NURSING 220 FINAL EXAM REVIEW
WITH 100% SOLUTION LATEST 2025
QUESTIONS AND ANSWERS
The nurse understands that medication absorption is affected by the administration
route. Which route for medications has the fastest absorption rate? CORRECT
ANSWER Intravenous Injection
What action should the nurse take immediately after instilling the prescribed eyedrops
into the patient's eye? CORRECT ANSWER Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications demonstrates
understanding of education by the nurse? CORRECT ANSWER "I should check with
my physician before beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the
evening shift finds an unlabeled, filled syringe in the patient's medication drawer. What
should the nurse in charge do? CORRECT ANSWER Discard the syringe to avoid a
medication error.
What snack choice would be the best suggestion by the nurse for a patient on a renal
diet? CORRECT ANSWER Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear
liquid diet to the next diet level. Which statement by the nurse would be most
appropriate in this circumstance? CORRECT ANSWER "If you can tolerate the clear
liquid diet, your next meal will be full liquid"
What nursing intervention would be most beneficial to implement in an effort to prevent
aspiration by a patient receiving tube feedings? CORRECT ANSWER Elevate the
head of the patient's bed at least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded? CORRECT ANSWER Try using cola if a 20- to 30-
mL warm-water flush is ineffective.
The nurse is caring for an elderly patient who has residual weakness on the right side
as the result of a cerebrovascular accident (stroke). The nurse is correct in reporting
,dysphagia when the patient exhibits which symptoms? CORRECT ANSWER
Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any
multivitamins. Which instruction would best help reduce the potential for development of
neural tube defects in the fetus? CORRECT ANSWER Recommend folic acid dietary
supplements
A patient tells the nurse that he needs to increase his intake of potassium because he
has been taking large doses of diuretics. To minimize complications from hypokalemia,
the nurse should instruct the patient to include which of the following foods as part of his
diet? CORRECT ANSWER Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What
would be the best response of the nurse when the patient refuses to take insulin,
stating, "Insulin contains pork and i do not eat pork." CORRECT ANSWER "All of the
insulin used today is made synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the
month of Ramadan. What action by the nurse is most appropriate in caring for this
patient? CORRECT ANSWER Check on the potential effect fasting until sundown will
have on the patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa.
Which data would the nurse anticipate finding in the patient's admission history and
physical assessment? CORRECT ANSWER Excessive food intake, self-induced
vomiting, and use of laxatives
The nurse instructs a patient with a Vitamin A deficiency on food sources that could
prevent symptoms. Which of the following food combinations would be appropriate?
CORRECT ANSWER Carrots and spinach
A nurse is caring for a patient with a diagnosis of pellagra resulting from niacin
deficiency who complains of fatigue, loss of appetite, headache, weight loss, scaly
sores, and neurological deterioration. The nurse performs a dietary assessment for
which of the following vitamins? CORRECT ANSWER Vitamin B3
A patient is admitted to the hospital with pernicious anemia and a surgical history of
having had a gastrectomy six months ago. On assessment, the nurse questions the
patient about compliance with taking which of the following medications that supports
the development of red blood cells? CORRECT ANSWER Vitamin B12
, An elderly patient is admitted with a diagnosis of osteoporosis and bone scan results
that reveal a reduction in bone mass. The nurse encourages the patient to eat foods
that are CORRECT ANSWER high in calcium
The patient has suspected iron-deficiency anemia. The nurse monitors the patient and
reports which of the following findings supporting this diagnosis? CORRECT ANSWER
Elevated transferrin levels
A patient is being discharge from the hospital with a new ileostomy. The patient
expresses concern about caring for the ostomy. Before hospital discharge, it is most
important for the nurse to coordinate with which member of the health care team?
CORRECT ANSWER Wound ostomy continence nurse
The nurse is assigned the care of a patient for whom a cleansing enema has been
ordered. What information is most important for the nurse to know before administration
of the enema? CORRECT ANSWER History of surgery of the anus or rectum
To prevent constipation in an inactive patient, which early interventions should the nurse
implement? CORRECT ANSWER Stool softener administration
Increasing the fiber in the diet
Increasing physical activity
Increasing fluid intake
While performing an abdominal assessment on an unconscious patient, the nurse notes
presence of an ostomy. The fecal output is liquid in consistency, with a pungent odor,
and the stoma is located in the upper right quadrant of the abdomen. What type of
ostomy does the patient have? CORRECT ANSWER Ascending colostomy
The teaching plan for a patient with diarrhea should include which interventions?
CORRECT ANSWER Drinking at least eight glasses of fluid each day
The nurse knows that the teaching for a patient who was recently diagnosed with
constipation has been effective if the patient's meal request specifies which food
choice? CORRECT ANSWER Spinach salad with dressing
A 40-year-old patient complains of 4 days of frequent loos stools with abdominal
cramping. What is the priority nursing diagnosis for this patient? CORRECT ANSWER
Risk for Imbalanced Fluid Volume
A patient is scheduled for a colonoscopy. After pre procedure teaching by the nurse, the
patient demonstrates understanding when he makes which statement? CORRECT
ANSWER "I should drink clear liquids for 2 days before the procedure"
Which nursing intervention is included for a patient experiencing diarrhea? CORRECT
ANSWER Increasing fiber in the diet
WITH 100% SOLUTION LATEST 2025
QUESTIONS AND ANSWERS
The nurse understands that medication absorption is affected by the administration
route. Which route for medications has the fastest absorption rate? CORRECT
ANSWER Intravenous Injection
What action should the nurse take immediately after instilling the prescribed eyedrops
into the patient's eye? CORRECT ANSWER Press gently on the inner cants area
Which statement by the patient about herbs and prescription medications demonstrates
understanding of education by the nurse? CORRECT ANSWER "I should check with
my physician before beginning an herbal preparation"
Before administering the evening dose of a prescribed medication, the nurse on the
evening shift finds an unlabeled, filled syringe in the patient's medication drawer. What
should the nurse in charge do? CORRECT ANSWER Discard the syringe to avoid a
medication error.
What snack choice would be the best suggestion by the nurse for a patient on a renal
diet? CORRECT ANSWER Carrot sticks
A patient recovering from major abdominal surgery is to be progressed from a clear
liquid diet to the next diet level. Which statement by the nurse would be most
appropriate in this circumstance? CORRECT ANSWER "If you can tolerate the clear
liquid diet, your next meal will be full liquid"
What nursing intervention would be most beneficial to implement in an effort to prevent
aspiration by a patient receiving tube feedings? CORRECT ANSWER Elevate the
head of the patient's bed at least 45 degrees
Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded? CORRECT ANSWER Try using cola if a 20- to 30-
mL warm-water flush is ineffective.
The nurse is caring for an elderly patient who has residual weakness on the right side
as the result of a cerebrovascular accident (stroke). The nurse is correct in reporting
,dysphagia when the patient exhibits which symptoms? CORRECT ANSWER
Incomplete lip closure
A change in voice quality after eating
Abnormal movements of the mouth, tongue, and lips
A young adult female is considering becoming pregnant and is not taking any
multivitamins. Which instruction would best help reduce the potential for development of
neural tube defects in the fetus? CORRECT ANSWER Recommend folic acid dietary
supplements
A patient tells the nurse that he needs to increase his intake of potassium because he
has been taking large doses of diuretics. To minimize complications from hypokalemia,
the nurse should instruct the patient to include which of the following foods as part of his
diet? CORRECT ANSWER Tomatoes and spinach
A Jewish patient who adheres to a kosher diet is diagnosed with type 1 diabetes. What
would be the best response of the nurse when the patient refuses to take insulin,
stating, "Insulin contains pork and i do not eat pork." CORRECT ANSWER "All of the
insulin used today is made synthetically."
A female Muslim patient is admitted to the hospital and informs the nurse that it is the
month of Ramadan. What action by the nurse is most appropriate in caring for this
patient? CORRECT ANSWER Check on the potential effect fasting until sundown will
have on the patient's condition.
A 15-year-old female gymnast is hospitalized with the diagnosis of bulimia nervosa.
Which data would the nurse anticipate finding in the patient's admission history and
physical assessment? CORRECT ANSWER Excessive food intake, self-induced
vomiting, and use of laxatives
The nurse instructs a patient with a Vitamin A deficiency on food sources that could
prevent symptoms. Which of the following food combinations would be appropriate?
CORRECT ANSWER Carrots and spinach
A nurse is caring for a patient with a diagnosis of pellagra resulting from niacin
deficiency who complains of fatigue, loss of appetite, headache, weight loss, scaly
sores, and neurological deterioration. The nurse performs a dietary assessment for
which of the following vitamins? CORRECT ANSWER Vitamin B3
A patient is admitted to the hospital with pernicious anemia and a surgical history of
having had a gastrectomy six months ago. On assessment, the nurse questions the
patient about compliance with taking which of the following medications that supports
the development of red blood cells? CORRECT ANSWER Vitamin B12
, An elderly patient is admitted with a diagnosis of osteoporosis and bone scan results
that reveal a reduction in bone mass. The nurse encourages the patient to eat foods
that are CORRECT ANSWER high in calcium
The patient has suspected iron-deficiency anemia. The nurse monitors the patient and
reports which of the following findings supporting this diagnosis? CORRECT ANSWER
Elevated transferrin levels
A patient is being discharge from the hospital with a new ileostomy. The patient
expresses concern about caring for the ostomy. Before hospital discharge, it is most
important for the nurse to coordinate with which member of the health care team?
CORRECT ANSWER Wound ostomy continence nurse
The nurse is assigned the care of a patient for whom a cleansing enema has been
ordered. What information is most important for the nurse to know before administration
of the enema? CORRECT ANSWER History of surgery of the anus or rectum
To prevent constipation in an inactive patient, which early interventions should the nurse
implement? CORRECT ANSWER Stool softener administration
Increasing the fiber in the diet
Increasing physical activity
Increasing fluid intake
While performing an abdominal assessment on an unconscious patient, the nurse notes
presence of an ostomy. The fecal output is liquid in consistency, with a pungent odor,
and the stoma is located in the upper right quadrant of the abdomen. What type of
ostomy does the patient have? CORRECT ANSWER Ascending colostomy
The teaching plan for a patient with diarrhea should include which interventions?
CORRECT ANSWER Drinking at least eight glasses of fluid each day
The nurse knows that the teaching for a patient who was recently diagnosed with
constipation has been effective if the patient's meal request specifies which food
choice? CORRECT ANSWER Spinach salad with dressing
A 40-year-old patient complains of 4 days of frequent loos stools with abdominal
cramping. What is the priority nursing diagnosis for this patient? CORRECT ANSWER
Risk for Imbalanced Fluid Volume
A patient is scheduled for a colonoscopy. After pre procedure teaching by the nurse, the
patient demonstrates understanding when he makes which statement? CORRECT
ANSWER "I should drink clear liquids for 2 days before the procedure"
Which nursing intervention is included for a patient experiencing diarrhea? CORRECT
ANSWER Increasing fiber in the diet
