correct Answers C. Maintain a consistent daily schedule with
familiar caregivers
53. A nurse is providing discharge teaching to a client who
sustained minor injuries in a motor vehicle crash. Which of the
following client statements indicates an understanding of the
teaching related to injury prevention?
A. "If I'm only driving a short distance, I don't need to wear a
seatbelt."
B. "Wearing a helmet is only necessary when I ride my
motorcycle."
, C. "I should always wear a seatbelt, even if I'm in the back seat."
D. "Helmets aren't helpful unless you're going fast enough to
cause serious injury." Correct Answers C. "I should always
wear a seatbelt, even if I'm in the back seat."
54. A young teenager presents to the clinic with moderate-level
anxiety. Which of the following findings should the nurse
expect? (Select all that apply)
A. Difficulty concentrating
B. Impending sense of doom
C. Heightened ability to function
D. Decreased cognition
E. Becoming easily frustrated Correct Answers A. Difficulty
concentrating
55. A nurse is caring for a client experiencing a panic attack.
Which is the priority nursing intervention?
A. Explore what triggered the panic attack
B. Move the client to a quiet, non stimulating area
C. Teach relaxation techniques like deep breathing
D. Administer an anti-anxiety medication Correct Answers B.
Move the client to a quiet, non stimulating area
56. A nurse is caring for a veteran diagnosed with Post-
Traumatic Stress Disorder (PTSD) who begins to panic and yell
after hearing loud construction noises outside the hospital. What
is the nurse's best initial response?
A. "You're safe here. Try to calm down."
