NUR 212 Final Practice Test 2026 with 200 Questions
and Correct Answers with Rationales/ Hondros NUR
212 Final Practice Test 2026
A patient diagnosed with major depressive disorder repeatedly tells staff members,
I have cancer. Its my punishment for being a bad person. Diagnostic tests reveal no
cancer. Select the priority nursing diagnosis.
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress - ANSWER-b. Risk for suicide
A patient with depression who feels so worthless as to believe cancer is deserved is
at risk for suicide. Safety concerns take priority over the other diagnoses listed.
A patient was started on escitalopram (Lexapro) 5 days ago and now says, This
medicine isn't working. The nurses best intervention would be to:
a. discuss with the health care provider the need to change medications.
b. reassure the patient that the medication will be effective soon.
C. explain the time lag before antidepressants relieve symptoms.
D. critically assess the patient for symptom relief. - ANSWER-C. explain the time
lag before antidepressants relieve symptoms.
Escitalopram is an SSRI antidepressant. Between 1 and 3 weeks of treatment are
usually necessary before a relief of symptoms occurs. This information is
important to share with patients.
pg. 1
,During a follow-up visit, a woman is describing new onset of marital discord with
her terminally ill spouse. Using the Kubler-Ross behavioral theory, the nurse
recognizes that the spouse is in which stage of dying?
a.
Denial
b.
Bargaining
c.
Anger
d.
Depression - ANSWER-c.
Anger
Kbler-Ross traditional theory involves five stages of dying. The anger stage of
adjustment to an impending death can involve resistance, anger at God, anger at
people, and anger at the situation. Denial would involve failure to accept death.
Bargaining is an action to delay acceptance of death by bartering. Depression
would present as withdrawal from others.
Which safety measure is most important for the nurse to institute for a client who
has Cushings disease?
a.
Pad the side rails of the client's bed.
b.
Assist the client to change positions slowly.
c.
Use a lift sheet to change the clients position.
d.
pg. 2
,Keep suctioning equipment at the client's bedside. - ANSWER-c.
Use a lift sheet to change the clients position.
Cushing's syndrome or disease greatly increases the serum levels of cortisol, which
contributes to excessive bone demineralization and increases the risk for
pathologic bone fracture. The client should not require suctioning. Padding the side
rails and assisting the client to change position may be effective, but these
measures will not protect him or her as much as using a lift sheet.
Which dietary alterations does the nurse make for a client with Cushing's disease?
a.
High carbohydrate, low potassium
b.
Low carbohydrate, low sodium
c.
Low protein, low calcium
d.
High carbohydrate, low potassium - ANSWER-b.
Low carbohydrate, low sodium
The client with Cushing's disease has weight gain, muscle loss, hyperglycemia, and
sodium retention. Dietary modifications need to include reduction of total calories
and carbohydrates to prevent or reduce the degree of hyperglycemia. Sodium
retention causes water retention and hypertension. Clients are encouraged to
restrict their sodium intake moderately. Clients often have bone density loss and
need more calcium.
A client is brought to the emergency department via rescue squad in acute adrenal
crisis. Which action by the nurse is the priority?
pg. 3
, a.
Start an IV line if the client does not already have one.
b.
Administer hydrocortisone sodium succinate (Solu-Cortef).
c.
Instruct the nursing assistant to check the client's blood glucose.
d.
Administer 20 units of insulin and 20 mg of dextrose in normal saline. -
ANSWER-a.Start an IV line if the client does not already have one.
All actions are appropriate for the client with adrenal crisis. However, therapy is
given IV, so the priority is to establish IV access. Solu-Cortef is the drug of choice.
Blood glucose is monitored hourly and treatment is provided as needed. Insulin
and dextrose are used to treat any hyperkalemia.
Which serum laboratory values alert the nurse to the possibility of
hyperaldosteronism? (Select all that apply.)
a.
Sodium, 150 mEq/L
b.
Sodium, 130 mEq/L
c.
Potassium, 2.5 mEq/L
d.
Potassium, 5.0 mEq/L
e.
pH, 7.28
pg. 4
and Correct Answers with Rationales/ Hondros NUR
212 Final Practice Test 2026
A patient diagnosed with major depressive disorder repeatedly tells staff members,
I have cancer. Its my punishment for being a bad person. Diagnostic tests reveal no
cancer. Select the priority nursing diagnosis.
a. Powerlessness
b. Risk for suicide
c. Stress overload
d. Spiritual distress - ANSWER-b. Risk for suicide
A patient with depression who feels so worthless as to believe cancer is deserved is
at risk for suicide. Safety concerns take priority over the other diagnoses listed.
A patient was started on escitalopram (Lexapro) 5 days ago and now says, This
medicine isn't working. The nurses best intervention would be to:
a. discuss with the health care provider the need to change medications.
b. reassure the patient that the medication will be effective soon.
C. explain the time lag before antidepressants relieve symptoms.
D. critically assess the patient for symptom relief. - ANSWER-C. explain the time
lag before antidepressants relieve symptoms.
Escitalopram is an SSRI antidepressant. Between 1 and 3 weeks of treatment are
usually necessary before a relief of symptoms occurs. This information is
important to share with patients.
pg. 1
,During a follow-up visit, a woman is describing new onset of marital discord with
her terminally ill spouse. Using the Kubler-Ross behavioral theory, the nurse
recognizes that the spouse is in which stage of dying?
a.
Denial
b.
Bargaining
c.
Anger
d.
Depression - ANSWER-c.
Anger
Kbler-Ross traditional theory involves five stages of dying. The anger stage of
adjustment to an impending death can involve resistance, anger at God, anger at
people, and anger at the situation. Denial would involve failure to accept death.
Bargaining is an action to delay acceptance of death by bartering. Depression
would present as withdrawal from others.
Which safety measure is most important for the nurse to institute for a client who
has Cushings disease?
a.
Pad the side rails of the client's bed.
b.
Assist the client to change positions slowly.
c.
Use a lift sheet to change the clients position.
d.
pg. 2
,Keep suctioning equipment at the client's bedside. - ANSWER-c.
Use a lift sheet to change the clients position.
Cushing's syndrome or disease greatly increases the serum levels of cortisol, which
contributes to excessive bone demineralization and increases the risk for
pathologic bone fracture. The client should not require suctioning. Padding the side
rails and assisting the client to change position may be effective, but these
measures will not protect him or her as much as using a lift sheet.
Which dietary alterations does the nurse make for a client with Cushing's disease?
a.
High carbohydrate, low potassium
b.
Low carbohydrate, low sodium
c.
Low protein, low calcium
d.
High carbohydrate, low potassium - ANSWER-b.
Low carbohydrate, low sodium
The client with Cushing's disease has weight gain, muscle loss, hyperglycemia, and
sodium retention. Dietary modifications need to include reduction of total calories
and carbohydrates to prevent or reduce the degree of hyperglycemia. Sodium
retention causes water retention and hypertension. Clients are encouraged to
restrict their sodium intake moderately. Clients often have bone density loss and
need more calcium.
A client is brought to the emergency department via rescue squad in acute adrenal
crisis. Which action by the nurse is the priority?
pg. 3
, a.
Start an IV line if the client does not already have one.
b.
Administer hydrocortisone sodium succinate (Solu-Cortef).
c.
Instruct the nursing assistant to check the client's blood glucose.
d.
Administer 20 units of insulin and 20 mg of dextrose in normal saline. -
ANSWER-a.Start an IV line if the client does not already have one.
All actions are appropriate for the client with adrenal crisis. However, therapy is
given IV, so the priority is to establish IV access. Solu-Cortef is the drug of choice.
Blood glucose is monitored hourly and treatment is provided as needed. Insulin
and dextrose are used to treat any hyperkalemia.
Which serum laboratory values alert the nurse to the possibility of
hyperaldosteronism? (Select all that apply.)
a.
Sodium, 150 mEq/L
b.
Sodium, 130 mEq/L
c.
Potassium, 2.5 mEq/L
d.
Potassium, 5.0 mEq/L
e.
pH, 7.28
pg. 4
