Nursing 120 final exam 2025 with |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answers |||\\\
A nurse answers a call light and finds the client anxious, short of breath, and reporting chest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pain. The client states it's a stabbing pain". What action by the nurse takes priority?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Take a full set of vital signs and document
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Reassure the patient that the appropriate measures will be taken |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Notify the rapid response team |||\\\ |||\\\ |||\\\ |||\\\
D.
Listen to the patient's breath sounds - correct answer✔✔C.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Notify the rapid response team |||\\\ |||\\\ |||\\\ |||\\\
The MD order states: Administer 50mg of Metoprolol PO
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Available: Metoprolol 100mg/tab |||\\\ |||\\\
How many tablets will the nurse administer?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
0.5 tab |||\\\
B.
1 tab
|||\\\
C.
1.5 tabs |||\\\
D.
,2 tabs - correct answer✔✔A. 0.5 tabs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is providing nutritional education to a client with a new diagnosis of heart failure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(HF). What will the nurse be sure to include in her teaching?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
"Take a salt supplement in order to keep your sodium (N+) level normal"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
"Be sure and add any salt flavoring to food while it is cooking"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
"You will need to strictly limit your salt intake"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
"You can have all the salt you want, as long as you are voiding regularly" - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔C. |||\\\
"You will need to strictly limit your salt intake"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The MD order states: Administer 1000ml of NS IV over 20 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What will the nurse set as the pump infusion rate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
65 mL/hr |||\\\
B.
50 mL/hr |||\\\
C.
120 mL/hr |||\\\
D.
70 mL/hr - correct answer✔✔B. 50 mL/hr
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse knows that which client is at the highest risk for developing varicose veins?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,A.
The 30 y/o male who works in construction
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
The 55 y/o retired female who is considering hormone replacement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
A 25 y/o male who works out 6 times a week
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
The 42 y/o overweight female who works standing in retail sales - correct answer✔✔D.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The 42 y/o overweight female who works standing in retail sales
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nursing student is caring for a client with peripheral vascular disease (PVD). When speaking
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
with the student, the nursing instructor asks him/her to explain the difference between
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
arterial and venous insufficiency. The student nurse would be correct in stating that:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Arterial insufficiency causes bounding pulses while venous insufficiency causes absent pulses
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ischemic ulcers and gangrene |||\\\ |||\\\ |||\\\
C.
Venous insufficiency is characterized by pain with activity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Arterial insufficiency is caused by varicose veins and blood clots - correct answer✔✔B.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ischemic ulcers and gangrene |||\\\ |||\\\ |||\\\
The student nurse correctly identifies the different types of heart failure as which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following:
A.
, Multi-system, Hypovolemic, and Right-sided |||\\\ |||\\\ |||\\\
B.
Left-sided, High Output, and Multi-system |||\\\ |||\\\ |||\\\ |||\\\
C.
High output, Left-sided, and Right-sided
|||\\\ |||\\\ |||\\\ |||\\\
D.
Right-sided, Left-sided, and Hypovolemic - correct answer✔✔C. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
High output, Left-sided, and Right-sided
|||\\\ |||\\\ |||\\\ |||\\\
A nurse is assessing a client who has just arrived to the emergency department. During the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
assessment, she notes pulmonary crackles, anxiety and restlessness, and cough. Which
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis would she expect to see? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Left- sided Heart Failure
|||\\\ |||\\\ |||\\\
B.
Digitalis Toxicity |||\\\
C.
Right- sided Heart Failure
|||\\\ |||\\\ |||\\\
D.
Hypertensive Crisis - correct answer✔✔A. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Left- sided Heart Failure
|||\\\ |||\\\ |||\\\
A nurse is caring for a client with right-sided heart failure who is complaining about having to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
weigh every day. How should the nurse respond?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
"Daily weights allow us to adequately monitor edema in your extremities"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
correct answers |||\\\
A nurse answers a call light and finds the client anxious, short of breath, and reporting chest
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
pain. The client states it's a stabbing pain". What action by the nurse takes priority?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Take a full set of vital signs and document
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Reassure the patient that the appropriate measures will be taken |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
Notify the rapid response team |||\\\ |||\\\ |||\\\ |||\\\
D.
Listen to the patient's breath sounds - correct answer✔✔C.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Notify the rapid response team |||\\\ |||\\\ |||\\\ |||\\\
The MD order states: Administer 50mg of Metoprolol PO
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Available: Metoprolol 100mg/tab |||\\\ |||\\\
How many tablets will the nurse administer?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
0.5 tab |||\\\
B.
1 tab
|||\\\
C.
1.5 tabs |||\\\
D.
,2 tabs - correct answer✔✔A. 0.5 tabs
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse is providing nutritional education to a client with a new diagnosis of heart failure
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
(HF). What will the nurse be sure to include in her teaching?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
"Take a salt supplement in order to keep your sodium (N+) level normal"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
"Be sure and add any salt flavoring to food while it is cooking"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
"You will need to strictly limit your salt intake"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
"You can have all the salt you want, as long as you are voiding regularly" - correct
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answer✔✔C. |||\\\
"You will need to strictly limit your salt intake"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The MD order states: Administer 1000ml of NS IV over 20 hours
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What will the nurse set as the pump infusion rate?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
65 mL/hr |||\\\
B.
50 mL/hr |||\\\
C.
120 mL/hr |||\\\
D.
70 mL/hr - correct answer✔✔B. 50 mL/hr
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nurse knows that which client is at the highest risk for developing varicose veins?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
,A.
The 30 y/o male who works in construction
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
The 55 y/o retired female who is considering hormone replacement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
C.
A 25 y/o male who works out 6 times a week
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
The 42 y/o overweight female who works standing in retail sales - correct answer✔✔D.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The 42 y/o overweight female who works standing in retail sales
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
The nursing student is caring for a client with peripheral vascular disease (PVD). When speaking
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
with the student, the nursing instructor asks him/her to explain the difference between
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
arterial and venous insufficiency. The student nurse would be correct in stating that:
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Arterial insufficiency causes bounding pulses while venous insufficiency causes absent pulses
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ischemic ulcers and gangrene |||\\\ |||\\\ |||\\\
C.
Venous insufficiency is characterized by pain with activity
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
D.
Arterial insufficiency is caused by varicose veins and blood clots - correct answer✔✔B.
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Venous insufficiency causes congestion and blood stasis while arterial insufficiency can lead to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ischemic ulcers and gangrene |||\\\ |||\\\ |||\\\
The student nurse correctly identifies the different types of heart failure as which of the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
following:
A.
, Multi-system, Hypovolemic, and Right-sided |||\\\ |||\\\ |||\\\
B.
Left-sided, High Output, and Multi-system |||\\\ |||\\\ |||\\\ |||\\\
C.
High output, Left-sided, and Right-sided
|||\\\ |||\\\ |||\\\ |||\\\
D.
Right-sided, Left-sided, and Hypovolemic - correct answer✔✔C. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
High output, Left-sided, and Right-sided
|||\\\ |||\\\ |||\\\ |||\\\
A nurse is assessing a client who has just arrived to the emergency department. During the
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
assessment, she notes pulmonary crackles, anxiety and restlessness, and cough. Which
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diagnosis would she expect to see? |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
Left- sided Heart Failure
|||\\\ |||\\\ |||\\\
B.
Digitalis Toxicity |||\\\
C.
Right- sided Heart Failure
|||\\\ |||\\\ |||\\\
D.
Hypertensive Crisis - correct answer✔✔A. |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Left- sided Heart Failure
|||\\\ |||\\\ |||\\\
A nurse is caring for a client with right-sided heart failure who is complaining about having to
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
weigh every day. How should the nurse respond?
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
A.
"Daily weights allow us to adequately monitor edema in your extremities"
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
B.
