NUR 304 FINAL EXAM
NUR 304 FINAL EXAM With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
The nurse assesses an older client. What age-related physiologic changes would the nurse
expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite –
Correct Answer :ANS: C
As people age, the many of the endocrine glands decrease hormone production, including a
A+ TEST BANK 1
, NUR 304 FINAL EXAM
decrease in antidiuretic hormone production. This change, in addition to less body fluid
being
present as one ages, can cause dehydration. Older adults usually have cold intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change; osteoarthritis
causes
primarily by aging.
The nurse plans care for a client with Parkinson disease. Which intervention would the nurse
include in this client's plan of care?
a. Restrain the client to prevent falling.
b. Ensure that the client uses incentive spirometry.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater. –
Correct Answer :ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options will not
prevent aspiration, which is the greatest respiratory complication of Parkinson disease, nor
do
these interventions address any of the complications of Parkinson disease. Pursed-lip
breathing increases exhalation of carbon dioxide; incentive spirometry expands the lungs.
The
client should not be restrained to prevent falls. Other less restrictive interventions should be
used to maintain client safety.
A nurse teaches assistive personnel (AP) about how to care for a client with Parkinson
disease. Which statement would the nurse include as part of this teaching?
a. "Allow the client to be as independent as possible with activities."
A+ TEST BANK 2
, NUR 304 FINAL EXAM
b. "Assist the client with frequent and meticulous oral care."
c. "Assess the client's ability to eat and swallow before each meal."
d. "Schedule appointments early in the morning to ensure rest in the afternoon." –
Correct Answer :ANS: A
Clients with Parkinson disease do not move as quickly and can have functional problems.
The
client would be encouraged to be as independent as possible and provided time to perform
activities without rushing. Although oral care is important for all clients, instructing the UAP
to provide frequent and meticulous oral is not a priority for this client. This statement would
be a priority if the client was immune-compromised or NPO. The nurse would assess the
client's ability to eat and swallow; this would not be delegated. Appointments and activities
would not be scheduled early in the morning because this may cause the client to be rushed
and discourage the client from wanting to participate in activities of daily living.
A client diagnosed with Parkinson disease will be starting ropinirole for symptom control.
Which statement by the client indicates a need for further teaching?
a. "This drug should help decrease my tremors and help me move better."
b. "I need to change positions slowly to prevent dizziness or falls."
c. "I should take the drug at the same time each day for the best effect."
d. "I know the drug will probably make help me prevent constipation." –
Correct Answer :ANS: D
Although ropinirole is a dopamine agonist and mimics dopamine to promote movement, it
does not work to prevent constipation. This class of drugs can cause orthostatic
hypotension
and should be taken at the same time every day.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
A nurse is teaching a client who experiences migraine headaches and is prescribed
propranolol. Which statement would the nurse include in this client's teaching?
a. "Take this drug only when you have symptoms indicating the onset of a migraine
headache."
b. "Take this drug as prescribed, even when feeling well, to prevent vascular changes
associated with migraine headaches."
c. "This drug will relieve the pain during the aura phase soon after a headache has
started."
d. "This drug will have no effect on your heart rate or blood pressure because you are
taking it for migraines." –
Correct Answer :ANS: B
Propranolol is a beta-adrenergic blocker which is prescribed as prophylactic treatment to
prevent the vascular changes that initiate migraine headaches. Heart rate and blood
pressure
will also be affected, and the client would monitor these side effects. The other responses
do not discuss appropriate uses of this drug.
The nurse assesses a client who has a history of migraines. Which symptom would the nurse
identify as an early sign of a migraine with aura?
a. Vertigo
b. Lethargy
c. Visual disturbances
d. Numbness of the tongue –
Correct Answer :ANS: C
A+ TEST BANK 4
NUR 304 FINAL EXAM With 200 Complete
EXAM PRACTICE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT) 2025/26
PREP (NEW!)2025 Test Bank with RATIONALES |
The nurse assesses an older client. What age-related physiologic changes would the nurse
expect?
a. Heat intolerance
b. Rheumatoid arthritis
c. Dehydration
d. Increased appetite –
Correct Answer :ANS: C
As people age, the many of the endocrine glands decrease hormone production, including a
A+ TEST BANK 1
, NUR 304 FINAL EXAM
decrease in antidiuretic hormone production. This change, in addition to less body fluid
being
present as one ages, can cause dehydration. Older adults usually have cold intolerance and a
decrease in appetite. Rheumatoid arthritis is not an age-related change; osteoarthritis
causes
primarily by aging.
The nurse plans care for a client with Parkinson disease. Which intervention would the nurse
include in this client's plan of care?
a. Restrain the client to prevent falling.
b. Ensure that the client uses incentive spirometry.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater. –
Correct Answer :ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options will not
prevent aspiration, which is the greatest respiratory complication of Parkinson disease, nor
do
these interventions address any of the complications of Parkinson disease. Pursed-lip
breathing increases exhalation of carbon dioxide; incentive spirometry expands the lungs.
The
client should not be restrained to prevent falls. Other less restrictive interventions should be
used to maintain client safety.
A nurse teaches assistive personnel (AP) about how to care for a client with Parkinson
disease. Which statement would the nurse include as part of this teaching?
a. "Allow the client to be as independent as possible with activities."
A+ TEST BANK 2
, NUR 304 FINAL EXAM
b. "Assist the client with frequent and meticulous oral care."
c. "Assess the client's ability to eat and swallow before each meal."
d. "Schedule appointments early in the morning to ensure rest in the afternoon." –
Correct Answer :ANS: A
Clients with Parkinson disease do not move as quickly and can have functional problems.
The
client would be encouraged to be as independent as possible and provided time to perform
activities without rushing. Although oral care is important for all clients, instructing the UAP
to provide frequent and meticulous oral is not a priority for this client. This statement would
be a priority if the client was immune-compromised or NPO. The nurse would assess the
client's ability to eat and swallow; this would not be delegated. Appointments and activities
would not be scheduled early in the morning because this may cause the client to be rushed
and discourage the client from wanting to participate in activities of daily living.
A client diagnosed with Parkinson disease will be starting ropinirole for symptom control.
Which statement by the client indicates a need for further teaching?
a. "This drug should help decrease my tremors and help me move better."
b. "I need to change positions slowly to prevent dizziness or falls."
c. "I should take the drug at the same time each day for the best effect."
d. "I know the drug will probably make help me prevent constipation." –
Correct Answer :ANS: D
Although ropinirole is a dopamine agonist and mimics dopamine to promote movement, it
does not work to prevent constipation. This class of drugs can cause orthostatic
hypotension
and should be taken at the same time every day.
A+ TEST BANK 3
, NUR 304 FINAL EXAM
A nurse is teaching a client who experiences migraine headaches and is prescribed
propranolol. Which statement would the nurse include in this client's teaching?
a. "Take this drug only when you have symptoms indicating the onset of a migraine
headache."
b. "Take this drug as prescribed, even when feeling well, to prevent vascular changes
associated with migraine headaches."
c. "This drug will relieve the pain during the aura phase soon after a headache has
started."
d. "This drug will have no effect on your heart rate or blood pressure because you are
taking it for migraines." –
Correct Answer :ANS: B
Propranolol is a beta-adrenergic blocker which is prescribed as prophylactic treatment to
prevent the vascular changes that initiate migraine headaches. Heart rate and blood
pressure
will also be affected, and the client would monitor these side effects. The other responses
do not discuss appropriate uses of this drug.
The nurse assesses a client who has a history of migraines. Which symptom would the nurse
identify as an early sign of a migraine with aura?
a. Vertigo
b. Lethargy
c. Visual disturbances
d. Numbness of the tongue –
Correct Answer :ANS: C
A+ TEST BANK 4
